Consultant Psychiatrist

Location
Middlesbrough, North Yorkshire
Salary
77913 - 105042
Posted
25 Apr 2019
Closes
23 May 2019
Sector
Hospital
Career Level
Consultant
Contract Type
Permanent
Hours
Full Time

Forensic Mental Health Services relocated to Ridgeway, with its purpose built medium and low secure facilities in May 2010.  This facility offers increased capacity, with over 120 medium and low secure male and female in-patient beds.  In addition Ridgeway contains the majority of the Forensic Learning Disability low secure beds (67) and the Medium Secure autism beds (12).

Ridgeway offers spacious accommodation along with a comprehensive range of facilities including its own gymnasium, football pitch, café, GP surgery, dental surgery and resource centre.

The principal objectives of the service are to cater for mentally disordered patients who require a greater degree of security than can be provided in conventional psychiatric settings in the region, but who do not need the degree of security provided by the High Secure Hospitals.   As part of this process we have, and have developed links, with the High Secure Hospitals that serve the region.

The functioning of the service takes place within the terms of a detailed operational policy. Copies of the contract specifications agreed with the purchasing authorities and the forensic service business plan are available.

The service has a full complement of clinical and forensic psychologists, social workers, occupational therapists and technical instructors working in to the MDTs.  There are in addition three modern matrons in forensic mental health, with one with specific responsibility for women’s services (in addition there are three modern matrons in the forensic learning disability service and 1 modern matron covering forensic service’s physical healthcare).

There is a current complement of 13 substantive Forensic Consultant Posts established within the Trust.  There is a Forensic Psychiatry Higher Training Scheme within the Health Education North East. This scheme covers the Middlesbrough and Newcastle Forensic Services. It currently consists of five specialist registrar posts. Furthermore there is the opportunity to provide placements for registrars from the adult psychiatry rotation who are seeking to gain experience in forensic psychiatry. The service has a good track record in successfully supporting consultants who wish to gain approval through the Health Education North East to become a trainer for specialist registrars.

Three Core Specialty Training Doctors from the Northern Regional (Southern) Core Specialty Training Scheme are placed with Forensic Services for six month periods. Up to three ST4-6 Doctors work within the service at any one time. 

Formal integration and partnership working with Social Services colleagues is advanced in Middlesbrough. Jointly appointed service management posts and closely aligned service funding provide an opportunity to work together more closely.

Our experience of integrated working suggests there are benefits for service users through shortening communication loops, and allowing quicker decisions to be made on areas for service development.

Until recently, commissioning arrangements are through both NHS England and local CCGs, including Hartlepool and Stockton, South Tees, Durham, North Durham, and Hambleton. This is now subsumed under New Care Models working.

We work with the NHS England for specialist services, including Forensic Services and Eating Disorder Services.

The forensic service comprises of 3 directorates: Forensic Mental Health (FMH), Forensic Learning Disability (FLD) and Offender Health & Community (OH&C).

This has recently changed to a single Secure Inpatient services and Health and Justice arm (Offender health and Community).

This is a replacement post.  The post is located at Roseberry Park Hospital, Middlesbrough, where inpatient forensic beds and clinical and managerial offices are all co-located. The post-holder will have a caseload of up to 14 female patients working on low secure ward. The focus of the ward is the care of women with predominantly personality disorder diagnosis. It will be with the women’s pathway. The other wards on the pathway are 3 female MSU and 1 LSU.

The wards operate to a multidisciplinary model, and consist of the following:

  • Consultant Psychiatrists
  • Ward Manager
  • Clinical Nurse Lead
  • Clinical or Forensic Psychologist with a Trauma informed perspective
  • Occupational Therapist
  • Technical instructors
  • Qualified nurses
  • Healthcare assistants
  • Clinical Pharmacist
  • Social work
  • Modern Matron

    There is a physical healthcare department on site, with a dedicated team of physical healthcare specialty doctors, modern matron, nurse practitioners, a dentist, and a physiotherapist. 

    The post covers one ward, a female low secure ward (Brambling) and will cover up to 14 patients.  There is a system of weekly MDT meetings for the ward which the post holder is expected to attend, in addition to meetings for CPA (4 monthly), formulation and risk management meetings.  The length of stay currently is around 3 years

    The consultant will be supported by a ward manager, clinical lead working on the ward. In addition, they will receive support from occupational therapist, psychologist and social worker. Pharmacist will attend when support is required. A core trainee doctor which is shared (50% time) will be supporting the post holder.

    All patients will be detained under the Mental Health Act. As Responsible Clinician, the post holder will be expected to write statutory reports and attend First Tier Tribunals, Hospital Manager Hearings, S117 and MAPPA meetings as appropriate.

    Referral rates for the ward are anticipated to be 10 per year. The number of referrals last year was 6. They can be seen jointly with the other staff members (psychologist/ nursing staff).

    Within the Forensic Mental Health Directorate, the post-holder will be working alongside 12.5 consultant colleagues, 4 specialty grade doctors, and up to 3 core trainees.  The Forensic Mental Health Directorate is co-located with the Forensic Learning Disability Directorate, which has 7 consultant psychiatrists. 

The post-holder will also be expected to provide 1 PA per week prison sessions to support the Offender Health Service.  This will be at a local prison within North East. Number of referrals seen in one prison session are 3 new or 6 follow up (or combination of new and follow up)

 

 

 

 

 

 

 

 

 

 

 

 

Our experience of integrated working suggests there are benefits for service users through shortening communication loops, and allowing quicker decisions to be made on areas for service development.