Consultant Psychiatrist - Addictions

Main area Addiction Services Grade NHS Medical & Dental: Consultant Contract Permanent Hours Full time - 10 sessions per week (PA's- 10, SPA- 2.5, DCC- 7.5) Job ref 350-MED

Site Hope Centre / Brook Place Town Liverpool Salary £105,504 - £139,882 per annum, plus 10% R&R (non contractual) and on call supplement Salary period Yearly Closing 09/08/:59



Mersey Care NHS Foundation Trust celebrates diversity and promotes equal opportunities; we are committed to challenging and eliminating racism and other forms of discrimination and advancing and promoting equality of opportunity in the provision of services and creating an inclusive environment for all employees. We believe that everyone has the right to be treated with dignity and respect.

We take positive action to support disadvantaged groups and also particularly encourage applications from ethnically diverse, disabled and LGBTQIA+ people that are under-represented in our workforce. Furthermore we welcome applications from reservists and ex-armed forces personnel as we recognise the benefits of the values, skills, training and experience that they bring to their work with us. We encourage all applicants to share their equality information with us.



Job overview We are delighted to offer an exciting opportunity for aConsultant Psychiatristto join our dedicated team atThe Hope Centre, a 17-bed regional inpatient detoxification unit withinMersey Care NHS Foundation Trust.

You will work closely with a multidisciplinary team of nurses, healthcare assistants, and junior doctors to deliver high-quality, patient-centred care to individuals undergoing detoxification from drugs and alcohol

This post would be ideal for a new or established consultant looking to develop research interests as the centre has developed a new Ketamine detox protocol. Mersey Care has recently collaborated with the University of Liverpool to create the Mental Health Research for Innovation Centre.

Merseyside and the surrounding areas offer an exceptional quality of life:

• Easy access to theLake District,Yorkshire Dales, andNorth Wales
• Excellentschools,local beaches, andfamily-friendly communities
• A vibrant cultural scene withart galleries,concert venues, andsporting events

Main duties of the job

• Consultant psychiatrist will have responsibility for their caseload and inpatients.
• To supervise and support team members who carry out assessments of patients referred to the team. To carry out comprehensive psychiatric assessments for new admissions and provide medical interventions for patients.
• Supporting staff to manage psychiatric emergencies.
• To conduct patient reviews and lead Multidisciplinary reviews, CPA reviews, discharge planning meetings and multi-professional meetings
• To be the responsible clinician for the purposes of the Mental Health Act 1983 (amended 2007) and carry out duties in accordance with the code of practice.
• To carry out comprehensive Risk Assessments and participate in Trust's risk management processes such as Health Risk Assessment and Management Meetings (H-RAMM) and Multi Agency Public Protection Arrangement (MAPPA) Meetings if required.
• To provide medical leadership to the team.
• Maintain high level of effective communication with other parts of the Mental health service across the Trust, across maternity services and primary care.
• Liaison with families / carers
• Liaison with aspects of the Criminal Justice System regarding patients, where necessary.
• Liaising with other stakeholders and interested parties.

Working for our organisation Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.

We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.

At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.

Flexible working requests will be considered for all roles.

Detailed job description and main responsibilities The Addictions Services at Mersey Care NHS Foundation Trust currently provides integrated drug and alcohol inpatient detoxification services for patients across Merseyside. It is a regional detox unit with 17 inpatient beds. The post holder will work closely with a multidisciplinary team of nurses, health care assistants and junior doctors to deliver a high quality inpatient care.

The unit is supported by a (this post) Consultant Psychiatrists, 1.0 WTE Foundation Year trainee or 1.0 WTE psychiatry trainees cover from the local rotation (once applicant in post) . There is also a SAS Doctor for the service. There will be an opportunity to also act as clinical supervisor for the trainees based on the ward. The Consultant would be supported by the above trainees during admission of the patients on the ward, follow-ups and ward rounds. The trainees are placed at Inpatient Services as part of their training experience. There may be opportunities for ST special interest sessional support too. Postholder will be expected to support trainees and also see new patients.

The unit receives patients who are not suitable for community detox and referrals are made by respective locality-based community drug and alcohol teams. The unit only admits patients with robust after care plans to improve its success rate and promote abstinence based approaches during inpatient stay. Patients in the unit tend to have co morbid physical, mental health needs and a history of poly substance use. The ward round occurs twice a week and the Consultant in post would be expected to lead ward rounds during the week. Addictions Services has actively promoted recovery with drug and alcohol services and the impact is very visible within the units. There are well established groups that run within the wards along with pharmacological intervention to help patients recover and maintain their recovery goals.

There are excellent links with local hepatologist and well established referral pathways into acute hospital that is located within the same site. The approximate waiting list for inpatient admission tends to vary between 4-6 weeks. The Consultant will have the clinical responsibility to prioritise admissions based on clinical needs. The bed occupancy at Inpatient Addictions Services is between 85-90%. We receive approximately referrals per year. The number of admissions to the unit vary from 400-450 per year depending on the length of stay.

Person specification Qualifications

• MB BS or equivalent medical qualification.
• Qualification or higher degree in medical education, clinical research or management.
• Additional clinical qualifications.
• Fully registered with the GMC with a licence to practise at the time of appointment.
• Included on the GMC Specialist Register OR within six months.
• Approved clinician status OR able to achieve within 3 months of appointment
• Approved under S12 OR able to achieve with 3 months of appointment
• In good standing with GMC with respect to warning and conditions on practice

Transport

• Holds and will use valid UK driving licence OR provides evidence of proposed alternative.
• Non-drivers due to disability will be supported via access to work scheme

Clinical Skills, Knowledge and Experience

• Excellent knowledge in specialty of General Adult Psychiatry and experience of Addiction Psychiatry
• Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
• Excellent oral and written communication skills in English
• Able to manage clinical complexity and uncertainty
• Makes decisions based on evidence and experience including the contribution of others
• Able to meet duties under MHA and MCA
• Minimum 12 months training in Substance Misuse
• Inpatient detoxification and management experience
• Good understanding of co-morbid psychiatric illnesses and experience in managing dual diagnosis
• Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service

Academic Skills and Lifelong Learning

• Able to deliver undergraduate or postgraduate teaching and training
• Ability to work Constructively and to lead a multidisciplinary team
• Participated in continuous professional development
• Participated in research or service evaluation.
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