Job summaryThis post is for 0.6 WTE Consultant Psychiatrist working in Intensive Outreach pathways within the Core Community Mental Health of the Northern Boroughs of the trust (Barnet) as work progresses with the transformation of community mental health services in line with the NHS Long Term plan. The post is substantive, and these are new posts created from the new investment from the ICB to develop this pathway.
The Consultant Psychiatrist works closely with GPs, the Core Team MDT, and a number of intersecting systems, such as housing, social services and the Trust Intensive Teams. The focus is on relationship-building, encouraging reflective practice and collaborative working.
Main duties of the jobGeneral Expectations of a Consultant Psychiatrist employed with North London NHS Foundation Trust include
- To work within the MDT promoting respect for all professional groups and focusing upon coherent and integrated teamwork.
- To be Section 12(2) approved and have approved clinician status and participate in the Trust-wide Section 12 daytime rota.
- To provide second opinions for consultant colleagues if requested.
- To keep up with administration and note-keeping on the electronic patient record system in a timely manner, including letters to GPs, Dialog+ and risk assessments.
- To assist with Serious Incident investigations and complaints if requested.
- To keep up to date with mandatory training.
- To attend and participate in Consultants' and Management meetings to keep informed of service issues and developments.
- Other management/clinical supporting activity (to be negotiated as required by the Trust.)
About usNorth London NHS Foundation Trust (NLFT) is committed to improving mental health care across North London to deliver excellent services to our local people.
Our Five-Year Strategy:
We will provide consistently high-quality care closer to home.
With our partners in North London and each borough we will ensure equity of outcome for all
We will offer great places to work, providing staff with supportive environment to deliver outstanding care.
We will be more effective as an organisation by pioneering research, quality improvement and technology.
Job responsibilitiesThe specific clinical and managerial responsibilities of the post-holder will be as follows:
- To provide advice and support to local GPs, and other practice staff, regarding the assessment and management of the mental health difficulties of patients registered with their practices. This may be done through case discussions, joint consultations and bespoke training, as appropriate.
- To provide consultant input and clinical leadership to the local Intensive Outreach pathway within the Core Community Mental Health Teams.
- To assist with diagnosis, formulation, medication reviews, Dialog+ care planning, management plans, risk assessments, safety plans (Formerly crisis plans), and self-help plans as required for these patients referred to the team.
- As necessary to provide direct clinical assessments of patients and to provide follow-up as appropriate.
- To assist in the prioritization (triage) of new referrals to the service.
- To maintain effective communication with GPs, primary care staff, patients and their carers.
- To work flexibly within timetabled working hours, so that urgent clinical matters can be prioritized.
- To carry out Mental Health Act and domiciliary assessments as required.
- To play a key role in implementing improved linkage between primary and secondary care services.
- To liaise and work closely with local NHS Talking Therapies (Formerly IAPT services for anxiety and depression (also provided by NLFT) and other primary care providers in order to provide a joined up primary care mental health service.
- To liaise and work closely with local voluntary services as part of the new model of core community teams
- To provide clinical input, where necessary, to multi-disciplinary case conferencing around difficult patients being managed solely in primary care.
- To engage with local service user participation models.
- To participate in management activities and governance processes related to the Core Teams, including audits and quality improvement projects.
- To play an integral role in the performance of the team, the further development of the service, and the development of clinical pathways and priorities of the service line.
Person SpecificationQualificationsEssential- MBBS or equivalent qualification
Desirable- Qualifications or higher degree in medical education, clinical research or management
- Open Dialogue Training
- Additional clinical qualification
EligibilityEssential- Full Registration with the General Medical Council (GMC) with a current licence to practise from the GMC at intended start date
- Included on the GMC Specialist Register OR within six months
- Approved clinician status OR able to achieve within 3 months of appointment
- Section 12 Approved or able to achieve within three months of appointment
Desirable- In good standing with GMC with respect to warning and conditions on practice
TransportEssential- Holds and will use valid UK driving licence OR provides evidence of proposed alternative
Clinical skills, knowledge and experienceEssential- Excellent knowledge in specialty
- 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
Desirable- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills and lifelong learningEssential- Able to deliver undergraduate or postgraduate teaching and training
- Ability to work in and lead team
- Demonstrate commitment to shared leadership and collaborative working to deliver improvement
- Participated in research or service evaluation.
- Able to use and appraise clinical evidence
- Has actively participated in clinical audit and quality improvement programmes.
Desirable- Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
- Reflect on purpose of CPD undertaken
- Experienced in clinical research and/or service evaluation
- Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
- Has led clinical audits leading to service change or improved outcomes to patients
Information Technology Experience & SkillsEssential- Basic computer skills, including ability to use e-mail and Internet
Desirable- Experience in data gathering and management
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications.Applicants must have current UK professional registration. 
