Posts and Timetables

Post and Timetables

No	Specialty	Area/Hospital	Trust that employs trainee	Trainer
01	Psychiatry of Intellectual Disability	Bristol Central	AWP	Dr Manash Chattopadhyay
02	Psychiatry of Intellectual Disability	Bristol South	AWP	Dr Charlotte Boyer-Millar
03	CAMHS / ID	Swindon	AWP (seconded into Oxford Health)	Dr Kindy Mahal
04	Psychiatry of Intellectual Disability	South Gloucestershire	AWP (Seconded into Sirona)	(currently not a training post)
05	Psychiatry of Intellectual Disability	Stroud	Gloucestershire Health and Care NHS Foundation Trust	Dr Joanna Kingston
06	Psychiatry of Intellectual Disability	Gloucester	Gloucestershire Health and Care NHS Foundation Trust	Dr Heena Hargovan
07	Psychiatry of Intellectual Disability	Cheltenham/ South Cotswolds and Cirencester	Gloucestershire Health and Care NHS Foundation Trust	Dr Karen Poon
08	Psychiatry of Intellectual Disability	North Cotswolds, Gloucestershire	Gloucestershire Health and Care NHS Foundation Trust	Dr Mark Scheepers (Not currently offering a training post)
09	Psychiatry of Intellectual Disability	Forest of Dean, Gloucestershire	Gloucestershire Health and Care NHS Foundation Trust	(currently not a training post)
10	Psychiatry of Intellectual Disability	Bristol North	AWP	Dr Suraj Perera
11	Forensic Neurodevelopmental Psychiatry	FOLS Team Fromeside Medium Secure Unit, Bristol	AWP	Dr Hannah Toogood
12	CAMHS/Psychiatry of Intellectual Disability	South Gloucestershire	AWP	Dr Sue Crimlisk
13	CAMHS / Psychiatry of Intellectual Disability	Bristol	AWP	Dr J Bowler (currently not a training post)
14	Psychiatry of Intellectual Disability	Marlborough and Chippenham, Wiltshire	AWP	Dr Fran Ward
15	Neurodevelopmental Disorders	Petherton Resource Centre Bristol	AWP	Dr Dietmar Hank
16	Psychiatry of Intellectual Disability	Bath and NE Somerset	AWP	Dr Matthew Stephenson
17	Psychiatry of Intellectual Disability	North Somerset	AWP	Dr Nilanjan Chatterjee

If you wish to read about the services in further details please visit our 'Services in Bristol' and 'Services in Gloucester' webpages. These can be found in the Psychiatry of Intellectual Disability section of the website.

01	Psychiatry of Intellectual Disability		Bristol Central		Dr Manash Chattopadhyay
This is an excellent post offering plenty of opportunities to advanced trainees keen on gaining a wide range of experience in Psychiatry of Intellectual Disability. The trainee will be a member of the multidisciplinary team based at New Friends Hall in Stapleton. The patch is Central and East Bristol, a culturally and ethnically diverse population with a population of approximately 130,000. A core trainee is regularly attached to the team The job is mainly outpatient based through outpatient clinics, visits to residential homes and supported living accommodations and day centres. The tradition of joint working with members of the CTPLD, social workers and IMCA service is well established. There are regular opportunities to work with mainstream crisis teams. A+T admissions are to a variety of units. There is a significant level of mental illness as well as dementia and epilepsy in the local population. Fortnightly CTPLD meeting for allocation of new referrals and case discussion. Trainees are encouraged to develop their own audit projects as part of the monthly clinical governance programme. Management opportunities-involvement in local project eg. Dementia Group, Epilepsy Group, Autism Diagnosis Group etc. The trainee will be encouraged to develop a teaching portfolio with supervision for undergraduate and postgraduate trainees Dr Chattopadhyay has interests in teaching, examination, post graduate training and NHS management. At present he is the Medical Lead of Psychiatry of Intellectual Disability service of the Avon and Wiltshire Mental Health Partnership NHS Trust. He is the Deputy Regional Advisor (North), South West Division, Royal College of Psychiatrists.
Trainee Timetable
		AM		PM
Monday		Research / Special Interest / Clinical Work		Clinical Work / CLDT Meeting / Supervision (1 hour) / Admin
Tuesday		Out Patient Clinic		Out Patient Clinic
Wednesday		Peer support group / Clinical governance / Medical Advisory Group		Academic meeting / Clinical governance
Thursday		Home Visit / Admin		Research / Special Interest
Friday		Research / Special Interest / Clinical Work		Research / Special Interest

02	Psychiatry of Intellectual Disability		Bristol South		Dr Charlotte Boyer-Millar
This post offers an opportunity to work in a well established team offering a community service to individuals with a Psychiatry of Intellectual Disability in the South Bristol area. The Bristol South Community Psychiatry of Intellectual Disability Team is based at the Withywood Centre covering a population of over 167 000. As an area it is culturally and ethnically diverse and has several economically deprived areas. For an Advanced Trainee this would include case management and comprehensive initial assessments of a heterogeneous patient group with a variety of complexities. Given the local population, this team has a higher prevalence of the mild- moderate end of ID and with this, greater issues with the criminal justice system, drug and alcohol issues and safeguarding concerns. This leads to opportunities for multi-agency working particularly with Social Services and close working alongside the Avon Forensic Community Psychiatry of Intellectual Disability Team, the Forensic Intellectual Neurodevelopmental Team and General Adult Services. Alongside this there is still plenty of opportunity to look after individuals with moderate to severe ID and associated mental and physical health problems including Epilepsy. The Team care for adults from Transition (18yr +) to death so also is responsible for dementia care pathways. The medical team deliver their care in a variety of settings including patient’s homes, clinic appointments at the base, day centres, GP practices, hospitals (secure and non secure), Prison and custody suites. The Team are a full multidisciplinary health team (Social Services are now separate) and includes: Community Nurses, Mental Health Nurse, Psychologists, SALT, OT, Physio, Creative Therapists and Behavioural Nurses (within a intensive Bristol wide team). The Consultant works 8 sessions but there is an on call system, which means there is clinical supervision available seven days a week. ADMIN SUPPORT: There is excellent administrative support with a dedicated Medical Secretary available for all aspects of trainees work, including on call and special interest work. The trainee will share an office with the other members of the multi-disciplinary team. Every desk has a telephone, computer with Internet and e-mail access. There is a lockable filing cabinet for trainees.
Trainee Timetable		AM		PM
Monday		Non-Clinical/Clinical Special Interest Session		Non-Clinical/Clinical Special Interest Session
Tuesday		9.30-10.30 Supervision Clinical work (assessments/Clinical Meetings)		Clinical work (assessments/ Clinical Meetings)
Wednesday		9-11 Clinical work 11-13.00 Trainee Support Group/Clinical Governance/CGM		Clinical Admin/ Academic Meetings
Thursday		(9-11 CLDT meeting) Clinical Work		Clinical Work
Friday		Non-Clinical/Clinical Special Interest Session		Non-Clinical/Clinical Special Interest Session

03	Psychiatry of Intellectual Disability		Swindon (CAMHS/ID)		Dr Kindy Mahal
This post offers experience in Psychiatry of Intellectual Disability CAMHS in the Salt Way Centre in West Swindon. The team of approximately 5 WTE consists of 0.6 Psychiatry, 0.8 Psychology and 3.4 Community Psychiatry of Intellectual Disability Nurses one of which is the Team Manager. Dr Mahal’s role consists of 0.5 sessions in the Swindon Team and 0.1 sessions in the Marlborough CAMHS Integrated Psychiatry of Intellectual Disability team. The local Special School Nurse also joins the team on a regular basis. The team provides a community based service for psychiatric assessment, treatment and continuing care of children and young people aged 0-18 with mild to profound Intellectual Disability in Swindon and Marlborough. This includes joint working with Tier 2 and 3 services and other agencies and supporting transition to adult services. The team also offers consultation to other agencies including social services and education. Clinical work is undertaken in the community, home, special schools and in clinic settings with MDT colleagues when appropriate. Neurodevelopmental diagnostic assessments for ASD and ADHD are undertaken in conjunction with Psychology colleagues. There is the opportunity to join two monthly Wiltshire ID service development meetings. There are opportunities to attend monthly ID CAMHS Clinics at the Marlborough CAMHS base. This involves patient assessment and offering consultation or joint working if appropriate to CAMHS colleagues. The Marlborough ID CAMHS service is delivered through an integrated model for children with moderate to profound Intellectual Disability. Trainees can also be involved in delivering a training programme to multidisciplinary colleagues on mental health topics alongside Dr Mahal and the Psychologist in the team. There is close working with Community Paediatric Colleagues and there would be opportunities to join specialist clinics if this supported clinical learning needs. This is an opportunity for trainees to develop skills in assessing managing and treating children and young people with mild to profound Intellectual Disability presenting with Mental Health difficulties eg challenging behaviour, anxiety etc As a Psychiatry of Intellectual Disability/ CAMHS service the team are currently developing Positive Based Support (PBS) interventions as this is the evidence based intervention for Challenging Behaviour in children and young people with Psychiatry of Intellectual Disability. Trainees would have opportunities to support this development and improve their understanding of PBS and how to use it as an intervention Clinical and Non-Clinical special interest time is fully supported
Trainee Timetable:		AM		PM
Monday		Clinical time Trainees Supervision 11.00 - 12.00		Clinical Special Interest session
Tuesday		Clinical time		Clinical Special Interest session
Wednesday		Team Meeting alternate weeks / Referrals/ clinical time		ID Psychiatry Academic Meeting
Thursday		Clinical time		Clinical time
Friday		Non-Clinical Special Interest		Non-Clinical Special Interest

04	Psychiatry of Intellectual Disability		South Gloucestershire		(currently not a training post)
This is a well established post offering a wide range of experience in Psychiatry of Intellectual Disability including: Out-patient assessment, management and follow up of adult service users with mental illness across the Psychiatry of Intellectual Disability range (average 4 new referrals per month) Multidisciplinary work with other members of the health team and close working with social services The post can be tailored to the individual needs of the trainee, who will be a member of the multidisciplinary team covering Kingswood (covering a population of 110,000, approx) based in Soundwell, Bristol. A significant number of people with moderate or severe Psychiatry of Intellectual Disability live in the area & there are a number of residential homes for challenging behaviour. Approximately half of service users suffer from epilepsy & the trainee will gain confidence & expertise the management of complex epilepsy. There is a close working relationship with the Burden neuropsychiatric unit and also with general neurologists at Southmead Hospital. There are ample opportunities for special interest sessions- Neuropsychiatry at the Burden centre, Southmead Hospital, the Bristol Autism Spectrum Service, ADHD service and Child and Adolescent ID based at Southmead Hospital amongst others. There is also close links with the Bristol University, reputed for high quality research. The trainee would be encouraged to develop their own teaching portfolio with supervision, with respect to undergraduate and postgraduate trainees; professions allied to medicine and carers groups. Medical Staff One consultant: full time Multidisciplinary Team The South Gloucestershire Community Psychiatry of Intellectual Disability Team is based in Soundwell, Bristol and the team comprises: Occupational therapist Clinical Psychologist (and trainee) Community Nurses (and trainee) Intensive Community Support Team Speech and language Therapist Physiotherapist Art therapist Team Manager Trainer tbc Office and Admin support There is a dedicated Medical secretary and excellent administrative support is available for all aspects of trainees work, including oncall and special interest work. The trainee will share an office with the other members of the multi-disciplinary team. There is a desk for each member of the team. Every desk has a telephone, computer with Internet and e-mail access and a satellite library. There is a lockable filing cabinet for trainees. On call duties: The trainee is expected to participate in the ID on call rota - frequency of 1 in 10 with prospective cover. This commitment is non residential covering Bristol, South Gloucestershire, BANES and North Somerset. This will attract pay banding 1C.
Trainee Timetable:		AM		PM
Monday		10.00 - 11.00 Trainee supervision with consultant/clinical admin		Clinical special interest session
Tuesday		Outpatient work		Outpatient work
Wednesday		Trainee support group/ medical advisory group/ outpatient work		Academic programme/ ST4-6 business meetings
Thursday		Team meeting/ clinical admin		Clinical special interest session
Friday		Non clinical special interest session		Non clinical special interest session

05	Psychiatry of Intellectual Disability		Stroud (Not currently available as a training post)		Dr Joanna Kingston (currently not a trainer)
When a consultant trainer is appointed, this post will offer a senior trainee an opportunity to develop their clinical skills as well as an opportunity to support management experience Community assessments and work within an Integrated Community Mental Health Team Inpatient assessment and management (separately supervised) Outpatient clinic assessments and management Management meetings associated with Clinical Director work The post can be tailored to the educational needs of the trainee. The advanced trainee is a member of the community Psychiatry of Intellectual Disability team (CLDT) based in Stroud, a rural setting with a catchment area population of 175 000, but an above average ID population due to the presence of some old independent sector homes. The post is based at Weavers Croft, where an office, a computer, a lockable filing cabinet and secretarial support are provided. The team are co-located in the same building. The trainee will be expected to contribute to the teaching of medical students, staff and independent sector carers. There will be many opportunities for audit and research in the post.
Trainee Timetable		AM		PM
Monday		Clinical Admin/1hrSupervision		Research/Special interest
Tuesday		Team meeting		Community visits
Wednesday		Research/Special interest		Teaching
Thursday		Outpatients		Outpatients
Friday		Research/Special Interest		Research/Special Interest

06	Psychiatry of Intellectual Disability		Gloucester		Dr Heena Hargovan
This post provides prospective trainees the opportunity to work within a very experienced multidisciplinary team of professionals committed to improving and investing in the lives of people with Psychiatry of Intellectual Disability The team covers the Gloucester area, with a catchment area population of 175,000, but with an above average ID population. The team is based at Field View in Gloucester, which is well located within the catchment area. The team are well trained in the assessment and diagnosis of Autistic Spectrum Disorder and nurse specialists trained in the management of epilepsy in people with Psychiatry of Intellectual Disability. There are opportunities for a trainee to become involved in group work with psychology and nursing in helping young offenders with Psychiatry of Intellectual Disability to gain thinking skills and strategies to make them less vulnerable in social situations. The team has an excellent track record for being open and available to deal with clinical emergencies and managing complex and difficult to place individuals. Past trainees have enjoyed their time with the team feeling confident on leaving that their time with us has been well spent. There has been excellent feedback from psychiatric, nursing and psychology trainees placed with the team over the years. The post is based at Pullman Place, Great Western Road, Gloucester with Dr Hargovan and the team. The trainee will have an allocated desk area and will be provided with a lockable cabinet, and computer and full secretarial support. Dr Hargovan and her team work very closely with CCG and the Local authority and there is a local initiative at trying to return patients back into county. As a result, the trainee will work closely with Social Services and the Commissioners when it comes to seeking out placements for patients returning. The trainee will have the opportunity to chair CPA meetings, case conferences, and put together tribunal reports for detained patients. The trainee will also have the opportunity to attend tribunals for detained patients. The use of the MCA will also be highlighted as part of training in the in-patient services. Dr Hargovan is an approved CASC examiner at the Royal College of Psychiatrists. Her clinical interests are: autism, challenging behaviour, children with ID and psychotherapy. Apart from the clinical experience offered above, there is also an opportunity to attend management meetings and to get first-hand experience of senior NHS management. The trainee will be expected to contribute to the teaching of medical students, staff and independent sector carers. There will be many opportunities for audit and research in the post.
Trainee Timetable		AM		PM
Monday		Special Interest/Research		Special Interest/Research
Tuesday		Outpatients/community reviews		Outpatients / community visits/clinics.
Wednesday		Team meeting in Gloucester. 1hr supervision		Academic meeting Bristol and/ or admin.
Thursday		Outpatients/community reviews		Outpatients/community reviews
Friday		Special Interest/Research		Special Interest/Research

07	Psychiatry of Intellectual Disability		Cheltenham/S Cotswolds/Cirencester		Dr Karen Poon
This post will offer a senior trainee an opportunity to develop their clinical skills as well as an opportunity to support management experience Community assessments and work within an Integrated Community Mental Health Team Inpatient assessment and management Inpatient outreach assessment and management (Psychiatry of Intellectual Disability Intensive Support Services and Intensive Health and Outreach Team) Outpatient clinic assessments and management Meetings associated with management roles such as Drugs and Therapeutics, End of Life Care Teaching experience – Medical Students The post can be tailored to the educational needs of the trainee. The advanced trainee is a member of the community Psychiatry of Intellectual Disability teams (CLDTs) based in Cheltenham and Stroud, covering two Cotswold towns and surrounding rural areas. The catchment area population is 90,000 (South Cotswolds). The post is based at Leckhampton Lodge, Cheltenham where an office, a computer, a lockable filing cabinet and secretarial support are provided. The teams, however, are based at Leckhampton Lodge in Cheltenham, plus Weavers Croft in Stroud. Dr Poon's clinical interests are: health inequalities, autism and end of life care. Apart from the clinical experience offered in the above, there is also an opportunity to organise and teach medical students, as Dr Poon is responsible for the Psychiatry of Intellectual Disability component of the Psychiatric placement in Gloucestershire, as well as attending the relevant management meetings associated with Dr Poon’s management roles. The trainee will be expected to contribute to the teaching of medical students, staff and independent sector carers. There will be opportunities for audit and research in the post.
Trainee Timetable		AM		PM
Monday		Community Visits and Clinics		Academic meeting Gloucestershire or Clinics
Tuesday		Team meeting		Clinical Admin/1 hr supervision
Wednesday		Research/Special Interest Session		Teaching/ Academic meetings Bristol
Thursday		Community Visits and Clinics		Research/Special Interest Session
Friday		Research/Special Interest Session		Research/Special Interest Session

08	Psychiatry of Intellectual Disability		North Cotswolds		Dr Mark Scheepers (NOT CURRENTLY OFFERING A TRAINING POST)
This post will offer a senior trainee an opportunity to develop their clinical skills as well as an opportunity to support management experience Community assessments and work within an Integrated Community Mental Health Team Inpatient assessment and management Inpatient outreach assessment and management (Psychiatry of Intellectual Disability Intensive Support Services and Intensive Health and Outreach Team) Outpatient clinic assessments and management Meetings associated with management roles such as Drugs and Therapeutics, End of Life Care Teaching experience – Medical Students The post can be tailored to the educational needs of the trainee. The advanced trainee is a member of the community Psychiatry of Intellectual Disability team based in Cheltenham covering three Cotswold towns and surrounding rural areas. The post is based at Leckhampton Lodge in Cheltenham, where an office, a computer, a lockable filing cabinet and secretarial support are provided. The supervisor, however, has an office in Tewkesbury in order to facilitate easier access to all of Gloucestershire and Herefordshire as clinical director. Dr Scheepers is trained in WPBA, supervision, appraisal skills and equal opportunities, is in good-standing with the RCPsych in terms of his CPD and has completed all the educational supervisor required training for Severn Deanery. His clinical interests are: Epilepsy, Physical Health issues in people with ID, Mortality, Autistic Spectrum Conditions and mental health issues in people with Psychiatry of Intellectual Disability. Apart from the clinical experience offered in the above, there is also an opportunity to organise and teach medical students and nurses as part of the ongoing CPD programme. Dr Scheepers has a strong research base and is happy to supervise research projects and also audit projects associated with service development. Dr Scheepers is the Clinical Director for the ID service and so the post offers management opportunities.
Trainee Timetable		AM		PM
Monday		Clinical admin/ Clinical work (home visits)		Local academic meeting/ clinics/ home visits
Tuesday		Team meeting; Supervision 1 hour		Clinic, home visits Clinical supervision
Wednesday		Research/Special Interest Session*		Teaching/ Academic meeting Bristol and New Friends Hall meetings
Thursday		Community Visits and Clinics		Research/ special interest session*
Friday		Research/Special Interest Session*		Research/Special Interest Session*

09	Psychiatry of Intellectual Disability		Forest of Dean		Dr Paul Winterbottom/Dr Helen Sharrard
This post will offer a trainee an opportunity to develop their clinical skills as well as an opportunity to support management experience Community assessments with Community Psychiatry of Intellectual Disability Team Inpatient assessment and management Outpatient clinic assessments and management Management meetings with experienced supervisor Based in locality hub with other psychiatric specialties The post can be tailored to the educational needs of the trainee. The advanced trainee is a member of the community Psychiatry of Intellectual Disability team (CLDT) based in the Forest of Dean, a rural setting with a catchment area population of 75 000, but an above average ID population due to the presence of numerous independent sector homes. The post is based at Colliers Court, the new Forest of Dean locality Hub, where the CLDT are co-located with Adult Mental Health, Older People team, Children and Young People Service plus other specialised teams. The trainee has a desk and access to private office space, a computer, a lockable filing cabinet and secretarial support for all aspects of daily work. Both Dr Winterbottom and Dr Sharrard are very experienced trainers and both have held the post of Training Programme Director in the past. Dr Winterbottom will be the Educational Supervisor and his clinical interests are: autism, challenging behaviour, parenting and psychotherapy. Dr Winterbottom is also the consultant responsible for the County-wide ID inpatient assessment unit in Gloucestershire. He has an interest in medical management having held the role of Medical Director for 13 years and continues to contribute to regional developments through the South West Clinical Senate Board and South West Royal College of Psychiatrists Executive Committee. In addition to the clinical experience offered above, there is opportunity to attend management meetings and to get first-hand experience of senior NHS management. Dr Sharrard will be the Clinical Supervisor and her clinical interests are epilepsy and working with people with complex health needs. In addition, Dr Sharrard is the longstanding lead consultant in the SW Division of College for Promoting Recruitment into Psychiatry so regular opportunities arise to support these projects. The trainee will be expected to contribute to the teaching of medical students, staff and independent sector carers. There will be many opportunities for audit and research in the post.
Trainee Timetable		AM		PM
Monday		Clinical Admin		Research/Special interest
Tuesday		Team meeting/Outpatients		Community visits
Wednesday		Research/Special interest		Teaching
Thursday		Inpatient/ Outpatient work		1hrSupervision Inpatient Unit
Friday		Research/Special Interest		Research/Special Interest

10	Psychiatry of Intellectual Disability		Bristol North		Dr Suraj Perera
This post offers an opportunity to work in a well-established team offering a community service to individuals with a Psychiatry of Intellectual Disability in the North Bristol area. The Bristol North Community Psychiatry of Intellectual Disability Team is based at the New Friends Hall covering a population of over 150 000. The post is based in the community with access to facilities in Adult Day Centres and Residential Care Homes. Typically, specialist psychiatric assessments and advice can be delivered in the patient’s home, but clinics at the CLDT base and the Day Centres are also well established. Trainees will gain experience in the assessment and treatment of mental illnesses, as they present in people with Psychiatry of Intellectual Disability. A number of service users have epilepsy and trainees will gain experience in its management. Trainees will also gain experience in assessing and managing dementia in people with ID. A large number of service users have autism and trainees will gain experience in assessment, diagnosis and support of people with autism spectrum conditions. The trainee would be encouraged to develop their own teaching portfolio with supervision, with respect to undergraduate and postgraduate trainees; professions allied to medicine and carers groups. The trainee will also be encouraged to carry out local audits and to develop their management skills. There is a broad variety of opportunities for Specialist Interest Sessions within the several Teaching hospitals nearby including the Rosa Burden Centre (Neuropsychiatry) and within AWP, especially within the neurodevelopmental field such as the Adult ADHD Service and the Bristol Autism Service. The service is often involved in Research and there is an active and growing Academic ID team within the University of Bristol led by Dr Rai. Supervision is weekly for an hour in a protected environment (both Clinical and Educational supervision provided) at a mutually agreed time. The Trainee would also be an active participant of the regional academic programme which includes the Avon ID Education and Research Network which holds monthly meetings. From a management perspective there are a range of opportunities dependent on the individual and their needs. These can range from chairing multi agency meetings to quality improvement projects/Audit, service improvement projects and specific Roles/Responsibilities within the region. There is regular opportunity to get involved in teaching with medical students, the team and support staff (third sector). Medical Staff One consultant: full time One specialty doctor: part time (2.5 sessions) One Honorary Consultant: part time (2 sessions) One part time Core trainee (3 sessions) Multidisciplinary Team The Team are a full multidisciplinary health team (Social Services are now separate) and includes: Community Nurses, Mental Health Nurse, Psychologists, SALT, OT, Physio, Creative Therapists and Behavioural Nurses (within a intensive Bristol wide team). The Consultant works 10 sessions and there is an on call system, which means there is clinical supervision available seven days a week. Trainer Dr Perera has special interests in Epilepsy and Medical Education and he has completed a Master’s degree in Epileptology and a PG Certificate in Medical Education. On call duties The trainee is expected to participate in the ID on call rota - frequency of 1 in 10 with prospective cover. This commitment is non residential covering Bristol, South Gloucestershire, BANES and North Somerset. This will attract pay banding 1C.
Trainee Timetable		AM		PM
Monday		Non- Clinical/Clinical Special Interest Session		Non- Clinical/Clinical Special Interest Session
Tuesday		9.30-10.30 Supervision Clinical work (assessments/Clinical Meetings)		Clinical work (assessments/ Clinical Meetings)
Wednesday		9-11 Clinical work 11-13.00 Trainee Support Group/Clinical Governance/ID MAG		Clinical Admin/ Academic Meetings/ALDERN
Thursday		Non- Clinical/Clinical Special Interest Session		Non- Clinical/Clinical Special Interest Session
Friday		(9-11 CLDT meeting) Clinical Work		Clinical Admin

11	Forensic Neurodevelopmental Psychiatry		Forensic Intellectual, Neuropsychiatry and Developmental Disorders (FIND) Team Fromeside Bristol		Dr Hannah Toogood
The post offers experience in the psychiatry of Psychiatry of Intellectual Disability and developmental disorders in a range of settings. These include: an inpatient specialist medium secure setting at Fromeside; prison settings; assertive case management of patients in a range of secure hospital settings mostly in the independent sector; and consultation regarding patients in the community with behaviours that pose a risk of serious harm to others. The advanced trainee will be based at Fromeside at Blackberry Hill, which provides medium secure inpatient services to eight men with Psychiatry of Intellectual Disability and/or autism spectrum disorders and offending behaviour. There is a dedicated primary care team, including a GP, and a duty doctor rota, such that the advanced trainee would not be expected to manage physical illness. These patients have highly complex needs, with interplay between multiple factors, such as Psychiatry of Intellectual Disability, developmental disorders, mental illness and history of trauma. There is close multidisciplinary teamworking, with all professionals having expertise in working with people with Psychiatry of Intellectual Disability. The trainee would develop skills in working with patients with Psychiatry of Intellectual Disability and/or autism spectrum disorders in an inpatient environment, all detained under the Mental Health Act, including diagnostic formulation and analysis of risk behaviours. They would help to develop treatment plans to reduce risk and promote rehabilitation and recovery. This could include co-facilitating or delivering adapted psychotherapeutic groups or individual courses of treatment. Preparing reports and participating in Mental Health Review Tribunals would be encouraged, as would be taking opportunities to attend Court and perform medico-legal work under supervision. Chairing CPA, S117 and other multidisciplinary meetings would also be encouraged. The FIND Team provide structured assessments for autism spectrum disorders for patients within mainstream wards at Fromeside and the on-site low secure service (Wickham) when needed. These cases are always complex and an advanced trainee would be able to participate in these if they desired. In addition, the trainee would be able to perform new ‘gatekeeping’ assessments for people with neurodevelopmental disorders. The FIND Team ‘gatekeep’ secure hospital beds for patients with Psychiatry of Intellectual Disability, autism spectrum disorders and/or acquired brain injury across the West of England, and then case manage these patients whilst they are in secure hospital settings. This involves assessing patients in prison and other hospital settings, and working closely with commissioners. Patients who are being case managed are regularly reviewed in out of area hospital placements, mainly in the independent sector, with close liaison with their treating teams, community health and social care links, and commissioners for NHS England and locality CCGs. The FIND Team aims to safely minimise length of stay in hospital, in line with the Transforming Care Agenda, which often requires creative thinking regarding helping people to move forward in their care pathways. The trainee would be encouraged and supported to participate in Quality Improvement and management projects, teaching and training. There would be flexibility in the work available to them, in order to meet their specific learning needs. Management experience would be available in a range of domains. Dr Toogood is currently the Principal Investigator for the AWP site of a multisite autism spectrum disorders research study, and an advanced trainee would be able to participate in this if they wished. The trainee would be able to participate in both the Psychiatry of Intellectual Disability and forensic academic programmes and forensic peer supervision sessions. It is expected that a range of competencies could be achieved within this post. Including, but not limited to, specialist competencies related to Forensic Psychiatry of Intellectual Disability Psychiatry, assessment and management of acute and chronic risk, psychotherapy for people with Psychiatry of Intellectual Disability, appropriate use of medicolegal frameworks, management of severe and enduring mental illness, communication, teamworking, leadership and management, and also teaching and research competencies. There is a broad variety of opportunities for Specialist Interest Sessions. Examples include experience in Neuropsychiatry, the Adult ADHD Service and the Bristol Autism Service. There is an active and growing Academic ID team within the University of Bristol with close ties to the Norah Fry Research centre. The SPRICC project within AWP links Trainees with Research opportunities. The Trainee would also be an active participant of the regional academic programme which includes the Avon ID Education and Research Network which holds monthly meetings. Facilities: Desk, phone and computer access in a room shared by the MDT senior clinician. Lockable filing cabinet available. The FIND Team includes a full time equivalent medical secretary. There will be administrative and secretarial support for all aspects of an advanced trainee’s work including out of hours. Local medical staffing: At Fromeside, there are currently seven consultant psychiatrists, four specialty doctors, two advanced forensic psychiatry trainees and three core trainees. There is a visiting GP and primary care nurses.
Trainee Timetable		AM		PM
Monday		Non-clinical special interest		Non-clinical special interest
Tuesday		Ward Round*		CPA meeting/Professionals’ meeting/Business meeting or QIPP/service development work. 4-5pm – Supervision with Dr Toogood*
Wednesday		New assessment or consultation session or visit to review patient in out of area hospital*		Psychiatry of Intellectual Disability academic programme on alternate weeks. On other weeks: visit to out of area hospital or admin.*
Thursday		Clinical Special Interest		Clinical Special Interest
Friday		Referrals meeting Forensic peer supervision Admin*		Psychotherapeutic work with inpatients/medico-legal work/Tribunals* *Overlap time with Dr Toogood

12	Psychiatry of Intellectual Disability		South Gloucestershire (CAMHS/ID)		Dr Sue Crimlisk
South Gloucestershire Specialist Service for Children with Psychiatry of Intellectual Disability provides a community based service for the psychiatric assessment, treatment and continuing care of children and young people aged 0 to 19 with moderate, severe and profound Psychiatry of Intellectual Disability and emotional and behavioural and mental health problems within the South Gloucestershire CCG area The multi-disciplinary team consists of medical secretary and admin; Consultant Psychiatrist; Clinical Psychologists; Community Psychiatry of Intellectual Disability Nurses; a Support Worker. The team’s office base is in The Kingswood Hub but clinicians work in the community in schools, local clinics and in homes. The team has access to Art’s Therapy Services for people with Psychiatry of Intellectual Disability. Multi-agency working with South Gloucestershire Children and Young Peoples Services (The 0-25 service) is a substantial aspect of the teams work There are team meetings for multidisciplinary clinical case discussion. Discussions of referrals into the team take place at this meeting as-well as discussion of new assessments and high risk cases. There are also Service meetings and Senior Management Team meetings held monthly. The Complex Needs Multi-agency Consultation Group is held 6 times a year. Allocation of cases to trainees is led by the trainee and trainer jointly in parallel to the trainee’s learning objectives. There are opportunities to undertake comprehensive initial assessments and on-going management of complex cases where challenging behaviour presents in the context of significant Psychiatry of Intellectual Disability, neuro-developmental problems and often physical health problems such as epilepsy. There are also opportunities for assessment of neuro-developmental difficulties in young people with Psychiatry of Intellectual Disability alongside psychiatric assessment and treatment of psychological disturbances leading to challenging behaviour or other presentations suggestive of mental illness. The Nursing Team has significant expertise in behavioural management strategies and there is ample opportunity to observe and join them at work during behavioural analysis and development of management strategies. Similarly there are joint working opportunities with Clinical Psychologists including observation of ADOS assessments as well as their individual work with patients. Special interest opportunities include sessions in community and developmental / neuro-disability paediatrics, paediatric neurology and genetics. There are also opportunities to work with members of the team delivering Parenting Programmes; Intensive Positive Behaviour Support Service for children with challenging behaviour. There are also opportunities to attend the Complex Needs Group, a monthly multiagency consultation group providing highly challenging cases with a more focused direction. There is also an active Service User Participation Group for SSCLD. Functional Behavioural Analysis and Management Strategies as well as consultations to young people’s professional network (multi-systemic working) are the main therapeutic interventions that are different to generic CAMHS experiences and easily available. Opportunities to consult with Arts Therapists (Art, Music and Drama) in working with a child. The Trainee would be an active participant of the regional ID academic programme (3 Wednesdays of a month) which includes the Avon ID Education and Research Network which holds monthly meetings. Working in CAMHS there are also opportunities to join the CAMHS Journal Club and Case presentations There is an active and growing Academic ID team within the University of Bristol with close ties to the Norah Fry Research centre. The SPRICC project within AWP links Trainees with Research opportunities. The trainee would be encouraged and supported to participate in Quality Improvement and management projects, teaching and training. There would be flexibility in the work available to them, in order to meet their specific learning needs. From a management perspective there are a range of opportunities dependent on the individual and their needs. These can range from chairing multi agency meetings to quality improvement projects/Audit, service improvement projects and specific Roles/Responsibilities within the region. Finally there is regular opportunity to get involved in teaching with medical students, the team, support staff and core trainees on the MRCPsych course.
Trainee Timetable		AM		PM
Monday		Non-clinical special interest		Non-clinical special interest
Tuesday		Clinics		1-2pm supervision with trainer 2-5 admin
Wednesday		Clinical special interest session		Academic programme/clinical work and admin
Thursday		9.30 – 11 Team Meeting/clinics		Clinics
Friday		Clinical special interest session		Clinical work and admin

13	Psychiatry of Intellectual Disability		Bristol (CAMHS/ID)		Dr J Bowler (currently not a training post)
This post will be a secondment from the Psychiatry of Intellectual Disability ST4-6 Bristol and Gloucestershire Rotation to North Bristol Trust, and trainees need to plan ahead if they wish to include this particular experience. Bristol Specialist Service for Children with Psychiatry of Intellectual Disability provides a community based service for the psychiatric assessment, treatment and continuing care of children and young people aged 0 to 18 with moderate, severe and profound Psychiatry of Intellectual Disability and emotional and behavioural and mental health problems within the Bristol CCG area. Clinical experience: Mainly outpatient work in the community, schools, families homes and respite services Psychiatric assessment and treatment of children and young people with moderate, severe and profoud Intellectual Disability and emotional and behavioural and mental health problems Multidisciplinary assessments and multidisciplinary review meetings to look at a child’s holistic needs with social workers, education, parents, respite services etc alongside other team members Consultation and advice to other agencies including schools, community paediatricians, social services, education and voluntary agencies Attendance at review meetings of a child’s statement of special educational needs. Attendance at multi-agency liaison and consultation meetings with health (including paediatrics, CAMHS and Specialist Children’s ID Team), education (school staff and SEN officials from the Local Education Authority) and social services regarding children presenting with significant needs Joint working with psychology and ID Nursing colleagues including opportunities for psychotherapeutic work in groups and individually Weekly Team Meeting Academic activities in addition to ID teaching: CAMHS Journal Club and case presentation every 6 weeks Weekly South West Child and Adolescent Psychiatry Academic Programme during academic terms if part of educational plan Special interest opportunities include sessions in child & adolescent psychiatry, community and developmental paediatrics, paediatric neurology, genetics, working alongside community Psychiatry of Intellectual Disability nurses delivering Webster Stratton Parenting Programme and Sleep Scotland programme, working alongside clinical psychologist who delivers the Positive Behaviour Support Service for children with challenging behaviour in schools. Audit and management experience: There are local arrangements for clinical audit and clinical governance. Trainees are expected to take part in audit programmes as well as develop their own audits, being encouraged to complete an audit cycle if possible during their training. Involvement in local management Involvement in SSCLD service development (opportunities to take on projects) Opportunities to attend Specialist Services Management meetings Opportunities to observe senior management meetings On call duties for Avon and Wiltshire Mental Health Partnership NHS Trust Specialist Psychiatry of Intellectual Disability Service or Gloucestershire Health and Care NHS Foundation Trust.
Trainee Timetable:		AM		PM
Monday		Clinical work in community		Research/Special Interest
Tuesday		Supervision Clinical work in community		Administration Clinical work in community
Wednesday		Peer support group. Team Meeting Complex Needs meetings alternate months		ID Academic Meetings/ Clinical work
Thursday		Research/Special Interest		Research/Special Interest
Friday		CAMHS journal club/CAMHS academic meeting		Research/Special Interest

14	Psychiatry of Intellectual Disability		Marlborough, Chippenham, Wiltshire		Dr Fran Ward
Base: Savernake Hospital, London Road, Marlborough, Wiltshire, SN8 3HL Wiltshire Community Psychiatry of Intellectual Disability Team is an integrated health and social care team comprising of 3 Consultant Psychiatrists (total 2.6 WTE), Community Nursing, Psychology, Speech and Language Therapy, Occupational Therapy, Physiotherapy and Dietetics. There is also a relatively new ID Intensive (ID-WISS) team who carry out crisis prevention and response work. Wiltshire ID Psychiatry service is divided into 3 areas: North East Wiltshire (NEW) – Dr Ward (Substantive Consultant), 0.8 WTE West Wiltshire and Kennet (WKYD) – Dr Machiwenyika (Locum Consultant), 1.0 WTE South Wiltshire (Sarum) – Dr Leyland (Substantive Consultant), 0.8 WTE Out of hours Psychiatric cover for ID Psychiatry in Wiltshire in provided by mainstream services. Description of Clinical Work: The post offers the opportunity to work in diverse rural area with a well-established community ID team. Working with rural communities is a useful addition to inner city work to support a broader training experience. We provide a community based service for psychiatric assessment, treatment and continuing care of adults with mild to profound Intellectual Disability in Wiltshire. The postholder will be based at Savernake Hospital along with medical secretaries and a full Community Psychiatry of Intellectual Disability Team. The MDT includes Behavioural and Health Facilitation Nurses, Clinical Psychology, Physiotherapy, Occupational Therapy, Speech and Language Therapy and Dietetics. Wiltshire Community ID Team has seen a number of exciting changes, including the development of a new intensive team (“ID-WISS”) who support service users in crisis. The trainee will hold outpatient clinics at the team base and at Monkton Park Council Offices in Chippenham. They will carry out domiciliary visits to a range of settings (including residential and supported living placements), with support from the community team if required. There will be extensive opportunities for multidisciplinary working which will include attending weekly referrals’, CPA, clinical dementia and complex case meetings. We believe the trainee will benefit from the experience of working very much as part of a team the focus will be on supporting their understanding of the MDT roles. The post will involve liaison with numerous outside agencies, including GPs and local Neurologists, as well as with colleagues working in mainstream mental health services. Teaching and Training Opportunities: The trainee would be encouraged to develop their own teaching portfolio with supervision, with respect to undergraduate and postgraduate trainees. This will include participation in the monthly Psychiatry of Intellectual Disability Academic Programme and ALDERN (Avon ID Education and Research Network) meetings in Bristol, as well as opportunities to teach 4th year medical students on clinical placement. Trainees will also be encouraged to carry out teaching for MDT colleagues, for example for staff in our ID-WISS (intensive) team. Leadership and Management Experience: The postholder would be expected to take an active role in service design and delivery, and there would be flexibility in the work available to them in order to meet their specific learning needs. Management experience would be available in a range of domains for example through participation in our Dementia and Epilepsy strategy meetings as well as chairing multiagency meetings. Care pathways in Wiltshire are in the process of being configured and there will be numerous opportunities to undertake service development work. The postholder will be encouraged to take on a lead role in a project, for example development of an autism diagnosis and management pathway. There will be opportunities to participate in a range of Quality Improvement and audit work. Close supervision and support will be provided throughout. Special Interest Sessions: There is a broad variety of opportunities for Specialist Interest Sessions. We have good working relationships with local Neurologists, in particular with Great Western Hospital, who can be approached for special interest work. Other examples include experience in Neuropsychiatry, the Adult ADHD Service and the Wiltshire Autism Diagnostic Service. There is an active and growing Academic ID team within the University of Bristol with close ties to the Norah Fry Research centre. The SPRICC project within AWP links Trainees with Research opportunities. The Trainee would also be an active participant of the regional academic programme which includes the Avon ID Education and Research Network which holds monthly meetings. On Call: The Trainee would join the ID On Call rota (Frequency 1:10 pay banding 1c = 20%) which covers Bristol, South Glos, North Somerset and BANES and is non residential.
Trainee Timetable		AM		PM
Monday		9.30-10.30 Supervision Savernake HospitalOutpatient Clinic/Home visits		Non- Clinical/Clinical Special Interest Session
Tuesday		Non- Clinical/Clinical Special Interest Session		Non- Clinical/Clinical Special Interest Session
Wednesday		9-11 Clinical work 11-13.00 Trainee Support Group/Clinical Governance/CGM		Clinical Admin/ Academic Meetings
Thursday		Clinical work, NE Wilts (Chippenham)		Clinical work, NE Wilts (Chippenham)
Friday		Savernake Hospital 9.30-10.30 Referrals meeting Acute case/clinical dementia/MDT meetings		Non- Clinical/Clinical Special Interest Session

15	Neurodevelopmental Disorders		Petherton Resource Centre Bristol		Dr Dietmar Hank
The post offers experience in the psychiatry of the developmental disorders Autism spectrum disorder and ADHD in adulthood in community settings. The teams are co-located at the Petherton Resource Centre in Hengrove, Bristol. ADHD The Bristol Adult ADHD has its origins in the psychopharmacology clinic lead by Professor David Nutt at the Bristol Royal Infirmary before it became a standalone service. It is now located at the Petherton Resource Centre, sharing its base with a range of other community services, including the Bristol Autism Spectrum Services (BASS), the Pathfinder Service, Advice & Support in Custody and Court (ASCC), Prison Service, Forensic Community Psychiatry of Intellectual Disability Team, Veteran and Deaf Service as well as the Bristol South Recovery Service. ADHD clinicians enjoy active interface working with these services and other AWP Mental Health Services. This post offers an opportunity to work in a well-established and growing multidisciplinary service, including a part time staff grade and several independent nurse prescribers, psychologist and an occupational therapist. The commissioning remit is that of assessment and treatment of ADHD. We are one of the largest Adult ADHD services in the UK with a case load of more than 1000 service users spanning all adult demographic and social backgrounds. The service has close links with Bristol University and we support the MSc Neuropsychology course with teaching slots, placements and opportunities for dissertation projects. The Consultant Psychiatrist is the lead clinician for the UK Adult ADHD Network (UKAAN) in the South-West and Bristol is the UKAAN hub for the South-West. The Consultant Psychiatrist has a background in Intellectual Disability and Neuropsychiatry with an interest in sleep disorders (sleep disorders are common in ADHD). We enjoy an active working relationship with the local non-statutory ADHD support group. The advanced trainee will have opportunities to acquire skills in the assessment and treatment of Adult ADHD. Initially the trainee will shadow practitioners of all disciplines in their assessment work to get acquainted with the multiple facets of Adult ADHD. The trainee will be encouraged to undertake assessment under direct supervision of expert practitioners before conducting assessments independently. The trainee will work with the medical staff and independent nurse prescribers to learn the skill of prescribing medication for ADHD. Much of the prescribing is done via telephone based reviews with opportunities to experience aspects of telemedicine. There will be opportunities to participate and co-lead short CBT based group interventions (Skills group) for ADHD. Multi-agency working is a common aspect of the work in Adult ADHD due to the high co-morbidity rates with other psychiatric disorders and social deprivation in this service user group. We frequently get asked to contribute to safeguarding, multiagency risk management and child protection procedures. Bristol Autism Spectrum Service (BASS) BASS is a nationally renowned specialist autism diagnostic service that also offers post diagnostic support covering Bristol, North Somerset, BANES and South Gloucestershire. It offers trainee psychiatrists an opportunity to be part of a multidisciplinary team offering the gold standard in ASD assessment for the general population and to meet with clients with a pre-existing diagnosis of ASD in our innovative Advice Services. We can offer experience of assessing adults with autism spectrum disorder, attending our advice service and training in how to screen and diagnose adults with ASD. The team uses the ADOS (Autism Diagnostic Observation Schedule), ADI-R (The Autism Diagnostic Interview-Revised) and the 3di (Developmental, Dimensional and Diagnostic Interview) alongside formal clinical and psychiatric interview. Trainees will get experience and training in these instruments. Assessments will be undertaken with other MDT clinicians, including Psychiatry, Nurse specialists, Psychology and Occupational therapy. MDT based case discussions will further the trainees understanding of various symptom and impairment dimension of ASD. BASS assesses adults of school leaving age right through to the elderly client group. Our referrals come direct from GPs and from secondary care - often with other significant diagnosis and co-morbidity. BASS can help trainees recognise ASD within the complex client group of an adult psychiatrist’s case load and offer differential diagnoses for those who present in a similar way. BASS also have close links with the Forensic Community Psychiatry of Intellectual Disability Team (who share the same building as us at Petherton Road) and the FIND (Forensic, Intellectual, Neuropsychiatric & Developmental Disorders) team at Fromeside. We offer advice to forensic, court and prison services and have a link worker for police liaison and PREVENT. Diagnostic clinics generally operate on Mondays & Wednesdays. Triage clinics generally run on Tuesday and Thursdays afternoons (an innovative opportunity to screen for ASD in a briefer clinical meeting.) The Advice Service operates every Friday at the Create Centre, and we would advise trainees to spend a few sessions there during the course of their placement. Our Advice Services and post diagnostic groups work with people with Autism Spectrum Disorder with a multi-agency approach led by a senior social worker and OT. In addition to the various groups we run, we also offer 1:1 support around employment, benefits, housing, education and social care. We have a number of people from external and third sector agencies doing sessional work at the Advice Services, and there will be opportunities to work alongside these professionals as required. Furthermore, BASS offer a comprehensive liaison services to agencies across the care pathway who are working with autistic people. Trainees are welcome to participate in this work, and to therefore get experience of working in a specialist autism liaison service. Regular clinical supervision with an experienced Specialty Doctor with Clinical Supervisor status. Dr Jethro Purkis is the lead for this at BASS. The other Specialty Doctor at BASS is Dr Alison Cape. In addition, the trainee has access to supervision from other MDT members and Dr Peter Carpenter, Honorary Consultant Psychiatrist, and a renowned national expert in the diagnosis and management of Autism Spectrum Disorder. Educational Supervision Trainees will be offered clinical and educational supervision for one hour each week. Dr Hank is the educational supervisor for this post. Academic Program Trainees are expected to participate in the regional academic programme which takes place on a Wednesday and also includes the Avon ID Education and Research Network (ALDERN) which holds monthly meetings. Other clinical opportunities: There is ample opportunity for Specialist Interest Sessions with the services co-located in the same building and services we interface with, in particular community paediatrics, CAMHS and CAMHS-ID. The Rosa Burden Centre at Southmead Hospital offers experience in Neuropsychiatry. There are opportunities to work at the interface with the Avon Forensic Community Psychiatry of Intellectual Disability Team, ASCC, prison service, probation, Substance Use Services and the whole range of other psychiatric services. Due to the high rate of transition from childhood/adolescent ADHD to adulthood and the generally life-long persistence of ASD, developing a good understanding of the work in CAMHS and Community Paediatrics is particularly useful in our services. Opportunities can be arranged as one-off clinical experience or for more comprehensive insights and learning, Special Interest Sessions could be considered. Leadership and management: There are opportunities for management and leadership experience with chairing the MDT meetings and the monthly facilitated service user meetings organised by the ADHD service. A service user steering group has recently started up. Trainees are encouraged to engage in quality improvement projects/audit, service improvement projects and specific Roles/Responsibilities within the region. Teaching: There are ample teaching opportunities in both services. BASS has a dedicated Training and Liaison officer and there will opportunities to both shadow and participate in Autism training locally and nationally. Teaching about developmental disorders takes place on an annual basis at the University of Bristol and on the MRCPsych course. A formal teaching programme about ADHD is being developed for primary care and secondary MH teams and the trainee could contribute to writing and delivering such as programme. Research: The Adult ADHD service conducts service evaluation projects and is involved in research. Research opportunities are also available through Dr Rai at the University of Bristol. AWP has an active R&D department. Administration support & Office: Both teams have a very friendly team of administrators who will be able to support the trainee with administrative tasks. Administrative support is available for all aspects of the trainees’ work. In addition to the dedicated admin slot in the weekly timetable, admin time is included with all clinical tasks. The trainee will be accommodated in the multidisciplinary office with the other team members. Desk space, telephone and fully internet enabled computer access as well as a lockable filing cabinet is available for trainees. On call: The Trainee would join the ID On Call rota (Frequency 1:10 pay banding 1c = 20%) which covers Bristol, South Glos, North Somerset and BANES and is non-residential.
Trainee Timetable		AM		PM
Monday		Clinical work BASS (assessments)		Clinical work BASS (assessments) 16.00 -16.30 Clinical supervision
Tuesday		Clinical Special Interest Session		Clinical Special Interest Session
Wednesday		9.00-11.00 Referral meeting/Team meeting 11.00 -13.00 Trainee Support Group/Clinical Governance/CGM		Clinical Admin/ Academic Meetings
Thursday		Clinical Work ADHD (assessments)		Clinical Work ADHD (prescribing) 16.00 -17.00 Clinical & educational supervision
Friday		Non- Clinical Special Interest Session		Non- Clinical Special Interest Session
The time table could be adjusted so that the trainee spends two days per week in each service, alternating weeks

16	Psychiatry of Intellectual Disability		Bath and NE Somerset		Dr Matthew Stephenson
The post confers the opportunity to work in an established and well-staffed team offering a range of community services to adults with Psychiatry of Intellectual Disability in the BANES area. The team is based at Midford House, St Martins hospital in Bath. The team covers a catchment of approximately 175,000 and any trainee would have the opportunity to work closely with all members of the multidisciplinary team as well as the excellent local network of social work colleagues. Clinical work is conducted be through a variety of locations including outpatients, domiciliary visits, day services. If required and appropriate virtual platforms for review may be acceptable. While admissions are a rarity, established networks are in place to bring together relevant professionals and commissioners to keep those with greater need under review. If more acute crisis responses are required links with AWP such as the Crisis team and AMHP service can be drawn upon. Multidisciplinary working is excellent and supported by a very experienced manager and regular review meetings. These reviews range from regular and general (referrals/business meetings) to regular but less frequent (dementia/challenging behaviour etc). As indicated above, the trainee is based at Midford House, with opportunities for open plan working to be supplemented by use of rooms specifically for confidential conversations or work requiring more sustained concentration. Subject to local agreement the option for some home working in support of blocks of more ‘deep work’ can be negotiated. There is good support from a 0.8 dedicated Medical Secretary. The trainee will have access to their own laptop, mobile phone and peripherals as required (mouse, keyboard, monitor). Trainees are encouraged to develop audit projects, subject to clinical relevance and personal interest. Research is actively encouraged. As well as being supported to explore opportunities in the local research community, continuity of work in service of existing research will be respected. Management opportunities are primarily available by shadowing and observing higher level operational processes but also by way of developing and local service improvement projects. The trainee will be encouraged to develop a teaching portfolio with supervision for juniors if required. Special interest sessions are encouraged and opportunities exist to develop these with both our Epilepsy Specialist Nurse and our Behavioural Nurse Specialist. There may also opportunities to join in psychotherapeutic groups run (e.g. Compassion Focused Therapy). The Trainee would join the ID On Call Rota (Frequency 1:10 pay banding 1c = 20%) which covers Bristol, South Gloucestershire, North Somerset and BANES and is non-residential. Dr Stephenson (MBBS, MSysPsych, FRCPsych) has a broad range of experience both as clinician, educator and previously as a medical manager. His special interests are in coaching and coaching supervision. Given the utility of coaching approaches the trainee, if interested, would be supported to explore any introductory training in the field.
Trainee Timetable
		AM		PM
Monday		Outpatients Home Visits		Special Interest Session (Clinical)
Tuesday		2^nd Special Interest session(clinical)		CLDT Meetings
Wednesday		Supervision Clinical Admin		Clinical Admin Academic Meetings
Thursday		Special Interest session (non-clinical)		CLDT Meetings Clinical Admin
Friday		2^nd Special Interest session(non-clinical)		Outpatients Home Visits

This page was last updated June 28th 2022 (2 years ago)

Post and Timetables

Medical Staff

Multidisciplinary Team

Trainer

Office and Admin support

On call duties:

Medical Staff

Multidisciplinary Team

Trainer

On call duties

Base:

Description of Clinical Work:

Teaching and Training Opportunities:

Leadership and Management Experience:

Special Interest Sessions:

On Call:

ADHD

Bristol Autism Spectrum Service (BASS)

Educational Supervision

Academic Program

Other clinical opportunities:

Leadership and management:

Teaching:

Research:

Administration support & Office:

On call: