No.

Specialty

Area/Hospital

Trainer

01

Rehabilitation

Somerset

Dr John Barnes

02

Rehabilitation

Gloucestershire

Dr Amjad Uppal

03

Rehabilitation

Wickham Unit, Bristol

Dr Claire Taylor

 

01

Rehabilitation Psychiatry Male low secure service

Ash Ward, Bridgwater, 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

Research Interest:

Service related research.  Rehabilitation and recovery practice.  Research link with Mental Health Sciences Professorial Unit UCL.

 

AM

PM

Monday

Ward work/admin

New assessments/patient review

Reflective practice meeting 1-2

Ward patient reviews

Tuesday

Research/special interest session

Research/special interest session

Wednesday

PGME

Multidisciplinary ward round

Thursday

Care Planning Meetings

1 hour supervision with consultant

Ward work/patient review

Friday

Research/special interest session 

Research Session

           

 

 

02

Rehabilitation Psychiatry/AO

Gloucestershire

Amjad Uppal

This is a very well established post with a recent change in trainer. Dr Amjad Uppal joined the team in July 2013 after being appointed as Director of Medical Education in 2Gether NHS Foundation Trust.

The Gloucester and Forest of Dean Assertive Outreach Team covers Gloucester [population 130,000] and Forest of Dean [population 80,000] which includes 25 GP Surgeries in Gloucester and 12 GP Surgeries in Forest of Dean Locality. This is a high functioning team with a strong disciplinary ethos. We manage our own inpatients and this will enable the trainee to follow the patients after their discharge from hospital. The trainee would be encouraged to attend inpatient ward rounds and supported in managing a small community caseload. There would be plenty of opportunities to do MHA work. There are extensive teaching opportunities and the trainees would be encouraged to develop their teaching skills. Participation in audit and research would also be encouraged. The Trust has an active Audit Department and on-going Audit Plan. Study leave would be supported.

There are numerous opportunities for special interest sessions locally; Crisis Resolution and Home Treatment Teams, Mental Health Liaison Team, Early Intervention (GRIP), Forensic Low Secure Unit, Psychological Therapies (PTS) and Eating Disorders (local Nurse led service). The trainee could also choose to spend a session with the Community Recovery Teams. The trainee will be particularly encouraged to apply for the Business Internships and Educational Fellowships offered by the Trust.

The post timetable can be amended to suit the trainee’s needs.  Updated: 5.10.2013

Research Interest:

Medical education

 

AM

PM

Monday

Urgent Inpatient/Community Reviews

Local Academic Programme/CPD

Tuesday

Team Meeting and Supervision [11-12]

Special Interest/Research Session

Wednesday

Inpatient Ward Round

Special Interest/Research Session

Thursday

Clinic/Community Reviews

Clinical Admin

Friday

Research Session/Special Interest

Research Session/Special Interest

On-Call:    1:29

 

03

Rehabilitation Psychiatry, Male Low Secure Service

Wickham Unit, 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.

Research Interest:

 

 

AM

PM

Monday

Non-clinical special interest

Non clinical special interest

Tuesday (9-5)

Cromwell MDT meeting.

Review Service Users

Administration

Slot for new assessment

(three weekly when no MDT’s)

Fairfax and Cromwell CPAs

Wednesday (9-1)

Ward Handover.

Wickham Business Meeting (monthly).

Weekly Clinical Overview Meeting

12- 1 Blackberry Hill Academic Meeting

Clinical special interest

Thursday (9-5)

Fairfax MDT meeting (fortnightly).

Admin.

Managers Hearings /MHRT’s

Ward work.

Managers Hearings /MHRT’s

Ward work.

4 -5 Supervision With Trainer

Friday (9-1)

Secure Services Referrals Meeting

Peer Supervision or Education session

Admin.

 

Clinical special interest

On-Call:    The trainee takes part in the North Bristol / South Gloucester Senior On Call Rota approximately 1:15 frequency.