Consultant Psychiatrist Yeovil and Chard adult CMHS
Posted 3 days 22 hours ago by NHS
£200,000 Annual
Permanent
Full Time
Healthcare & Medical Jobs
Somerset, Yeovil, United Kingdom, BA201
Job Description
Consultant Psychiatrist Yeovil and Chard adult CMHS We are seeking a permanent, full time (10 PA) Consultant Psychiatrist, to join us as part of a team of three community consultants covering the South Somerset area (Yeovil East, Yeovil West and Chard).
This post is the Chard section of the CMHT.
This post makes up a total team of 3 consultants and 3 associate specialists/speciality doctors covering the south somerset Community Mental health service for working age adults.
The community psychiatrists work together as a team, offering general support, cross cover arrangements for leave and have offices grouped together. The responsible doctors are determined by GP alignment.
The working pattern is Monday to Friday 9am to 5pm with some flexibility. With an optional on call requirement, subject to availability.
Main duties of the job Routine and urgent referrals from GPs and other sources are dealt with through a single point of access. Referrals are processed through a streaming meeting, and more complex cases may come to a Local leadership Group (LLG) meeting. Referrals for doctors can be reviewed individually by the doctor to ensure good practice. Medical staff take a proportion of referrals as clinically indicated either for joint assessment with a team member or more usually as individual outpatient assessments.
Draft Job Plan would include:
Four outpatient clinics per week
Domiciliary visits/Urgent assessments (0-3 per week)
Attending one weekly CMHT MDT meeting
There is an established once weekly liaison meeting with the Inpatient team
Mental Health Act Assessments, including section 136 assessments at the place of safety, Rowan Ward. (approximately 0.5 PA per week)
Additional work is generated by Mental Health Act (MHA) assessments. A small number of patients are managed under a Community Treatment Order or under Section 37/41 and this gives rise to a requirement for reports and occasional review hearings. Numbers vary from 0-5 cases on average.
All teams are based at Summerland's hospital site and the CMHT, CRHTT, AOT and STEP teams share the same open plan office. All outpatient clinics associated with this post are undertaken on site. All patients for this post reside in Chard, surrounding villages or Yeovil.
About us At Somerset NHS Foundation Trust, we're committed to supporting our employees with a range of benefits designed to enhance your professional and personal life. We offer:
We are proud to foster a diverse, skilled, and inclusive workforce, and we encourage applications from all backgrounds.
Why Somerset? Somerset offers the perfect blend of idyllic countryside, outstanding areas of natural beauty, and breathtaking coastlines, with vibrant cities like Bristol, Bath, and Exeter just a short drive away - and only two hours to London.
The region is home to excellent educational facilities, and with affordable housing compared to other parts of the country, it's a great place to build both your career and your future.
Somerset truly has it all - the peaceful countryside and cosmopolitan city life, with something for everyone to enjoy.
Job responsibilities The post holder is expected to provide the following:
The clinical work will involve the assessment and psychiatric treatment of patients either directly, or through the supervision of other team members.
The consultant caseload will include patients with SMI, complex cases with medical comorbidities, diagnostic assessments, joint worked cases, cases with specific medication supervision requirements, ADHD with significant comorbidity.
The Consultant will be expected to offer clinical leadership to the CMHT and to act as an advisor to the team, particularly with respect to patients whose mental health needs are complex and / or carry high risk.
Special interests can be developed through discussion and agreement in job plan review meetings. There are no external duties, however, these would be considered through job planning if necessary.
The post-holder can opt to join the senior out-of-hours on-call rota subject to availability. This is a 1 in 11 rota operating 5pm to 9am on weekdays; at weekends the rota operates from 9am on Saturday morning to 9am on Monday morning. This rota provides senior medical cover including Responsible Clinician duties to all the in-patient wards in the Trust. If the doctor does not have AC approval cover for this can be arranged. It therefore covers all inpatient services. Hence it includes duties for patients within the following specialties: general adult, old age, rehabilitation and learning disability.
The senior on-call rota also involves MHA assessments in the two Hospital Place of Safety suites (located in Yeovil and Taunton), the general and community hospitals, police custody centres and in the community. However, most of the work is in the Place of safety suites and ED. Assessments in the Hospital Place of Safety are not routinely undertaken at night for patients arriving after 1am (at the discretion of the nurse in charge).
The rota is frequently supported by senior trainees who accept calls before the consultant but require consultant supervision and stop work at midnight.
The rota attracts a payment of 1.25 PA (for the S12 component) and a 3% salary enhancement for the RC / senior medical cover for inpatient wards. Section fees are also paid for assessments (excluding current Trust inpatients).
This post provides senior psychiatric input to the Chard part of the community mental health team, which is aligned to 7 of the 20 GP surgeries in the Chard and Yeovil area.
Martock Surgery and South Petherton Medical Centre
Church View Medical Centre, Ilminster
Hamdon Medical Centre, Stoke-sub
The GP population catchment area for Chard CMHT is 58,822 which is within Royal College recommendations. The average number of new referrals to the Chard catchment area is 600 per year and a percentage of these are seen by doctors, either singly or jointly with another team member.
There is an office at Magnolia House on the Summerland's site, Yeovil, and in Bracken house in Chard. There is designated space for administration and seeing patients in both sites. The post holder is expected to work 2 days in Magnolia house in Yeovil and 2 days in Bracken house. Current post holder is working in Bracken House on Tuesdays and Wednesdays, while working in Magnolia House on Mondays and Thursdays. Both sites are under one community mental health team, and the FT medical secretary will organize clinics and client appointments. The current post holder works from home on Fridays. As the work involves working in two sites, having own transport will be beneficial.
The focus of the work is on patients with SMI, complex needs and diagnostic issues, higher risk, some ADHD work for which training will be provided, cases requiring multi-disciplinary input. Other diagnostic groups are largely managed by relational recovery staff and non-medical keyworkers.
We have an established system to support doctors to manage DNAs, support transfer of patients to other sources of support or discharge and maintain caseloads at a manageable size. This enables appropriate oversight of caseload. This creates more flexibility within the working week so that doctors can be more creative in service they offer to organisation and patient group.
There are several more specialised services within the CMHS following specific models that may require medical input to varying degrees.
May have a small number of patients in the Assertive Outreach Team (AOT). AOT follows a standardised operational policy to help manage admissions, recovery, treatment planning and discharge. There are dedicated managers and links with the community forensic service.
Connect 18 is a small team that works with young people transitioning from CAMHS to adulthood, over an 18-month period, and who have complex emotional or mental health needs. They follow principles of engagement and recovery and use a collaborative, strengths and solution focused, and trauma informed approach. Medical review is occasionally needed for a percentage of these patients.
The core CMHT works closely with the wider community mental health service. This consists of therapists, psychologists, occupational therapists, social workers, mental health nurses, psychiatrists, and several team managers. We work together, especially in complex cases and where there is higher risk, to support patients and colleagues. This working together includes within patient consultation, professionals' meetings, care planning, referrals meetings and multi-disciplinary team meetings. We have a clinical model that helps guide our service.
Community services have expanded across the Trust with concomitant expansion in staff as we have built up a new service called Open Mental Health in the last 5 years. This service works closely with primary care, the wider community, and the voluntary sector. This service is made up of psychologists . click apply for full job details
This post is the Chard section of the CMHT.
This post makes up a total team of 3 consultants and 3 associate specialists/speciality doctors covering the south somerset Community Mental health service for working age adults.
The community psychiatrists work together as a team, offering general support, cross cover arrangements for leave and have offices grouped together. The responsible doctors are determined by GP alignment.
The working pattern is Monday to Friday 9am to 5pm with some flexibility. With an optional on call requirement, subject to availability.
Main duties of the job Routine and urgent referrals from GPs and other sources are dealt with through a single point of access. Referrals are processed through a streaming meeting, and more complex cases may come to a Local leadership Group (LLG) meeting. Referrals for doctors can be reviewed individually by the doctor to ensure good practice. Medical staff take a proportion of referrals as clinically indicated either for joint assessment with a team member or more usually as individual outpatient assessments.
Draft Job Plan would include:
Four outpatient clinics per week
Domiciliary visits/Urgent assessments (0-3 per week)
Attending one weekly CMHT MDT meeting
There is an established once weekly liaison meeting with the Inpatient team
Mental Health Act Assessments, including section 136 assessments at the place of safety, Rowan Ward. (approximately 0.5 PA per week)
Additional work is generated by Mental Health Act (MHA) assessments. A small number of patients are managed under a Community Treatment Order or under Section 37/41 and this gives rise to a requirement for reports and occasional review hearings. Numbers vary from 0-5 cases on average.
All teams are based at Summerland's hospital site and the CMHT, CRHTT, AOT and STEP teams share the same open plan office. All outpatient clinics associated with this post are undertaken on site. All patients for this post reside in Chard, surrounding villages or Yeovil.
About us At Somerset NHS Foundation Trust, we're committed to supporting our employees with a range of benefits designed to enhance your professional and personal life. We offer:
- Flexible working options to help you balance work and life
- NHS pension scheme for long-term financial security
- Generous annual leave allowance to recharge and relax
- A strong focus on career development to help you grow and achieve your potential
We are proud to foster a diverse, skilled, and inclusive workforce, and we encourage applications from all backgrounds.
Why Somerset? Somerset offers the perfect blend of idyllic countryside, outstanding areas of natural beauty, and breathtaking coastlines, with vibrant cities like Bristol, Bath, and Exeter just a short drive away - and only two hours to London.
The region is home to excellent educational facilities, and with affordable housing compared to other parts of the country, it's a great place to build both your career and your future.
Somerset truly has it all - the peaceful countryside and cosmopolitan city life, with something for everyone to enjoy.
Job responsibilities The post holder is expected to provide the following:
The clinical work will involve the assessment and psychiatric treatment of patients either directly, or through the supervision of other team members.
The consultant caseload will include patients with SMI, complex cases with medical comorbidities, diagnostic assessments, joint worked cases, cases with specific medication supervision requirements, ADHD with significant comorbidity.
The Consultant will be expected to offer clinical leadership to the CMHT and to act as an advisor to the team, particularly with respect to patients whose mental health needs are complex and / or carry high risk.
Special interests can be developed through discussion and agreement in job plan review meetings. There are no external duties, however, these would be considered through job planning if necessary.
The post-holder can opt to join the senior out-of-hours on-call rota subject to availability. This is a 1 in 11 rota operating 5pm to 9am on weekdays; at weekends the rota operates from 9am on Saturday morning to 9am on Monday morning. This rota provides senior medical cover including Responsible Clinician duties to all the in-patient wards in the Trust. If the doctor does not have AC approval cover for this can be arranged. It therefore covers all inpatient services. Hence it includes duties for patients within the following specialties: general adult, old age, rehabilitation and learning disability.
The senior on-call rota also involves MHA assessments in the two Hospital Place of Safety suites (located in Yeovil and Taunton), the general and community hospitals, police custody centres and in the community. However, most of the work is in the Place of safety suites and ED. Assessments in the Hospital Place of Safety are not routinely undertaken at night for patients arriving after 1am (at the discretion of the nurse in charge).
The rota is frequently supported by senior trainees who accept calls before the consultant but require consultant supervision and stop work at midnight.
The rota attracts a payment of 1.25 PA (for the S12 component) and a 3% salary enhancement for the RC / senior medical cover for inpatient wards. Section fees are also paid for assessments (excluding current Trust inpatients).
This post provides senior psychiatric input to the Chard part of the community mental health team, which is aligned to 7 of the 20 GP surgeries in the Chard and Yeovil area.
Martock Surgery and South Petherton Medical Centre
Church View Medical Centre, Ilminster
Hamdon Medical Centre, Stoke-sub
The GP population catchment area for Chard CMHT is 58,822 which is within Royal College recommendations. The average number of new referrals to the Chard catchment area is 600 per year and a percentage of these are seen by doctors, either singly or jointly with another team member.
There is an office at Magnolia House on the Summerland's site, Yeovil, and in Bracken house in Chard. There is designated space for administration and seeing patients in both sites. The post holder is expected to work 2 days in Magnolia house in Yeovil and 2 days in Bracken house. Current post holder is working in Bracken House on Tuesdays and Wednesdays, while working in Magnolia House on Mondays and Thursdays. Both sites are under one community mental health team, and the FT medical secretary will organize clinics and client appointments. The current post holder works from home on Fridays. As the work involves working in two sites, having own transport will be beneficial.
The focus of the work is on patients with SMI, complex needs and diagnostic issues, higher risk, some ADHD work for which training will be provided, cases requiring multi-disciplinary input. Other diagnostic groups are largely managed by relational recovery staff and non-medical keyworkers.
We have an established system to support doctors to manage DNAs, support transfer of patients to other sources of support or discharge and maintain caseloads at a manageable size. This enables appropriate oversight of caseload. This creates more flexibility within the working week so that doctors can be more creative in service they offer to organisation and patient group.
There are several more specialised services within the CMHS following specific models that may require medical input to varying degrees.
May have a small number of patients in the Assertive Outreach Team (AOT). AOT follows a standardised operational policy to help manage admissions, recovery, treatment planning and discharge. There are dedicated managers and links with the community forensic service.
Connect 18 is a small team that works with young people transitioning from CAMHS to adulthood, over an 18-month period, and who have complex emotional or mental health needs. They follow principles of engagement and recovery and use a collaborative, strengths and solution focused, and trauma informed approach. Medical review is occasionally needed for a percentage of these patients.
The core CMHT works closely with the wider community mental health service. This consists of therapists, psychologists, occupational therapists, social workers, mental health nurses, psychiatrists, and several team managers. We work together, especially in complex cases and where there is higher risk, to support patients and colleagues. This working together includes within patient consultation, professionals' meetings, care planning, referrals meetings and multi-disciplinary team meetings. We have a clinical model that helps guide our service.
Community services have expanded across the Trust with concomitant expansion in staff as we have built up a new service called Open Mental Health in the last 5 years. This service works closely with primary care, the wider community, and the voluntary sector. This service is made up of psychologists . click apply for full job details