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consultant psychiatrist in eating disorders

Mckinnon house, stobhill hospital


INFORMATION PACK
REF: 37048D
cLOSING DATE: nOON 1st may 2015
www.nhsggc.org.uk/medicaljobs

As you may be aware, the new South Glasgow University Hospital and new Royal Hospital for Sick Children are due to open on the current Southern site early in 2015.


With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current Royal Hospital for Sick Children at Yorkhill will change location and move to the new hospitals.
Gartnavel General Hospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals.
These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base.

SUMMARY INFORMATION RELATING TO THIS POSITION
Post: consultant psychiatrist in eating disorders
Base: mckinnon house, stobhill hospital
Applications are invited for this post which provides medical input to the in-patient Eating Disorder Unit at McKinnon House, Stobhill Hospital, and also supervisory medical for the NHS Greater Glasgow & Clyde Adult Eating Disorder Service Team (AEDS). The Adult Eating Disorder Service provides intensive out-patient care, in conjunction with the CMHT and the GP. Patients requiring in-patient admission will be admitted to the 4-bedded in-patient unit under the care of the post-holder. The post-holder will also act in a consultative capacity to locality Consultants caring for sector patients with eating disorders (also with AEDS support).
This is a service which adds to the excellent range of services across NHS Greater Glasgow & Clyde, which has well-developed integrated CMHTs and Crisis Teams, as well as specialist services including Perinatal Psychiatry, Psychotherapy and First Episode Interventions. There are also strong links with the Department of Psychological Medicine at the University of Glasgow, so that there are excellent opportunities for research, and it is expected that the postholder would be granted the status of Honorary Lecturer.
Applicants must have full GMC registration, a licence to practice and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to a CCT in General Adult Psychiatry or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training. 








CONSULTANT IN EATING DISORDERS


GREATER GLASGOW & CLYDE

MENTAL HEALTH SERVICES
A.


Job Description

CONSULTANT IN EATING DISORDERS – NHS GREATER GLASGOW & CLYDE



  1. Applications are invited for this 8-session post based at Florence Street Resource Centre, Glasgow. The post-holder will provide mutual support for the Adult Eating Disorder Service (AEDS), and will provide the medical care for four inpatient beds, based at MacKinnon House, Stobhill Hospital in North Glasgow. The post-holder will be supported by a Team Secretary.



  1. Present Service Provision

AEDS has been providing community care for patients with eating disorders throughout Greater Glasgow since January 2008. It aims to treat patients primarily in the community, and to facilitate discharge from hospital, where a period of in-patient treatment has been necessary. The AEDS Team manage patients in the community in partnership with the CMHTs. There is a shared model of physical care with the GPs, but it is foreseen that a medical officer will be appointed to the eating disorder service who will eventually take over this role.


There is a Day Patient Programme based at the Florence Street Resource Centre which runs for 2 days a week; it offers a service both to patient in the community and also to patients on the ward. When ward patients are to be discharged their treatment is moved from the ward to Lifeskills (an OT facility with kitchen), and then onwards to the Day Programme, with discharge being co-ordinated throughout by the key worker.
The post-holder will provide consultation to the AEDS team, especially through the weekly team meetings, and will liaise with the GPs, medical staff and other psychiatric consultants on a regular basis. There are particular links with the Liaison Service, which provides cross cover to the post. A MARSIPAN group has been set up with the aim of ensuring optimal liaison with the acute wards.
Admissions to the unit are planned, and the AEDS team continue to provide input throughout the patient’s stay on the ward. Discharge from the ward is co-ordinated across AEDS and general adult psychiatry so that a robust community plan is produced. In total there are 4 inpatient beds based on a general adult ward at MacKinnon House in Stobhill Hospital, where the general staff also have a high level of expertise in the treatment of eating disorders. The Clinical Director at MacKinnon House is Dr Olwyn Gallagher and the Head of Mental Health is David McCrae.
Some patients may be admitted to their local wards when appropriate, e.g. when there is a co-morbid psychiatric illness, and will be looked after by the local consultant, although both the eating disorder consultant and the AEDS team may provide support at this time. There may be the possibility of eventually setting up a West of Scotland Eating Disorder Unit.
Junior doctor cover will be provided by the page-holder, although junior doctors may spend sessions in the eating disorder service by agreement. Cross-cover is likely to comprise cover for general adult patients at MacKinnon House. It is expected that the post-holder should apply to become an ST4-6 Trainer.

The AEDS Team currently comprises of a Consultant Clinical Psychologist, who is Head of the Service, 1 Band 7 Team Co-ordinator, 1 Band 6 Dietician, 1 Band 6 Occupational Therapist, 1 Band 6 Nurse, 1 Band 5 Nurse and a Band 3 Team Secretary. Since its inception in early 2008, AEDS has significantly reduced the amount of inpatient admissions.


Referrals to AEDS are routed through the CMHT, and the CMHT key worker will continue to function as a link once the referral has been accepted by AEDS. Admissions to the in-patient beds are routed through AEDS, of which the post-holder will be an integral part. Discharges from the inpatient unit are facilitated by AEDS, which then liaises with the GP in terms of shared care.
The AEDS caseload currently amounts to 30, though this may rise to approximately 40 if the catchment area extends into Clyde. The amount of patients being treated compulsorily at any time amounts to 0.2.



  1. Medical Staffing


(North Glasgow)

Consultant Staffing

Dr J McTaggart, General Adult Psychiatry Springpark

Dr R Ward*, General Adult Psychiatry, Springpark (part time),

Dr D Brown, General Adult Psychiatry (part time), Springpark, Clinical Tutor

Dr D Patience*, General Adult Psychiatry, IPCU, Stobhill Hospital

Dr D McCarthy, General Adult Psychiatry, Shawpark

Dr M Keenan, General Adult Psychiatry, Shawpark

Dr A Cogan, General Adult Psychiatry, Shawpark

Dr N Masson, General Adult Psychiatry/Research, KHCC

Dr D Monaghan, General Adult Psychiatry, KHCC

Dr R Hosie, General Adult Psychiatry, KHCC

Dr D Brown*, Old Age Psychiatry, Bridgeview Centre, Lead Clinician Old Age

Dr A Fergie, Old Age Psychiatry, Woodlands Centre

Dr S Wylie*, Addiction Psychiatry, Eriskay House, Stobhill

Dr A Cohen, Psychotherapy (part-time), Psychotherapy Dept, Stobhill

Dr E Ogston, Psychotherapy (part time), Psychotherapy Dept, Stobhill

Dr R Krishnadas*, Early Psychosis Intervention Service Psychiatrist, Springburn
* = SpR trainer

Lead Clinician


Non Consultant Career Grades

Dr P Forrester, Staff Grade, General Adult Psychiatry, Shawpark

Dr KB Idris, Staff Grade, General Adult Psychiatry, Springpark

Dr F Duncan, Staff Grade, General Adult Psychiatry - CTT (part-time), KHCC

Dr L Ault, Staff Grade, IPCU, (part time) Stobhill
Specialist Registrars are attached to SpR trainers as their need requires.

There are 12 junior trainees on the North Glasgow Training Scheme.


(East Glasgow)

Consultants

Dr D J Brodie*, Liaison Psychiatry

Dr T Cullen, General Adult Psychiatry, Arran Centre

Dr K McElroy. General Adult Psychiatry, Arran Centre

Dr O Gallagher. General Adult Psychiatry, Arran Centre, Clinical Director

Dr D Culshaw. General Adult Psychiatry, Arran Centre

Dr S Reddy, General Adult Psychiatry, Arran Centre

Dr R McCaffery. General Adult Psychiatry, Anvil Centre, (part-time), Clinical Tutor

Dr J Anderson. General Adult Psychiatry, Anvil Centre,

Dr D Mason, General Adult Psychiatry, Anvil Centre

Dr S Thomson, General Adult Psychiatry, Auchinlea, Undergraduate Tutor

Dr L Rajan, General Adult Psychiatry, Auchinlea

Dr M Cohen, Psychotherapy, Carswell House

Dr A Philipson, Old Age Psychiatry, Parkview Centre

Dr R Brown, Old Age Psychiatry, Parkview Centre

Dr D Patience*, General Adult Psych, Homeless Service

Dr A Williams, Psychotherapy, Homeless Service

Dr I MacKay, Homeless Addictions Service

Dr M Cooney, Addictions Service, Parkhead Hospital
*= SpR Trainer
Non-Consultant Staff

There are 12 Trainees on the East Glasgow Training Scheme.

Specialist Registrars are attached to SpR trainers



  1. General

The Eating Disorder Service is managed by Calum MacLeod, Head of Mental Health (HOMH) for South West CHCP with area responsibility. MacKinnon House is managed by David McCrae, HOMH for North Glasgow CHCP who would manages the inpatient beds in conjunction with the over-arching management of the Eating Disorder Service.


The Eating Disorder Service is part of the Mental Health Service, of whom the Lead Associate Medical Director is Dr Michael Smith. The Chief Officer is David Williams. Mental Health Services are divided into four sectors, South, West, North & East and Clyde.



  1. Teaching and Administration

The post-holder will undertake the administrative duties associated with the care of patients and the proper function of AEDS. He or she will be expected to participate in the broader aspect of administration and management within the North and East Glasgow Division of Psychiatry.


It is expected that the successful candidate will take part in Continuing Professional Development, and participation in audit or research is encouraged. The postholder will be actively involved in teaching medical students. It is anticipated, in recognition of this, that Glasgow University will grant the status of Honorary Clinical Senior Lecturer in Psychological Medicine. In addition, the post-holder will be expected to participate in the postgraduate teaching of medical staff and staff of other disciplines.



  1. Other Information

Informal enquiries will be welcomed by Dr Gwen Jones-Edwards, Clinical Director, Leverndale Hospital (0141 211 6602) or Dr Olwyn Gallagher, Clinical Director (0141 532 3229).



PROVISIONAL TIMETABLE

CONSULTANT IN EATING DISORDERS



DAY



HOSPITAL / LOCATION


TYPE OF WORK


Monday

9am-5pm



Florence Street RC


Stobhill Hospital

Medical staff clinical supervision. ED Team assessments, case conferences, second opinion work for ED Team and to General Hospitals GGC in conjunction with local Liaison services


Ward round



Tuesday

1pm-5pm



Florence Street RC



Day patient programme, specialist opinion work, case conferences. ED input to General Hospitals in conjunction with local Liaison services






Wednesday

9am-5pm



Florence Street RC

Florence Street RC/

Stobhill Hospital




Medical staff clinical supervision. Team case reviews. Team Staff case supervision. Group supervision, formulation meeting, OP clinic


Physician IP reviews


Thursday

9am-1pm



Dykebar and various



Training/Audit/Research






Friday

9am-5pm



Florence Street


Stobhill Hospital

Service Management


Ward round

Person Specification


QUALITIES REQUIRED
Essential


  • Applicants must have full GMC registration, a licence to practice and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to a CCT in General Adult Psychiatry or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training. 

  • MRCPsych or equivalent.

  • An ability to interact professionally with colleagues, patients and carers.

  • A commitment to and working knowledge of multi-disciplinary working.

  • A commitment to ensuring the delivery of high quality mental health services at a local ( CMHT ) and possibly area level

  • Knowledge of current issues in General Adult psychiatry.

  • Experience of working in a community mental health setting

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


Desirable



  • Comprehensive experience of the practical use of mental health legislation

  • Experience in the treatment of eating disorder

  • Able to demonstrate experience in leadership and management  within CMHT and inpatient settings

  • Experience of patient safety/quality improvement work/projects

  • Experience in providing teaching at undergraduate or postgraduate level.

  • Experience or training in a relevant therapeutic modality.

  • Publications in the medical literature and/or presentations at Royal College or similar events.

  • UK driving licence





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