StR post details (August 2012 - July 2013)

Name of Supervisor: Dr. Jessica Morgan
Location of the post: Jocelyn Solly Resource Centre, Macclesfield
Telephone numbers: 01625505621

1. DETAILS OF PLACEMENT
This is a full-time post working within the Adult Eating Disorder Service for Cheshire & Wirral Partnership NHS Foundation Trust. This is the only fully comprehensive Eating Disorder Service within the North West and offers the only training posts for junior doctors from levels ST1-ST6. The service is delivered around a hub and spoke model with one central hub and 6 spokes based in Chester, Wirral, Macclesfield, Warrington, Bolton, Trafford. The service is clinically led by a Consultant Psychiatrist (Dr. Jessica Morgan) who is a full time consultant working in the field of eating disorders and Dr. Matthew Cahill who is also a full time consultant working in eating disorders.

The placement consists of the following:
1. Outpatient work: the post-holder will have the opportunity to be involved in new assessments and regular follow ups of patients with eating disorders.
2. The post-holder will have the opportunity to offer individual therapy for patients with eating disorders.
3. The post-holder will attend and have the opportunity to chair the weekly MDT meeting on the inpatient unit.
4. MDT meetings: the post-holder will attend 2 MDTs on different days around the catchment area of C&W Partnership NHS Foundation Trust.

There is a full-time ST1-3 doctor in the team.

2. DETAILS OF ROLE AND RESPONSIBILITIES AND EXPERIENCE TRAINEE WILL GAIN
This is the only ST4-6 post for a trainee in eating disorders within the northwest. The trainee will learn specialised skills necessary for risk assessment and management of patients with eating disorders and will also be given the opportunity to become involved in psychotherapeutic work with patients having eating disorders. There are a wide range of psychotherapeutic modalities delivered within the service (CBT, CAT, Psychodynamic as well as the abbreviated therapies of guided self help using CBT model). The post-holder will be able to gain experience of these if requested. In addition, we offer experience in inpatient management of severely malnourished patients and care of patients with chronic, severe eating disorders currently unable to make progress in the community. As such, the post-holder will receive training in all aspects of eating disorders necessary to become a specialist within this area or work part/full time in an Eating Disorder Service.
In addition, there are numerous opportunities for teaching, training and management experience within the service. Overall the Eating Disorder Service is an area of development within the trust and as such the post-holder can be involved in service development and innovation.

3. ON CALL COMMITMENT AND PAY BANDING
Approximately 1 in 7. The pay banding is 2B (40%). The on-call commitment involves supervising and supporting junior doctors at Macclesfield District General Hospital and working with the local emergency duty team. The on-call duties are directly supervised by an on-call consultant.

4. TEACHING / SUPERVISION / ACADEMIC EXPERIENCE
There are numerous opportunities to participate in teaching either in the field of eating disorders and the role of the service or in basic aspects of general adult psychiatry (for medical students, foundation and ST trainees). In addition, we have a weekly journal club, audit and case presentation.
Weekly supervision is provided on a regular basis at one of the 6 sites.

5. AUDIT / RESEARCH OPPORTUNITIES
We have a large database of all patients managed by the service for the past seven years and as such there are numerous opportunities for quantitative research within this novel data set. The post-holder will be encouraged to develop a research project within the highly specialised Eating Disorder Service. The educational supervisor (Dr.Jessica Morgan) will also help the trainee to develop an audit project within the service.

6. MANAGEMENT EXPERIENCE
There are numerous opportunities for developing management experience within the service. These range from developing protocols and service literature to a close involvement in Service Development and restructuring. There are also a number of opportunities to participate in shadowing different multi-agency and multi-disciplinary workers.

7. ADDITIONAL EXPERIENCE AVAILABLE
The Eating Disorder Service is an area of major development within the C&W Partnership NHS Foundation Trust and the service has gradually expanded over the past 7 years. Recent new developments are setting up of new outpatient services outside the boundaries of Cheshire & Wirral and expanding the inpatient unit.

8. DESCRIPTION OF ANY SPECIAL INTEREST SESSIONS OFFERED
At the Eating Disorders Service, we are happy to offer special interest sessions but would suggest that anyone taking up these would do so for a minimum of 9 months in order to gain adequate experience. The sessions are predominantly clinical and would obviously involve the potential for close supervision and psychotherapeutic work.

9. PROBABLE TIMETABLE