Bank - Psychiatry Senior Training Post

Job content

Are you a Doctor at Junior or Senior Trainee level looking to work additional hours in Mental Health services on a temporary basis?

Why not join NELFT’s Bank, and gain experience across our Mental Health services covering Waltham Forest, Redbridge, Barking and Dagenham, Havering and some areas of Essex and Kent.

We operate a temporary staffing service and at competitive hourly rates, flexibility of shifts and hours, access to the NHS pension scheme, a variety of work experience and access to training opportunities.

NELFT is a leader in service delivery in Mental Health across the UK, and is one of the best training facilities in London.

This vacancy will be closed as soon as a suitable number of applicants have been received; therefore please apply as soon as possible to avoid disappointment.

For more information about working on the Temporary Staffing Bank please feel free to contact the Temporary Staffing Team on 0300 300 1530 Opt 1, Opt 1.

The main duties of this post are outlined fully below and in the attached job description

COVID-19 Vaccination

We continue to encourage all staff to ensure that they have been double vaccinated and received their booster. We recognise that taking the vaccine provides the best defence against COVID 19 for our patients, our staff and their families.

We operate a Temporary Staffing service and offer our Bank Staff excellent benefits including:

• Competitive hourly rates and weekly pay;
• Access to paid annual leave and statutory sick pay;
• My Trust Benefits discount scheme;
• Access to the NHS pension scheme;
• Paid mandatory training;
• Opportunities for locally agreed training;
• Flexibility of hours/location;
• Priority over agency staff for booking shifts;
• Opportunity to apply for permanent posts.

Key Responsibilities:
Duties and opportunities

The duties of the post, performance criteria and the learning opportunities available are set out following the structure of the Psychiatry Specialty Curriculum (as approved by PMETB, 2006), which in turn, is based on the headings of the GMC’s Good Medical Practice.

1. PROVIDE A GOOD STANDARD OF PRACTICE AND CARE:
Undertake clinical assessment of patients with mental health problems:

Patient will be seen in clinics, in their homes, or in hospital. As part of your duty you will ensure that all patients are fully assessed, including an assessment of their physical state. You will maintain accurate, legible, contemporaneous and useful clinical records for all patients in whose care you are involved. You will ensure that the diagnosis, HONOS, clustering and risk assessment is entered / updated for all clients that you meet.

Training in communication and interview skills as appropriate to the practice of psychiatry is available and will be tailored to the needs of the post holder

1. DECISIONS ABOUT ACCESS TO CARE:
Use the results of the clinical assessment to ensure effective patient management:

Under the supervision of a clinical supervisor, you will prescribe pharmacological and psychosocial treatments for the patients that you are working with. You will refer them promptly to other professionals as directed by your clinical supervisors.

1. TREATMENT IN EMERGENCIES:
Manage emergencies:
Emergency assessments will happen ad hoc, and most likely happen when doing on call. When on call, you will respond to requests for advice, guidance and assistance from the resident shift doctors (Core Trainees, Foundation Year 2 and GP Trainees) who provide the first medical response to psychiatric emergencies. You will use your judgement to decide when you need to go to the hospital site to assess the patient alongside the junior colleague and to access consultant advice (according to the on call rota) as appropriate.

You will routinely be required to advise on and directly assess patients brought to the inpatient units of the Trust under Section 136 of the Mental Health Act 1983, liaising with more junior medical staff, Approved Mental Health Professionals, inpatient and Home Treatment Team staff and the duty consultant as required.

Senior on call support is available to support you in managing these emergencies.

1. MAINTAINING GOOD MEDICAL PRACTICE:
Maintain and use systems to update knowledge and its application to any aspect of your professional practice:

Depending on the length on your placement you will follow the Psychiatry Specialty Curriculum and maintain an up-to-date learning portfolio that you will bring to meetings with the trainer when asked to do so. As a minimum, this will be at the beginning, mid-term and the end of the placement.

1. MAINTAINING PERFORMANCE:
Monitor and maintain professional performance:
Depending on the length on your placement you will participate fully in the workplace-based assessment programme of the Psychiatry Specialty Training Curriculum and will use the feedback that you receive from this process to inform your critical self-awareness. You will discuss every item of assessment with your trainer.

1. TEACHING AND TRAINING, APPRAISING AND ASSESSING:
Plan, deliver, and evaluate teaching and learning in a variety of environments:

Depending on the length on your placement, you will participate in the teaching of medical students attached to the teams.

You will provide supervision and support to the Core / GP Trainees placed within the Team and undertake the supervisor role for some of the workplace-based assessments that those doctors undertake. You will look for opportunities to provide teaching both formally and informally to junior doctors and non-medical staff within the multidisciplinary teams with which you work.

Assess, appraise and evaluate learning and learners:
Depending on the length on your placement you will evaluate your own learning and progress, using self-assessment forms that you may retain in your learning portfolio. You will participate in the assessment of others, including clinical medical students and colleagues using multi-source feedback tools.

1. RELATIONSHIPS WITH PATIENTS:
Conduct professional patient relationships:
Whenever possible, you will obtain informed consent from patients for whom you provide treatment. You will observe patient confidentiality at all times. When guided by your clinical supervisors, you should share information appropriately with colleagues.

1. DEALING WITH PROBLEMS IN PROFESSIONAL PRACTICE:
Conduct or performance of colleagues:
If you become aware of problems with the conduct or performance of a colleague, you must bring this to the attention of a senior colleague.

Complaints and formal queries:
You must always cooperate fully with any complaints procedure or formal inquiry

Provide assistance at enquiries and inquests:
You must always cooperate fully with any formal inquiry or inquest into serious incidents.

1. WORKING WITH COLLEAGUES:
Continuously promote value based non-prejudicial practice:
You must maintain a legal, ethical and fair approach toward working with colleagues and respect diversity.

Work effectively as a member and a leader of a multidisciplinary team:

You must at all times work as part of a team in order to provide holistic care to our patients.

Demonstrate appropriate leadership:
During your placement you will be a full member of a team and will attend weekly clinical meetings. You should discuss your experience of the MDT in meetings with your supervisor.

You will cross cover for other medical staff when other doctors are away on study leave, annual leave or covering other duties.

Communicate effectively with other healthcare professionals:
You will keep clear, accurate and contemporaneous clinical records. You will send regular written reports on patients to general practitioners and other professionals involved in patient care.

Appropriately assume, delegate and devolve responsibility:
You should at all times take clinical responsibility for patient care that you are involved in, and ensure that referrals to other professionals are done appropriately and followed up.

Access advice, assistance and second opinion when delegating and making referrals

Your trainer and clinical supervisors will give you guidance as to the level of responsibility you should assume in individual clinical situations. If you are unsure, you must always obtain advice and assistance

1. MAINTINING PROBITY:
Ensure that reports, evidence and documents you have a responsibility for are complete, honest and accurate:

Your written reports will use the standard report format and will be sent as follows: GP letters within one weeks of the consultation; brief discharge notifications within one working day of a patient’s discharge and full discharge summaries within two weeks of discharge. You may be asked to provide reports to support patients’ claims for benefits, applications for housing, immigration matters, reports in relation to patients’ employment and reports in relation to safeguarding of adults and children. You may be asked to provide reports for Mental Health Review Tribunals and Mental Health Act Hospital Managers’ Hearings. All correspondence will be signed.

You will bring a selection of your reports and letters to be reviewed by your clinical supervisors. In the case of reports and letters relating to safeguarding issues, these will be discussed and checked with your clinical supervisors before being sent out. You will not provide any other written reports about patients unless this has been sanctioned by one of your clinical supervisors.

Properly manage financial and commercial dealings:
You must report receiving any gift from patients with your trainer and you must not solicit any fee or payment from a patient or third party unless your trainer has sanctioned this. You will not meet with any representatives of the pharmaceutical industry during work time, unless this is at a postgraduate meeting that has been organised within ABPI Guidelines.

Avoid conflicts of interest and advise others on preventing and dealing with conflicts of interest:

Inform your trainer of any real or potential conflict of interest you may have.

1. HEALTH:
Ensure that your health and the health of others do not put patients at risk:

You must always obtain advice and treatment for mental and physical health problems and must ensure that your health does not put patients at risk. You must comply with the Trust’s occupational health policy.

1. TYPICAL WEEKLY PROGRAMME:
Depending on the length on your placement, your supervisor will meet with you early in your placement to agree a weekly timetable.

Below is an example of a proposed timetable. It may vary in light of the trainee’s learning needs and the needs of the clinical service.

Trainees Timetable

Monday

Tuesday

Wednesday

Thursday

Friday

AM

Handover

Home Visit & CPA

Supervision

Clinic

Admin

Team Meeting

Clinic

PM

Admin

Admin

Local academic programme

Home visit & CPA

Admin