SpR post details (August 2012 - July 2013)

Name of Supervisor: Dr P.N.Joshi
Location of the post: Stepping Hill Hospital, Stockport.
Telephone numbers: Secretary: Gillian Smeaton 0161 419 5727

Year of Trainee 4 v 5 v 6 v

1. DETAILS OF PLACEMENT (LOCATION, POPULATION, INPATIENT OR OUTPATIENT, BEDS)
Stepping Hill Hospital is a large DGH serving a population of 300,000 and covering Stockport and High Peak. The Stockport area is divided into three sectors with seven Consultant patches. There is a variety of deprivation and affluence and a range of urban to rural settings. There are two adult general in-patient wards with 46 beds, a 10 bedded PICU, and 15 bedded step-down older people’s rehabilitation unit on site. There is also a 19 bedded step-down intensive rehabilitation unit at Heathfield House.

This is a general adult placement involving multi-disciplinary working with the various Community Teams, Crisis Team, and Inpatient teams.

Core Placement: Yes .This is an excellent opportunity for the trainee to get experienced in both Inpatient and Outpatient work and to gain competencies.

Endorsements: N/A

Supervisor: Full time

2. DETAILS OF ROLE AND RESPONSIBILITIES AND CLINICAL EXPERIENCE TRAINEE WILL GAIN
Three out-patient clinics each week consisting of new, follow-up and emergency appointments.
Monitoring of in-patients and attending weekly ward rounds
Weekly CPA review meetings
Management meetings with the Community Teams/Consultant meeting
Supervision and training of core trainees
Teaching of core trainees and medical students
Chairing journal club and case conferences

Outpatient Work: The trainee will run three outpatient clinics (1 New Patient Referral clinic, 1 Emergency appointments clinic, 1 follow up clinic. Trainee will attend 1 CPA Review clinic every week. The trainee will gain extensive experience of a very busy community patch, with high levels of SMI.The trainee will experience excellent Liaison work with Community team staff, Crisis team staff in the management of patients reviewed in Urgent clinics.

Allocation Meeting: Attending the weekly allocation and review meeting with the Community Mental Health Team will help to develop skills in multi-professional working.

Community Work: The trainee will have opportunity to carry out domiciliary visits to assess and manage patients in their own homes environments.

Inpatient Work ( Usually 6 inpatients (Range 2-13 inpatients): Activities include attending the regular weekly ward rounds and taking part in assessing and managing specific cases (under supervision of Dr Joshi). This may also involve liaising with other services (like social services, occupational therapists, sheltered accommodation, day support, etc.) to enable patients integrate back into society. Trainee is expected to involve in regular supervision of Core/GPVTS trainees working with Dr Joshi in patient work.

Medico legal work: The trainee will be encouraged to carry out MHA assessments, prepare medico-legal reports and reports for MHRT and Manager’s Hearings under direct supervision of Dr Joshi. There will be also an expectation that the trainee will develop skills in presenting evidence during these proceedings.
Any other clinical commitment: Sometimes expected to do Liaison assessments in General Hospital.

3. JUNIOR DOCTOR SUPPORT AND SUPERVISION
There is a CT1-3 doctor/GPVTS trainee in the team and providing supervision and support will be part of the post holder responsibilities.

4. ON CALL COMMITMENT AND PAY BANDING
1 in 8 rota: 24 hour on call. 2nd Tier on call with Consultant supervision.Post on call off after week end on call. Compensatory rest periods post on call if needed.
Banding: 1B banding (40%).

5. TEACHING / SUPERVISION / ACADEMIC EXPERIENCE
Provision of teaching is encouraged .There are ample opportunities to facilitate teaching sessions for medical students and core trainees (like video teaching, giving tutorials, small group teaching and case-based discussions, CASC practice for core trainees, etc).
Supervision of trainees whilst on call.

Academic activities:
Weekly journal club and case conference
Attendance at SpR training days.

6. AUDIT / RESEARCH OPPORTUNITIES
The educational supervisor will support research as part of Special Interest activity 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.
Trainee will have 1 day per week of Special Interest session which can be utilised for Research experience or Clinical Special Interest sessions as required. Trainer will support discussion about various options in supervision.

7. MANAGEMENT EXPERIENCE
Attending weekly Consultant meetings

Chairing CPAs/Community Team meetings/ward rounds

Opportunity to shadow the Lead Consultant for senior managers meeting at Trust Headquarters.

Trainee will be encouraged to involve in managerial processes like drawing up Team Investigation Reports on SUI s, etc.
There are a number of opportunities to take part in the managerial processes behind developing the services. The trainee will be encouraged and supported to develop his/her own management project.

8. ADDITIONAL EXPERIENCE AVAILABLE
Weekly programmed educational supervision
Ample clinical supervision/support, both formal and informal,
Very Supportive trainer,
Encourages and supports to utilise study leave for attending external courses, conferences, etc.

Training opportunities are very focussed to the needs of a higher trainee.
Can expect to gain therapeutic and clinical skills at high standard.
Trainer always encourages the higher trainee on reflective and introspective thinking on the management plans made by the trainer.

Specialist Experience available:

Adult ADHD Clinic
PICU
Rehabilitation Units – for older people and adults,
ECT (On further agreement with the trainer).

9. IMPORTANT ADDITIONAL DETAILS (FACILITIES etc)
A large Individual office (Old Age Psychiatry SPR s moved out to a different location)

Computer access with Printer, Library.
Car park (paid)
Secretary support
Excellent dining Room facilities.
New patient Clinic, Emergency appointment Clinic, CPA clinics are held at Torkington Lodge which is 10 minutes drive from Stepping Hill Hospital

10. TIMETABLE (FIXED COMMITMENTS IN BOLD):