General Adult (Cornwall Partnership Trust)

 

Please note that these timetables and descriptions are indicative only and subject to change with service development and will be tailored to meet individual trainees learning needs after discussion and agreement from individual educational supervisor

 

Dr Adrian Flynn Liaison Psychiatry Cornwall Partnership Trust
Dr Stefano Kustermann General Adult Psychiatry Cornwall partnership Trust
Dr Celice McDermott Rehabilitation Psychiatry Fettle House, Bodmin
Dr Rohit Shankar ST4-6 in Learning Disability / Neuropsychiatry East Cornwall & Chygovenek Truro
Dr Jane Boydell General Adult Psychiatry Pydar Street, Truro
Dr Jeremy Sandbrook General Adult Psychiatry Trengweath CMHT, Redruth
Dr Alind Sivastava General Adult Psychiatry Trevellis House, Liskeard
Dr D Mackintosh General Adult Psychiatry Pydar Street, Truro

 


 

Post Information

POST Liaison Psychiatry
TRAINER Dr Adrian Flynn
EMPLOYING TRUST Cornwall Partnership Trust
TRAINING BASE                       Department of Liaison Psychiatry, Well-Being Centre, Royal Cornwall Hospital Trust, Treliske Hospital, Truro, TR1 2LJ
JOB DESCRIPTION The trainee will be based at Treliske Hospital, which is a 750 bedded hospital, within the Liaison Psychiatry Department and will also have access to office space at the Carrick Community Mental Health Team base where Dr Flynn’s medical secretary works.  This is at 57 Pydar Street, Truro, TR1 2SS.

The trainee will be part of a medical and nursing team providing psychiatric services to the Royal Cornwall Hospital, Treliske.  The team comprises a full-time Consultant Psychiatric time, there is an ST2 trainee and an F1 doctor.  There is a Team Manager, two Psychiatric Liaison Nurses, and Alcohol Liaison Nurse and a half time Team Administrator.

The team accepts referrals for the full range of psychiatric presentations in the general hospital.  The majority of referrals are for self-harm and alcohol and substance misuse.  The trainee will have an opportunity to see these patients, particularly more complex presentations and to supervise more junior medical staff in their assessments.  They will be expected to provide advice and support to the senior nursing staff within the team and joint assessments are encouraged where possible.  The assessment of more complex referrals is where the trainee will have their predominant role.  These referrals include neuropsychiatric presentations, perinatal psychiatric presentations, complex somatoform disorders and co morbid common mental health disorders that are influencing the presentation of long term medical conditions.  An outpatient clinic is available for the follow up of these patients.  The trainee will be directly supervised by the Consultant for one hour each week.  The Liaison Service is establishing links with many other hospital departments.  There will be an opportunity to establish a special interest in one of these areas and an excellent opportunity for service development and research. 

The timetable is flexible and can be adjusted according to commitments.  It provides an opportunity to supervise the F1 doctor.

 

 

TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Liaison Ward work

Liaison Ward Work

 Teaching/CPD Research or Special Interest Liaison ward work

P.M

Administration / F1 supervision

 Liaison MDT

Supervision (1 hour)

Research or Special Interest Liaison OPD clinic Liaison ward work

ON-CALL              1: 14 approx with Consultant Cover

  


 Post Information

POST General Adult Psychiatry
TRAINER Dr Stefano Kustermann
EMPLOYING TRUST

Cornwall Partnership NHS Foundation Trust:

The Specialist Registrar will provide supervised medical input to a comprehensive mental health service for patients registered with Marazion Surgery in Marazion within the North Penwith Community Mental Health Team.  The whole zone comprises five general practices. In addition to Marazion Surgery, it includes Cape Cornwall (St. Just), Stennack (St. Ives), Bodriggy (Hayle) and Phoenix Surgery  (Camborne). The trainee will cover a surgery with five general practitioners.

FACILITIES / IN- PATIENTS The acute in-patient beds are at Longreach House, Redruth where there are 32 acute beds shared between nine consultant psychiatrists.  The Ward is divided into male and female bays.   Psychiatric intensive care is provided at Harvest Ward, Bodmin Hospital by a consultant-led team. A Foundation Trust 2 junior doctor works with South Penwith in-patients as well as 2 part-time staff-grade doctors in the Community.
OUT-PATIENTS Clinics will be held at Bolitho House, Penzance at the community mental health team base providing comprehensive psychiatric assessments of existing CFT patients or new referrals following screening assessment.  Some joint screening assessments with other healthcare professionals when early medical need identified.
POPULATION The total population of the catchment area is approximately 40,000.
ONGOING DEVELOPMENT CFT provides weekly academic programme for trainees involving Grand Round (case conferences), critical appraisals and lectures.  There is a monthly CPD sessions which trainees are encouraged to attend.  Specialist Registrars can attend local consultant peer group meetings and is also invited to consultant business meetings.
CONSULTANTS

The Consultant Psychiatrist for the South Penwith area is Dr S. Kustermann.  He will provide personal supervision regularly for one hour per week as well as additional clinical supervision when appropriate.  The trainee will be given a wide range of clinical experience in General Adult Psychiatry and work with sub-specialist teams, eg Assertive Outreach Team and Home Treatment Team.  The other consultants for adult psychiatry in the west of Cornwall are: 

Dr Colin Hunter (South Penwith and Isles of Scilly)

Dr Darren Mackintosh (South Kerrier)

There are consultants working in Child and Adolescent Psychiatry, Old Age Psychiatry, Learning Disability and Drug Misuse covering west Cornwall.  In addition, there are consultants working in Liaison Psychiatry, Recovery and in the Early Intervention in Psychosis Teams.

 

 

WEEKLY TIMETABLES:

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Community Meeting Team Supervision

Ward Round with Consultant Post-graduate teaching at Westheath House, Bodmin Admin Research/Special Interest

P.M

Out-patient clinic

Out-patient clinic

or

Admin (once a month)

Admin

Supervision (4pm-5pm)
Admin

In-patients review

Research/Special Interest

ON CALL:    1:14 on-call with supervising consultant.  Available to provide psychiatric assessments, mainly under MHA 2007 for 24-hour period.  Also, advice to supporting medical staff
                   and in-patient facilities.  Day-time cover for Consultant On-call the previous day.

 

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Community Meeting Team Supervision Ward Round with SpR Trainee

Supervision of Staff Grade Psychiatrist

CPD

Consultant Meetings

MHRT/Managers Reviews

Admin Emergency out-patient clinic

P.M

Out-patient clinic

Out-patient clinic 

or
Admin (once a month)

Admin

MHRT/Managers Reviews
 
Supervision (4pm-5pm)

Admin
(off on alternate weeks)
In-patients review

   


 Post Information

POST Rehabilitation Psychiatry
TRAINER Dr Celice McDermott
EMPLOYING TRUST Fettle House, Bodmin
ROTA The Job involves a basic 40 hour 9am-5pm week, with a 1:10 on call rota to cover 9pm to 9am and weekends. the trainee will be supernumerary and no cross cover is expected
JOB DESCRIPTION

 The job involves working closely with the existing senior medical team (consisting of 1 WTE consultant plus 0.1 WTE Associate Specialist) to deliver a high quality Rehabilitation service to 18 inpatients in Fettle House, Bodmin Hospital

which also involves an Outreach Team with which you will be encouraged to engage. The trainer has also recently established a new service providing fast-stream rehabilitation (at Cove Ward, Longreach House, Camborne & Redruth Community Hospital), which gives opportunities for experience in service development, as well as other leadership skills. There is a full time Junior Doctor employed for this team.

You will be encouraged to participate in Multidisciplinary Assessments, providing the medical focus and expertise within this for people referred to our service. All assessments are then discussed at our Referrals Meeting, where senior team members will be
available for discussion and support with decision making.

Secretarial support will be available and there will be office space, a mobile phone and a laptop supplied by the Trust.

This post will enable interested trainees to gain appropriate skills to receive an endorsement in Rehabilitation on their Psychiatry CCT, as well as enabling the trainee to experience a rehabilitation setting which is socially and occupationally focused with a commitment to supporting and promoting individual autonomy.

There will be opportunities to teach medical students, nursing students and work with a true multidisciplinary team with varying levels of expertise within an open and friendly environment. Dr McDermott has a particular interest and experience in teaching at all levels

OBJECTIVES

Educational objectives are agreed between the trainee and supervising consultant at the start of the post. Consideration will be given to the educational needs of the trainee and his / her previous experience.

There is a local weekly training programme and involvement by senior trainees is encouraged.

There are numerous teaching opportunities.

Local CPD is held monthly with frequent and external trainers

THE TEAM:

SupervisingConsultant

Based at

Medical Secretary

Other Drs in team

Team Members

 

 


Dr Celice McDermott, Consultant in Rehabilitation Psychiatry

Banham House, Bodmin Hospital

Kate Moss

Dr Mike Badve, Associate Specialist

Ward Manager, Deputy Ward Manager, Occupational Therapists, Art Therapist, RMN's, Social Inclusion Workers, Rehabilitation Outreach Nurse & Ward Secretary

 

 

WEEKLY TIMETABLES

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

9-11 Admin & Supervision

11-12 Referrals Meeting (Fettle Ward)

9-12 CPAS & Supervision (MHRTs/Managers Reviews) (Cove Ward)

9-1 Trust CPD

Fettle Ward / Assessments

Special Interest Session

P.M

1.30-5 MDTS/CPA (Fettle Ward)

1.30-5 MDTs/CPAs

Personal development and team development

Monthly Team Meeting (Fettle Ward)

Fettle Ward MDTs/CPAs

Research Session

ON CALL:   

1:10 on call seconded by Consultant on the same rota.  Clinical Supervision is provided by that Consultant. 

Nature of duties will be countywide, covering general adults and old age patients.  Occasional CAMHS patients supported by an on-call CAMHS Mental Health Professional.

 

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

9-11 Admin & Supervision

11-12 Referrals Meeting (Fettle Ward)

9-12 CPAs x 2 Supervision (Educational/ Clinical)

CPD/Peer Group

or attend SMSC/JMSC

MHRTs/Managers Reviews (Fettle Ward)

Cove Ward Supervision/Management

P.M

1.30-5 MDTS/CPA (Fettle Ward)

2-5 MHA Hearings/ Admin /Assessments

SPA

1.30-5 MDTs/CPAs (Fettle Ward)

 MHA Hearings / Admin / Urgent reviews or Assessments 

 

 


Post Information

POST ST4-6 in Learning Disability/neuropsychiatry
TRAINER Dr Rohit Shankar
TRAINING BASE East Resource Centre Bodmin PL31 1AH & Chygovenek Truro TR4 9LD
LOCATION East Cornwall & Chygovenek Truro
SPECIALTY Neuropsychiatry /Learning Disabilities
LEARNING DISABILITIES SERVICE The Learning Disabilities Service consists of 2 community teams, based in the East and West of the county. Each team consists of psychologists, community nurses together with a range of Allied health Professionals and provides community-based service for clients of adult age. Services for children with a learning disability are provided by the Child & Family Service with which the Learning Disabilities Service has close liaison. In addition, within the Learning Disabilities Service there is also a county-wide Intensive Support Team and there is association with Learning Disabilities Health Facilitation Service within the Primary Care Trust working to liaise with primary care practitioners. Service users with learning disabilities who require admission for a mental health problem use the general mental health in-patient services of the Trust, within reach from relevant learning disability practitioners. There is a specialist epilepsy service for adults with learning disabilities, and a specialist memory/older persons’ service for people with learning disabilities; these constitute the Neuropsychiatry, Epilepsy & Memory Service which are embedded in the larger LD service. 
MEDICAL STAFFING  IN  LEARNING DISABILITIES

Consultant Psychiatrist (currently vacant) based in West Cornwall and Chygovenck (sees LD adults with mental health and behaviour issues and LD patients with epilepsy and dementia)

Dr Rohit Shankar Consultant Neuropsychiatrist based in East Cornwall and Chygovenck (sees adults and LD adults with epilepsy and dementia and is also the medical lead for LD services)

Dr David Cox, Consultant Psychiatrist based at Chy Govenek and East Cornwall (sees adults and patients with complex epilepsy and dementia)

Dr Anu Shyam, Consultant Psychiatrist in the Child & Family Service with special responsibility for learning disabilities

There is also one CT1-3 post in the service and another ST4-6 post.

LOCATION The post is based at the East Resource Centre Bodmin PL31 1AH and Chy Govenek, Threemilestone, Truro, TR4 9LD.  Office accommodation is provided at the East Resource Centre and secretarial support will be provided from Chygovenck
DUTIES OF THE POST

The post holder will be working with Dr Shankar and will be responsible for assisting with provision of outpatient care and community-based services in the Learning disability patients for mental and behavioural issues, dementia and Neuropsychiatry Epilepsy Service at the East Resource Centre. This will include outpatient clinics and home visits, and working with different members of the community team. There are excellent links with mental health colleagues, local neurologists and GPs.

Joint assessment and joint working with other members of the team is encouraged and expected. The post holder will be expected to attend the weekly allocation and MDT meetings.

The post holder may be required to make emergency assessments during the working day at the request of the supervising Consultant, and it would be advantageous to be approved under Section 12 of the Mental Health Act.

The post holder would also be expected to take part in liaison with general adult mental health services for inpatients with learning disabilities, along with other team members.

The post holder will be expected to communicate appropriately with Primary Care services with regard to the advice and changes in treatment initiated by the service.

EDUCATION, RESEARCH AND DEVELOPMENT

The holder of this post will be encouraged to participate in special interests, research and postgraduate activities and audit.

There is an active education programme at Bodmin Hospital, which the post holder will be encouraged to attend and regular multidisciplinary case conferences in localities also take place.

Study leave allowance will be in keeping with the Terms and Conditions of Service.  Cornwall Partnership NHS Trust supports Continuing Professional Development and life-long learning and to support clinical governance one session per week is dedicated to training and peer review.

Dr Shankar is an honorary associate professor with the Exeter Medical School and deputy chair for the Trust’s research and governance committee and the CPD chair. He is also the innovation lead for RCPsych south west division. The post holder would be encouraged to take the opportunity to join and work with him. His research interests include SUDEP, epilepsy, autism, dementia in Down’s syndrome, forensic aspects of learning disability and sensory processing disorders.

The post holder will be encouraged to complete at least 1 audit, 1 international peer r/w poster presentation and a peer r/w publication during their tenure.

 

 

PROVISIONAL TIMETABLE

 

Monday

Tuesday

Wednesday

Thursday

Friday

A.M

General LD MDT meeting & Outpatients

Core LD

Outpatients

Epilepsy

Academic

Programme/

CPD/SMSC

Admin/emergencies

Doctors peer group once a month

meeting/IST

MDT once a month/ fortnightly IST patient r/ws

P.M

home visits/

Dementia clinic

Outpatients

epilepsy

Epilepsy MDT

Supervision

Research/

special

interest

Research

/Special Interest

 ON-CALL:    1 in 14 with consultant on call

 

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

General LD MDT meeting & Outpatients Core LD Bodmin

Outpatients

Epilepsy

Bodmin

CPD/SMSC/ twice  a month home visits/BI meetings/ GP surgery work/risk meetings etc

IST reviews – Truro/Bodmin

IST/PEER GROUP/ emergencies - Truro

P.M

home visits/ LD Dementia clinic Bodmin

Outpatients

Epilepsy

Bodmin

EPILEPSY MDT 13.00-15-00 Truro

Supervision

15.00- 16.00

Clinical Admin - Truro

research

 

 


Post Information

POST General Adult Psychiatry
TRAINER Dr Jane Boydell
EMPLOYING TRUST 57 Pydar Street, Truro, Cornwall TR1 2SS 
JOB DESCRIPTION This general adult psychiatry job is based in a busy community mental health team base and provides the opportunity to assess and manage a wide range of inpatient, home treatment and community patients. The post involves participating in the multidisciplinary team discussion, attending ward rounds, two clinics a week and being involved in both emergency assessments and complex case discussions. The post holder will have the opportunity to teach and develop management skills. There will be opportunities to participate in research should the post holder be interested in such activity. Clinical supervision will be provided throughout the week and time is set aside for educational supervision.

               

             

WEEKLY TIMETABLES

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

MDT meeting

Ward Round

Teaching/Management Training/ Additional Supervision

Special Interest

Clinic

P.M

Clinic

Supervision 1-2pm

Clinical Administration

Home Visits/ Complex case management

Research

Emergency Assessments

ON CALL    1 in 9 supervised by consultant

 

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

MDT meeting

Ward Round

Management Activity/CPD/Peer Group Meeting/ Additional supervision

Research

Clinic

12 – 1 pm CT Supervision

P.M

Clinic

1 – 2 pm  Supervision

Administration

Complex case management

Research

Emergency Assessments/Administration

 


Post Information

POST General Adult Psychiatry
TRAINER Dr Jeremy Sandbrook
EMPLOYING TRUST Trengweath CMHT, Redruth
JOB DESCRIPTION

The Specialty Trainee will undertake work in an apprenticeship role focusing on developing the skills and experience necessary for working as a consultant. The trainer will undertake to provide the trainee with a rich and broad range of clinical experience, working in a highly collaborative manner, as part of a hard working but cohesive clinical team.

The post will involve inpatient and community work. The trainee will provide medical input to a comprehensive mental health service for adults of working age registered with GP Surgeries in Redruth and North Kerrier. The trainee will be expected to attend ward rounds, complete new assessments and outpatient reviews, undertake joint visits with community colleagues and attend GP Hub meetings. There will be plenty of opportunity to gain experience of working with the Mental Health Act including participation in MHR Tribunals.

The acute inpatient beds are based on Bay Unit at Longreach House, Redruth where there are 32 acute beds shared between eight consultant psychiatrists. Bay Unit is divided into two wards; Perran and Carbis Wards. There is a GP VTS trainee attached to the team, who supports the inpatient workload and also assesses community patients in the outpatient clinic.

The CMHT is based at Trengweath, Redruth, where outpatient clinics are held. The trainer aims to have close working relationships with local GPs. Many patients and GP surgeries are close to the CMHT base meaning that travel time is minimal and there is strong sense of being part of the local community.

The supervising consultant provides medical cover to the Home Treatment Team and community forensic patients (also working one day a week with  the Community Forensic Team). Intensive care, rehabilitation and low secure beds for the whole of the county are located at Bodmin with separate medical cover; though the supervising consultant is called on to provide cover when colleagues are away.

The trainee will be provided with at least one hour direct supervision per week. 

The trainer has managerial and teaching commitments within the trust which would allow opportunities for the trainee to gain experience in these areas. The trainer is actively involved in teaching medical students and trainees, for who he is the associate clinical tutor. The trainer also supports ‘taster week’ and elective placements quite frequently.  Teaching at the academic meetings for junior doctors will also be encouraged. The trainer is co-chair of the local active General Adult Psychiatrists consultants’ committee and also actively involved in quality improvement.  

There will be opportunities to participate in research should the post holder be interested in such activity

 

WEEKLY TIMETABLES

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Ward MDT

CMHT MDT

 Teaching/Management Training/ Additional Supervision

Research and Special Interest

CMHT Clinic

P.M

Supervision 1-2pm

Clinical Administration

CMHT Clinic

Community visits / Complex case management

Research and Special Interest

Emergency Assessments / Ward reviews

ON CALL:  1 in 10 supervised by consultant. On call commitments include S12 and Responsible Clinician cover for Cornwall over 24 hour period.

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Ward MDT

CMHT MDT

Teaching/Management Training/ Additional Supervision

CMHT Clinic

9-10am
CT supervision

CMHT Clinic

P.M

Supervision 1-2pm

Clinical Administration

CMHT Clinic

Complex case management Community visits/ Complex case management

Clinical administration

Emergency Assessments/ Ward reviews


Post Information

POST

General Adult Psychiatry

TRAINER

Dr Alind Srivastava

EMPLOYING TRUST

Trevillis House, Liskeard

JOB DESCRIPTION

This is general adult psychiatry job with continuity model i.e. patch consultants.  This involves both inpatient and community work.  Therefore it completes the core requirement for higher trainee (i.e. inpatient and community) without needing to do two one year posts in each.  There is ample opportunity to take up psychological work with appropriate supervision.  The job will provide a wide range of experience ranging from affective disorders to psychotic disorders including schizophrenia and neuropsychiatric disorders like Tourette’s syndrome. It is an excellent post to build up a strong foundation of generic general adult psychiatry and think about further specialisation.  You will have use of a desk in the office and a medical secretary shared by all doctors in the patch i.e. consultant, SHO and higher trainee.    There will be a good balance of autonomy with back-up/supervision as needed.  There is weekly supervision for an hour built in the time-table.  The on call system has already been mentioned on page 1 of the job description.

The community mental health team based at Trevillis House in Liskeard has two patch consultants based on GP surgeries.  The team has one team manager, specialist practitioner (AMHP), Band 6, 5 and 4 nurses.  There is one clinical psychologist in one post and another 0.5 post, which needs backfilling due to maternity leave.  There are 5 support workers who help people with day to day functioning including completing forms for other agencies e.g. housing etc.

The inpatient ward is at Bodmin Hospital at Bodmin.  The acute ward is Fletcher and the PICU ward is Harvest.  The ward round on Fletcher is as stated in the time-table.  MDT/Ward rounds discussion is an excellent venue for chairing meetings, leading ward rounds, risk assessments and management.

Trainees are encouraged to participate in quality improvement and management.  There may be an opportunity to shadow either the clinical directors or the medical director with agreement.  There is a newly appointed clinical leadership mentor of trainees and you are encouraged to contact him in order to participate/lead on quality improvement projects.  You will need to keep the mandatory training up to date as required by the Trust.

There is an opportunity to teach medical students and core trainee.  You are encouraged to participate in the monthly CPD programme in Cornwall.  There is a possibility of chairing the monthly grand rounds (this is a case presented by trainees on a monthly rotating basis).  There may be an opportunity to supervise the junior doctor.

 

WEEKLY TIMETABLES

 

TRAINEE TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM Ward round MDT Academic session ? Audit / Reseacrch Ward round
PM Clinic / home visits Admin Clinic ? Audit / Research Supervision
Urgent clinical work / Admin

 

ON CALL- The on call duty is a 9am to 9am i.e. 24 hours on call with a consultant as a back-up.  The on call involves taking all calls meant for the consultant including Mental
                Health Act assessments.   You are encouraged to contact the duty consultant as needed and must discuss any RC issues (e.g. Section 17 leave) with the consultant.  

 

TRAINER TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM Ward round MDT
SHO supervision
Teaching Clinic Ward round
Medical student feedback
PM Clinic Urgent patients Non-clinical work / urgent assessments Home visit Admin

 


 

POST INFORMATION

TRAINING POST General adult psychiatry
TRAINING BASE 57 Pydar Street, TRURO
TRAINER Dr D Mackintosh
JOB DESCRIPTION

The Perinatal Mental Health Team in Cornwall was established in 2013 in order to provide specialised care to women during pregnancy and in the post-natal period, and to provide preconception advice; for women with, or at risk of, serious mental illness. The team has undergone a significant expansion in the last 2 years, following success in winning bids from NHSEngland. This has meant an expansion in resources and a genuine multi-disciplinary team, that continues to develop. The service provides specialist advice, support and oversight, working with health and social care professionals in primary care, maternity services, early years and adult mental health.

Patients are referred from Midwifery, Health Visiting, primary care, and from other secondary care teams, and can also self-refer. The team is currently commissioned to triage, to assess, and to provide a full package of care to a number of patients equivalent to around 5% of all live births in the county.

Patients under the care of the team have an allocated key worker and are often cared for solely by the Perinatal Mental Health team, though the team sometimes also work alongside some of the trusts other mental health teams.

The main service objectives are:

  • To provide a leadership role to the local health community, raising awareness and capability through the provision of training, information and evidence based advice and guidance.
  • To provide a direct clinical service within the criteria agreed in the service specification. This will include having direct oversight of the care of women with serious mental health needs.
  • To provide clinical assessment of mother-baby relationships where these have been referred as being particularly problematic and cannot be managed by health visitors or primary infant mental health specialists
  • To support professionals, women and their families to understand the emotional and physical changes associated with childbirth and the risks which these present to women with pre-existing mental health conditions; who have risk factors such as family history; or who develop mental health conditions during or after their pregnancy.
  • To ensure that all women who have, or develop serious mental health problems during pregnancy have access to up to date, consistent advice on the risks and benefits of medication in pregnancy and while breastfeeding. This advice may be provided directly by the service, but also through training and information to GPs, Mental Health and Maternity professionals.
  • Support a managed transition of women on the caseload to other services after the perinatal period, including preparation for future pregnancies
  • To improve awareness of risks, particularly ‘red flag’ risks and triggers amongst all professionals who work with women and their babies during and after pregnancy.
  • To improve awareness of the impact of both ante-natal and post-natal mental health problems on the mother-infant relationship and attachment.
  • To support the development and improvement of the local care pathway including agreement of common policies and procedures for use by all providers involved in the care of pregnant women and their infants.
  • To establish and manage systems for sharing information about individual women who have a risk assessment and/or care plan between primary care, maternity services, adult mental health and health visiting.
  • To promote the development of effective clinical governance mechanisms across all agencies responsible for delivering the care pathway
  • Participate in local, regional and national networks, as appropriate in order to share learning and good practice. This will include participating in any opportunities for peer review with other services.

The service co-ordinates care, under non-CPA, for women with serious mental illness (bipolar disorder, schizoaffective disorder, schizophrenia, other psychoses, previous postpartum psychosis, severe depression with and without psychosis) who are at high risk of relapse postnatally, but are currently well and therefore not open to mental health services and ineligible to receive a service from adult mental health teams.

The service does not take over care coordination of women who are already under the care of an adult mental health team. Responsibility for these women remains with the existing mental health team, with advice and adjunct specialist input from the specialist team as required.

The service does not have the capacity to provide direct support to women with mild to moderate anxiety and depression but will provide signposting, advice and guidance and training in relation to mental health conditions during the perinatal period.

The service takes an active role in ensuring tight clinical governance across organisations to coordinate and secure evidence based medicine, efficient and effective care pathways and care planning, adequate data collection for auditing purposes and effective patient safety tools (incident reporting, RCA management).

The service works in partnership with Primary Care, Maternity Services, Adult Mental Health, local MBUs to provide support for women from pre-conception through to the infant’s first birthday.

The service undertakes joint risk assessments with GPs, maternity services, and Early Years services (Health visitors and Primary Mental Health Services). It provides specialist advice on medication during pregnancy, and supports the development of mental health care plans.

Clinical Duties

  • Work as a member of the CFT Specialist Perinatal Mental Health Team (PNMH team)
  • Provide daily support to the Specialist PNMH keyworkers in managing routine and urgent clinical care for patients on the caseload.
  • To provide planned assessment and review of service users in the community and in clinic settings.
  • To undertake urgent assessments of women who have suspected symptoms of Post-partum psychosis where capacity allows
  • To provide specialist input into risk assessment, care planning, and crisis planning for women with a pre-existing mental health need or a new onset severe mental health problem who have been identified as being at risk in the antenatal or postpartum period.
  • To provide medical input to the weekly MDT meeting and assessments of patients referred to the team.
  • Attend CPA reviews and other care reviews organised by the responsible key-worker/care co-ordinator
  • To provide specialist advice to GPs, Consultant Obstetricians and Adult Mental Health clinicians on the use of mental health medication during pregnancy and breastfeeding.
  • To liaise with other parts of the perinatal pathway and GPs and non-NHS organisations wherever applicable; and attend meetings in relation to work with non-NHS oragnisations, for example child protection conferences
  • Participate in regular supervision with the teams Consultant Psychiatrist.
  • To maintain paper and electronic health records in accordance with Trust Health Policies, and to ensure effective and timely documentation and communication of clinical decision making and management plans

 

WEEKLY TIMETABLES

TRAINEE TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

AM

Clinical Admin OPA-RCHT Education inc. CPD Special Interest Ad Hoc clinical work (e.g. maternity liaison, child protection conferences, domiciliary visits)

PM

Team Meeting OPAs- County Wide Clinical Supervision 1400-1600/Admin Special Interest Clinical Admin

ON CALL- 1 in 10 covering the whole of Cornwall, providing advice re: acute in-patients, and emergency assessments in the community, including MHA work; supervised
by a 2nd on on-call Responsible Clinician
                 

 

TRAINER TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM Clinical Admin OPA-RCHT SPA (CPD, Peer Group, GAP meeting, SMSC)

OPAs- county widE

Ad Hoc clinical work (e.g. maternity liaison, child protection conferences, domiciliary visits, GAP ward in-reach)
PM Team Meeting OPAs- county wide SPA (inc. Trainee Supervision 1400-1600) Ad Hoc clinical work (e.g. maternity liaison, child protection conferences, domiciliary visits, GAP ward in-reach) GP liaison