ST post details (August 2012 - July 2013)

Name of Supervisor: Sarah Burlinson
Location of the post: Royal Oldham Hospital
Telephone numbers: 0161 627 8330

1. DETAILS OF PLACEMENT (LOCATION, POPULATION, INPATIENT OR OUTPATIENT, BEDS)

This post is a liaison psychiatry placement within the Psychological Medicine Service based at Royal Oldham Hospital. The department is currently expanding and has two consultants (one part time), 2 clinical psychologists, 1 CBT therapist and space for up to two clinical psychology trainees. There are also 3 administrative and clerical staff. The team works closely with specialist physiotherapists (chronic pain), clinical nurse specialists, GP’s with a special interest and physicians.
The service is both outpatient and community focussed, with two strands. The first is based at the Royal Oldham Hospital and is open to all referrals under 65 from Acute Trust physicians and the breast cancer team. The trainee will run two such clinics a week seeing a blend of new and follow up patients. The second strand is off site and part of the local Pennine Musculoskeletal Partnership NHS ICAT service which is concerned with people suffering from musculoskeletal problems.
There is a wide variety of patients ranging from people with adjustment disorders and PTSD, for example after accidents or diagnosis of cancer, to people struggling to manage their physical condition, for example pain or diabetes. Patient may also be referred with medically unexplained symptoms/ somatoform disorders. Many patients have depression and anxiety in the context of physical illness
The department has strong links with both secondary care mental health services and the local clinical psychology service and is very supportive of and sensitive to the trainees needs.
Educational supervision is provided by Dr Burlinson who works part time, but additional clinical supervision can be given by Dr Singhal.

Core Placement: N
Endorsements: Liaison
Supervisor: Part time

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

Outpatient Work: The Psychological Medicine Service is both outpatient and community focussed, with two strands. The first is based at the Royal Oldham Hospital and is open to all referrals under 65 from physicians and the breast cancer team. The trainee will run two such clinics as week seeing a blend of new and follow up patients. The second strand is off site and part of the local ICATS service which is concerned with people suffering musculoskeletal problems. This creates an opportunity for trainees to experience delivering services within one of the new service delivery frameworks in the NHS; an Integrated Clinical Assessment and Treatment Service

Allocation Meeting: There is a weekly MDT which discusses referrals from both parts of the service, in house referrals (e.g. for therapy) and difficult case discussion.

Community Work: There is no community work except when the patient is unable to attend a clinic or as part of on call duties.

Inpatient Work: There is no inpatient work apart from as part of on call duties. However the trainee is encouraged to pilot a new service as part of their service development experience, and many have done this in inpatient areas e.g. stroke, respiratory, haematology.

Medico legal work: There is no direct medico legal work in the placement.

Any other clinical commitment: Trainees are expected to set up and run a small pilot liaison service with the acute hospital as described under IP work above. Other areas that have been developed include Parkinson’s disease, antenatal and pain.

3. JUNIOR DOCTOR SUPPORT AND SUPERVISION
There are currently no junior doctors in the team, but there are opportunities to get involved with supervision and support of the junior doctors from other psychiatric and medical teams, for example doing WPBA. This may change as the other consultant in the team is bidding for a foundation doctor, a bid that the existing trainee has been involved in developing.

4. ON CALL COMMITMENT AND PAY BANDING
Daytime on-call: No day time commitments
Out of hours on-call: Covering urgent assessments in Oldham area (mainly Section 135/136 and MHA assessments) and providing support for on-call junior doctor and liaison team at Royal Oldham. Approximately 1 in 8 frequency, but only 3 middle grades.
Banding: 1B

5. TEACHING / SUPERVISION / ACADEMIC EXPERIENCE
There are many opportunities for teaching in this post. This includes co-ordinating the delivery of the mental health aspect of the Foundation Curriculum to FY1 + FY2 trainees based at the ROH. There are also opportunities to teach both mental health staff and general hospital staff, including non medical staff.

6. AUDIT / RESEARCH OPPORTUNITIES
The educational supervisor will support research in the department and audit is an expected part of the attachment. There is service outcome data which is collected routinely by the liaison service and could be accessed for analysis.
There is allocated time in the weekly schedule, and encouragement, to pursue research.

7. MANAGEMENT EXPERIENCE
The trust has generally been supportive of people wanting to get involved in management, and is receptive to juniors wanting to get involved in trust-level projects. The educational supervisor is happy for the trainee to attend various management and service development meetings with her. The trust is also supportive of this as well as providing opportunities to attending coroners inquests with the trust solicitor and serious untoward incident reviews
As previously mentioned, there is opportunity to develop own pilot project and lead the foundation psychiatry programme.
You can sit on the Local Negotiating Committee (LNC)

8. ADDITIONAL EXPERIENCE AVAILABLE
There is an opportunity to be supervised to do CBT with selected patients. Depending on trainee preference, there is also the possibility to conduct joint assessments with clinical psychologists and other multi-disciplinary members of the ICATS team such as physiotherapists..
The supervisor is very supportive of taking up opportunities both within liaison, for example spending time with an inpatient liaison service, or within a medical service e.g. attending rheumatology clinics or the CFS service.
The trainee is expected to identify an area which would benefit from psychiatric input and to liaise with them and set up a pilot project, for example with the local hospice or antenatal service. This affords management experience in additional to specific clinical work.

9. IMPORTANT ADDITIONAL DETAILS (FACILITIES etc)
Office Shared office with clinical psychologist and clinical psychology trainee on the ROH site. The trainee will be provided with their own computer, telephone, mobile phone and dictaphone.
Car park Royal Oldham Hospital car park
Secretary support Shared with supervisor
Other sites and travel required?
Clinics are conducted on both the ROH site, and at Royton Health and wellbeing Centre, about 1-2 miles away from the office accommodation

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