No

SPECIALITY

AREA/HOSPITAL

TRAINER

1

General Adult
Core community

Bath
Intensive (Crisis/HT)

Dr Chris Lucchese

 

This is an exciting new post in which the trainee will have the opportunity to experience and input to the BANES Intensive Service. The Intensive Service is a community mental health service based out of Hillview Lodge, on the Royal United Hospital site in Bath. This service provides daily support, 24 hour rapid assessment and treatment for those in crisis, “gate keeping” admissions and supporting discharge for patients leaving Inpatient services. The average caseload is between 15 and 25 but the turnover is often high with patients entering and leaving the Team each day.

The caseload mix is adults with acute presentations including psychosis, affective disorders and personality disorders often with associated substance misuse, physical health problems and social difficulties. The team typically assesses patients in their own homes, at Bath NHS House or at Hillview Lodge depending on circumstances.

The trainee will work within the multidisciplinary team (Doctors, RMNs, OTs, Social Workers, Clinical Psychologist and other HCPs) covering the caseload and is well supported by the Consultant Psychiatrist. The post holder will be working with F2 and potentially CT1-3 doctors with opportunities to develop supervision skills if desired.

The role will include new patient assessments, reviews and discharges along with making referrals / liaising with other services. The trainee will be expected to develop their clinical management skills during the post. There is daily team discussion of all patients on the caseload and opportunity to undertake MHA assessments. There is particularly close liaison with Sycamore ward, the local general adult inpatient unit.

There will be the opportunity to become involved in Audits / QIPs, develop clinical leadership and management skills with opportunities to take on management projects. There is also the opportunity to develop teaching skills with the local trainees and students. A fortnightly academic meeting takes place at the Postgraduate Medical Centre along with a weekly journal club based at Hillview Lodge.

 

2

General Adult
Core community

Bath
Recovery

Dr Giedre Calverley

 

The Bath and North East Somerset area has a population of approximately 180,000 across the city and rural areas with excellent schools, two universities, rich cultural life and tourist attractions yet a range of demographic mix reflected by a broad clinical presentations characteristic of both ‘rural’ and ‘city’ psychiatry. The mental health services are closely integrated with the Local Authority social services, have close links with the CCG and collaborative relationships with 28 GP surgeries as well as a wide range of non-statutory organisations and housing providers.

This post covers the Bath city patch in BaNES Recovery Service, with the office base at Bath NHS house at the Royal United Hospital site. The Recovery Service operates 5 days a week and consists of a Team manager, Senior practitioners, CPNs, Social Workers, OT, Band 4 & Band 5 practitioners. It is supported by 3.25 WTE administrative staff, and a dedicated 1.0 WTE medical secretary.There are two full-time consultants and 1 one CT2 trainee in the team.

Local Psychology services provide a rich variety of therapies and are integrated in the building with the Recovery Service, Later Life teams, IT services, Medical Personnel and the Trust Headquarters. The inpatient beds, Intensive Services, Primary Care Liaison and Hospital Liaison teams are based at Hillview Lodge - a walking distance from Bath NHS house. Talking Therapies in BaNES (IAPT) deliver among the best recovery rates in the country.

In addition to richness of clinical presentations and ample opportunities for the trainee to develop their clinical, teaching, managerial and leadership skills, and participate in the local Academic programme, the trainee will be supported by the dedicated Consultant with over 18 years of experience in psychiatry.

The Higher trainees who worked in this post identified the following as the most attractive aspects of their placement: a well-integrated and fully functional multidisciplinary team, calm atmosphere, approachable and supportive consultants, fair feedback and the experienced medical secretary.

Preliminary enquiries and visits from interested trainees are very welcome.

3

General Adult
Core community

Bath
Recovery

Dr Thom Proven

 

Based in Bath NHS House, The Recovery Team covers 28 GP practices for approx. 176,000 population in BaNES.There are two full-time consultants (Dr Giedre Calverley and Dr Thom Proven). There are two core trainee and two higher trainee posts within the team.

Core clinical work

The trainee will undertake clinical assessments and follow-up reviews of adults with severe and enduring mental illness under the care of the Recovery Service. This work will take place in outpatient clinic and home visits across the locality. There is ample opportunity for joint working with MDT colleagues, supporting other members of the team and liaison with other services.

This post is designed to offer a broad range of competencies in general adult psychiatry and provide a recovery-focused experience in community setting. The trainee will therefore gain experience in the assessment, formulation and management of a wide range and complexity of psychiatric presentations in adults. The trainee will regularly liaise with General Practitioners  and other mental health teams in the locality, as well as the voluntary sector and partnership organisations.

Throughout the rotation there will be the opportunity to pursue personalised learning experience identified in initial meetings. This could involve gaining experience in specific aspects of the Recovery team workload including legal aspects (CTO, tribunals, MHA work), long term medication management, clozapine, psychotherapy, rehab etc. etc. The post will also offer the opportunity to develop skills and competencies for your first consultant post including medical leadership and management roles within the team, complex decision making and supervising junior colleagues.

There will (of course) be an hour of timetabled supervision per week. There are lots of educational opportunities to pursue as well including undergraduate teaching opportunities.

The Trainee will participate in the senior on-call rota (currently 1:15). The trainee will supervise the on-call core trainee and be the first port of call for advice from Intensive, Liaison etc. There is an on-call consultant second on call. The on-call rota is non-resident but trainees are expected to be within a reasonable travelling distance from Bath.

4

General Adult Core Inpatient

Bath

Dr Prabhakaran Naveen

 

Consultant Psychiatrist for BaNES Inpatient ; I have been on the Inpatient unit in Bath & North East Somerset locality providing Responsible Clinician input into the inpatient unit for adults of working age.

I undertake weekly ward meetings with the ward team, nursing team, ward reviews routinely three times a week by providing consultant psychiatric input into the inpatient unit for adults of working age group. I attend the weekly care pathways meeting for the BaNES locality, which has a locality wide representation from Recovery team, EI team, Intensive service, ward nursing team and OT and Psychological service.

I chair CPA meetings inviting care coordinator/ intensive service/ family and carers. I liaise routinely on a daily basis with the Intensive Service to discuss discharge planning and on-going follow up of service users. I support the ward team of nurses and OTs in facilitating leave for both formal and informal service users. I have Responsible Clinician responsibilities for all detained patients, including reviewing consent to treatment for section 3 patients, MHA manager's and First -Tier Tribunal hearings.

I attend the local Integrated Governance meetings monthly, and the local MAG meeting with my senior colleagues. I am the local Medicines Optimisation lead and attend the Trust wide MOG bi-monthly. 

I supervise the foundation (year 1 & 2) trainees (clinical supervision), core trainee once weekly (educational and clinical supervision) and the middle grade once monthly. There is admin support for all work completed during and out of hours. All trainees have access to work space and computers to do their work.

5

General Adult Core community

Bristol Central Recovery

Dr Simon Downer

 

In this post, you will have the opportunity to work in an Inner City assessment and recovery service.

Inner City Psychiatry could be regarded as a subspecialty in its own right. You will have the unique opportunity to work with the most diverse community in the Deanery, and begin to understand this population’s particular needs. It will provide a valuable opportunity to truly engage with the role of culture and context in mental disorder. There is ample opportunity to work with asylum-seekers and refugees, in many different ways. There is a golden opportunity to work closely with local GPs and understand the challenges and rewards this interface can bring.

You will join the senior clinicians in the team, and will be encouraged to see yourself as a clinical leader as well as a trainee. You have a lot to offer this team, and will be encouraged to get involved in service and team development.

You will also be able to undertake regular clinical work to further develop the skills they have acquired as a core trainee. This will include: completing regular initial assessments; taking on longer term individual work (if they would like to, and agree as part of their learning objectives for the post); reviewing patients at the request of care coordinators; completing emergency assessments; gaining experience producing reports for MHA managers or MoJ (if they wish); having the opportunity to attend MHAAs; attending regular assessment review meetings; attend team meetings (including reflective practice meetings); working closely with multiple other agencies.

There will be the opportunity to pursue teaching undergraduates and take part in post-grad educational meetings locally. You will be encouraged to teach other members of the team, and the team as a whole. The team has medical students, nursing students, social work students and trainee psychologists and psychotherapists (whom the trainer supervises). You will also be able to provide support to the core psychiatric trainee in the team.

You will have full access to secretarial support, including support with any letters from on-call work, and have access to a computer (both desktop and laptop). You will receive 1 hour dedicated individual supervision with the trainer. This will take place in a quiet, private room. The timetable of trainer and trainee overlap for much of the week so there will be regular face-to-face support available at most times, and by phone at other times.

You will be encouraged and supported to develop their own learning needs for the post, and will be supported to develop your special interest time to further those. You will have the opportunity to attend a local Balint Group; and encouraged and supported to use study leave.

There will be no requirements to cover the service or other doctors’ work (therefore flexibility for annual leave).

Any enquiries or visits from interested trainees are welcome. Please contact the trainer directly. 

6

General Adult Core community

Bristol North
Recovery

Dr Dan Hodgson

 

This post will be based in the North Bristol Recovery Team based at the Greenway Centre.  The Recovery team covers a total population of approximately 175 000, with this being divided into three work streams (clusters), each with approximately 1.0 WTE consultant. There are 5 consultant psychiatrists working in the ageless recovery service (Drs Hodgson, O’Shea, Rees, Agrawal and Mundasad). The North Crisis team spoke is also based at Greenway with opportunities to be involved in home treatment if desired. North Bristol has a diverse urban population with wide variation in ethnicity and morbidity (reflected in mental health indices). Outpatients and specialist recovery services are based at Greenway centre but patients are seen in range of settings including GP practices. 

The role of the ST4-6 will be to gain experience in the diagnosis, assessment, and treatment of the full range of mental health disorders affecting adults of working age.  The team is an amalgamation of past CMHTS, AOT, Community Rehabilitation and Later Life functional illness. There are opportunities to gain experiences in a variety of settings, including inpatient unit, community base, general hospital and primary care.  The Assessment service is integrated within the Recovery team so a key role for the trainee is to become expert in assessing referrals from primary care. The service model promotes an increasing model of Primary Care liaison with interface meetings with GP practices with opportunities to evolve primary care liaison services. The Complex Psychological Interventions service (embedded) offer a range of interventions and trainees can gain experience and supervision accordingly.  The trainee will be directly supervised by Dr Hodgson, with weekly formal supervision.  

Dr Hodgson has medical management roles (Senior Medical Lead and Rota Lead) which the trainee can become directly involved with if desired. We are also fortunate to have well established links with Early Intervention, Rehabilitation, Perinatal, Dementia pathway, Liaison and Eating Disorders Service at Southmead Hospital, which will be available as special interests if required. There are links with Bristol University and the Student Health Service and so higher trainees are able to undertake consultant-level assessments on students in difficulty for the University (under supervision of Dr Hodgson). Dr Hodgson is also a Gender Specialist and the chair of the Royal College LBG SIG.

The North Academy for undergraduates from Bristol University is based at Southmead Hospital. Trainees are able to participate in formal and informal teaching, mentoring of students and become an examiner, if this is of interest.

7

General Adult
Core Community

Bristol North
Recovery

Dr Pradeep Agrawal

 

 

This post is based at North Bristol Assessment and Recovery Team at Greenway Community Centre, Doncaster Road, Southmead, Bristol. The team has imbedded crisis intervention team working along with our team to provide coordinated crisis team support. The team has dedicated Complex Psychological Intervention (CPI) team linked which will provide psychological services. The medical team consists of one full time and one part time specialty doctor, GPVTS trainee and Core trainee (CT 2). The recovery team offers Primary Care liaison services and performs assessment of referrals from GP and other specialists to secondary care mental health services.

The role of the SpR will be to gain experience and expertise in the diagnosis, assessment, management and prevention for the full range of mental health disorders affecting adults of working age and older adults (later life). The trainee will get experience of jointly assessing, working and supervision of complex cases from Complex Psychological Intervention team. The post will give the SpR an opportunity to look at Mental Health Act assessments and implementations, preparing reports for tribunals as well as looking at developing expertise in the pharmacological, physical and psychological treatment approaches.

The SpR will gain management experience through organising the Southmead Academic Programme as the supervising consultant is College Tutor for the site. There is plenty of scope to develop teaching skills through teaching and training Core trainees and medical students who are placed with the team. There is an opportunity to become involved with audits at Southmead Hospital, or with in North Bristol Recovery team, or with the Trust Audit Group. There will be ample opportunities to be involved in research projects. The team provides opportunities to develop management skills and the flexibility in working will support higher trainee in that role. The SpR will have opportunities to chair team meetings, assessment feedback and allocation meetings, attend Bristol MAG meetings, participate in Senior management meeting of the team, represent consultant in other Bristol management meetings. The SpR will have opportunities to attend meetings with GP as part of developing links and relationships with GP with new services. Representing consultant in Tribunal meetings and writing court reports.

8

General Adult
Core Community

Bristol North
Recovery

Dr Jacinta O’Shea

 

This post is based in the North Bristol Recovery Team based at the Greenway Centre.  The Recovery team covers a total population of approximately 175 000, with this being divided into three work streams (clusters), each with approximately 1.0 WTE consultant. There are six consultant psychiatrists working in the ageless recovery service, with the North Crisis team spoke also based at Greenway with opportunities to be involved in home treatment if desired. In-patient services are based at Southmead Hospital and Callington Road Hospital.  The North Bristol Recovery team is a multi-disciplinary team, including Specialist Recovery Practitioners (CPNs, OTs, and SWs) and Recovery Navigators and supported by junior trainees. The role of the ST4-6 will be to gain experience in the diagnosis, assessment, and treatment of the full range of mental health disorders affecting adults of working age.  The team is an amalgamation of past CMHTS, AOT, Community Rehabilitation and Later Life functional illness. There are opportunities to gain experiences in a variety of settings, including inpatient unit, community base, general hospital and primary care.  The service model promotes an increasing model of Primary Care liaison with interface meetings with GP practices with opportunities to evolve primary care liaison services and get experience in the commissioning and tendering process. The post offers experience in multi-disciplinary working, with the opportunity to develop clinical leadership skills, use of Mental Health Act (management of restricted and CTO patients), and expertise in pharmacological and psychological approaches. The Complex Psychological Interventions service (embedded) offer a range of interventions and trainees can gain experience and supervision accordingly.  Dr O’Shea will directly supervise the trainee, with weekly formal supervision.  The post holder will play a role (or help co-ordinate) the Academic Programme, with trainees and medical students at Southmead Hospital.  Involvement with audit, quality improvement and research projects is also expected. There are also opportunities to become involved in medical management activities if desired and the trainee will be expected to participate in local management meetings and gain experience in becoming an Educational Supervisor, with opportunities to support and supervise a core trainee and or G.P. trainee working in the team , offer support with training and induction.  The trainee takes part in the pan-Bristol, South Gloucestershire and North Somerset senior on call rota, which covers Police Stations, Place of Safety Section 136 Suite at Southmead Hospital and multiple in-patient sites. This is a non-resident senior on call rota with Consultant supervision with 1:15 frequency for the Bristol Super Rota.

9

General Adult Core Inpatient

Bristol – Callington Road

Dr Rafal Wieko

 

It is expected that the Advanced Trainee in this post would be interested in the acute care pathway, working directly with the supervising consultant and the multidisciplinary team to offer assessment and treatment of a wide range of conditions within general adult psychiatry.  Typically the majority of the inpatients are detained under the Mental Health Act, and the average length of stay is less than a month. All of the admissions are triaged and gate-kept by the Bristol Intensive Team with whom we have close links and communication.  The inpatient team interfaces with a range of services including Bristol Central Recovery Team, Bristol Early Intervention Team, as well as 2 PICUs and Rehabilitation Services.  There is a 1:16 non-residential on-call rota.

The post holder will have the opportunity to focus on a range of different aspects of acute care, depending on individual preference and educational requirements.  These include a focus on legal issues including report writing and presentation at Mental Health Review Tribunals, Community Treatment Order meetings, CPA and professionals meetings, vulnerable adults and MAPPA meetings.

There is a range of management experience available including the Acute Care Forum, Medical Leads Service Development meetings, and the Bristol and Trustwide Medical Advisory Groups plus a monthly Consultant in-patient meeting and a weekly Care Pathways meeting.  The post holder would be encouraged to take a lead in one or more of these areas.

10

General Adult Core Inpatient

Bristol – Callington Road

Dr Harvey Rees

 

This post is based on Lime unit Open Acute Inpatient Unit at Callington Road Hospital. Lime unit is a 23 bedded unit serving Bristol and predominantly male. A high proportion of patients have substance misuse, dual diagnosis and homelessness.  The ward works with recovery and intensive teams to the benefit of our service users. There is also an ACU (Acute Community Unit) located on Callington site offering alternative care pathway to admission.

The ward is fully multidisciplinary with a part time SAS and 2 junior trainees attached to the unit (CT1 and F2). The Advanced trainee works directly with the supervising consultant and the multidisciplinary team to offer assessment and treatment of a wide range of conditions within general adult psychiatry.  Typically 70-80% the inpatients are detained under the Mental Health Act and the average length of stay is 22 days.  This is a busy post offering varied clinical experience. All of the admissions are triaged by the Bristol Intensive teams with whom we have close links and communication.  The inpatient team interfaces with a range of services including Recovery team, Bristol Intensive team, Bristol Early Intervention Team, as well as the 2 PICUs and rehabilitation services. 

The post-holder will have the opportunity to focus on a range of different aspects of acute care, depending on individual preference and educational requirements.  Opportunities include report writing and presentation at Mental Health Review Tribunals, Community Treatment Order meetings, CPA and professionals meetings, vulnerable adults and MAPPA meetings.  Interfacing with older age psychiatry and ACU is important. Experience or teaching in ECT also available. There are a range of teaching opportunities, including at the weekly Callington Road Hospital academic programme, journal club, and peer supervision of junior trainees.  Throughout the academic year lime Unit hosts at least 6 medical students from Bristol University during their psychiatry placements.

There is a range of management experience available including the Acute Care Forum, Medical Leads Service Development meetings, and the Bristol and Trustwide Medical Advisory Groups plus a monthly Consultant in-patient meeting and a weekly Care Pathways meeting.  The post holder would be encouraged to take a lead in one or more of these areas.

11

General Adult Core Inpatient

Bristol – Callington Road PICU

Dr Jochen Binder-Dietrich

 

This is an exciting opportunity for a core General Adult Inpatient placement where you will develop competency in the assessment of florid psychopathology, management, treatment and reduction of risks associated with acute episodes of mental illness in a contained, safe and closely supervised therapeutic environment.

ECH specialises in the assessment and comprehensive treatment of women with a broad spectrum of acute and enduring mental health needs. The main diagnoses of our patient group are psychotic episodes associated with affective and schizophreniform disorders, occasionally developmental and personality disorders.  We provide care and treatment to inpatients experiencing the most acute phases of their mental disorder; acute distress, absconding risk and suicidal or challenging behaviour needing a secure environment beyond that which can normally be provided on an open psychiatric ward. High staffing ratios including a wide range of therapists allow for intensive input to resolve issues quickly.

You will have the opportunity to learn and practice the preparation of tribunal reports and presenting your findings at hearings.  Also you will have time and flexibility in your timetable to access the many other inpatient services on the hospital site. The unit also liaises closely with our onsite ECT for the management of acute and therapy resistant mania.

Some of our patients require forensic input regarding the management of their risks to others. This interface will give you an insight into the forensic referral and assessment process and the criteria necessary for transfer to low or medium secure.

The ECH team is a tightly knit team who demonstrate that professionalism and well-rehearsed procedures in a challenging inpatient environment can be combined with a high level of caring and compassion for our patients.

The post comes with access to a desk with PC and lockable filing cabinet and all aspects of the job are well supported by a medical secretary and administrative staff.

12

General Adult Core Inpatient

Bristol – Callington Road PICU

Dr Narendra Singh

 

A General Adult Psychiatry Senior Trainee Post is available at Hazel Unit an all-male 12 bedded purpose built Psychiatric Intensive Care Unit with high care and seclusion facilities.

Hazel Unit is situated within the grounds of Callington Road hospital Bristol with varied specialised inpatient facilities serving up to 122 psychiatric inpatients, including a female PICU, open acute, old age including dementia care, open rehabilitation and subacute units, OT, Psychology, ECT, Mental Health Act offices, Library, academic & therapies areas.

All Forensic, Prison, Courts, Community and Social service bases are within less than 3 mile perimeter of the Callington Road Hospital. Bristol Royal infirmary, Neuropsychiatric and Brain Injury Rehabilitation Units are also available in Bristol.

The role of the Senior Trainee will be to gain experience in the diagnosis, assessment and management of the full range of mental health disorders in some of the more complex and challenging clients in Psychiatry. The unit serves a wide geographical area with large population of various ethnicities and backgrounds.

The post offers experience in multi-disciplinary working, developing clinical leadership skills, learning intensive pharmacological and psychological approaches. Post holder is expected to learn nuances of liaison for complex needs patients with the Forensic, Prison, Courts, Community, Open Acute, Early Intervention, Drugs Services, Learning Difficulties, Elderly, Rehabilitation, Female Intensive Care, Neuropsychiatry, Neurology and Liaison services. There is opportunity to participate in mental health review tribunals and learn assessments and reports writing for tribunals/courts.

The post holder is expected to be important part of local management meetings, academic programme, supervising & teaching trainees, nursing/medical students, get involved with audits/research/quality improvement projects and contribute to pan Bristol-South Gloucestershire-North Somerset senior on call rota.

13

General Adult
Core community

South Glos (Bristol)
Recovery/EI

Dr Andrew Brindley

 

 

This is an exciting opportunity for a core General Adult Inpatient placement where you will develop competency in the assessment of florid psychopathology, management, treatment and reduction of risks associated with acute episodes of mental illness in a contained, safe and closely supervised therapeutic environment.

ECH specialises in the assessment and comprehensive treatment of women with a broad spectrum of acute and enduring mental health needs. The main diagnoses of our patient group are psychotic episodes associated with affective and schizophreniform disorders, occasionally developmental and personality disorders.  We provide care and treatment to inpatients experiencing the most acute phases of their mental disorder; acute distress, absconding risk and suicidal or challenging behaviour needing a secure environment beyond that which can normally be provided on an open psychiatric ward. High staffing ratios including a wide range of therapists allow for intensive input to resolve issues quickly.

You will have the opportunity to learn and practice the preparation of tribunal reports and presenting your findings at hearings.  Also you will have time and flexibility in your timetable to access the many other inpatient services on the hospital site. The unit also liaises closely with our onsite ECT for the management of acute and therapy resistant mania.

Some of our patients require forensic input regarding the management of their risks to others. This interface will give you an insight into the forensic referral and assessment process and the criteria necessary for transfer to low or medium secure.

The ECH team is a tightly knit team who demonstrate that professionalism and well-rehearsed procedures in a challenging inpatient environment can be combined with a high level of caring and compassion for our patients.

The post comes with access to a desk with PC and lockable filing cabinet and all aspects of the job are well supported by a medical secretary and administrative staff.

14

General Adult
Core community

South Glos (Bristol)
Recovery

Dr Avneet Sharma

 

This is an exciting new post offering experience in General Adult Psychiatry in South Gloucestershire.

This is a new and innovative post working with the South Recovery Service . The South Recovery team is based at Kingswood. The Recovery team case load typically consists of Psychosis, Mood disorders and Personality disorders and the team is multi-disciplinary and consist of Team Manager, Senior Practitioners, CPNs, Social Workers, Occupational Therapists and Clinical Psychology and the overall approach is recovery oriented with a focus on empowering the patients and supporting them through personal and clinical recovery.

The advanced trainee will gain experience as senior medical member as follows: 

  • Community reviews and work alongside the multi-disciplinary Recovery Team. 
  • Urgent review of patients
  • Opportunities to develop psycho-social skills including CBT for psychosis and family work for psychosis.
  • Opportunity to work with a variety of patients in a variety of settings both urban and rural. 
  • Opportunity to gain experience in treatments with a focus on using complex/combination interventions in patients who appear to ‘be stuck’ with in services.

Alongside working with respective teams there are opportunities to work at the interface between the Crisis Team, Acute inpatient environment, Primary care liaison and Early intervention services. There is also an extremely well developed Psychotherapy Service. There will also be an opportunity to work in-patient environment at Whittucks Road – this is a 15 bedded  inpatient unit that caters to complex, treatment resistant patients who often  have had several acute admissions and poor engagement  in the community

The advanced trainee will be actively encouraged to attend all management meetings with senior management staff.

The trainee will have ample opportunities to be involved in teaching including teaching medical students, trainees, colleagues from other disciplines and families and carers. 

The trainee will be encouraged to be involved in quality improvement projects in the locality.

All aspects of the trainee’s clinical work will be supervised by Dr Avneet Sharma.  In addition to formal education supervision there will be opportunities for daily contact.

The timetable offered is flexible for the needs of the trainee. 

Interested candidates are encouraged to call Dr Avneet Sharma  on 01173784620. 

15

General Adult Core community

Swindon
Recovery

Dr Sherlie Arulanandam

 

The post is based with Swindon Recovery, Chatsworth House which is the main service to provide care packages and interventions for service users in mental health.  Swindon Recovery have an embedded Assertive Outreach function and Early Interventions services. The trainee will be joining the senior clinicians in the team, and will be encouraged to become actively involved in service and team development. The trainee will be able to gain experience in the diagnosis, assessment and treatment of the full range of mental health disorders affecting adults of working age. A weekly academic meeting, including case conferences, journal clubs and seminars, takes place at Victoria centre, Great Western Hospital on Wednesdays.  The trainee will have opportunities to attend management meetings locally and also trust wide. The team are currently in the process of achieving accreditation through ACOHMS and the trainee will have the opportunity to become involved in this process if they are interested. The educational supervisor is the undergraduate psychiatry tutor for Swindon and has a particular interest in medical education. The trainee will be supported and encouraged to become actively involved in teaching medical students, foundation doctors and core trainees at Swindon Academy. There are ample opportunities for the trainee to engage in clinical audit, research and quality improvement focusing on service evaluation and patient outcome measures. The trainee will participate in the 1: 15 (provisional) Wiltshire on-call rota.

16

General Adult Core community

Weston
Recovery

Dr Kristina Gintailate

 

This post offers experience working with Adults within Working Age in both Recovery and Early Intervention in Psychosis services. Both teams are based at the Coast Recourse Centre in WSM.

The trainee will receive clinical and educational supervisions from Dr Gintalaite-Bielaiuskiene who is full time based and provides 8 sessions input into Recovery team and Early Intervention in Psychosis team and 2 sessions input into local inpatient Rehabilitation service. She has 7 years' experience working in Female PICU, Bristol as a lead consultant, and 4 years' experience with community Recovery, Early Intervention in Psychosis and also inpatient rehabilitation teams in North Somerset. She also has 16 months experience working with older adults in the same locality.  Dr Gintalaite-Bieliauskiene had managerial roles such as Medical lead for PICUs& CJS and national role as an Executive member of NAPICU committee. She is a Medical Research lead for North Somerset since Jan 2014.

The trainee will be able to obtain training and experience in working with complex and challenging patients including Dual Diagnosis and Personality Disorders as well as the First Episode Psychosis..

The post is based at the Coast Resource Centre, Weston Super Mare base with the access to office shared with consultant and PC and lockable drawer provided. There are parking facilities at the Coast Resource Centre.

17

General Adult Core community

Gloucestershire
Recovery

Dr Simon Christopherson

 

This post provides exposure to community psychiatric practice with an enthusiastic trainer across a patch covering inner city and rural areas that encompass some of the most and the least deprived areas of Gloucestershire. This mix provides for a very varied caseload and the opportunity to develop skills in a variety of styles of management. The Recovery team is responsible for assessing and treating new referrals from primary care and other agencies and for the ongoing treatment of patients with complex mental health problems including severe and enduring mental illness.

Our setting, resource level and approach allow us to offer advanced trainees excellent and tailored opportunities for training and professional development that would suit both those transitioning from core to specialist training and those preparing to take a consultant post.

Trainees will be able to do independent and joint assessments (ie. with medics, our psychologist and other professionals) of routine and urgent referrals and, depending on their needs and experience, they will be able to build a caseload of patients care co-ordinated by other team members. Multidisciplinary working will be expected with patients in the community and it would be expected that the trainee would get opportunity to both work with patients referred to CRHTT and to do Mental Health Act Assessments. The post also has the opportunity to link up with other local teams, eg AOT, Older Adult, Eating disorders, Liaison etc.

The team is based at Avon House, Tewkesbury.  The trainee is encouraged to attend the local academic programme and will be facilitated to gain management experience. The timetable is flexible and there is the potential to pursue new or existing research, teaching or special interest commitments. A provisional community timetable is shown below, but elements can be switched out for inpatient or other relevant work as agreed in supervision.

Interested candidates are encouraged to call Dr Simon Christopherson 01684 861150

18

General Adult Core community

Gloucestershire
Recovery

Dr Latha Guruvaiah

 

The trainee will be supervised by Dr Barnes the Rehabilitation Consultant and Royal College Executive team member and SW Regional Representative in Rehabilitation Psychiatry.

The trainee will be able to obtain training and experience in rehabilitation psychiatry.

This includes:

Assessment of referrals to the low secure service including male patients most frequently with psychosis referred from Somerset’s acute services.     Formulation of treatment plans prior to admission including the needs for rehabilitation in conditions of low security   Often in referrals there is a pattern of frequent readmissions and gradually escalating risk in the context of poor social functioning.  Other referrals have better functioning but greater forensic risk requiring assessment and amelioration of multiple contributing factors.     

Delivery of treatment plans as formulated following discussion with the Multi Disciplinary Team thorough ongoing assessment, maximising benefits of engagement with treatment including meaningful occupation, psychosocial treatments and medication.    Provision of a broad range of pharmacological treatments in major mental illness including treatment resistant schizophrenia.  Provide support, advice and supervision to the Multi Disciplinary Teams.

Management experience through working in a well functioning, multi disciplinary team, that works collaboratively with local community services and general psychiatric CMHT’s

Audit of clinical practice and research opportunity within the Clinical Governance framework.

Knowledge of rehabilitation specialty service research and professional issues through opportunity to attend quarterly SW regional rehabilitation consultant peer meetings and annual Royal College Residential Rehabilitation faculty National conference held in November.

Research and teaching are encouraged with medical student teaching occurring regularly in the service. The outlined timetable can be adjusted to suit individual trainee’s needs. Support will be available in conducting a research project in the field of psychiatric rehabilitation with a view to submission as oral or poster presentation at the Rehabilitation Faculty Conference and in submission to the Douglas Bennett research prize awarded by the Rehabilitation Faculty for trainee’s working in psychiatric rehabilitation;

ihttp://www.rcpsych.ac.uk/workinpsychiatry/faculties/rehabilitationandsocial/aboutus/prizesandbursaries.aspx

19

General Adult EI
Core community

Gloucestershire
EI

Dr Jon Haynes

 

The post is based with the Gloucestershire Recovery in Psychosis (GRIP) team, 2gether Foundation Trust, which assesses and manages individuals between the ages of 14 and 35 who are suffering first episode psychosis (FEP), and monitors persons who present with At Risk Mental State. (ARMS). The multi-disciplinary team covers the entirety of Gloucestershire (Population 600,000) and is divided into three sub-teams to cover different geographical areas. The consultant and specialty doctor provide medical input into each team; the trainee may choose to focus on one sub-team, or work across all teams.

The GRIP is well resourced, to work a maximum caseload of 15 per WTE clinician.  The team is motivated and supportive; it comprises 1 consultant, 1 specialty doctor, 1 team manager, 2 clinical psychologists, and a full multidisciplinary team comprising nurses, occupational therapists, social workers, support workers and sports therapist/ physiotherapist. Clinical duties are restricted to patients over the age of 18, and include assessments, MHA assessment, medication review and prescribing, and collaborative working to a recovery model with other team members. There is opportunity of preparing medicolegal reports under supervision. Risk assessment is core business for the team as the patient group are often impulsive and disturbed. 

Interested candidates are encouraged to call Dr Haynes on 01452 894862.

Locally research opportunities are available through the team, and through trust research committee. We have links with the EI research streams at the University of Bristol.

Teaching opportunities are available for medical students based in the Gloucester Academy, and to other professions.

Trainees will be invited to join the Medical Staff Committee on a monthly basis. There are opportunities to shadow Dr Haynes, as Clinical Director, and to take lead responsibility in management projects.

20

General Adult Core IP/crisis

Gloucestershire
IP/crisis

Dr Guy Undrill

 

Gloucestershire Partnership Trust provides services by way of functionalised  teams. This job provides input to a 24/7/365 Crisis Resolution and Home Treatment Team in Cheltenham, Tewkesbury and the North Cotswolds and to inpatients at Priory Ward, Wotton Lawn Hospital. The post holder will be joining a mature and well-functioning team.  Previous post holders have found their input highly valued by the team. There are opportunities for MHA and general hospital liaison work if required. The team has other trainees (F1/2, CT1-3) and medical students attached regularly. Dr Undrill has an interest in supervision and can provide training and supervised experience in supervision to the post holder. The timetable is flexible and can be adapted to the educational needs of the post holder, including splitting the job to take some time on the sector inpatient work or crisis and home intervention work according to need. Research and study leave are both well supported. Dr Undrill is a Motivational Interviewing Trainer and the post holder would be encouraged to train in MI during the year.

Special Interest sessions can be arranged with several specialist services locally: these include a psychotherapy team, ACT team, early intervention in psychosis team and nurse-led eating disorders team. Interested candidates are encouraged to call Dr Undrill (or the current post holder) on 01242 634016. (Updated 07.03.18). 

Dr Undrill was Royal College of Psychiatrists trainer of the year in 2013. 

21

General Adult
Core IP/crisis

Gloucestershire
IP/crisis

Dr Faisal Khan

 

The population of the County of Gloucestershire is approximately 623,000. The age profile of the area is equivalent to national averages for children, working age and elderly populations. On the whole the population enjoy a good standard of living and health with higher than average levels of life expectancy when compared to other areas of the south west and the rest of the UK. The mean Jarman Index is 24-29. However, despite the relative affluence of the area, with unemployment rates of 3.4% compared with 4.7% nationally, two wards in the county (both in Gloucester) fall within the 10% most deprived areas in England based on the 200 indices of deprivation. Numbers of people from ethnic minorities are below the national average in the county, but approaching this in Gloucester city (about 8%). In addition, the figures for people with a learning disability registered with a GP in Gloucestershire are significantly higher than the national average. This is due to people being placed in residential placements in Gloucestershire from other areas. The area covered by this post i.e. Cheltenham, Tewkesbury and North Cotswold  is one of the most affluent areas of the county, if not the country.

The Inpatient post would be based on Priory ward at Wotton Lawn Hospital in Gloucester. It is an 18 bed unit with an equal split of male and female patients. The ward has one manager, charge nurses, Nurses, Health care assistants, Occupational therapists, Physiotherapists, clinical psychologist, hospital social worker and complex care workers. Medical input is provided by 2 Consultants, 1 speciality doctor, a Foundation doctor. There is an opportunity to gain experience as a specialist registrar with the inpatient team or the community crisis team. Weekly supervision would be provided to the trainee and trainees are encouraged to participate in audit and research opportunities and also develop teaching and supervision skills.

Wotton Lawn hospital and Gloucestershire crisis teams have been rated Outstanding by the CQC.

22

General Adult Core community

Cirencester Glos

Recovery

Dr Nader Abbassi

 

This post offers an excellent opportunity for experience in the community psychiatric practice and developing clinical leadership in a multidisciplinary team within a secondary mental health service. This post is based at Cirencester Memorial Centre located at the centre of Cirencester and covers a patch including urban and rural areas that encompass some of the least and the most deprived areas of Gloucestershire. This mix provides for a very varied caseload and the opportunity to develop skills in variety of styles of management. The Recovery team is responsible for assessing and treating new referrals from primary care and other agencies and for the ongoing treatment of patients with complex mental health problems including severe and enduring mental illness. The trainee will be supervised by Nader Abbasi, a full time Consultant in General Adult Psychiatry.

The trainee will gain experience across a wide range of general adult psychiatric disorders, working with the supervising consultant and with the multidisciplinary teams in a community setting. There is one full time general adult consultant psychiatrist (Nader Abbasi) and there are also part time middle grade doctor and a core trainee based at Cirencester Memorial` Centre.  The medical team provides senior medical advice to the Cirencester Recovery Team. This job, due to our setting, resource level and approach, allows us to offer advanced trainees excellent and tailored opportunities for training and professional development that would suit both those transitioning from core to specialist training and those preparing to take a consultant post.

Trainees will be able to do independent and joint assessments (ie. with medics, our psychologist and other professionals) of routine and urgent referrals and, depending on their needs and experience, they will be able to build a caseload of patients care co-ordinated by other team members. Multidisciplinary working will be expected with patients in the community and it would be expected that the trainee would get opportunity to both work with patients referred to CRHTT and to do Mental Health Act Assessments. The post also has the opportunity to link up with other local teams, eg AOT, Older Adult, Eating disorders, Liaison etc.

23

General Adult/Low Secure

Gloucestershire

Dr James Laidlaw

 

This post is based at the Montpelier Unit (a Low Secure Inpatient Ward) on the Wotton Lawn Hospital site in Gloucester.  This post provides excellent experience in General Adult Psychiatry (non-core), particularly in the interface between General Adult Psychiatry and Forensic Psychiatry.  The Montpelier Unit provides a countywide service to the residents of Gloucestershire (population 580,000) in the form of a 12 bedded low secure inpatient facility for patients with severe mental illness who require treatment in a low secure setting.  Patients are expected to stay no longer than two years in the Unit before moving on, usually back into the community.  It is envisaged that most admissions will come from one of three groups:  patients descending the security ladder from high and medium security, prisoners with acute and severe mental illness requiring inpatient hospital treatment and patients with severe mental illness who challenge the capacity of open and PICU wards locally to manage their problems appropriately.  The Montpelier Unit is an all male facility.  In addition to this the Unit runs the local Gloucestershire Courts Criminal Justice Service(GCLS) and offers an opportunity for training in ECT. The role of the trainee is to develop skills in the assessment and management of patients a) referred for ‘access assessments’ for admission to low security. b) referred to the GCLS.  The Montpelier Unit is part of the county wide directorate. The Advanced Trainee will have the opportunity to teach Core Trainees both formally as part of the Monday afternoon training Programme and also informally.  There will also be opportunities to train other disciplines from the Montpelier Unit and also opportunities for training other professions within the Criminal Justice System such as Prison Probation Staff. 

24

General Adult
Core community

Gloucestershire Recovery

Dr Theo Lerescu

 

This Gloucester City post will provide a broad exposure to psychiatric practice in the community. Our team is responsible for assessing and treating new referrals from primary care and other agencies, and for the ongoing treatment of patients with long-term severe and enduring mental illness.

I believe that the our setting, resources and location put us in the position to offer a very good training job with excellent support and supervision in the new Gloucester Hub, Pullman Place,  with Recovery Team 1. Gloucester Recovery team (which is divided in 3 subteams) has 25 members including 3 consultants, 2 OTs, 3 social workers, 10 band 6 CPNs, vocational workers and support workers. At present our team helps 800 patients living mostly in inner city Gloucester. Team 1 covers 7 busy surgeries serving a population of 70000 people. More than half of the patients suffer with SMI with a great variety of diagnoses and clinical presentations. Our team also runs Gloucester Clozaril clinic.

The medical support for Team 1 is provided by myself, a full time staff grade doctor and a GPVTS trainee. The administrative support is excellent; full time dedicated medical secretary ,personal laptop and mobile phone, in an office shared with the team. The trainee will have the opportunity to undertake assessments of new patients. There are other opportunities to do joint work in the community-joint DVs with members of our team or crisis team and opportunities to do MHA assessments. Our team has excellent links with other Gloucester functional teams: Crisis Team, GRIP, PMHT,OA,LD and AOT which are all based in Pullman Place hub building. Our team base is within 5 minutes walking distance to Wotton Lawn Hospital and the Redwood education centre. There are some interesting opportunities for special interest sessions locally: GRIP (early intervention team) and Montpelier Low Secure Unit. There will be weekly formal individual supervision. The timetable offered is flexible to pursue existing research, teaching projects and special interest commitments. Interested candidates are encouraged to call Dr Lerescu on 01452 894817.

25

General Adult
Core IP

Gloucestershire

Dr Svetlin Vrabtchev

 

General Adult Psychiatry post - Inpatients, based at Wotton Lawn Hospital, Gloucester. The post is part of the medical team that serves the inpatients and the CRHTT for Gloucester & Forest of Dean (FoD) locality. The inpatient work spans over two wards - Dean and Kingsholm with a capped number of patients (up to 10) for each consultant. The wards care for single gender patients – one works with males and the other with females. The Gloucester & FoD inpatients/CRHTT team consist of two full time Consultant psychiatrists and two part time consultant psychiatrists. In addition the inpatient teams include two Foundation Year 1 doctors working on each ward and a Foundation Year 2 doctor that is attached to Dr Vrabtchev and works across the two wards.

The post will offer experience of acute psychiatric care in hospital and in the community.  The advanced trainee will have an opportunity to increase their expertise in assessment, management and treatment of patients who are within the acute psychiatry pathway – inpatient and home treatment of a wide range of mental health disorders with different severity and complexity and including assessment and management of risk. The advanced trainee will be encouraged to assume the RC role for some patients and build a portfolio of clinical case management of their choice. The advanced trainee may chose offer day to day clinical advice to Foundation Year doctor(s) attached to the inpatient consultant posts. There will be opportunities for mental health act related work – assessments, writing reports for and attending mental health review tribunals and community treatment order meetings.

The inpatients clinical experience can include ECT exposure to attain the required ILO competencies in the Curriculum. On call arrangements are 1:20 and the advanced trainee will be expected to attend work related to Adult and Older Adult Psychiatry. There is the option for the trainee to undertake work related to CYPS and LD Psychiatry on call – this is optional.

26

General Adult
Core community

Gloucestershire Recovery

Dr Raj Choudhury

 

This post would provide the trainee with an excellent breadth of training in developing clinical leadership in a multidisciplinary team that provides holistic ‘personal recovery’ oriented care and treatment of people in the community within a secondary mental health service. This post in based at Leckhampton Lodge in leafy Leckhampton in the regency town of Cheltenham. The trainee will have their own desk with computer and telephone in an office shared with 2 -3 other doctors and full medical secretary support. The trainee would be expected to see no more than 8 patients  in the six core clinical sessions per week, as I believe in deeper holistic learning by seeing few carefully selected patients and thereby develop adequate competence and confidence in managing patients with multidisciplinary and inter-agency support which would be the fundamental role of a Consultant Psychiatrist in the first few years in that role. In the core clinical sessions, the trainee would have opportunities to: assess and formulate treatment plans for patients across a range of psychiatric diagnoses; develop supervision skills by supervising medical students and junior trainees; learn to manage interface challenges across different services, and thereby develop negotiation skills; attend weekly local academic programme and the monthly medical staff committee meeting. The trainee would have ample opportunities for developing additional knowledge and competencies in other areas by doing ‘special interest sessions’ in the Gloucestershire Early Interventions Service for People with Psychosis, the Mental Health Liaison Team, the Crisis Service, Assertive Outreach Service, Eating Disorders Treatment Service, Low Secure Unit, Medical Psychotherapy, Medical Education, Medical Management, Quality Improvement Projects etc. The trainee would be welcome to take an active role within the Fritchie Centre which is a specially developed research centre within 2gether NHS Foundation Trust that manages both NIHR funded and commercial research studies

27

General Adult Core Inpatient

Taunton Somerset

Dr Abhi Sharma

 

This is a new post offering opportunity to train full-time or part-time in whole range of general adult inpatient services, including

  • Inpatient assessment and management of acute and complex adult psychiatric cases. This includes mental health act assessments
  • Close liaison working with psychiatric intensive care unit situated in vicinity of Rydon ward
  • Working experience with integrated crisis home treatment and personality disorder team on ward
  • Opportunity to work in combination with community job, inpatient job and additional opportunity to work with community eating disorders team which is my second role. I hold out-patient eating disorders clinics at the same site on Tuesdays and Fridays for eating disorder
  • Psychotherapy training is extensively provided within the Trust and I will provide supervision if CBT or CFT work is undertaken
  • Research participation opportunity as I have previously undertaken and am currently involved as Lead Investigator in National research projects
  • I undertake extensive teaching for countywide GP teaching days, medical students and foundation year trainees and good opportunity will be available to undertake teaching for the local Post Graduate Meetings. Trainee will be expected to join local trust audits that I am involved with or undertake projects of their own
  • This is an inpatient post, but it also offers opportunities for experience in community adult eating disorders if desired.

This ward already has been involved with higher educational training placements, couple of trainees 

28

General Adult Core community

Bridgewater Somerset
Recovery

Dr Chris Mortimore

 

The trainee will be supervised by Chris Mortimore, a full time Consultant in General Adult Community Psychiatry. The post is based with the Bridgwater Community Mental Health Team at Glanville House. This base is located 45 minutes by car from Bristol and is easily accessible from the M5.

The trainee will gain experience across a wide range of general adult psychiatric disorders, working with the supervising consultant and with the multidisciplinary teams in a community setting. There are two one full time general adult consultant psychiatrist (Chris Mortimore and Radu Iosub) and there are also two part time consultants (Martin Eales, Anton Muller) based at Glanville House. The medical team provides senior medical advice to the Somerset Coast Crisis Resolution / Home Treatment Team, the Bridgwater Community Mental Health Team, and the Somerset Coast Assertive Outreach Team. Radu Iosub is the lead for the Early Intervention in Psychosis Team (STEP). The trainee will therefore have opportunity to work closely with these services, all of which are based at Glanville House. There will be opportunity for Mental Health Act work.

There is a psychotherapy service at Glanville House which includes clinical psychology, family therapy, cognitive behavioural therapy (CBT), cognitive analytic therapy (CAT) and dialectic behaviour therapy. There are opportunities for training under supervision in CBT and CAT. There is also a specialist personality disorder lead.

Consultant leave is coordinated so that at least one consultant is available for urgent advice and supervision.

The whole population for Dr Mortimore’s post is 45,000 and covers GP surgeries east of Bridgwater located in Highbridge, Burnham-on-Sea, Brent and the Polden Hills as well as Victoria Park Surgery in Bridgwater.

There are opportunities to gain competencies in ECT during the placement.  Teaching research and management experience is available and encouraged.

29

General Adult Core community

Wells Somerset
Recovery

Dr Linda Heaney

 

This post in the Mendip Recovery Team is based at The Bridge in Wells. Wells is an attractive place to work, within easy commute from Bristol / Bath, a lack of traffic congestion and easy parking. There are three consultant psychiatrists working in the team: Dr Linda Heaney, Dr Philip van Driel and Dr Fatin Hussain, as well as three SASG Doctors. Each consultant covers a specified catchment area, with Dr Heaney covering Wells and Shepton Mallet. Inpatient services are based on the same site, as are the Home Treatment Team, Early Intervention and Later Life services, and two Wells GP practice, allowing for ease of primary care liaison.

The role of the Trainee will be to consolidate experience in the diagnosis, assessment, and treatment for the full range of mental health disorders affecting adults of working age, and starting to work more independently.  There will be ample opportunities to see patients with disorders ranging from schizophrenia through to personality disorders.  There are opportunities to gain experiences in a variety of settings, including the inpatient unit, community base, home treatment services, early intervention and assertive outreach services.  The trainee will have the opportunity to attend managerial meetings, and take on projects if desired.  The post will give the trainee opportunities to become experienced in MHA implementations as well as developing expertise in the pharmacological, psychological and physical treatment approaches to mental illness.  There are also ample opportunities to become involved with audit and quality improvement activities. Psychological therapies experience is also available.

30

Criminal Justice Liaison Service

Bristol

Dr Charlotte Illingworth

 

This post offers Advanced Trainees the opportunity to gain extensive experience of General Adult Psychiatry in prisons (working with both male and female service users) with an enthusiastic trainer. This is very much a General Adult post, not a Forensic Psychiatry post. There is a current CT2 trainee undertaking their 6 month post with our Service and a number of trainees, both Advanced and Core Trainees have given excellent feedback regarding their experience during Special Interest sessions, which are also available.

The Service underwent successful recommissioning in April 2016, which saw AWP join partner organisations, including Bristol Community Health and Hanham Health, in providing integrated healthcare across 5 prisons under ‘InspireBetterHealth’. The Advanced Trainee will join multi-disciplinary teams, in 2 local prisons, and their Consultant Psychiatrist trainer is also employed by AWP. There is a second Consultant who works with our Service who could offer additional experience in 3 other prisons if interested to gain broader experience. The MDTs include RMNs, Clinical Psychologists, Assistant Psychologists, Social Workers, an Occupational Therapist and Learning Disability Practitioners.

As secondary mental health teams we are integrated with Primary Care, GPs in the prisons and Substance Misuse Teams, which would be an interesting model for the Advanced Trainee work within, giving exciting opportunities for multi-disciplinary working and teaching. There are also opportunities to teach lay groups including prison officers. We frequently have Advanced and Core Trainees undertaking Special Interest sessions and host medical student visits to clinics, so medical student teaching is also available in this post. We are offering a Medical Student SSC this year in the prisons, which a trainee will be supervising. The Advanced Trainee will be encouraged to develop their teaching portfolio during this post with a trainer who is committed to education and teaching. A comprehensive Induction to the post will be provided.

Enquiries and visits from potentially interested Advanced Trainees are welcome.

31

Addictions

Bristol/South Gloucestershire

Dr Ben Watson

 

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 Ben Watson. There is an hour-long, weekly supervision session with the consultant.

32

Addictions

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.

33

Liaison

Bristol
Southmead

Dr Anish Patel

 

This post is based at Southmead Hospital, and enables the post holder to gain experience in Consultation-Liaison Psychiatry in both adult and later life populations in a large modern state of the art teaching hospital and receive their Royal College of Psychiatry endorsement in Liaison Psychiatry. This post holder will be based in the NBT Mental Health Liaison Team. Clinical work typically falls into three categories: Emergency dept/Acute Medical Unit, In-patient and Outpatient. Non-clinical areas of development that will run in parallel include education, quality, service improvement and management. The work is busy, but extremely varied and covers the full range of psychiatric problems from organic psychosis, to denial of illness, which will enhance and develop your skills in managing complex multiple pathologies relating to body, mind and brain, and encouraging an integrated approach to illness and disease. Old Age Liaison Psychiatry: The trainee will gain particular experience in assessment informing diagnosis, treatment and management of existing or suspected new mental / neuropsychiatric disorder in older people admitted to the acute hospital (primarily dementia, delirium, depression and anxiety). You will gain advanced experience in the management of depression in the setting of a physical illness, of behavioural disturbance secondary to dementia in an acute setting and in prescribing safely and recognizing common drug interactions. Additional experience will be gained in the specialist opinion for complex capacity decision for patients with mental disorder, care planning that limits the risk of deprivation of liberty, and risk assessment and management within the hospital. General Adult Liaison Psychiatry: You will be able to see the full range of psychiatric presentations in a general hospital, including mood, somatoform and anxiety disorders, medically unexplained symptoms, addictive disorders. Specific Liaison Psychiatry experience can also be obtained working with the regional services based in NBT including: Renal Services, Plastic Surgery/Burns and Trauma & Orthopaedics. There are allied mental health services on site that link in with Liaison Psychiatry services including Perinatal Psychiatry, Eating disorders and Neuropsychiatry whereby the postholder will have opportunity to have exposure to out-patient clinics. Education is a key part of the role and effectiveness of an Acute Hospital Mental Health Liaison service and you will have ample opportunity to develop skills and experience in the delivery or development of bespoke educational packages/training to general hospital staff across a variety of medical specialties. There is plenty of scope for service development and the trainee may want to undertake projects such as developing specialist out-patient liaison clinics, joint audit projects with fellow medical/surgical colleagues. Attendance with senior liaison clinicians to the Mental Health Steering group and Committee of Physicians will also assist developing higher management skills.

34

Liaison

Bristol
Southmead

Dr Amy Green

 

Southmead hospital is an 800 bed hospital with a large Emergency Department (ED). It is also a regional centre for Trauma, Renal Medicine, Plastic Surgery, Infectious Diseases and Chronic Pain.  The Mental Health Liaison Service (MHLS) provides an ageless service (16 years and upwards) to the ED and inpatient wards at Southmead Hospital. Liaison Psychiatry is an ideal learning environment for trainees, bridging learning from biomedical to bio-psychosocial care, whilst retaining links with allied medical specialties and colleagues within the Acute Trust. We see a diverse range of presentations in the context of physical illness, self-injury or trauma. Conditions commonly encountered in this post include; psychotic, affective, cognitive, organic, personality, anxiety, somatoform, factitious and eating disorders.

Core clinical work includes;

  • Specialist inpatient or ED assessments and reviews to inform diagnosis, treatment and management of existing or suspected new mental disorder. 
  • Providing advice to allied medical specialties about psychotropic prescribing in patients with co-morbid medical conditions.
  • Assisting in Acute Trust care planning meetings, best interest meetings and professionals meetings.
  • Trainees will also have the opportunity to observe or undertake Mental Health Act assessments in the Acute Trust.

Dr Green is the Undergraduate Unit Tutor at Southmead and there are many opportunities to teach medical students, develop workshops and input into the design of the Undergraduate student placement. She also has strong educational links to the Core Medical Trainee, Acute Medicine Trainee and Emergency Medicine Trainee programme providing opportunities to improve the care of patients with mental health problems through teaching other professionals.

Projects for trainees to develop their leadership and management skills are always available as the team is growing and expanding its remit within the Acute Trust. Previous leadership projects include implementing guidance in the Acute Medical Unit about patients admitted with medical complications of severe Anorexia Nervosa, and leading the team accreditation to the Psychiatric Liaison Accreditation Network.

35

Liaison

Bristol
BRI

Dr Nicola Taylor

 

This post is based at Clinic 7, Bristol Royal Infirmary and enables the post holder to gain experience in Consultation-Liaison Psychiatry in a busy inner city teaching hospital and receive their Royal College endorsement in Liaison Psychiatry.

The work is fascinating and varied.  There is ample opportunity to gain experience in the assessment of DSH, medical and surgical referrals, medically unexplained symptoms and range of outpatient referrals.  We have access to CBT therapists and trainee counsellors in the team, as well as a cohort of highly skilled nurses.

We recognise the importance of close working relationships with our acute care colleagues, and want our trainees to foster those relationships further.

We have a successful track record of supporting trainees to develop clinical services and business cases as part of their special interest which has resulted in recurrent funding. We want to allow our trainees to acquire a scope of diverse skills and so would encourage them to take clinical and managerial leadership opportunities as appropriate with all necessary support and supervision.

Education is at the centre of our team, and there are lots of chances to deliver formal and informal teaching sessions to a variety of people: from our regular medical students in their 2nd year, to consultant surgeons and physicians.  The development of teaching programmes is also encouraged and valued.

We are a research active department, and there are often opportunities to work on recruitment for multicentre trials as well as smaller scale projects.

Our (very well-functioning) team is moving to an ageless service, and we are soon to be moving into refurbished offices.  We have access to all the databases in the general hospital, and our digital dictation system helps the team’s excellent administrative support.

36

Liaison

Bath

Dr Bill Bruce-Jones

 

Ageless Liaison service based in the Royal United Hospital.  The trainee will be supervised by Dr Bruce-Jones who is consultant liaison psychiatrist at the Royal United Hospital in Bath (RUH). The RUH has nearly 600 beds and has a catchment population of around 500,000 in B&NES, Somerset and Wiltshire. The hospital has the full range of acute specialities and has a very busy Emergency department. Dr Bruce-Jones works with a growing team of specialist nurses working with patients of all ages above 18. Some of the nursing staff particularly work with older adults, especially with dementia. A half time consultant post was appointed in early 2013 to focus on this older patient group.

The Liaison Service in B&NES is collaborating with the University of Bristol in setting up a Self-Harm register and this will provide opportunities for service evaluation and research.

Dr Bruce-Jones also works with the Primary Care Liaison Service providing the trainee to gain experience in this growing area of mental health care should they wish.

Dr Bruce-Jones is Clinical Director for AWP mental health services in B&NES.

The trainee will be able to obtain training and experience in Liaison Psychiatry. This includes: Assessment of new patients presenting with the full range of mental health problems in the general hospital; Development of complex management plans including advice on medication, Mental Capacity Act & Mental Health Act; Opportunities to further develop the service in particular clinical areas eg. Gastroenterology, Perinatal, Neurology; Opportunities to develop innovative services eg. MUS; Provide support, advice and supervision to the liaison team; Management experience through working in a well functioning, multi disciplinary team.  Audit of clinical practice and research within the Clinical Governance framework.

 

37

Liaison

Gloucestershire

Dr Karen Williams

 

This post is based at Gloucestershire Royal Hospital and Cheltenham  General Hospital and the post holder will be able to gain experience in Consultation-Liaison Psychiatry in an all age liaison service in these 2 district general hospitals and to achieve a Royal College endorsement in Liaison Psychiatry.

The work experience  is varied and includes: the assessment of DSH, medical and surgical ward referrals, obstetric referrals, alcohol hospital liaison, older peoples hospital liaison, management of frequent attenders and medically unexplained symptoms outpatient and inpatient work. 

Our team works in an ageless service and we provide 24/7 cover for the hospitals. We have a separate self-harm team, an older people’s liaison team and alcohol liaison nurses. In addition we have a frequent attender worker. The trainee would work in normal working hours.

The team enjoys good working relationships with the general hospital staff and the post would offer opportunities to engage in quality improvement projects, attendance at hospital liaison management meetings and other service development work.

Liaison psychiatry is an expanding field and our service is continuing to develop and there are plans for extending the scope of the team. Trainees would be encouraged to develop small projects to enhance the work of the team.

The consultant psychiatrist has an endorsement in addiction psychiatry and works with the family drug and alcohol court team and could offer special interest sessions in this if required. She is currently involved in a countywide project looking at pain management and liaison psychiatry.

The team is commissioned to provide formal training to medical, nursing and other staff in the general hospital and the post will provide ample opportunity to deliver training formally and informally to a variety of staff on different aspects of psychiatric liaison.

The team does have core trainees and also provides regular taster days to junior medical staff and to medical students. The post would offer opportunities to develop skills in mentoring and supervision.

We work with the Gloucestershire Hospitals Trust to develop protocols and guidelines for a variety of management issues include hospital transfer, rapid tranquilisation and management of substance misuse problems and are actively engaged with audit and QIP work in these areas.

The team works closely with other 2gether services and the post gives opportunities to work across the interfaces and for example to have experience of MHA assessments and crisis team joint assessments.

The team uses Rio and we are using a digital dictation system

38

Liaison

Swindon

Dr Michael Obidia

 

This post involves rapid front line biopsychosocial assessment, advice and recommendations as well as support for the care team involved in the patients’ care, of referrals from the general medical and surgical wards, and patients presenting with DSH in A&E. It also includes specialist opinion for complex capacity decisions, care planning to limit the risk of Deprivation of Liberty, risk assessment and management within the hospital and upon discharge, plus brief/psychotherapeutic interventions for patients and to assist staff groups in the management of complex situations within the acute hospital setting. There is a wide range of experience in the practical applications of both Mental Capacity Act (including DOLS authorisation) and Mental Health Act, which will provide good experience for preparation as a consultant.

The higher trainee will primarily work using a consultation-liaison model, supported by the multi-disciplinary liaison team, and will work closely with the Emergency Department, inpatient medical and surgical wards and hospital based specialities within GWH, including Neurology, and the Department of Medicine for the Elderly. Higher trainees will be expected to develop skills in active co-ordination and management of patients with long-term physical health problems including chronic fatigue, eating disorders, atypical pain etc, and to support the development of management plans for patients with repeat hospital attendance.

The liaison service may act as a ‘gateway’ into the specialist mental health service, and the post-holder will liaise with GPs, intensive, recovery, PCLS and inpatient services to identify the most suitable care-pathway for patients when medically fit for discharge from GWH. A key part of liaison psychiatry is to ensure effective communication of assessments/management to the relevant staff. The trainee will therefore be expected to participate in clear documentation in acute hospital notes and on Rio.

In addition to inpatient work, there is also an outpatient complex case clinic and pilot perinatal clinic which the trainee will be encouraged to participate in. There are opportunities to attend weekly GWH Grand Rounds and the Swindon Psychiatry Academic programme. The old-age psychiatry inpatient unit is based on-site at GWH, and trainees can have access to special interest days in other Swindon-based services to gain further training opportunities. The post can be tailored to the educational needs of the trainee.

39

Liaison

Weston

Dr Tiff Earle

 

Comprehensive clinical experience in the assessment and management of mental health patients presenting in crisis to and liaison into the general hospital (Weston General Hospital) which is an ageless service, presenting with psychiatric sequelae of physical ill health; co morbid mental and physical health problems; self harm and alcohol related problems. As well as this we are developing systems and protocols with a view to reducing self harm and suicide including a post card scheme, and a national CQIUN reducing frequent attendances at A & E. (49 of the top 50 frequent attenders to ED are mental health related).

There is no care coordination role, if required patients are signposted into relevant secondary care service; Recovery; CITT; Memory; IAPT etc. Educational supervision and clinical supervision will be the responsibility of Dr Tiff Earle. The trainee is free to choose how they wish to divide their clinical time; this could include involvement with the acute inpatients ward, by following patients through A & E crisis/general hospital to inpatient treatment then into recovery/CITT services.

Clinical Special Interest opportunities within the locality are many and varied and would include: Residential Home Liaison, Family therapy work, Neuropsychology expertise development, Primary Care Liaison, Recovery; ECT, management and leadership and personality disorder service experience.

Opportunities out with the Trust might include Alcohol and Substance Misuse, Geriatric Medicine, Parkinson’s disease clinic and Neuroradiology experience, to name but a few.

The trainee will be based at Long Fox Unit, Weston Super Mare, where the liaison team is based. The trainee will have dedicated office space, PC and secretarial support for all aspects of trainees work including on call. There are also hot-desking & free parking facilities at the Long Fox Unit.

The service is based on the same site as the general hospital and restaurant facilities are available within a 2 minute walk.

40

Liaison

Taunton

Dr Siân Hughes

 

This post is based at Musgrove Park Hospital, a 500 bedded District General Hospital in Taunton.  We are a growing team, which has only been commissioned since 2017, representing a commitment to the establishment and expansion of Liaison Psychiatry in the county.

You will gain experience of the full range of consultation/liaison psychiatry, for all patients aged 18 and over.  Ward referrals come via the intranet and are seen based on priority. Referrals come from all areas of the hospital including maternity.  Medical staff are involved in the most complex cases and work closely with physicians to develop multidisciplinary care plans.  There are opportunities for service development, for instance in developing  joint clinics with other specialties.  We are also developing a service for medically unexplained symptoms, and looking at frequent attenders to the ED to reduce or prevent unnecessary admissions.  You will have the opportunity to take a lead role in one of our areas of practice according to your educational and developmental needs. 

There are opportunities for leadership and management experience working alongside colleagues in the general hospital to develop services as appropriate.  There may be the opportunity to provide supervision to junior colleagues (F2 and/or core trainees). 

The post offers ample opportunity for quality improvement, research, quality improvement projects and audit. All patients attending Musgrove Park Hospital due to self harm are offered a psychosocial assessment, and there are opportunities to develop close working relationships with ED and AMU staff, and to provide training and education to the general hospital.  You will have the opportunity to work in all aspects of Liaison psychiatry, across a range of specialties. 

Taunton Academy is teaching hub and has a well-stocked library and helpful librarians on site.  There are opportunities to contribute to teaching programmes for foundation doctors and medical students, as well as the local postgraduate medical education programme in psychiatry. 

41

Perinatal Psychiatry

Gloucestershire

Dr Sally Morgan

 

This is a new post, covering the county of Gloucestershire and offers experience in Community Perinatal Psychiatry. The Gloucestershire Perinatal Mental Health Team has been commissioned following 2gether NHS Foundation Trust’s successful bid for NHSE funding  available as part of the national phased, five-year transformation programme to increase access to specialist perinatal mental health services to ensure women  receive evidence-based treatment, closer to home, when they need it.

In Gloucestershire there are approximately 6500 births per year. 4% of women will experience severe and complex mental health needs during the perinatal period and 8% will require mental health support and/or appropriate onward referral. The Gloucestershire Perinatal Mental Health Team provides consultation, advice, treatment and liaison for women with a moderate to severe mental disorder who are planning a pregnancy or during the perinatal period (through pregnancy and up to 12 months postnatally). The service monitors, supports and provides safe effective care for mothers discharged from mother and baby units and as part of the Maternal Mental Health Pathway, works with 2gether’s Contact Centre and other services to provide a triage response for referrals for women with mental health needs or who are at risk of developing mental illness in the perinatal period. The service also supports families of women who are accessing the service.

Assessments are undertaken in a variety of locations including the patient’s own home, maternity and mental health bases, working closely with other professionals involved in their care. Experience and skills will be gained in:

  • The ability to think about the mother’s needs, the infant’s needs, and the mother-infant relationship, as three distinct areas of interest for health and wellbeing.
  • Common physical and psychological changes during pregnancy and the first postnatal year, issues around contraception and the importance of planning a pregnancy for women with a mental illness. 
  • Identifying the various types of mental disorder, the treatments for each of these along with knowledge of prevalence and likelihood of occurrence and the impact on mother and baby.                
  • Knowledge of key risks to the mother and her infant during pregnancy and 1 year after the birth of the infant and what actions must be taken to protect the mother and her infant from injury.
  • Knowledge of attachment and bonding and the importance of the mother-baby relationship in ensuring an infant’s wellbeing and development.                                                                                            
  • Improved awareness of barriers to accessing care, including stigma, and the importance of good and effective multiprofessional and multiagency working.

42

Eating Disorders

Bristol

Dr Lauren Gavaghan

 

This post offers a broad experience in a specialist eating disorders service. The post is based at STEPs Specialist Eating Disorder Service, at Southmead Hospital, North Bristol.  This is a tertiary service covering the Avon area, within AWP Trust. We are commissioned to take referrals from secondary Mental Health Services across Avon, and offer assessment and a range of interventions to patients with clinical eating disorders who reside within Avon.  

The higher trainee in post will develop specialist skills in the assessment and management of eating disorders, including severe eating disorders with associated co-morbidities such as depressive and anxiety disorders and obsessional symptoms. The trainee will have the opportunity to work as part of the team managing patients on a 10 bed inpatient unit, though will be based primarily in the community team, where the majority of interventions happen.

Our service currently offers a range of interventions which include an in-patient Eating Disorder Unit, individual time limited psycho-therapeutic work, out-patient groups, and also less intensive out-patient follow up for patients with more chronic illness, often in conjunction with colleagues from primary or secondary care.   The team offers in-reach into medical wards to arrange and support medical admissions of critically ill patients with Anorexia Nervosa, and also offers specialist assessments and care planning to patients from outside Avon. 

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 inpatient and community management of patients with eating disorders such as Anorexia Nervosa, Bulimia Nervosa, and mixed eating disorders (shorter-lived and more chronic/ severe with co-morbidities) and will develop enhanced skills for the assessment, diagnosis and management of complex clinical presentations. There is opportunity to assess complex cases to consider for inpatient admission and also to liaise with colleagues across services to ensure safe care for our patients. They will support the delivery of treatment plans as formulated following discussion with the multidisciplinary team, and will be involved in the crucial liaison with colleagues such as those in primary care, other mental health teams and medical teams (gastroenterology, A+E). They will also be available to provide support, advice and supervision to the multidisciplinary team, including medical advice on results of blood tests and physical states of patients.

The advanced trainee will have ample opportunity to meet with patients in the community setting to deliver specialist CBT-E for eating disorders, under group supervision from the team psychologist. They will have the opportunity to develop psychological techniques pertinent to this patient group, such as motivational interviewing and group therapeutic skills.

43

Psychotherapy

Bristol

Dr Thanos Tsapas

 

Please refer to psychotherapy pages on website for further information on this placement

44

Psychotherapy

Somerset

Dr Jason Hepple

 

The post is suitable for higher trainees aiming for accreditation in medical psychotherapy or aiming to gain special interest experience in medical psychotherapy. The ST4-6 trainee would have their research and special interest sessions protected on Mondays and Tuesdays, allowing overlap with Dr Hepple’s working days, which are Wednesday – Friday.

Dr Hepple is a Cognitive Analytic Therapy Psychotherapist and Supervisor. He is course director of the Exeter University CAT foundation course embedded within the D.Clin.Psych. training, co-director of the Somerset CAT therapist training and co-director of the CAT national advanced training. He speaks and teaches internationally on psychological treatments for older people and on work with people with severe personality disorder both individually and in groups. The post offers the opportunity of seeing individual CAT cases under Dr Hepple’s supervision and of developing knowledge of psychotherapy theory in weekly supervision. The possibility exists for group CAT experience, supervised experience in other modalities (Somerset has networks in place for Family therapy, CBT and DBT) and of becoming involved in the work of the Personality Disorder network using a guided formulation model of working with teams.

45

Rehabilitation
Low Secure

Bristol

Dr Claire Taylor

 

The post offers experience in Rehabilitation in a Low Secure environment. The Advanced Trainee will be based at Wickham Unit which provides a forensic low secure inpatient services to 29 males for patients from across the AWP catchment area. It is based at the Blackberry Hill site along with its sister medium secure unit, Fromeside. With a hub role the service also monitors approximately 35 male and female inpatients in a range of low secure provision. The service works with a service user group who experience long-term mental health problems and is therefore structured to offer an extended period of engagement to help individuals maximise their potential, over an average period of two years to a maximum of five years. The trainee will get experience in doing a range of assessments including Risk Assessments and pre admission assessments. They will be involved with the MDT in the development of appropriate treatment plans for those taken into service, regularly reviewing such treatment plans and promoting rehabilitation and recovery.  Preparing reports and attending Mental Health Review Tribunals will be encouraged as will reporting to the Ministry of Justice for any restricted patients.  There will be an opportunity for the trainee to gain experience of the development of assessment and treatment of patients who remain located in a custodial setting.

The trainee may choose to gain management experience through organising the Blackberry Hill Academic Programme and there is plenty of scopes to develop teaching skills as medical students are based with the team.

The trainee will be encouraged to get involved in Service Improvement work through the delivery of CQUINs and participate in the Peer Review process through the Quality Network for Forensic Mental Health Services. There is an opportunity to attend quarterly SW regional rehabilitation consultant peer meetings and annual Royal College Residential Rehabilitation faculty National conference held in November.

Facilities:  Dedicated desk and computer access in room shared by 1 senior clinician and lockable filing cabinet available. The administration staff includes the 2 FTE clinical sectaries shared by 2 consultants.

46

Rehabilitation

Bristol

Dr Will Hall

 

The rehabilitation services in Bristol comprise of a ten bedded inpatient ward (Alder Unit) at Callington Road Hospital and a Bristol-wide Community Rehabilitation Service, provided in Partnership with Second Step and based out of their offices in Brunswick Square, St Pauls. The trainee will work closely under the supervision of Dr Hall who is the full time consultant psychiatrist across both services.

Callington Road Hospital is a modern psychiatric inpatient facility opened in 2006 with general adult, older adult, PICU (male and female), step down and rehabilitation wards. It has a well-resourced therapies unit, library and a flourishing academic programme. Alder Unit looks after men and women with Severe & Enduring Mental Illness (SEMI), who often have complex needs and have often been in hospital for prolonged periods of time. There is a full multidisciplinary team and the ward works within the Safer Wards framework and has an emphasis on working positively with families and carers. The core training opportunity is to understand and develop skills in working with this group of people, in how their care is optimised, how to work with hope and recovery, and care pathways out of hospital into accommodation with sustainable support. The trainee would be involved in the multidisciplinary assessment of referrals to inpatient rehabilitation and could take a lead in providing senior medical input for to the unit for some people, if appropriate to their training needs. There is the opportunity to be involved in Mental Health Act work including writing reports and giving evidence at tribunals.

The Bristol Community Rehabilitation Service (BCRS) looks after about 100 people at any one time, most of whom are living in their own homes. The team is made up of clinical staff, staff whose primary experience is of working in the voluntary sector with a very wide range of skills, and peer workers whose expertise draws on their mental health experiences. There is a dedicated community home (Wellbridge House) which provides time-limited accommodation within a psychologically informed environment that enables work on engagement, assessment and recovery planning. The service won a national award for partnership working in December 2017.

47

Rehabilitation

Somerset

Dr John Barnes

 

The trainee will be supervised by Dr Barnes the Rehabilitation Consultant and Royal College Executive team member and SW Regional Representative in Rehabilitation Psychiatry.

The trainee will be able to obtain training and experience in rehabilitation psychiatry.

This includes:

Assessment of referrals to the low secure service including male patients most frequently with psychosis referred from Somerset’s acute services.     Formulation of treatment plans prior to admission including the needs for rehabilitation in conditions of low security   Often in referrals there is a pattern of frequent readmissions and gradually escalating risk in the context of poor social functioning.  Other referrals have better functioning but greater forensic risk requiring assessment and amelioration of multiple contributing factors.     

Delivery of treatment plans as formulated following discussion with the Multi Disciplinary Team thorough ongoing assessment, maximising benefits of engagement with treatment including meaningful occupation, psychosocial treatments and medication.    Provision of a broad range of pharmacological treatments in major mental illness including treatment resistant schizophrenia.  Provide support, advice and supervision to the Multi Disciplinary Teams.

Management experience through working in a well functioning, multi disciplinary team, that works collaboratively with local community services and general psychiatric CMHT’s

Audit of clinical practice and research opportunity within the Clinical Governance framework.

Knowledge of rehabilitation specialty service research and professional issues through opportunity to attend quarterly SW regional rehabilitation consultant peer meetings and annual Royal College Residential Rehabilitation faculty National conference held in November.

Research and teaching are encouraged with medical student teaching occurring regularly in the service. The outlined timetable can be adjusted to suit individual trainee’s needs. Support will be available in conducting a research project in the field of psychiatric rehabilitation with a view to submission as oral or poster presentation at the Rehabilitation Faculty Conference and in submission to the Douglas Bennett research prize awarded by the Rehabilitation Faculty for trainee’s working in psychiatric rehabilitation;

ihttp://www.rcpsych.ac.uk/workinpsychiatry/faculties/rehabilitationandsocial/aboutus/prizesandbursaries.aspx