SpR post details (August 2012 - July 2013)

Name of Supervisor: Dave Prosser
Location of the post: Carleton Clinic, Carlisle, Cumbria CA1 3SX.
Telephone numbers: 01228602000 (reception), 01228603850(Team Base)

1. DETAILS OF PLACEMENT
The post is community focussed with opportunities through this for working in partnership with multiple teams. There are AOT, EIS and CRHT teams in place with which the post holder must interface.
This ST post provides broad experience in general adult psychiatry at ST4-6 competency level. The post is essentially community based with CMHTs in the Carlisle and Eden area. Working with two CMHTs allows experience to be gained in working in both and urban and rural environments, and with different teams.

Core Placement: Yes
Endorsements:
Supervisor: Full time

2. DETAILS OF ROLE AND RESPONSIBILITIES AND EXPERIENCE TRAINEE WILL GAIN
The ST4-6 will work primarily in community settings working closely with the CMHT and consultant and will undertake assessment and treatment of patients with a wide range of psychiatric disorders. They will manage their own case load with the CMHT participating in CPA, multiagency risk meetings and liaising with other services, seeking consultant advice as appropriate. They will liaise closely with more specialist teams such as AOT, CRHT, inpatient and EIP as the need arises and there will be opportunities to do special interest sessions with these teams and others if requested. They will be involved in MHA work with the CMHTs that they work with.
Consultants will be operating in a “Chambers model” with New Ways of Working in service delivery, and the trainee will have the opportunity to get more experience with these innovative models.
There are 5 sessions with Carlisle CMHT and 1 session with Eden CMHT, including CPA clinics, assessments MDT meetings, risk management meetings ( child protection, MAPPA, vulnerable adult).
As members of the multi disciplinary teams the trainees will be expected to take advantage of the opportunity to learn how other disciplines, including Nursing, Psychologists, Occupational Therapists and Social Workers operate.

Any other clinical commitment: liaison/crises team sessions etc

3. JUNIOR DOCTOR SUPPORT AND SUPERVISION
There is usually an FY2 Dr attached to the team who primarily sits in for outpatient clinics and other assessments with the senior trainee or the consultant. The FY2 Dr usually has other inpatient responsibilities as well.

4. ON CALL COMMITMENT AND PAY BANDING
Daytime on-call: Covering urgent assessments in the Carlisle (only) area(mainly Section 135/136 and MHA assessments) and providing support for on-call junior doctor at the Carleton clinic. Also provides support to the CHRT when necessary, and to local GPs for phone advice. Currently one full day per week (9-5pm).
Out of hours on-call: 1:10 covering the whole of east and west Cumbria from Whitehaven to Carlisle with consultant supervision.
Banding: 1A

5. TEACHING / SUPERVISION / ACADEMIC EXPERIENCE
There are regular attachments for medical students from Newcastle University. There are ample opportunities to facilitate teaching sessions for medical students and core trainees (like video teaching, giving tutorials, small group teaching and case-based discussions).

6. AUDIT / RESEARCH OPPORTUNITIES
The educational supervisor will support research in the department and audit is an expected part of the attachment.
The trainee will be encouraged to develop or participate in research activity as part of postgraduate degree or as part of training programme research experience.

7. MANAGEMENT EXPERIENCE
There are a number of opportunities to take part in the managerial processes behind developing the services. The team focus is on streamlining and improving the efficiency of the services in all its aspects, to manage an area of high morbidity with a limited resource.
The trainee will be encouraged and supported to develop his/her own management project.

8. ADDITIONAL EXPERIENCE AVAILABLE
Special interest sessions in PICU, etc. Limited options though.

9. IMPORTANT ADDITIONAL DETAILS (FACILITIES etc)
Office: Portland House, 13 Portland Square, Carlisle CA1 1PY
Car park: Available.
Secretary support: Great support.
Other sites and travel required: Some clinics held at the London Road Community Clinic. The Eden CMHT is based at Penrith Community Hospital CA11. This is where the Academic meetings hold as well. An occasional clinic may hold in Kirkby Stephen which is essentially a 90-mile round trip from Carlisle.
Accommodation: Available. Option of single room, or 3-bedroom furnished family house within Carleton clinic grounds.

10. TIMETABLE (EXAMPLE OF COMMITMENTS) –
(FIXED COMMITMENTS IN BOLD)