StR/ SpR POST DETAILS 2009-2010

DETAILS OF PLACEMENT:

This is an ST 4-6 placement in Community General Adult Psychiatry working with the Central Manchester Crisis Resolution Home Treatment (CRHT), Central Manchester West Sector Community Mental Health Team (CMHT) and Manchester Homeless Mental Health Team.

DETAILS OF EXPERIENCE TRAINEE WILL GAIN AND MAIN DUTIES:

The post-holder will gain extensive experience in general adult psychiatry working closely with Dr Jefferson across three community based services; the Manchester Crisis Resolution Home Treatment (CRHT), the Central Manchester West Sector Community Mental Health Team (CMHT) and the Manchester Homeless Mental Health Team.

Central Manchester CRHT developed from “Home Options” – in innovative service that has offered home based treatment in central Manchester for the last 10 years. The service provides intensive care in the community for care for general adult psychiatry patients as an alternative to hospital. The post-holder will have the opportunity to be involved in new patient assessments and domiciliary reviews. As the post-holder gains experience during their attachment they will be able to take on directing the treatment of individual patients throughout complete episodes of care (at all times under the direct supervision of Dr Jefferson).

Central Manchester West Sector CMHT serves the Hulme and Rusholme areas of Central Manchester. Consultant workload for this team is divided by GP practice with Dr Jefferson taking responsibility for the Hulme area (approx ~17000pop). Hulme is a diverse and vibrant inner-city area that has recently undergone a transformation with extensive redevelopment and regeneration. West Sector CMHT is based at the Kath Locke Centre, a multipurpose community resource centre on Moss Lane East. The CMHT team works mainly with patients with severe and enduring mental illness. The post-holder will be able to attend weekly CMHT allocation meetings and will be able to see new referrals either as out-patients (at the Rawnsley Building) or on home visit together with CMHT staff. The post-holder will not inherit any follow-up out-patients. All out-patients will be discussed in regular clinical supervision with Dr Jefferson, and at the end of the attachment those needing on-going follow-up will be handed over to him. As part of CMHT work the post-holder will also be able to attend GP liaison meetings.

The Manchester Homeless Team is a city-wide community mental health team specifically dedicated to serving the needs of homeless people. The team’s clinical base is located on Oxford Road, opposite the main MRI site. The post-holder will have the opportunity of working with the team in assessing mental health needs of homeless people referred by a variety of statutory and voluntary sector agencies located mainly around Manchester city centre. The team carries a small caseload of homeless people with severe and enduring mental illness for enhanced CPA case management. The post-holder will be able to participate in mental health reviews and will be able to attend the weekly team meeting together with Dr. Jefferson. There is a Staff Grade doctor working with this team and Dr Jefferson also offers supervision for a special interest session with the Homeless Team.

CLINICAL WORK:

The post holder will have two Special interest sessions and two Research sessions. It will be possible for these to be time-tabled flexibly on non-clinical days (Monday, Tuesdays).

The post-holder will be responsible for a new-patient clinic and a follow-up clinic at the Rawnsley Building. CMHT clients seen in these clinics will be discussed in supervision with Dr Jefferson.

The post-holder will help provide senior medical input to West Sector CRHT. This will involve attending the CRHT Team Meeting (Friday 1000-1200) and a brief mid-week medical review (‘board round’) (Wednesdays, time flexible).

The post holder will also attend the Homeless Team Meeting on Wednesday (1100-1200). There will not be an expectation to undertake routine reviews for the Homeless Team, as these are conducted by the team Staff Grade doctor.

The post holder will have a fixed time for clinical and education supervision (minimum 1 hour) on a weekly basis with Dr Jefferson. Supervision will be at Dr Jefferson’s office, Rawnsley Building.

This post is not a core placement.

ON CALL COMMITMENT AND PAY BANDING

1 in 17 full shift, non-resident, rota pattern for out of hours working operating across the Trust area, thus providing psychiatry cover to North Manchester General Hospital, Manchester Royal Infirmary and Wythenshawe Hospital. Out of hours, each hospital site has a resident ST1-3 trainee and a local on call consultant. The post-holder will be able to either use their own transport or there will be taxi provision available to travel around the city. During normal working hours there is a separate single site rota in operation at Manchester Royal Infirmary, in which the 8 local ST4-6 higher trainees participate in to provide middle tier support between the on call ST1-3 and the on call consultant.

* On-call arrangements may change subject to negotiation. Further details available from Louise Handley.

TEACHING / ACADEMIC EXPERIENCE:

The post-holder will be actively involved in the teaching of medical students and the in the organisation of their clinical attachment. There will be the opportunity to supervise Problem Based Learning (PBL) groups.

ACADEMIC ACTIVITES:

The post-holder will have easy access to the extensive academic program that takes place at the Rawnsley Building, and nearby at the University of Manchester. This includes a wide range of talks, clinical meetings and conferences, and often provides the opportunity to listen to speakers of international standing.
The post-holder will be able to participate in the local Central Manchester site academic programme. This includes a weekly clinical Case-Conference and Journal Club.
The Rawnsley Building is the primary location for lectures on the Speciality Teaching Program.
The post-holder will be able to attend Manchester Medical Society division of Psychiatry meetings which are usually held nearby at the University.

FACILITIES:

The trainee will have an office at the Rawnsley Building. This office may be shared with another ST4-6 trainee. The office has a PC with net access. Secretarial support is provided by Dr Jefferson’s secretary.

SUPERVISION ARRANGEMENTS:

The post-holder will have (minimum 1 hour) clinical and educational supervision on a weekly basis with Dr Jefferson (see time-table).

AUDIT/RESEARCH OPPORTUNITIES:

There are extensive research opportunities, with close links to the main University of Manchester Academic Psychiatry Unit.

Manchester Mental Health Social Care (MMHSC) Trust has an established audit programme that the trainee will be able to join.

MANAGEMENT TRAINING:

The post-holder will have the opportunity to become involved in the management and service development of Central CRHT, West Sector CMHT and the Homeless Team.

PROBABLE TAMETABLE (EXAMPLE OF COMMITMENTS)

Note:

(a) Fixed Supervision with Consultant. Weekly 1200-1300 Fridays. Rawnsley Building
(b) Research [1] and [2] and Special interest sessions [1] and [2] can be time tabled flexibly on the non-clinical days (Monday, Tuesday).