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Specialty Doctor

NHS Medical & Dental: Specialty Doctor

Main area
NHS Medical & Dental: Specialty Doctor
40 (10 PAs)
Job ref
Mellmead House, 4 Orchard Close Rodney Road Wanstead
£39,060 - £72,840pa plus london weighting
28/08/2019 23:59

Do you want to be part of an innovative, dynamic organisation that is committed to delivering the best care by the best people? We are looking to appoint people who are as passionate about high quality care as we are.

NELFT provides award winning community and mental healthcare for over 2 million people. We work to ensure our patients, their friends and family, feel confident that their health needs are well met. With an excellent reputation for research and development, our skilled health professionals are at the cutting edge of evidence-based innovation, opening up the possibilities for better ways of working and delivery of care.

We are committed to the delivering the best care for our patients. The successful candidate will share this commitment and demonstrate our Trust values.

We are committed to continuous learning to improve patient outcomes so this means that we are also committed to the professional development of our workforce. We want to ensure you have the opportunity to grow and progress within NELFT, so take the first step on this journey by joining us now.

This is a full time 10PA post, split equally between the Redbridge Access and Assessment/ Brief Intervention Service and the Redbridge EIP team.

The Redbridge Access and Assessment/ Brief Intervention Service is at the interface of Primary and Secondary Care Mental Health Services. The Service accepts referrals for adults from 18 to 65 years of age. Sources of referral include Primary care, the Intake & Home treatment teams, Inpatient wards, Psychiatric liaison Service at King George’s Hospital and Forensic services. GPs can also re refer patients who had been previously under the care of the Community Recovery Service. Referrals are discussed in dedicated referral meetings and those who meet criteria for the Service are accepted into the Service. We are a progressive service that provides a full MDT service providing assessment of mental health conditions and offer treatment options based on bio psycho-social lines over 6months to 1 year. All patients are offered core and risk assessments and then offered a comprehensive treatment package that is fully linked with the community resources and group-based care. Our patients are not on CPA engagement though they may be key worked. The service is linked closely to the CRT and EIP services at Mellmead House where referrals are directly made. We have a team caseload of 800 patients though these patients are shared in the team. We have leads in nursing, OT and Social Care and we discuss all clients through a RAG service in the weekly Zoning meeting on Wednesdays. We are closely affiliated to the CRT Teams and we hold specialist Well-being Clinics (to cater for non-CPA Depot clients), and Physical Health Clinics for patients with SMI.

At present there are 2.5 wte consultants, 2.5 Junior doctors in post. Dr Roger Singh and Dr Punita Sharma are the substantive consultants and Dr Kassim is the locum consultant. You would be working closely with the team. Dr Roger Singh is a BAME Ambassador and he welcomes close discussions to allow effective multi working support. Dr Sharma is on the RCPsych London Executive Committee and the Flexible Working Champion for the Trust.

Redbridge EIP works with patients with first episode of psychosis under the Care Programme Approach (CPA). It covers an age range from 14 to 65 years and has working arrangements with CAMHS. Referrals to EIP mainly come from GPs, the Access Team, CAMHS, the inpatient unit and the home treatment team. The team has a 2-week Referral to Treatment Target (RTT) and takes part in physical health CQUINs. Team doctors are involved in assessing and providing advice about accepting referrals, allocating care coordinators, performing CPA reviews, medical reviews, home visits to patients, mental health act assessments, doing CTO tribunal reports, attending mental health review tribunals, professionals meetings and in making decisions about discharging patients from EIP. They regularly attend multidisciplinary team zoning meetings. The team caseload is about 145 to 150 patients approximately. All patients are on CPA.

You will work closely with the team consultant, team manager, the rest of the multidisciplinary team and with other teams across interfaces both in NELFT and externally. There is currently 1wte Consultant Dr Sujaa Rajagopal Arokiadass who is Vice Chair of the Royal College of Psychiatrists London Division Executive and, it’s QI representative. She is also the Trust-wide Community Lead for the National Clinical Audit of Psychosis and the Co-Chair of the Trust wide Physical Health CoP Sub-Group. There is also 1 wte ST4-6 (Higher Trainee) in post. Dr Arokiadass is the named clinical supervisor for the EIP higher trainee and the EIP/Access staff grade psychiatrist.

The Service operates a Risk Zoning Meeting with multidisciplinary input facilitating robust risk management and a ‘whole team’ approach to team caseload management. Psychological treatments provided by EIP team psychologists include Cognitive Behaviour Therapy and Family intervention. Carer’s Support is also provided to carers who accept this intervention. A Social Group anda Social Netball Women’s group are part of the recovery-based activities that the team offers to patients. All patients in the Service have access to psychology input as required.

A personality disorder service providing dialectical behaviour therapy and mindfulness interventions are also available in the Trust and patients can be referred to this service as required.

There is a forensic liaison service from East London NHS Foundation Trust, which regularly visits Mellmead House and provides advice and support to teams in Mellmead House. Drug and Alcohol services are based within the borough and provided by East London NHS Foundation Trust.

This is a full-time specialist post in General Adult Psychiatry based at Mellmead House, 4 Orchard Close, Rodney Road, Wanstead E11 2DH. This post is split between 5 PAs with Access Assessment and Brief Intervention Team and 5 PAs with Early Intervention in Psychosis.   The post holder will be supervised informally by the respective Access and EIP consultants, with once monthly formal supervision from the EIP Consultant. The employing organisation is North East London NHS Foundation Trust.

The post provides sound clinical experience in areas such as assessment and management of a broad range of mental health conditions, mental state examinations, risk assessments, medical treatments, multidisciplinary model of team working, interface with primary care, cross cultural psychiatry. In EIP the Team doctors are involved in providing advice about accepting referrals, assessing patients, performing CPA reviews, medical reviews, home visits to patients, mental health act assessments, mental health review tribunals and making decisions about discharging patients. There are excellent opportunities to participate in research, audit and a range of innovative projects within the Access team and EIP team including teaching activities. Leadership and management learning opportunities including shadowing opportunities are available.




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Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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Further details / informal visits contact

Shweta Anand

0300 300 1723 x 56554