No.

Specialty

Area/Hospital

Trainer

01

Addictions

Bristol

Dr Tim Williams

02

Addictions

Bristol

Dr Ben Watson

 

01

Addiction Psychiatry

Central Bristol

Dr Tim Williams

This post offers experience in the whole range of mental health services for persons with addictive disorders:

Inpatient assessment and management of drug and alcohol abuse, dependence, and dual diagnosis.

Community day-patient detox programs,   assessment service for addictive disorders and specialist alcohol team.   Recovery program for addictive disorders including pharmacological clinics, community care assessments and psychological therapies. Liaison services for the local general hospitals and psychiatric teams, strong research links with the University of Bristol and ongoing projects with the specialist alcohol service, cue exposure therapies, and novel drugs. There is large management component, including clinical governance and audit roles

The advanced trainee is a member of the integrated multidisciplinary team covering Bristol and South Gloucestershire. Bristol Specialist Drug and Alcohol Service (BSDAS) has 3 bases with differing roles and experiences:

Inpatient Ward based at the Blackberry Hill Hospital site. Inpatient detoxes from alcohol, opioid and other dependencies. Stabilisations for the most chaotic users including pregnant drug and alcohol users and homeless. Mental health assessments for patients with dual diagnosis.

Colston Fort. Site for the majority of specialist alcohol treatment services. Groups to build motivation and engagement, day patient detoxes, CBT and relapse prevention work. All staff trained in ITEP and BTEI psychological mapping techniques. Assessment service and recovery work.

Stokes Croft Inner City Clinic. For the most chaotic drug and alcohol users and those with housing issues. Has a daily dispensing service, pregnant drug users service, and rapid prescribing service.

The trainee would be encouraged to get involved with the teaching and educational role the team embraces teaching medical students, local PCT / GP courses, MDTs at the local general hospital and potentially at the British Association of Psychopharmacology masterclass courses. There would be opportunities to get involved with the on-going research projects in BSDAS. All work will be supervised by Dr Tim Williams. There is an hour-long, weekly supervision session with the consultant. There is a lockable office, secretarial support and a computer at Colston Fort or Blackberry Centre (whichever site the trainee wishes to base themselves at).

Population: The catchment area population is 1.2 million people over the age of 16 years in Bristol/South Glos.

Medical Team

3 Consultants: 1 full time, 1 is 0.7 wte, 1 is 0.4 wte, 1 Associate Specialist 0.6 wte, ,   2 Core Trainee doctors: full time

Multidisciplinary Team

Clinical Psychologists,  Community Psychiatric Nurses,  Social Workers, Drug and Alcohol Workers, Admin Team. (Updated 15.1.2014)

Research Interest:

 

 

AM

PM

Monday

Colston Fort – detox clinic

Clinical Director Role

Tuesday

O/P Clinic / Clinical Director Role

O/P Clinic / Clinical Director Role

Wednesday

Colston Fort Team MTG

Colston Fort outpatients clinic + evening clinic

Thursday

Research / Special Interest

Research Session / Special Interest

Friday

Colston Ft Supervision/clinical

Clinical Director Role

On-Call:    1:15

  

02

Addiction Psychiatry

Bristol South

Dr Ben Watson

This post offers a broad experience in addiction psychiatry including developing specialist skills in managing dual diagnosis and a range of treatments for persons with addictive disorders. The advanced trainee will have a diverse range of opportunities to develop as a clinical leader and gain experience in teaching, management, research and audit, all in preparation for applying and becoming a future NHS consultant.

The trainee will be a member of the integrated multidisciplinary team within the Bristol Specialist Drug and Alcohol Service (BSDAS), which is part of the Bristol ROADS service (Recovery Orientated Alcohol and Drug Service) that covers a population of approximately 500,000.

  • Medical Team: 3 Consultant Addiction Psychiatrists (2 full time, 1 is 0.7 wte), 2 Specialty Doctors (1 full time, 1 is 0.6 wte) and 2 Core Trainees.
  • Multidisciplinary Team: Independent Non-Medical Prescribers (NMP’s), Clinical Psychologists, Community Psychiatric Nurses, Social Workers, Drug and Alcohol Workers, Admin Team.

BSDAS has 3 bases with differing roles and experiences:

  • Stokes Croft– Inner city clinic that has a rapid prescribing and daily dispensing service for the most chaotic drug and alcohol users, homeless, sex workers, prison releases and those with a dual diagnosis. There is also a maternity drug service for pregnant drug users, which works jointly with specialist midwives, child social workers, obstetricians and neonatologists at St Michael’s Maternity Hospital and Southmead Hospital.
  • Colston Fort– Site for the majority of specialist alcohol treatment services. Groups to build motivation, engagement, and relapse prevention work. All staff trained in ITEP and BTEI psychological mapping techniques. Weekly complex community detox clinic and specialist prescribing for pharmacotherapy to support relapse prevention.
  • Acer Unit– Inpatient Ward based at the Blackberry Hill Hospital site. Inpatient detoxes from alcohol, opioid and other dependencies. Stabilisations for the most chaotic users and mental health assessments for patients with a dual diagnosis.

Competencies to be acquired:

1.  Core Clinical Work

The advanced trainee will gain experience as a senior medical member of the multidisciplinary team, assuming responsibilities equivalent to the consultant role, under supervision of the consultant. The trainee will gain experience in both the specialist drug and alcohol services and will develop enhanced skills for diagnosis and management of complex clinical presentations. They will be fully trained in delivering all specialist pharmacological addiction treatments and have the opportunity to be trained in psychological techniques such as motivational interviewing and dialectical behavioural therapy (DBT).

The trainee will be involved in the assessment and management of drug and alcohol abuse, dependence, and dual diagnosis in both community and inpatient settings. They will support the delivery of treatment plans as formulated following discussion with the multidisciplinary team, involving direct or shared care with GP’s and other doctors. They will provide support, advice and supervision to the multidisciplinary team, and through liaison to primary care services, local psychiatric teams and general medical hospitals.

2.  Academic Activities

The advanced trainee will be encouraged to become involved in the local postgraduate academic programme at Southmead Hospital, supervising junior colleagues in the development of a high quality educational resource.

3. Management experience

The advanced trainee will be encouraged to regularly attend service management meetings and contribute to service development by working alongside team and service managers as well as commissioners. Furthermore, the trainee will be encouraged to gain both locality and trust-wide management experience by shadowing the Clinical Director for Specialised services (Dr Tim Williams - also a BSDAS consultant) at senior management team meetings, quality huddles and board committee meetings.

4.  Supervision

The trainee will be given 1 hour of protected supervision time each week. On-going clinical supervision will be available throughout the working week. The trainee will also be encouraged to develop their own supervising skills with junior doctors, nursing staff, allied health professionals and medical students placed in the team.

5.  Teaching

The trainee will be actively encouraged and supported to develop their own educational portfolio and will have an abundance of opportunity to deliver teaching in a wide variety of settings. Dr Watson is the academic champion for substance misuse teaching at Bristol University and has regular teaching commitments on undergraduate programmes, with which the trainee will be encouraged to be involved. There are also opportunities to teach on the MRCPsych and RCGP Certificate courses and at Bristol’s Recovery College as well as to peer mentors, other health professionals and students.

6.  Audit

The trainee will be encouraged and supported to participate in audit and/or a quality improvement project during their placement within BSDAS, under supervision of the consultant.

7.  Research Opportunities

BSDAS has been approved as a site for the PRAISe trial studying contingency management in addiction, with the opportunity for the trainee to participate if desired. Dr Watson also has strong research links with the University of Bristol and will support the trainee in accessing research training or involvement in any ongoing projects.  (April 2015)

Secretarial and office/computer/desk facilities:

The advanced trainee will have administrative and secretarial support available for ALL aspects of their job, provided by Dr Watson’s medical secretary and BSDAS admin staff.

The trainee will have an individual desk and computer in a lockable office with access to lockable filing cabinets at either Colston Fort or the Stokes Croft Clinic (whichever site the trainee wishes to base themselves at).

Research Interest:

 

 

AM

PM

Monday

Outpatient Detox Clinic, Colston Fort

New assessments & medical reviews, Stokes Croft

Tuesday

9–10am Supervision with Dr Watson

Admin

Postgraduate academic programme

New assessments & medical reviews, Colston Fort

Wednesday

Assessments & reviews, Stokes Croft

Monthly maternity team reviews

Community Team Meeting,

Colston Fort or Stokes Croft

Thursday

Clinical Special Interest

Friday

Non-clinical Special Interest

On-Call:    1:15 Bristol senior on-call rota