StR/ SpR POST DETAILS 2009-2010

DETAILS OF PLACEMENT

This post focuses on clinical work in the community and in hospital with patients of the assertive outreach team. The team has been in operation since 2001 and is located in a modern community base near the centre of Preston which also accommodates other community teams. The inpatient work is with the inpatient ward teams at the Royal Preston Hospital.

The adult mental health service in Preston, and its consultant psychiatrists, are organised into functionally specialised teams. These include the crisis/home treatment team, community mental health team, primary mental health team, early intervention in psychosis, homeless team, and drug and alcohol teams. There is a specialist psychotherapy service.

DETAILS OF EXPERIENCE TRAINEE WILL GAIN AND MAIN DUTIES

Under supervision, the Specialty Registrar takes a leading role in managing selected patients of the assertive outreach team through different phases of their care, encompassing community and hospital.
You will work within two multidisciplinary teams and provide an important bridge between the inpatient service and the assertive outreach team in the community.

With other members of the team, assessment of new referrals to the assertive outreach team, review and management of existing patients of the team, CPA reviews, and assessment and management of patients who are deteriorating or in crisis. This work takes place in patients’ own homes or at the community team base. Other work as required, e.g. MAPPA meetings, safeguarding procedures, Post Incident Reviews.
Management of inpatients on the inpatient wards at the Royal Preston Hospital. Writing reports for, and attending, Managers’ hearings and MHRTs.

Core work includes medication management, teamwork in devising and delivering complex care plans, Mental Health Act work, understanding and working with treatment resistance and poor treatment adherence.

There is anST1-3 doctor in the team.

ON CALL COMMITMENT AND PAY BANDING

On Call frequency 1 in 9.
Cover is for Central and West Lancashire.
Duties: offering advice and supervision for ST 1 – 3 and trainees, Mental Health Act work, and emergency care.
Clinical supervision by duty consultant on call and subsequently by educational supervisor.

TEACHING / ACADEMIC EXPERIENCE

Teaching and clinical supervision of the ST 3 trainee.
Teaching medical students.

AUDIT/RESEARCH OPPORTUNITIES

The department is participating in the CEQUEL trial.
The Trust has a major commitment to research through the Academic Psychiatry Department and Mental Health Research Network staff, based at the Lantern Centre in Preston

MANAGEMENT TRAINING

Opportunities with Lead Consultant and Medical Director, local Acute Care Forum, Medical Advisory Committee. Projects have arisen which are suitable for Specialty Registrars, e.g. participating in the Trust’s GP Communications Strategy.

ADDITIONAL EXPERIENCE AVAILABLE

Possibilities include forensic psychiatry, early intervention, community mental health team/outpatient work, psychotherapy training, neurology clinics and management training.

PROBABLE TAMETABLE (EXAMPLE OF COMMITMENTS)

IMPORTANT ADDITIONAL DETAILS

CORE POST: INCLUDES BOTH INPATIENT (LOOKING AFTER AOT PATIENTS ON IN-PATIENT WARD) AND COMMUNITY EXPERIENCE.