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CONSULTANT ADDICTION PSYCHIATRIST

SOUTH SECTOR AND ARBD TEAM

INFORMATION PACK

REF: 38458D

CLOSING DATE: NOON ON 28TH AUGUST 2015 www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION

POST: CONSULTANT ADDICTION PSYCHIATRIST

BASE: SOUTH SECTOR AND ARBD TEAM

Do you want to come and work with the biggest Addiction Service in Europe, whilst continuing your CPD with protected time, and with the opportunity to enhance your teaching and research CV?

NHS Greater Glasgow and Clyde addiction services are responsible for the delivery of addiction treatment and care services for currently over 12,000 clients. The services range from local Community Addiction Teams through to specialist day and inpatient care, together with liaison provision for both general psychiatry and acute hospital services and an Alcohol Related Brain Disorder (ARBD) Team. Our multidisciplinary structure includes professionals from the fields of medicine, nursing, social care, psychology, occupational therapy, dietetics and pharmacy; Glasgow Addiction Services is also a major commissioner of the voluntary and independent sector.

We are seeking an experienced doctor to work in South West Glasgow (6 sessions) and the ARBD Team (4 sessions).

The post is currently based at Leverndale Hospital and relates to 2 community addiction teams (CATs) and the ARBD Team. You would participate in all aspects of patient care, and multidisciplinary meetings providing consultant leadership and expertise. You would contribute to the general psychiatric on call rota of south Glasgow.

The posts combine the satisfaction of participating in an innovative and developing clinical service to a client group with high levels of morbidity for alcohol, drugs and mental health problems, together with the opportunity to become involved in further developing our recovery orientated system of care as well as a number of research projects and teaching initiatives.

Applicants must have full GMC registration, a licence to practise and MRCPsych or FRCPsych or equivalent. Those trained in the UK should have evidence of higher specialist training leading to CCT in General Psychiatry (addictions) or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. You must be eligible for approval under the Scottish Mental Health Act as an AMP.

NHS Greater Glasgow and Clyde Addiction Services

CONSULTANT IN ADDICTION

PSYCHIATRY

WITH RESPONSIBILITY FOR PROVIDING AN ADDICTION PSYCHIATRY SERVICE TO SOUTH WEST GLASGOW and

the ARBD TEAM

Job Description

General introduction

Greater Glasgow and Clyde (GG&C) Addiction Services are recruiting an enthusiastic and committed specialist to a post of Consultant Addiction Psychiatrist to work in South West Glasgow (6 sessions) and the Alcohol Related Brain Disorder (ARBD) Team (4 sessions).

The addiction services in GG&C are organised within 6 HSCPs. The Glasgow HSCP is further split into 3 sectors: NorthEast, NorthWest and South. Community services in all areas include integrated community addictions teams/drug and alcohol teams with contracted services providing community rehabilitation and GP shared care scheme. The community services share access to 2 dedicated NHS addiction in-patient units- Kershaw Unit (Gartnavel Royal Hospital) and Eriskay House (Stobhill Hospital). In addition, day services for all areas are provided from these units, with the exception of South Clyde (Inverclyde and Renfrewshire) where more local day services exist. A network of local community mental health teams and an ARBD service are examples of other relevant services organised on a similar geographical basis.

The medical workforce within GG&C addiction services is currently over 50 doctors from diverse backgrounds working as medical officers, senior medical officers, consultant addiction psychiatrists and SAS doctors in addiction psychiatry. In Glasgow, the addiction psychiatrists at present work from secondary service settings reaching into community teams, with geographical areas of responsibility. This post holder with be based in Leverndale with the south east Consultant and will have a community role working with 2 community addiction teams (CATs) in southwest Glasgow, and a secondary service role within the ARBD team at Homeless Health services, Hunter Street, Glasgow.

Other Senior Permanent Medical Staff in GG&C Addiction Services

Dr Saket Priyadarshi Senior Medical Officer, Associate Medical DirectorDr Charles McMahon Consultant Psychiatrist, S Clyde, Lead clinicianDr Trina Ritchie Senior Medical Officer, Lead ClinicianDr Maire Cooney Consultant Psychiatrist, East Glasgow Dr Scott Wylie Consultant Psychiatrist, North Glasgow and East DunbartonshireDr Iain Smith Consultant Psychiatrist, West Glasgow and East DunbartonshireDr Donna Mullen Consultant Psychiatrist, West DunbartonshireDr Anupam Agnihotri Consultant Psychiatrist, South East Glasgow Vacancy Consultant psychiatrist, South West GlasgowDr Audrey Hillman Consultant Psychiatrist, S ClydeDr Roger Sykes Consultant Psychiatrist, S ClydeDr Iain MacKay Consultant Psychiatrist, Homeless Addiction Team Dr Kate Brown Senior Medical Officer, South GlasgowDr Laura Sills Senior Medical Officer, Northwest GlasgowDr Frances Skelton Associate Specialist, West Glasgow

Current Addiction services for South GlasgowMultidisciplinary and multiagency community addiction services are currently provided from3 CATs (1 large in South East and 2 smaller CATs in South West). These provide a full range of services for people with drug and alcohol problems (currently about 2,900 open cases), with a focus on reducing harms and providing recovery opportunities including alcohol detoxification relapse prevention d drugs of protection; opiate replacement therapies, BBV testing and harm reduction interventions. The Glasgow CATs have recently undergone a review and are in the process of implementing changes to deliver an updated eligibility criteria, access service and an improved recovery orientated system of care.

Office accommodation for this post is currently based in the Leverndale Hospital Department of psychiatry at present. The administrative support is currently based at Old Possilpark Health Centre. It is hoped that the consultants and supports can be co-located within the south sector in due course.

4 part time medical officers work in the 2 CATs in SW Glasgow. Their job is primarily around substitute prescribing for Tier 3 ORT patients and community alcohol services. They are managed by a local senior medical officer. Local GPs also carry shared care substitute prescribing caseloads. The consultant psychiatrist post-holder would be expected to establish close working relationships with these other doctors and agree collaborative approaches to service provision.

The secondary services support include- Use of partial hospitalisation service currently in the Kershaw unit at Gartnavel Royal

Hospital but possibly moving in the future.- Admission to psychiatric beds in the Kershaw addictions unit at Gartnavel Royal Hospital. - In-patient RMO responsibilities are transferred on admission to a Kershaw in-patient

consultant- Psychology sessions - OT input. These provide a functional assessment service and a range of group work

programmes.

Community and residential rehabilitation placement is available through a variety of contracted providers. The consultant would be expected to take a role in the decisions about placement of patients in residential rehabilitation facilities in coordination with the local head of service

The Alcohol Related Brain Damage ServiceThe ARBD service currently is based in Homeless Health Services, Hunter Street, Glasgow. The ARBD team was established in 2006 to provide enhanced services for alcohol damaged individuals from the old greater Glasgow health board geography. It consists of dedicated medical, nursing, social care, psychology, occupational therapy and dietetics input in line with the “Fuller Life “ report (2004).

The ARBD team work in conjunction with service providers (SAMH, Penumbra, Loretto) who have been commissioned to provide a range of residential placements ranging from very highly supported accommodation to supported living in tenancies. Whilst there are no dedicated addictions beds there is a developing and dedicated rehabilitation pathway.

Equality of access to service for all is an aspiration of the Board. ARBD services outwith the old GGC boundary are configured differently and agreement re appropriate pathways and access to assessment and treatment is being addressed via the NHS GG&C Clinical Services Review.

The Duties of the Post

South west addiction psychiatry- 5.5 Pas DCC- Addiction psychiatry support to Southwest and Greater Pollok CAT teams- Psychiatric

outpatient assessment and treatment for referred patients with complex substance misuse problems often in the context of co-morbid physical and mental illness. Referrals will generally come from community addiction teams and other consultants. This aspect of clinical work will have a particular focus on psychiatric co-morbidity and complexity of addiction issues especially where there is a need for in-patient and day service provision.

- CAT based clinical work (possibly ORT with a small community caseload) and MDT- Direction of the work done by speciality doctors relating to this post- Cross cover the SE consultant with regards to addiction psychiatry for south Glasgow- Would work with SE Consultant and South Senior Medical Officer to provide between

them senior medical input to south community clinical governance systems and service developments

- Emergencies- The post holder may be required to perform duties in occasional emergencies and unforeseen circumstances and at times at the request of the Associate Medical Director (Addictions). It has been agreed that such duties will be exceptional and that this kind of arrangement would not be for prolonged periods of time or on a regular basis in keeping with contractual arrangements.

- Psychiatric emergencies are generally dealt with by crisis and community mental health teams but the post-holder would be expected to be flexible in this regard.

- Mental health Legislation use- Approved medical practitioner use of the Mental Health Act, Adults with Incapacity Act and Adult Support and protection Act would be part of the job. The post holder would therefore require to be an AMP approved by the Board.

- On call- Contribution to the south Glasgow general psychiatric rota with a frequency around 1 in 25 which attracts a level 1 3% availability supplement at present.

- Clinical cover of colleagues- The 10 pa job plan would include prospective cover for a colleague’s leave. Any leave requested would require cover to be arranged in advance from another consultant. Cover for short term sudden absences e.g. sickness in a colleague consultant would also be included in the job plan

ARBD- 3.5 PA DCC

The consultant addiction psychiatrist would bring medical expertise to the existing team.- As with other members of the ARBD team the consultant would generally be expected to

provide an expert consultative and advisory service to patients and services caring for these patients

- A part of the work is in relation to application of mental health legislation in particular guardianship and capacity assessments. The consultant would sometimes act as RMO in this regard for appropriate patients. However patients on the caseload of other services such as general adult psychiatry would continue to have their RMO usually from that service. Negotiation of this on a case by case basis would be important. The RMO function is currently under review.

SPA-- There would be 1 session of supporting professional activity to include time for appraisal,

job planning, continuing professional development.

On-call-- The post-holder would be expected to participate in the South General Adult Psychiatry

Consultant on call rota.

Job plan

This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director.  NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings.  The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.

The post is for a standard 10 programmed activities (pas) made up of 9 pas of direct clinical care and 1 pas of supporting professional activity. The re-designation of pas from direct clinical care to supporting professional activity may be possible subject to negotiation and job planning.

The post-holder will be provided with an office in the Leverndale Hospital with access to a computer and printer. Dedicated administrative support will be provided but is currently housed at Old Possil Park Health Centre as new premises are sought in south Glasgow.

An indicative job plan is attached.

TeachingMedical students may be attached to the Consultant Psychiatrist with Medical Students receiving their psychiatry block training at various hospital sites.

Clinical Governance, Research and AuditThe post-holder will be encouraged to undertake research work. The service is particularly keen on clinical audit that establishes the effectiveness of interventions. The post holder will be expected to play a full part in this, and develop ideas for audit projects on an inter-professional basis with colleagues across NHS GG&C Addiction Services. In addition to audit and research the post holder would be encouraged to contribute more widely to clinical governance for the Addiction services. Examples of this activity might include leading the investigation of allocated critical incident reviews. This work could be done in enhanced spa time in substitution for dcc programmed activities.

Management Committee Work and Professional Representation.The post-holder will be a member of the South Glasgow Division of Psychiatry and the Division of Addiction Psychiatry. Under current management structures, he/she will be a part of the medical staff of the Greater Glasgow and Clyde addiction services and be expected to contribute as appropriate to the advisory structure within this. Expert advisory and committee work within and out with the organisation would be included in SPA time.

Information technology useThe applicant would be expected to be able to use IT in their daily work – communicating electronically and contributing to the information gathering and performance management systems of the organisation. The post holder would through annual appraisal and annual job planning have a performance management. The post holder would be expected to positively contribute to the regular IT reporting of caseload, activity, diagnostic and outcome indicators.

Section 22 Training

Completion of day 1 and day 2 Section 22 training is required prior to taking up post. The Medical Staffing Department will require sight of your certificates to this effect.

MODEL JOB PLAN FORMAT REF: 38458D

Name: Dr XX Specialty: Addiction Psychiatry

Principal Place of Work: South West Glasgow

Contract: Full Time Programmed Activities: 10

Availability Supplement: Level 1 EPAs: NA

Premium payment received: 3 %

Managerially Accountable to: John Goldie, Head of Addiction Services, South Glasgow and Kelda Gaffney, Head of Addiction Services, ARBD Team

Professionally Accountable to: Dr Saket Priyadarshi, Associate Medical Director, GG&C Addictions Services

a) Timetable of activities which have a specific location and time (8am – 8pm Monday – Friday)

Excluding extra-programmed activitiesDAY LOCATION TYPE OF WORK DCC SPAMonday 9-1

1-5

Hunter Street

Hunter Street

ARBD MDT

ARBD Assessments

4

4

Tuesday9-1

1-5

SW CAT

Victoria ACAD

CAT clinic

SW Addiction Psychiatry OPC

4

4

Wednesday9-1

1-5

Hunter Street or Leverndale HospitalTBC

ARBD Assessments/Liaison/Admin

SW Addiction Psychiatry OPC

4

4

Thursday9-1

1-5

Glasgow University/Various

SW Community Addiction Team

SPA

SW MDT 4

4

Friday9-1

1-5

Leverndale Hospital

Victoria ACAD

ARBD/SW clinical adminEmergencies/Legislation work/reports

SW Addiction Psychiatry OPC

4

4

Saturday

Sunday

TOTAL AVERAGE HOURS PER WEEK36 4

b) Activities which are not undertaken at either specific locations or times

Occasional phone calls and reviews ref complex cases/detentions as required.Attendance at meetings at other offices.SPA at various sites- university, offices, lectures etc.

Person specification for consultant in addiction psychiatry

Essential DesirableQualifications Medical degree (MBChB or

equivalent) Full GMC registration and a

licence to Practise MRCPsych or FRCPsych

(equivalent only acceptable if confirmed by RCPsych)

Listed on GMC specialist register (or Certificate of Completion of Training) within 6 months of confirmed entry from date of Interview.

CCT endorsement in addiction training.

Section 22 approval or be eligible for section 22 training and approval.

Additional relevant qualification such as MSc, MPhil, MD or PhD

Knowledge & understanding

Extensive knowledge about mental disorders and substance misuse / addictions.

Good knowledge of service organisation

Up to date awareness of government policy on alcohol and drug misuse and its implications.

Understanding of principles of clinical governance.

Knowledge of range of service systems and their relative merits

Advanced knowledge of a relevant aspect of the specialty

Abilities & skills

Ability to apply knowledge to clinical practice and service development

Ability to diagnose and treat mental illness in people with substance misuse.

Ability to apply service procedures (such as Care Programme Approach) and mental health law.

Ability to make good medical notes

Ability to communicate effectively with other professionals.

Ability to work effectively in a multidisciplinary team.

Ability to teach and coach junior medical staff, medical students and other disciplines

Advanced skills in clinical assessment and treatment of patients with substance misuse

Competence in application of specialist treatment methods with people with substance misuse, such as pharmacotherapy, psychotherapy, substitute prescribing, etc.

Excellence in communication

Analytical approach to problems

Evidence of potential to develop specialty skills

Advanced computer skills (statistics package, database, spreadsheet)

Computer literacy (basic word processing, email and internet use)

Motivation Commitment to addiction psychiatry

Commitment to evidence-based practice

Commitment to lifelong learning.

Commitment to clinical governance

Ability to organise own learning and time.

Enthusiasm Punctuality. Initiative (for example,

evidence of initiative in a clinical governance project)

Personality & attitudes

Honesty Reliability Flexibility Ability to undertake

responsibility Ability to cope calmly with

stressful situations Ability to work with other

consultants in the service Demonstrates leadership

Experience Experience of delivering a mental health service for people with substance misuse

Experience of leading a multidisciplinary team

Evidence of participation in clinical governance activities, including medical audit.

Experience in full-time clinical research

Experience of working in more than one model of health service for people with substance misuse

Experience of leading a clinical governance activity

Publications Presentations

Other requirements

Satisfactory fitness for employment

Independently mobile (car driver)

TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.

TYPE OF CONTRACT Permanent

GRADE AND SALARY Consultant

£ 76,761 to £ 103,490 per annum (pro rata)

New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.

HOURS OF DUTY Full Time 40.00

SUPERANNUATION New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme.  Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk

REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.

EXPENSES OF CANDIDATES FOR APPOINTMENT

Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.

TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.

DISCLOSURE SCOTLANDThis post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership which currently costs £59.00. The cost of the PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and will required to be repaid through a payroll deduction mandate from the successful candidate’s first salary.

CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK

NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under not circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the

Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.

REHABILITATION OF OFFENDERS ACT 1974

The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.

DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.

GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.

EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.

NOTICE The employment is subject to three months’ notice on either side, subject to appeal against dismissal.

MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

FURTHER INFORMATION

For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk

View all our vacancies at www.nhsggc.org.uk/medicaljobs

Subscribe to our Medical Jobs Vacancy Bulletin Click Here

Register for Text Alerts for medical vacancies – email your mobile number and the grade and specialty you are interested in to gg-uhb.medicaljobs@nhs.net

Applicants wishing further information about the post are invited to contact Dr Saket Priyadarshi on 0141 800 0660 with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information.

RETURN OF APPLICATIONS

Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below;

Medical and Dental Recruitment TeamNHS Greater Glasgow and Clyde Recruitment Services5th Floor, Tara House46 Bath StreetGlasgowG2 1HJ

CLOSING DATE The closing Date will be Noon on 28th August 2015

INTERVIEW DATE

The interview date will be 18th September 2015