Specialty Doctor All Age Community Eating Disorders

Nottinghamshire Healthcare Nhs Foundation Trust; Nottingham; On-site; GBP 70,000 - 90,000; Full time

Job summary

Nottinghamshire Healthcare NHS Foundation Trust is seeking a Specialty Doctor to join the Community Eating Disorder Team at Hopewood and Mandala Site. You will work with NHS consultants and academic colleagues to provide psychiatric expertise for young people and adults within a multi-disciplinary setting.

Responsibilities include risk assessment, pharmacological management, MH Act applications when required, and leading care plan reviews under supervision.

Qualifications

• Full GMC registration and license to practise (UK).
• 3 years' clinical experience in mental health with at least 3 months in Child and Adolescent Psychiatry.
• Ability to deal with complex clinical situations and risk assessment.
• Knowledge of Children's Act and Mental Health Act (Desirable).

Responsibilities

• Provide psychiatric expertise within MDT and support the Consultant.
• Assess and manage risk, interpret medical tests, and apply MH Act where appropriate.
• Lead and chair care plan reviews and CPA discussions with consultant support.
• Support learning, teaching, and multidisciplinary collaboration within the team.

Skills

Complex cases

Child development

GMC registration

Risk assessment

Teamworking

Education

MRCPsych or equivalent (Desirable)

Job description

Job summary

This is a 10 PA post based within the Community Eating Disorder (ED) Team based at the Hopewood and Mandala Site. The Specialty Doctor will be employed by Nottinghamshire Healthcare NHS Foundation Trust and will join the other NHS Consultants and two Academic Consultants in the service.

Suitable candidates will be registered with a license to practice from the General Medical Council. This position is also open to candidates with GP qualifications. Previous psychiatric or child and adolescent psychiatric experience and section 12 approval are desirable.

The post holder will provide a supportive role to the Responsible Clinician to all young people and adults open to the ED team. They will be an integral part of the medical monitoring pathway and will work closely with our other Speciality Doctor and Advanced Clinical Practitioners.

The post holder will be required to be available to respond to emergency situations. This may include joining Mental Health Act assessments when required and to consult to and support team members in managing cases of perceived high-risk presentations.

Cross-cover arrangements for annual and study leave will be arranged between this post holder and the team consultants.

The team operates Monday - Friday, the post holder will have the opportunity to work their days across these 5 days ensuring support to the team consultant.

Main duties of the job

The post holder will be expected to support and consult to the multidisciplinary team to offer psychiatric expertise and direct involvement in the areas of: assessment and diagnosis, pharmacological treatments, carry the interpretation of medical test results, use of the Mental Health Act (if section 12 approved/ potentially joining as second opinion doctor if RC is not available) and other relevant legislation in the management of children, young people and adults, and the management of complex and/or risky presentations and severe symptomatology.

In addition, the post holder with support from the consultant is expected to provide psychiatric advice and expertise directly to service users and to their parents/carers to support their decision-making and involvement in their recovery. The consultant will lead regular reviews of service users, contribute to/chair CPA reviews, provide ad hoc supervision and debriefs to the team, and team meetings but the post holder will be expected to actively support the consultant in all these tasks. Post holder will be encouraged to develop their clinical leadership skills with support as deemed necessary from the clinical supervisor. Involvement in other clinical tasks for the team (such as therapy provision) may be possible but would be negotiated through job planning and would take second priority to the key psychiatric and leadership tasks.

About us

#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.

We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.

We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.

The health and wellbeing of our colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.

The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment

Job responsibilities

• To work collaboratively within the Eating Disorder Multi-disciplinary team, whilst providing support to the consultant, Service Manager, and other senior clinicians to ensure comprehensive packages of care for young people experiencing eating disorder.
• To ensure comprehensive physical health risk management in line with MEED guidance and in conjunction with colleagues within Paediatric team. Regular reviews of blood results and ECG to inform the physical risk assessment.
• To be able to conduct/ join initial assessments, including assessment of risk to self and others and develop care plan with access to support from consultant depending upon the need.
• With support from the consultant, provide consultation to other members of the team regarding cases being managed by the team, and consultation to professional networks as required.
• In collaboration with team members and with support from the consultant, management of complex cases with management acute physical and psychological risks, including management of pharmacological treatments.
• To offer routine medication reviews, with support from the consultant depending upon the need.
• Clinical participation and engagement with MDT, including participation in and running care plan reviews and formulation meetings with support from consultant.
• To work collaboratively with the eating disorder inpatient consultant psychiatrists within CYP and adult ED units
• Multi-disciplinary, multi-agency and partnership working including liaison and collaborative working with other services/agencies.
• Medics are not expected routinely to take on the role of case coordinator and there is a team caseload ethos.
• Involvement in other clinical tasks for the team (routine consultations, therapy) may be possible, but would be negotiated through job planning and would take second priority to the key psychiatric tasks.
• Provide assessments of referrals, with support from the consultant, review emergency referrals and respond as required with support from the MDT

Qualifications and Training

Essential

• Ability to deal with complex clinical situations and good general medical skills
• Knowledge and understanding of child development
• Full GMC registration
• 3 year's clinical experience in the mental health field with at least 3 months experience in Child and Adolescent Psychiatry

Desirable

• Part 1 MRCPsych or equivalent/better qualification
• Completed audits
• Knowledge of Children's Act and of Mental Health Act
• Section 12 (2) approval

Experience

Essential

• Experience of multi-disciplinary working
• Risk assessment experience and CPA

Desirable

• Experience of partnership working
• Confidence in case presentation
• Experience of teaching junior doctors and medical students

Knowledge and Skills

Essential

• Ability to self-direct
• Ability to work with families and communicate with children and young people
• Willingness to participate in clinical audit/teaching
• Excellent written and verbal communication skills
• Ability to prioritise
• Team player
• Open and flexible work attitude

Desirable

• Ability to work in stressful situations

Personal Attributes

Essential

• Team working
• Good communication skills
• Recognition of limitations
• Punctual / reliable / good time management
• Ability to undertake any necessary travel in connection with the duties of the post

Demonstrates Trust Values

Essential

• Excellence, Accountability, Compassion, Teamwork and Integrity - Together we care

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).