SpR post details (August 2012 - July 2013)

Name of Supervisor: Dr Damien Longson
Location of the post: North Manchester General Hospital
Telephone numbers: 0161 720 4867

1. DETAILS OF PLACEMENT (LOCATION, POPULATION, INPATIENT OR OUTPATIENT, BEDS)
This is a specialist post in Liaison psychiatry covering North Manchester General Acute Hospital which includes a specialist infective diseases unit. The local population has quite high levels of deprivation and there are high levels of alcohol misuse.
The role involves assessing and giving advice to the general medical and surgical teams regarding patients with both mental health and physical ill health. There is also supervision of the liaison nursing team.
The service is in the process of being re-configured. Although the bulk of the clinical contact will be in North Manchester, there may be the opportunity of seeing General Hospital patients at Manchester Royal Infirmary as well.

Core Placement: N
Endorsements: Liaison
Supervisor: Full time

2. DETAILS OF ROLE AND RESPONSIBILITIES AND EXPERIENCE TRAINEE WILL GAIN

Outpatient Work: The trainee will run two outpatient clinics weekly, these clinics consist of a general Liaison and rheumatology liaison clinic. The trainee will gain extensive experience of liaison psychiatry including Chronic Fatigue Syndrome and Fibromyalgia. The trainee will also gain experience of managing and allocating referrals.

Multi-disciplinary Work: Attending the weekly palliative care MDT gives good experience of MDT work between psychiatry and medical teams. There are also plenty of opportunities to attend Best Interests meetings and undertake capacity assessments.

Inpatient Work (medical wards): Activities include attending the regular weekly ward rounds and taking part in assessing and managing patients on the general medical and surgical wards (under supervision of Dr Longson). This may involve liaising with other services (like social services, occupational therapists, medical and surgical teams) in order to obtain further information, develop management plans or facilitate discharge.

Supervision: The trainee is responsible for supervision of the liaison nursing team based at NMGH.

3. JUNIOR DOCTOR SUPPORT AND SUPERVISION
There is an CT1-3 doctor in the team and the opportunity to be the main provider of CT 1-3 supervision under the supervision of Dr. Longson.

4. ON CALL COMMITMENT AND PAY BANDING
Daytime on-call: Single days 9am-9.30pm currently 1:17. In partnership with the consultant oncall you will be covering urgent assessments across Manchester including Wythenshawe, MRI and NMGH (mainly Section 135/136 and MHA assessments) and providing support for on-call junior doctors at all three sites.
Out of hours on-call: City-wide rota (covering MRI, Wythenshawe Hospital and NMGH) similar to daytime on-call but with less consultant input. Currently 1:17 with nights split into 4 weekdays and 3 day weekends and daytime weekend.
Banding: 1B

5. TEACHING / SUPERVISION / ACADEMIC EXPERIENCE
There are regular attachments from medical students along with students on SSC and Project Option modules. There is the opportunity to facilitate PBL groups and OSCE training for the fourth year medical students throughout the year.
There is the opportunity to facilitate weekly teaching sessions for medical students and core trainees (like video teaching, giving tutorials, small group teaching and case-based discussions). There is also the opportunity to be the trainee representative on the Medical Education Committee.

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 plenty of opportunities to take part in management projects and undertake leadership activities. There is the opportunity to take part in service redesign and trust protocol development. It is possible to undertake SUI reviews and provide reports.

8. ADDITIONAL EXPERIENCE AVAILABLE
It is possible to arrange supervision of a liaison psychotherapy case during the placement.

9. IMPORTANT ADDITIONAL DETAILS (FACILITIES etc)
Car park – Currently car parking is available on site
Secretary support – There is a dedicated secretary for the liaison team
Travel will be required to Manchester Royal Infirmary

10. TIMETABLE– (FIXED COMMITMENTS IN BOLD)