ST4-6 Training

Bristol and Gloucestershire Rotation

2gether NHS Foundation Trust, Gloucestershire plus Avon and Wiltshire Mental Health Partnership Trust in Bristol, South Gloucestershire, North Somerset and BANES.

Aim of Training

To provide a comprehensive training in the Psychiatry of Learning Disability affording clinical, research and managerial experience. This will enable specialty trainees on completion of the Scheme to successfully apply for consultant posts in the Psychiatry of Learning Disability.

Rotation Summary

There are currently seven training posts (NTNs) within the Scheme. There is the possibility that one of these could become an Academic Clinical Fellow (ACF) post attached to both the scheme and the University of Bristol for interested candidates. The rotation is currently coordinated by Dr Toni Hovey (Training Programme Director).

Our scheme is one of the most highly regarded learning disability rotations in the UK, offering a wide breadth of training opportunities. It currently comprises of ten diverse placements in adult learning disability teams, four in Gloucestershire and five in the Bristol area, one of which is a Forensic LD post. There are also opportunities to do a placement with a CAMHS/LD trainer in Bristol and also South Gloucestershire if required. Within Gloucestershire, specialty trainees have the opportunity to work in Child and Adolescent Mental Health. There is also an opportunity for the trainee to undertake special interest with a Forensic Learning Disabilities consultant

The trainee will be expected to rotate between their choices of three of these posts during their training, spending 12 months in each placement. The posts all rotate in August so a trainee joining the scheme in February may start with a 6 month post in the first instance before falling in line with the August rotation.

Flexible training is easily accommodated in this rotation.

Trainees can, by agreement, gain experience appropriate to their training needs outside the scheme.

There are also CT2-3 trainees attached to some adult posts (four in Bristol and up to two in Gloucester). The full complement of core and advanced trainees (plus occasional flexible trainees) ensures a robust and lively peer group.

There is an arrangement for attendance at an academic programme once a month involving journal club, case presentation and topic review which is well attended by trainers and trainees. The Avon Learning Disability Education and Research Network provide a high quality multidisciplinary educational programme and an environment where research and teaching are supported and promoted. There is an established structure of peer support. The scheme also has strong international links and has a particular relationship with a scheme in the Netherlands. Over the last few years a number of Dutch trainees have spent six months in our training programme.

Each person’s training is monitored through the Severn Postgraduate Medical Education School of Psychiatry.