Social Services jobs in Italy

Following a significant redesign, and a new model of care which will support all children and young people to thrive, Jersey CAMHS we are looking to recruit two consultant Child and Adolescent Psychiatrists to join our multi-disciplinary team. The successful applicant will join the two existing consultants. This is an exciting time to join CAMHS with the launch of the service redesign and significant investment into the service, creating the opportunity to make a real difference to patient outcomes.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

For an informal discussion please contact Dr Catherine Keep (Consultant and Clinical Lead) on 01534 445030 or email c.keep@.je or Richard Dyer (Head of Children's Mental Health and Wellbeing, CAMHS) on 01534 445048 or email r.dyer@.je.

And as with many aspects of Island life, our Healthcare system is familiar enough for comfort but offers variances that mean our Consultants and patients have a different experience. A small Island community, we have one main hospital that acts as a hub with a small number of offsite facilities and the geography of our Island means there is a shorter commute for you.

Find out more about relocating to Jersey here

Certificate of Sponsorship

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 here

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.

UK Registration

Applicants must have current UK professional registration.

The post holders will be expected to take on the full range of duties including the routine and emergency diagnosis and management of children and young people with significant mental health problems (up to the age of 18), the support of other team members and providing consultation and advice to other agencies. Successful applicants will be encouraged to develop a special interest and could take a clinical lead in one of the following areas

• Eating Disorders
• Assessment & Crisis Intervention
• Neurodevelopmental Disorders
• Transition

The service has expanded and continues to develop its service delivery to meet the needs of the community. As a senior clinician you will have opportunity to shape the service and influence child mental health more widely on the island.

The CAMHS clinics are based at Liberte House, St Helier which is in the main town. The post-holder may also be required to see Children and Young People who have been admitted to Jersey General Hospital or Orchard Ward ( mental health in-patient facility).

In-patient Provision

There is no designated inpatient provision but the team provide flexible intensive packages of care for children and young people with severe or complex mental health difficulties. The packages of care can be provided both for assessment and treatment. The programmes are set up jointly with other services including Paediatrics, Adult Mental Health and Children's Services (Social Care).

The Paediatric and Adult Mental Health teams are supportive in providing in-patient facilities and both the paediatric ward (Robin Ward) and acute adult mental health ward (Orchard House) are used for young people who require admission. Robin Ward will admit young people up to their 17th birthday. The postholder will be clinically responsible for young people admitted to Robin Ward and Orchard House under their care and will be expected to undertake reviews of these patients.

All those under 16, and most under 18 admitted to Orchard House are cared for separately to the other in-patients if possible or are under continuous observation for safeguarding reasons. There is a new provision built that provides facilities for young people to be admitted to an area separate from the main ward.

When necessary young people can be transferred to the UK for inpatient treatment.

Person specification

Essential Criteria

Recognised Primary Medical Degree

Full GMC Registration & License to Practice

Registered on the GMC Specialist Register or CCT in Child and Adolescent Psychiatry (or within 6 months of this at the time of interview) or equivalent (which must be confirmed by GMC)

Higher speciality training or equivalent experience

Eligibility for Section 12 approval (Mental Health Law Approval)

Desirable

MRCPsych or equivalent

Relevant higher degree, e.g. MD. PhD, MSc or other additional clinical qualifications

Section 12 approval or equivalent

Dual accreditation e.g. Forensic, Learning Disability

Responsibilities and Expectations of the Postholders

The post holder will be expected to:

• Work with children and young people with acute mental health presentations including self-harm, suicidal ideation, low mood and psychotic symptoms and providing support to other members of the team in managing this group during periods of crisis.
• Diagnose and manage common psychiatric disorders using both psychological and pharmacological therapies.
• Work with young people with mental health problems who have a history of alcohol and substance misuse.
• Provide consultation and liaison to other medical specialities, Education, Social Services and other agencies.
• Develop and deliver training programmes for a variety of disciplines aimed at improving the level of expertise and the standard of care within the mental health services.
• Participate and contribute to the psychiatry teaching programme.
• Provide supervision for mental health and other professionals, and receive clinical supervision
• Liaise and work effectively with others who provide services to children and young people as appropriate.
• Comply with Health and Community Services agreed policies and procedures.
• Work with managers and professional colleagues to ensure the efficient running of the services and to share with consultant colleagues the medical contribution to the management of the service.
• Participate in clinical governance activities and Quality Improvement including audit

The postholder will be required to attend training to become an Approved Practitioner under the Mental Health (Jersey) Law 2016.

Population and CAMHS Caseload

• The population of Jersey at the end of 2019 was estimated to be 107,800 with approximately 22,910 under the age of 19.
• The current number of cases open to CAMHS is 1867.
• The total number of new referrals received in 2023 was 1351 (6030 new referrals in by June 2023).
• The current postholder's (locum) caseload is approximately 90. Most of the cases on the caseload will have an allocated care co-ordinator but there may be some exceptions to this. Most new assessments are undertaken by other members of the MDT, but some will require initial medical assessment. There are no fixed requirements for new assessments and follow up appointments. On average there maybe 1-2 new assessments per week and 15-20 follow up appointments, depending on the complexity of the cases and other commitments.
• The postholder will be required to participate in the daytime (9am - 5pm) medical on call rota for 1-2 days per week. The initial duty response (including hospital liaison assessments) is made by the duty worker who will contact the doctor on call if required. With an expansion of our duty service to 8am - 8pm there may be a requirement to provide medical cover for this in the future.

Annual leave, Study leave and Job Plan

Consultants are entitled to 30 days of annual leave increasing to 32 days after 7 years' service (at Consultant level) plus bank holidays.

Study leave for the purpose of professional development should be applied for through the Clinical Lead and is approved by the Director of Medical Education. There is a generous study leave budget and there is an entitlement of 30 days every 3 years.

All consultants have a 10 PA contract for public work, which is non-negotiable. The final job plan will vary according to the successful appointees and be agreed by the Clinical Lead and Chief of Service and ratified by the Group Medical Director. The post holder's job plan will be reviewed annually, and will be appraised according to the current guidance.

All timetables will adhere to current Royal College Guidelines, namely:-

7.5 clinical programmed activities (PAs)

2.5 supporting professional activities (SPAs) consisting of:

- 1 SPA for clinical learning and preparation for appraisal (including audit, weekly teaching sessions, case presentations, mortality reviews etc)

- 1 SPA for managerial activities, service development and quality improvement

- 0.5 SPA for other SPA activities tba

Some SPAs will be annualised rather than represented in the weekly timetable.