This post provides senior clinical input to the SWR EIP team on 4 days a week, including 2 PAs of SPA time which can be, by agreement, worked from home if the post holder remains available to provide urgent and emergency clinical support to the team if needed. 2 SPA represents the pro-rata equivalent of the College recommendation. The expectations of the role including supporting the wider Adult Mental Health service with its yearly objectives and the wider medical workforce including postgraduate doctors and medical students.
This is an established multi-disciplinary team, utilising the expertise of doctors, nurses, nurse associate, family therapist, IPS worker, psychologists, social workers and support workers, and currently accommodates a post-graduate doctor (core trainee).
The team work with people aged 14 65 and offer a three year pathway for First Episode Psychosis (FEP).
The team work with the CAARMS (Comprehensive assessment of at risk mental states) tool when doing assessments in order to establish which pathway an individual requires. When an ARMS need (at risk mental state) is identified, patients are seen by generic integrated care teams.
The service strives to meet the standards of care within the evidence base of providing Cognitive Behavioural Therapy for psychosis (CBTp), Behavioural Family Therapy (BFT), Working with Carers, Physical Health Monitoring (inclusive of monitoring and reviewing medication) and Employment support.
The appointed post holder would support initiatives within the EIP pathway, and there would be an expectation to attend some of the leadership meetings and to play an active role in our formulations and complex care sessions.
Clinical workload would focus on the Scarborough, Whitby and Ryedale population. However, there would be an expectation of a clinical advisory function to the wider locality as required. The post holder is expected to take part in and provide insight and direction into complex case work; contributing to the overarching formulation of patient care and planning within the scope of Multi-disciplinary Team approach. The post holder would be expected to offer senior advice and support in the assessment, formulation, diagnosis and management of presenting conditions.
The core clinical work will involve outpatient clinics, -, review- and leadership- meetings and Mental Health Act-related work. The direct clinical workload centres on one new patient clinic a week (average 2-patients) and one follow up clinic a week (average 6 patients). The team currently have a caseload of 85 patients.
We are one of the largest specialist mental health and learning disabilities trusts in the country operating from sites in Durham, Teesside, North Yorkshire and York and Selby. We provide a range inpatient and community services to people living in County Durham, the Tees Valley, Scarborough, Whitby, Ryedale, Harrogate, Hambleton and Richmondshire. We also provide additional specialist services to other parts of Northern England.
We deliver our services by working in partnership with eight local authorities and clinical commissioning groups, a wide range of voluntary organisations, as well as service users, their carers and the public.
Psychiatrists are essential contributors to our mental health teams. Service users expect and are justified to expect collaborative relationships with dedicated psychiatrists who work consistently as part of effective services. The Medical Directorate and Medical Development Team are striving to improve medical workforce recruitment and retention in a variety of ways and the cornerstone of these efforts is The TEWV Charter for the Medical Workforce. (Please see attached Supporting Document).