General Adult (Devon 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 Peter Aiken Liaison Psychiatry Wonford House Hospital, Exeter
Dr Phil De Warren-Penny General Adult Psychiatry The Cedars, Wonford House Hospital, Exeter
Dr Charles Dixon Psychiatry Wonford House Hospital, Exeter
Dr C Susan Mizen Psychotherapy Devon Partnership Trust
Dr Andrew Moore General Adult Community Psychiatry   North Devon District Hospital Barnstaple & The Gables Illfacombe
 Dr Giovanni Salvi  General Adult Psychiatry  Devon Partnership NHS Trust
 Dr Antony Thekkepalakka  Community Psychiatry & Early Intervention in Psychosis  Devon Partnership Trust
 Dr Subhash Gupta  General Adult HTT  Devon Partnership Trust
 Dr Tom Manders  Liaison Psychiatry  Wonford House Hospital, Exeter
 Dr Tom Smith  Liaison Psychiatry  Wonford House Hospital Exeter
 Dr Mary Murphy-Ford   Psychiatry  Iris Centre & Wonford House Exeter
 Dr Dimitrios Tsiakris  General Adult Psychiatry   Jasmine Lodge MDU, Wonford House Hospital
 Dr Liz Frayn  General Adult Psychiatry  Exmouth CMHT

 


 

Post Information

POST

Liaison Psychiatry

TRAINER

Dr Peter Aitken

EMPLOYING TRUST

Devon Partnership NHS Trust

TRAINING BASE

Wonford House Hospital, Dryden Road, Exeter, EX2 5AF

JOB DESCRIPTION

This integrated mental health and wellbeing service will maintain and improve current mental health care provision to RD&E hospital.  All service user presentations to the RD&E that are referred to the service will be seen and assessed by an integrated clinical team, who can deliver sophisticated assessments and interventions shaped to the needs of patients of the RD&E, draw on all three functions in any of the Mental Health Networks or arrange care out of county. The team uses bio-psycho-social assessment, signposting, brief intervention, or brokerage depending on identified level of need. The team conducts environmental risk assessment & management, mediation, group and team work, anxiety management, care planning, contingency planning, education, training, mentoring and medico-legal advice. The team uses a brief intervention tool kit based on motivational interviewing toward engagement with the care plan, problem solving or CBT based sessions at the bedside or in outpatient follow up.

The team was commissioned three years ago to provide to adults of working age 0900 – 1700 Monday to Friday. (The same model of service is offered from the Exeter Crisis Team as the ‘Hospital At Night Team’ between 0000 – 0900.The SHO on call service provides from 5pm - midnight) The liaison team provides a service within one hour to the Emergency Department of the RD&E and a same day service to the 650 in-patient beds on the Wonford and Heavitree sites. Its performance is measured against 650 assessed annually, admissions avoided, action against delay to discharge, actions to avoid repeated admission, compliance with the 4 hour wait, suicide reduction

HEALTH & NEUROPSYCHOLOGY

The service has been developed over many years to meet the psychological needs of inpatients in the RD&E, and to provide a neuropsychology service to adults with acquired neuro-disability. 

The health psychology team uses psychological assessment, brief interventions, short term psychotherapy (CBT, CAT) and multidisciplinary multimodal group work in outpatients. The team conduct care planning, education, training, supervision for psychological interventions and leadership of bio-psychosocial group interventions. The health psychology service is currently provided to specialist services- pain management, respiratory medicine; cancer care, kidney unit; otolaryngology.  The service also provides rapid response to referrals from any department, where psychological distress impedes medical or surgical treatment.

The neuropsychology service offers psychological assessment; neuropsychological assessments; brief interventions; neuro-rehabilitation; short term psychotherapy (CBT, CAT) and couple therapy with adjustment issues in outpatients. The team conduct care planning; coordination of bio-psychosocial intervention and support packages; education & training; support, coaching and supervision with enablers. The median number of individual therapy sessions delivered is 6. Integrated multi-professional group sessions up to a maximum of 6. The service is currently provided to neuro-reablement inpatient and community units, including Mardon.

The health and neuropsychology services are available 0900-1700 Monday to Friday.

RESEARCH INNOVATION & IMPROVEMENT

The department of psychological medicine is co-located with the Directorate of Research & Development where there is an MRC NIHR funded program of research into suicide prevention and harm minimisation from self harm, a research support service, an innovation group developing novel uses of information management for the prevention of suicide and harm minimisation, and an improvement (Patient safety) group driving toward safer mental health services.

TRAINING & DEVELOPMENT

The department hosts students from all disciplines at all stages of training including Foundation doctors at level 1 and 2 on rotation to the Royal Devon and Exeter Hospital.

 

TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Liaison Psychiatry

RD&E Wards

Team Meeting

Academic Programme

Liaison Psychiatry

RD&E Wards

TBA

TBA

P.M

Liaison Psychiatry

RD&E

OPD

1.30 – 2.30 Supervision with Consultant

Liaison Psychiatry

RD&E Wards

Research

Special Interest

ON-CALL              1 in 14, Consultant Rota with Consultant Cover

  


 Post Information

POST General Adult Psychiatry
TRAINER Dr Phil de Warren-Penny
EMPLOYING TRUST Devon Partnership NHS Trust
TRAINING BASE The Cedars, Wonford House Hospital, Exeter
JOB DESCRIPTION Dr Phil de Warren-Penny is Consultant Psychiatrist providing clinical care for the Mid and East Devon Crisis Resolution Home Treatment Team. The ST4-6 trainee will work with him in providing clinical, diagnostic and risk management of individuals under the care of the Mid and East Devon Crisis team; proactive liaison with multidisciplinary teams regarding individuals using services; undertaking Mental Health Act Assessments; and participation in the Consultant on-call rota. The St4-6 trainee will be encouraged to take an active part in Audit.

As relatively newly appointed consultant, having trained in Peninsula Deanery as an ST4-6 in the aftermath of MTAS, Dr de Warren-Penny is well aware of the tensions placed on Higher Specialist Trainees, and the need to gain experience in a variety of domains outside the clinical for ARCP progression, gaining CCST, and obtaining a Consultant post. He has previously been the Chair of the Peninsula Psychiatry SpR/ST4-6 group, and Chair of the Regional Junior Doctor’s Committee for the BMA.

There is significant opportunity for exposure to Management and Leadership activities both within the Urgent & Inpatient Care Governance structure, and with other activities Dr de Warren-Penny undertakes. Trainee participation in these activities would be both encouraged and welcomed.  He currently is Chair of the Local Negotiating Committee for Devon Partnership, Chair of the BMA Southwest Region Consultants Committee, and a BMA National Negotiator on the Consultant Contract.

Full secretarial support is provided.  The post holder has timetabled regular consultant supervision and access to an office within Wonford House Hospital

 

 

WEEKLY TIMETABLES


TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

9am Crisis team morning meeting

10 am Clinical Reviews

9am East Devon MDT Meeting

10am UIC Clinical Governance Meeting

Special Interest/Research

(Day subject to negotiation)

9am Ward Crisis team morning  Meeting

10am Clinical reviews

9am Mid Devon MDT Meeting

10am Clinical Reviews

P.M

Clinical reviews

12:30 – 1.30 Case Conference

1.30 – 2.30 ST4-6 Supervision

Special Interest/Research

(Day subject to negotiation)

Clinical reviews

Clinical Admin

ON CALL    1:14 On Call, non-resident, with consultant cover as “First on” the Consultant rota. Clinical supervision available from Consultant on call, or through discussion with
                  trainer afterwards.

 


TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

8am Clinical Admin

9am Crisis MDT Meeting

10 am Clinical Reviews

8am Clinical Admin

9am Crisis

East Devon MDT Meeting

10am UIC Clinical Governance Meeting

BMA London

10-2

SPA (flexible)

LNC Chair

(off site)

8am Clinical Admin

9am Crisis

Mid Devon

MDT Meeting

10am Medical Student Feedback Sessions

P.M

Clinical Reviews

12:30 – 1.30pm Case Conference

1.30 – 2.30pm ST4-6 Supervision

2.30pm Clinical Reviews

BMA London

 

Clinical Reviews

 

 


Post Information

POST

Psychiatry

TRAINER

Dr Charles Dixon

EMPLOYING TRUST

Devon Partnership NHS Trust

TRAINING BASE

Wonford House Hospital, Exeter

JOB DESCRIPTION

Exeter Community Psychiatry Post.

This post provides an excellent training experience in all aspects of community psychiatry.  Since the re-organisation of the community teams in Devon there are now assessment teams, psychosis and recovery teams and mental health and recovery teams.  In this post you will be working across these three teams with people registered with six GPs practices in Exeter with the opportunity to take the lead in one of these practices with close consultant supervision and support.  This means working with what were the assertive outreach team and the STEP team for these GP practices as well as assessing new referrals and people with non-psychotic illnesses.

As an additional opportunity Dr Dixon is also the consultant with the homeless team.  This is an exciting and innovative service commissioned by NHS England to provide GP services and mental health services to this deprived group of people with terrible health outcomes.  Working with this team involves assessing and treating people who are homeless and have mental health problems.  They often have complex physical health and drug and alcohol problems alongside their mental health problems and therefore the team is embedded with the GP service and works closely with them as well as the drug service and the street outreach homeless team.

Dr Dixon trained in Birmingham and then undertook his higher training in the Peninsula.  He has been a consultant for seven years and has trained several higher trainees who are now consultants.  He is committed to teaching and has a diploma in clinical education.  He continues to teach third year medical students during their psychiatry placement as well as running a highly successful SSU, Cinema and Psychiatry.  He is an examiner for the Royal College and provides CASC practice for the core trainees.  Any ST4-6 joining this team would have the opportunity to get involved aspects of this teaching.

Dr Dixon is Chair of the Medical Advisory Committee and has held a number of managerial positions for Devon Partnership Trust.  This would give higher trainees in this post the chance to experience a taste of NHS management in a highly support environment.



WEEKLY TIMETABLES


TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Psychosis team meeting

Mental health and recovery team meeting (MHAR)

Homeless team OPA

Outreach with the homeless team

New patient assessments

Research

P.M

Psychosis team OPA

Clinical and educational supervision

Home visits and liaising with GPs

MHAR team OPA

New patient assessments

Special interest

ON CALL    1 in 20 with consultant cover.  Providing support to the core trainees over the phone and attending MHAs as required in the community or police station.

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Psychosis team meeting

Mental health and recovery team meeting (MHAR)

Homeless team OPA

New patient assessments

MHAR/PAR OPA

P.M

Psychosis team OPA

Supervision of trainee

SPA

MHAR OPA

New patient assessments

Teaching medical students

 


Post Information

POST Psychotherapy
TRAINER Dr C Susan Mizen
EMPLOYING TRUST Devon Partnership NHS Trust
JOB DESCRIPTION This post will be primarily with the personality disorder service in Exeter. There is currently one full time Consultant Psychiatrist in Psychotherapy, Dr C S Mizen. A second consultant will be appointed in 2015. There is a specialist registrar undertaking dual training in psychiatry and psychotherapy, and other junior doctors are often attached to the service.

The personality disorder service has several treatment streams; the most intensive is the Day Programme which runs from the Iris Centre based at Franklyn Hospital, Exeter. This has places for 8 – 10 patients who attend for four days a week from 9.30 to 3.30. The patients have two individual psychoanalytic therapy sessions a week and one analytic group a week, and a psychodynamically informed therapeutic community. Patients attend the Day Programme for seven months after which they enter the Combined Therapy Programme. This lasts for a further two and a half years (three years if patients enter directly into the CTP). During this time patients attend weekly individual and group therapy, as well as a fortnightly psychosocial activity. Family therapy is also available to patients in these streams of treatment.

The personality disorder service also offers Cognitive Analytic Therapy which usually takes place over 6 to 8 months, and Mentalisation Based Therapy, which occurs over around 18 months.

The Specialty Trainee would be offered an opportunity to run a group for patients with Borderline Personality Disorder with Dr Mizen and to participate in the liaison with psychiatric teams which takes place alongside this service.  This would include offering consultation under supervision to psychiatric wards about management of PD patients who are frequently admitted to hospital.  In addition the trainee would have the opportunity to see patients under supervision for long term or brief individual psychodynamic therapy, cognitive analytic therapy or cognitive behaviour therapy. Trainees can take on patients from P&PT waiting lists to broaden their therapeutic experience. There would also be opportunities to become involved in family therapy and to gain experience in assessing patients for psychotherapy under supervision.  There are regular opportunities for teaching in the department to SHOs and medical students as well as to trainee therapists. There are opportunities to participate in the new MSc in Psychotherapy being run in conjunction with Exeter University.  This can lead to UKCP accreditation in systemic family therapy or BPC accreditation for psychodynamic therapy for interested trainees.

The Psychotherapy department occupies spacious facilities, recently refurbished within the main hospital building at Wonford House with a number of rooms available for individual and group therapy as well as a family therapy suite with two way screen and video equipment. The Specialty Trainee would have access to office space throughout the week.  The service has a full time secretary.

TIMETABLE

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M.

9.30  Individual Patient

10.30  Psychotherapy Assessment

12.00 - 1.00  Supervision with Consultant

TBA

9.30 - 11.00  Group for borderlines with Dr Mizen

11.00 - 1.00  Patient/Admin

9.30  Patient

11.00 - 1.00  Supervision of PD Projects, Academic Programme, Departmental Meeting

TBA

P.M.

Audit, Teaching, Supervision, Clinical Work

Special Interest

Monthly Specialty Trainee Meeting 2nd Monday of month

Academic Afternoon

Research

 ON CALL    1: 20 with Consultant Cover 

 

 


Post Information

POST General Adult Community Psychiatry
TRAINER Dr Andrew Moore
EMPLOYING TRUST Devon Partnership NHS Trust
TRAINING BASE North Devon District Hospital (NDDH), Raleigh Park, Barnstaple, EX31 4JB and The Gables, 1 Belmont Rd, Ilfracombe, EX31 8DR
JOB DESCRIPTION This post offers both a broad-based general adult psychiatry experience, and experience in management and leadership, in a beautiful part of Devon. The post involves training and working with Wellbeing &Access, and Recovery & Independent Living community teams based at Riverside (Barnstaple) and The Gables (Ilfracombe) covering a population of c52,000. We also provide medical input to the STEP (Specialist Team for Early Psychosis) and Assertive Outreach Teams, as well as liaising with the CRHTT and Acute IP wards. There is a new Liaison service in NDDH with opportunities for training/experience if desired. Dr Moore is the Clinical Director for the Adult Directorate (covering the whole Trust), so there is ample opportunity to gain experience in management and clinical leadership. Thus the post is an excellent one for trainees wishing to develop their overall "generic" clinical skills whilst being able to still focus on specialist areas too, and gain wider management/leadership skills. Inpatient/CRHTT work is led by Dr Gilhooly and his team, and there are 3 other community based Consultants (one of whom, Dr Kerry Jonsson, is p/t in Dr Moore’s team) making up a small but friendly locality.

Dr Moore has interests in Medical Management, Teaching/Medical Education and Spirituality in Mental Health, but trainees will be equally supported to pursue their own interests. There are good relationships with local GPs so trainees will be encouraged to build on this, e.g. with practice visits. There is also an active Postgraduate Training programme with weekly meetings and a Journal Club which trainees of all grades are expected to contribute to.

On call experience can be arranged to suit the individual trainee. Section 12 training/approval is encouraged, and plentiful experience can be gained in Community Mental Health Act Assessments, CTO’s (including CTO Tribunals) and S136 work.

TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

9-1 pm OPC Riverside(Dr Jonsson)

Or management work with Dr Moore

9.30-11am Consultant &SpR meeting, NDDH

11-1pm Postgraduate seminar, NDDH

9-11am CMHT meetings, R’side, adhoc appts/CPA’s

11.30-12.00 (once monthly) STEP, R’vale

Special Interest

9.30-1.00 OPClinic, Gables

P.M

Admin/SPA time

Or management work with Dr Moore

1-2pm Journal club NDDH

2-5pm Flexible: Adhoc appointments, CTO managers hearings, clinical admin, DVs

12-1.30pm CMHT educational/business meet (alternate fortnightly)

2.30-5pm OPC Gables, Ilfracombe

Special Interest

1-2 PM Supervision

2-5PM Admin/audit

 

 

 


Post Information

POST General Adult Psychiatry
TRAINER Dr Giovanni Salvi
EMPLOYING TRUST Devon Partnership NHS Trust
JOB DESCRIPTION The Specialty trainee will be working alongside Dr Salvi with the Community teams in Exeter. Dr Salvi works across 4 teams: Assessment team (MHAT), two Mental Health and Recovery teams (MHAR) and finally a Psychosis team (PAR). This means that the trainee will have exposure to the whole journey of recovery for patients within community teams, from referral on to discharge back to primary care. This includes working with the Early intervention in psychosis and assertive outreach functions of the psychosis team. Particular experience can be gained in the assessment and management of risk in the community, in partnership with patients and carers. Dr Salvi is the Responsible Clinician for patients on a Community Treatment Order, as well as the Psychiatric Supervisor for patients with a forensic history who are conditionally discharged in the community (Section 37/41). Dr Salvi and the MHAR teams work closely with the Personality Disorder Service in Exeter at the Iris Centre, and the trainee can have the opportunity to develop their skills with this patient group with good support and supervision.

Academic activities include attendance at the weekly Journal Club and Case Conference at Wonford House. There may be possibilities of gaining experience in research, liaising with the R&D department at Wonford house. The senior trainee can become involved in the supervision of the CT2 working with Dr Salvi, if they have an interest in this.

Dr Salvi trained in Verona, Italy and spent 3 periods of time working as a full time researcher at the WHO training centre in Verona, Italy, as well as at the Institute of Psychiatry in London, publishing 8 papers. Dr Salvi has been a substantive Consultant in the NHS since 2006: he worked in Bristol as a community psychiatrist for 6 years, and then in Exeter as an Inpatient Psychiatrist at the Cedars for 2 years and a half. He has moved to this Community post in January 2015. Dr Salvi has a personal interest in psychotherapy and practices following a bio-psycho-social approach. Dr Salvi has been the supervisor for 2 SpRs and a number of junior doctors at different stages of their training. Dr Salvi has been named “Educational Supervisor of the year 2013/14” in Exeter given the feedback by the F2 doctors he supervised. Dr Salvi is the Principal Investigator for Devon in a research project on the genomics of agranulocytosis of schizophrenia.

 

 

WEEKLY TIMETABLES:


TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M.

Clinic

MHAR team meetings/Academic programme

Research/Special Interest

Clinic

Emergency Assessments

P.M.

PAR team meeting

Admin

Research/Special Interest

Supervision with Dr Salvi

Admin

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Clinic

MHAR team meetings/Academic programme

Clinic

Supervision of CT2/SPA

Assessments

P.M

PAR team meeting

Clinic

Admin

Supervision of SpR/Clinic

Assessments

 ON CALL:    1:14 with Consultant Cover

  


 Post Information

POST Community Psychiatry and Early Intervention In Psychosis
TRAINER Dr Antony Thekkepalakkal
EMPLOYING TRUST Devon Partnership Trust
JOB DESCRIPTION This is an exciting opportunity for ST4-6 trainees to work in a diverse setting in the community covering a large but predominantly rural area of outstanding natural beauty. The trainee would be a much valued member of the Early Intervention in Psychosis (STEP) Team (South and West Devon ) & the adult Community Mental Health Teams (Teignmouth/Dawlish area).  The trainee would join a skilled and experienced multi-professional team which includes a Consultant Psychiatrist (Educational and clinical Supervisor) based at Estuary House, Newton Abbott, Devon.

The trainee would have opportunity to work flexibly either across the 3 teams ( CMHT, Mental Health Assessment Team and the STEP team ) or focus on a specific team(s) based on their interests, clinical experience and learning needs. The trainee could also develop his/her confidence and leadership skills by providing psychiatric input to the team working in a particular geographical area with regular supervision and the support of an efficient medical secretary. Our award-winning STEP team works with young people (age range 14 to 35) with first episode psychosis, sharing the positive and forward looking EI ethos adopting an assertive but befriending model of care for up to three years often in close collaboration with other local services including CAMHS. There are ample opportunities to gain experience of working with families and to learn CBT based techniques as well as psycho-educational skills from a well-motivated, enthusiastic and friendly team. By working with the functional network teams, the trainee would gain valuable experience in the clinical management of patients in the community with an emphasis on the Recovery principles. The teams comprise of experienced clinicians and the trainee could learn to develop and maintain close working links with GPs, service user/carer groups (e.g.: Be Involved Devon), voluntary sector (e.g.: Rethink), other local Trusts (e.g.: Community Care Trust) and the private sector (e.g.: Community of St. Antony and St. Elias, Totnes) which would benefit the trainee immensely in their transition process from being an StR to a Consultant psychiatrist.

I have completed my basic and specialist psychiatric training in the South West Peninsula. I have local knowledge and experience of the system and I am keen to support the trainee to meet and/or shadow other senior clinicians, clinical/medical directors, Chief Executive and the Trust managers in order to develop their knowledge and understanding of the new Clinical Directorate as well as the role of clinicians in management within the modern NHS structure. This post also offers opportunity to teach medical students during their local SSU placements (‘Road to Recovery’) and the FT/CT doctors at Journal clubs/Case Conferences/Tutorials/ Audit meetings/ MRCPsych exam practice sessions in South Devon. The trainee would be encouraged to be innovative and take on clinical audit and service evaluation projects that might be of interest to them. Research and other special interests would be fully supported in this post. The trainee would be encouraged to do Section 12 MHA work/training and attend educational courses/events for CPD/NHS appraisal purposes. Mentorship via the Deanery will be supported. They would also receive support for their WPBA with a view to achieving a satisfactory ARCP while working towards a Certificate of Completion of training (CCT) and obtaining a Consultant job in the NHS.

The trainee would be expected to provide advice for (and attend if required) any emergencies and requests for Mental Health Act assessments of patients at Torbay hospital, POS suite, Police Custody and in the community (Torbay, Teignbridge, part of South Hams area). They would also be expected to advise/support the junior doctors (FT/ST 1-3) who will be 1st on call in psychiatry. There would be a consultant on call along with the ST4-6 trainee, for clinical supervision and support. Trainees could also attend the out of hours supervision group conducted by the new liaison psychiatry team at Torbay Hospital.

 

WEEKLY TIMETABLES:


TRAINEE TIMETABLE: 

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

CLINIC

TEAM MEETING

CLINIC

12:00: Supervision

STEP team meeting ( optional )

Special Interest session

Urgent clinical work

P.M

CLINIC

Monthly EDUCATIONAL MEETINGS or Management meetings or clinic admin

CLINIC

Or trainee peer group

Research Session

Clinical Admin

ON CALL   1 in 11 as part of the senior trainee/consultant rota at Torbay hospital.

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

CLINIC

TEAM MEETING

CLINIC

12:00: Supervision of trainee

CLINIC/urgent clinical work

SPA

P.M

CLINIC

Monthly EDUCATIONAL MEETINGS or Management meetings or clinic admin

CLINIC

CLINIC ADMIN

SPA

 

 


 Post Information

POST General Adult HTT
TRAINER Dr Subhash Gupta
EMPLOYING TRUST Devon Partnership Trust
JOB DESCRIPTION It is a General Adult Community Psychiatry Post based at Chadwell Centre, Paignton. Torbay South CMHT is one of the three Community Psychiatry Teams, the other two being North and Central. This team covers referrals from South of Paignton and Brixham. Bulk of the work involves giving advice to recovery coordinators about the patients on their work load, and seeing patients in outpatients for assessment and management to help them with their recovery (Community is where recovery happens!).

AS the time table shows, we spend 2 sessions a week with the Assessment Team where Senior Mental Health Practitioners assess cases and then discuss with us to formulate further assessment and management plan. We also examine some of these patients to give our input into diagnosis and management.

This will be a busy post with lots of requests for consultations and appointments from recovery coordinators and duty workers with a lot of scope for hands on experience in assessing and managing patients in general  adult psychiatry, with the full realm of  diagnoses such as Psychosis, Anxiety Disorders, Mood Disorders and Personality Disorders. The trainee will also experience and get equipped with various treatment modalities and resources available to manage these patients towards recovery.

The supervisor (Dr Subhash Gupta) is an Associate Clinical Director and the trainees will have scope for managerial experience during the posting- such as attending meetings related to managerial and strategic decisions, with or on behalf of the supervisor. The supervisor has been the Psychiatry lead for the Peninsula Medical School  in the past, and has had an active role in organising some modules of the MRCPsych Course- and intends to get engages in similar roles in the near future, having already expressed an interest. Once this comes through, the trainee will have ample opportunities to get involved in teaching medical students and core trainees.

 


WEEKLY TIMETABLES:


TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

MHAR Team- Clinic for patients on MHAR team.

LOAD- Patients booked on request of recovery coordinators

2-3 patients

Team meeting 9:30-11

Supervision: 12noon-1 PM

MHAT team- assessments and discussions with SMHPs- New patients- at Torbay Hospital- discussion with consultant after assessment.

PAR team- Clinic for patients on PAR team

LOAD- patients booked on request of recovery coordinators

2-3 Patients

Research

P.M

MHAR Team- Clinic for patients on MHAR team.

LOAD- Patients booked on request of recovery coordinators

2-3 patients

Local educational meeting once a month/time for trainee for portfolio/other educational/training activities/ADMIN TIME

MHAT team- assessments and discussions with SMHPs- New patients- at Torbay Hospital- discussion with consultant after assessment

PAR team- Clinic for patients on PAR team

LOAD- patients booked on request of recovery coordinators

2-3 Patients

Special interest

 

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

MHAR Team- Clinic for patients on MHAR team.

LOAD- Patients booked on request of recovery coordinators

2-3 patients

Team meeting 9:30-11

Supervision 12noon-1 PM

Discussions with recovery coordinators/advice via email

MHAT team- assessments and discussions with SMHPs- New patients- at Torbay Hospital- discussion with consultant after assessment.

PAR team- Clinic for patients on PAR team

LOAD- patients booked on request of recovery coordinators

2-3 Patients

Discussions with recovery coordinators/ advice via email

P.M

MHAR Team- Clinic for patients on MHAR team.

LOAD- Patients booked on request of recovery coordinators

2-3 patients

Local educational meeting once a month/PEER GROUP/SPA

MHAT team- assessments and discussions with SMHPs- New patients- at Torbay Hospital- discussion with consultant after assessment.

PAR team- Clinic for patients on PAR team

LOAD- patients booked on request of recovery coordinators

2-3 Patients

SPA/ Admin time

 

 


 

Post Information

POST Liaison Psychiatry
TRAINER Dr Tom Manders
EMPLOYING TRUST Devon Partnership Trust
TRAINING BASE

Haytor Unit, Torbay Hospital

JOB DESCRIPTION

The Torbay Liaison Psychiatry Service was formed in 2011 and provides a service to working Age and Older Adults attending Torbay Hospital ED or admitted to the Wards. It is provided by the Devon Partnership Trust but hosted by the Torbay and South Devon acute trust. The service is currently provided 8am-10pm weekdays and 9am-5pm weekends. It is planned that the service will expand to 24hr working.

The work can involve anything from brief consultations with medical teams, to in depth biopsychosocial assessment and multidisciplinary management.  The work is predominantly in the wards and the ED, but also offer some short term follow up to outpatients and work jointly with health psychology on individual cases.

The team currently has 8 Band 6 Senior Mental Health Practitioners  a Practice Lead, and Clinicall Team Leader with full administrative support. The medical staff currently includes 2 Foundation doctors  and 1 consultant psychiatrist (with a second consultant joining the team in 2018).

The service is located the Haytor Unit, a mental health unit on site at Torbay Hospital in Torquay. Patients are seen in the Emergency Department, Emergency Admission Units and inpatient wards at the Torbay Hospital.

This post would suit an old age trainee, a general adult trainee, or a trainee who was considering working in Liaison Psychiatry.

In addition to the allocated sessions for educational and clinical supervision, there will be regular clinical contact with the consultant for discussion of cases etc. The timetable for the ST4-6 trainee is flexible and will depend on the training needs of the doctor. It is anticipated that the workload will consist of a mixture of reviews, consultation advice and support to the team and acute medical staff, together with single handed and multi-disciplinary assessments.

The cornerstone of liaison psychiatry work is education and it is expected that the higher trainee would take part in teaching programmes in the general hospital for junior doctors and nursing staff.

Any pre-existing special interest sessions and research projects would be fully supported.

Dr. Manders is happy to work with the trainee to develop special interests and research projects. The team have close links with both the trust Research and Development department and medical consultants and teams in the acute trust.

Audit or quality improvement projects would be strongly encouraged and fully supervised.

There is a well attended journal club and education meeting every month.  The trainee may also wish to consider attending medical grand rounds or Schwarz rounds in the acute trust.

Dr Manders has been a consultant for five years and is familiar with the training needs of ST4-6s and the preparation required for consultant interviews and transition. He has interests in Quality Improvement, ECT and Teaching.

 

WEEKLY TIMETABLES

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

09:00-09:30
Clinical Team Meeting

Liaison Work in Torbay Hospital

09:00-09:30
Clinical Team Meeting

09:00-10:00
Monthly Supervision

09:00-12:00
Monthly Liaison Governance Meetings

09:00-09:30
Clinical Team Meeting

09:00-10:00
Monthly Team Business meetings

09:30 -10:30
Monthly Team Group Supervision

Liaison Work in Torbay Hospital

09:00-09:30
Clinical Team Meeting

10.00-11.00
Supervision with ST Trainee

11:00-12:00
Supervision with Foundation doctors

09:00-09:30
Clinical Team Meeting

 Liaison Work in Torbay Hospital

P.M

Liaison Work in Torbay Hospital

12:00-13.00
Monthly ED Governance meetings

13:00-17:00
Monthly Local Academic meeting

16:00-17:00
Monthly Peer Group

Liaison Work in Torbay Hospital

12:00-13.00
Monthly EAU Governance meetings 

Liaison Work in Torbay Hospital

Liaison Work in Torbay Hospital

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

09:00-09:30 Clinical Team Meeting

Liaison Work in Torbay Hospital

09:00-09:30 Clinical Team Meeting

Liaison Work in Torbay Hospital

09:00-09:30
Clinical Team Meeting

09:00-10.00
Monthly Team Business meetings

09:30 -10:30
Monthly Team Group Supervision

Liaison Work in Torbay Hospital

09:00-09:30
Clinical Team Meeting 

09.30-10.00
Liaison Team Teaching

10.00-11.00
Clinical / Educational Supervision

09:00-09:30 Clinical Team Meeting

Liaison Work in Torbay Hospital Research / Special Interest

P.M

Liaison Work in Torbay Hospital

13:00-17:00
Local Academic meeting (monthly)

Liaison Work in Torbay Hospital

Liaison Work in Torbay Hospital

Liaison Work in Torbay Hospital

Research / Special Interest

ON CALL: 1 in 20, Second on call, non-resident, with Consultant Cover

 


Post Information

POST

Liaison Psychiatry

TRAINER

Dr Tom Smith

EMPLOYING TRUST

Devon Partnership Trust

TRAINING BASE

Wonford House Hospital Exeter/ Royal Devon and Exeter Hospital

JOB DESCRIPTION

The Exeter Liaison Psychiatry Service was formed in 2014 through the merging of the “working age” and older adult liaison services. It is provided by the Devon Partnership Trust but hosted by the Royal Devon & Exeter acute trust. The service runs 24/7.

The work can involve anything from brief consultations with medical teams, to in depth biopsychosocial assessment and multidisciplinary management.  The work is predominantly in the wards and the ED, but we are expanding into outpatients, working with IAPT, and health psychology.

The team has over 50 members, including 26 Band 6 Senior Mental Health Practitioners (from nursing OT and social work backgrounds), and full administrative support. There is a band 7 Clinical Team Leader, together with two practice leads. The medical staff currently includes 2 FY1s, 1 FY2, 1 CT, 2 STs, and 4 consultant psychiatrists (one seconded to research, and one locum). The liaison service is also host for one of the medical student psychiatry attachments.

The service is located at Wonford House Hospital in Exeter. Patients are seen in the Emergency Department, Medical Admissions unit and inpatient wards at the Royal Devon and Exeter Hospital, which is next door to Wonford House.

This post would suit an old age trainee, a general adult trainee, or a trainee who was considering working in Liaison Psychiatry.

In addition to the allocated sessions for educational and clinical supervision, there will be regular clinical contact with the consultant for discussion of cases etc. The timetable for the ST4-6 trainee is flexible and will depend on the training needs of the doctor. It is anticipated that the workload will consist of a mixture of reviews, consultation advice and support to the team and acute medical staff, together with single handed and multi-disciplinary assessments.

The cornerstone of liaison psychiatry work is education and it is expected that the higher trainee would take part in teaching programmes in the general hospital for junior doctors and nursing staff.

Any pre-existing special interest sessions and research projects would be fully supported.

Dr. Smith is happy to work with the trainee to develop special interests and research projects. The team have close links with both the trust Research and Development department and medical consultants and teams in the acute trust.

Audit or quality improvement projects would be strongly encouraged and fully supervised.

There is a well attended journal club and education meeting every month.  The trainee may also wish to consider attending medical grand rounds or Schwarz rounds in the acute trust.

Dr Smith has been a consultant for seven years and is familiar with the training needs of ST4-6s and the preparation required for consultant interviews and transition. He has interests in medical ethics and medical education.

 

WEEKLY TIMETABLES

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Not at Work

CPD, quality assurance, management

9-9:30
Clinical Team Meeting

Liaison Work in RD&E

9-9:30:
Clinical Team Meeting

Liaison Work in RD&E

09:00-10:00:
Clinical Team Boardround

 Liaison Work in RD&E

P.M

Not at Work

Education management

1600-1700
Educational Supervision

Liaison Work in Torbay Hospital

4-5 PM Educational or Clinical Supervision with two FY1 doctors

12:30 -13:30
Business meeting OR team reflective practice

Liaison Work in RD&E

Research / Special Interest Liaison Work in RD&E

 

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

9-9:30
Clinical Team Meeting

Liaison Work in RD&E

9-10:00
Clinical Team Boardround

Liaison Work in RD&E

9-9:30
Clinical Team Meeting

Liaison Ward Round 

12:30-13:00
Liaison Team Teaching

9-9:30
Clinical Team Meeting

Liaison Work in RD&E

09:00-10:00:
Clinical Team Boardround

 Liaison Work in RD&E Research / Special Interest

P.M

Not at Work Liaison Work in RD&E

1300-1700
Local Academic meeting (monthly)

Liaison Work in RD&E

1600-1700
Educational Supervision

Liaison Work in RD & E

12:30 -13:30

Business meeting OR team reflective practice

Liaison Work in RD&E

Research / Special Interest

ON CALL: 1 in 14, Second on call, non-resident, with Consultant Cover

 


Post Information

POST Psychiatry
TRAINER Dr Mary Murphy-Ford
EMPLOYING TRUST Devon Partnership Trust
TRAINING BASE

Iris Centre and Wonford House

JOB DESCRIPTION

i)    Direct Clinical Care  (please describe the main purpose of your job)

Two days of cover at the Iris Centre (Thursday and Friday) and 2 days on the Combined therapy programme and mentalisation based therapy (Mon/Tues). On Weds we have the bulk of our MDT meetings and staff meetings.

I run a psychodynamic group in the Iris centre and I am the consultant to two CTP supervision groups and to the MBT team. I take new patients for assessment to decide if they are appropriate for the PD service and if they are able to make use of therapy to help decide which therapy. In the Iris Centre I offer management meetings for patients whose behaviours have increased in risk and I attend the staff reflective spaces throughout the day at Iris to ensure senior cover in the team. Dr Mizen and I have divided the patient group by area, I cover the south and therefore at times see patients on the ward in Torbay or will see patients who are unable to travel to Exeter. I also tend to see patients with ASD as I have specialist training in this area and I see the under 18’s who are transitioning into adult services. I undertake on call duties which include section 12 daytime work and out of hours from home I provide senior cover for Exeter (Cedars/Franklyn Hospital) and mental health act assessments if required.

ii) Supporting professional activities (eg Training, Teaching, Audit, Research, Clinical Governance, CPD, Clinical Management)

I offer weekly supervision to the ST trainee and informal supervision when we have a core trainee (usually supervised by Dr Mizen). I teach psychotherapy to the medical students and the core trainees. I undertake other training on an ad hoc basis (ie GP trainees) I attend the PD service’s monthly research meeting. I attend peer groups and supervision. I engage in clinical management of patients via supervision groups and the assessment workshop.

i)              Additional Responsibilities (eg Caldicott Guardian, Audit or Governance Lead, Clinical Tutor, Clinical Director/Lead Clinician)

None

i)              Other Duties (eg Trade Union activities, AAC external member, work for Royal Colleges, GMC, CHAI)

Member of the faculty of the Royal College of Perinatal Psychiatry

Vice-Chair of the MAC

 

WEEKLY TIMETABLE

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

MAC x4 year

Meeting with Senior staff

CTP superivison group

CTP supervision group

MBT supervision group

Referrals meeting

9-10 Admin/ supervision

10-11 Admin

11- MDT

12 Management/Governance

Research half day

DCC/Admin

Assessment workshop

P.M

DCC/ admin

PD Hub/Outreach meeting

Supervision with trainer MMF

2-3 Strains (fortnightly)

Or other meetings (Audit/research)

3:30-4:30 Team supervision

Half day of special interest time

DCC/ admin

ON CALL: See attached document Dimitrelis.pdf re on call. Weekly clinical supervision with Mary Murphy-Ford

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

MAC x4 yr

Meeting SM 9-10:30 (Iris)

Analytic group 11-12:15

DCC 1.0

CTP supervision group 9-10

MBT Supervision Group 10:30-11:30

11:30 Referrals meeting

DCC 1.0

9-10 Admin/ supervision

10-11 Admin

11- MDT

12- Management

DCC 0.5

SPA 0.5

Patient assessments, review, management meetings 

DCC 1.0

Patient assessments, review, management meetings

DCC 1.0

P.M

Outreach and repatriation meetings patients with outreach PSP’s

DCC 1.0

12-3 Outreach and Consultation (fortnightly)

3 supervision with Trainee KD

DCC 0.5

SPA 0.5

1-2 SMT

2-3 Strains (fortnightly)

Or other meetings (Audit/research)

3:30-4:30 Team supervision

SPA 1.0

Patient assessments, review, management meetings

DCC 1.0

Supervision with Trainee AW

Patient assessments, review, management meetings 

SPA 0.5

DCC 0.5

 


 

Post Information

POST General Adult Psychiatry
TRAINER Dr Dimitrios Tsiakiris
EMPLOYING TRUST Devon Partnership Trust
TRAINING BASE South Hams & West Devon UIC (Crisis Resolution & Home Treatment Team, Glenbourne MHU)
JOB DESCRIPTION

The post is a substantive 1WTE Consultant Psychiatrist for the CRHT team covering South Hams and West Devon. I work across two organisations – Devon Partnership NHS Trust and Livewell Southwest and I believe that this is a great advantage as it gives us the chance to work across organisational boundaries and obtain insights in different ways of working. Specifically, I am responsible for the in-patient care of adults of working age from South Hams and West Devon that are admitted to Glenbourne MHU, which is run by Livewell Southwest (service level agreement for 6 beds). Glenbourne MHU has two single sex wards (Bridford ward – females, Harford ward – males) and they have recently received an outstanding rating by the CQC. I also provide consultant input to the CRHT team, which covers both adults of working age and older adults. I provide medical expertise input to the team’s daily morning meeting, review urgent referrals and I have a particular role in assessing patients presenting with complex diagnostic or medical needs. CRHT team covers a large, rural geographic area, we provide support to Primary Care, we co-ordinate and provide MHA assessments during working hours (gate-keeping for admissions to hospital) and we provide our services over the weekends, as well. CRHT also supports medical staff in locating and negotiating funding for beds. Over the last two years, we have established regular meetings (3-monthly) with GPs and other Primary Care staff as a means of creating a mutual understanding of challenges and supporting our colleagues.

I am educational and clinical supervisor for a WTE CT1-3 doctor and clinical supervisor for GP trainees (from the Plymouth rota). The feedback that we receive from the Deanery is very positive, stating that they receive complimentary comments by the trainees and that they would be keen in developing this relationship further. I am named Clinical and Educational Supervisor for the Medical Education South West training programmes, an assessor for the Peninsula Medical School, and one of the guest lecturers at the Peninsula MRCPsych course. In addition, I am taking part in the Mock CASC exams for psychiatry trainees. I also deliver regular Grand Round presentations at the Wednesday CPD sessions at Mount Gould Hospital and I frequently give presentations to members of my CRHT for various topics that are relevant to our scope of work. I also supervise Non Medical Prescribers throughout their training and their everyday clinical practice. Lastly, I am a trained mentor and I can support other professionals and I frequently attend meetings with my mentor as a mentee.

I take part in the Plymouth on-call rota providing out-of-hours cover for patients over 18 at Plymouth city and supervision to trainee doctors. Furthermore, I provide cover for the APOS at Glenbourne MHU and the Charles Cross Custody Police Centre, the outlying rehabilitation units of the area (Gables, Plympton, Waterleat, Mount Gould Hospital), the older person’s inpatient units (Mount Gould Hospital) as well as the low secure unit at Lee Mill, Ivybridge.

As a Consultant Psychiatrist, I frequently attend MHA Tribunals/Managers Hearings as the RC for patients detained in hospital. Since 2017, I am one of the Medical Scrutinisers of the MHA paperwork for Glenbourne MHU and Derriford Hospital MHA offices. There is a monthly rota, which consists of 4 Consultant Psychiatrists that volunteer to help.

I regularly attend the CPD programme with Livewell Southwest on Wednesday and I am a member of a Peer Group with other fellow Consultants in DPT who meet on a monthly basis. However, given that I work across two organisations, I am also part of a LSW Peer Group that meets once every two months. 

Please note on the timetable below that each morning the day starts with the Clinical meeting in the CRHT (discussion and updates about patients on our case-load – community, inpatients, out of area), which usually lasts for an hour.

 

 

WEEKLY TIMETABLES

 

TRAINEE TIMETABLE

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

AM

CRHT clinical brief meeting 

Emergency work, patient reviews, MHAAs, clinical admin work/letters (CareNotes, Systems1), MHT reports/hearings, inpatient reviews Glenbourne MHU

CRHT clinical brief meeting

 

Emergency work, patient reviews, MHT hearings/reports, Inpatient review Glenbourne MHU
CPD, Special Interest, Research etc.

CRHT clinical brief meeting

 

MDT meeting Glenbourne MHU

 

WARD ROUND Glenbourne MHU

CRHT clinical brief meeting

 

Emergency work, patient reviews, clinical network meetings, MHAAs, MHT hearings/reports
PM Emergency work, patient reviews, clinical network meetings, MHAAs, MHT hearings / reports Emergency work, patient reviews, clinical network meetings, MHAAs, MHT hearings/ reports CPT, Cpecial Interest, Research etc

WARD ROUND Glenbourne MHU, Glenbourne MHU meeting

Emergency work, patient reviews, MHAAs

Emergency work, patient reviews, clinical network meetings, MHAAs

Trainee supervision protected time

ON CALL- Frequency 1:12. We take part in the Plymouth on-call rota providing out-of-hours cover for patients over 18 at Plymouth city. Furthermore, we provide cover for the APOS
                at Glenbourne MHU and the Charles Cross Custody Police Centre, the outlying rehabilitation units of the area (Gables, Plympton, Waterleat, Mount Gould Hospital), the older
                person’s inpatient units (Mount Gould Hospital) as well as the low secure unit at Lee Mill, Ivybridge.

Junior Doctors and Speciality Doctors are in support as well as the Home Treatment team (24/7 service) and the Psychiatric Liaison Service at Derriford Hospital.

Supervision is being provided by the on-call Consultant Psychiatrist during out-of-hours and there is weekly Liaison Supervision meeting each Wednesday morning.

 

 TRAINER TIMETABLE

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

AM

CRHT clinical brief meeting

 

Emergency work, patient reviews, MHAAs, clinical admin   work/letters (CareNotes, Systems1), MHT reports/hearings, inpatient reviews   Glenbourne MHU

CRHT clinical brief meeting

 

Emergency work, patient reviews, MHT hearings/reports,   Inpatient review Glenbourne MHU

CRHT clinical brief meeting

 

SPA TIME

NMP supervision, leadership PA, CPD time

Mount Gould hospital

CRHT clinical brief meeting

 

MDT meeting Glenbourne MHU

 

WARD ROUND Glenbourne MHU

CRHT clinical brief meeting

 

Emergency work, patient reviews, clinical network   meetings, MHAAs, MHT hearings/reports

PM

Emergency work, patient reviews, clinical network   meetings, MHAAs, MHT hearings/reports

 

Emergency work, patient reviews, MHA assessments, MHT   hearings/reports

SPA TIME

CPD time, Peer group meetings, professional admin,   external training, LDU directorate meeting, BBC radio Devon (monthly),   research activity – role of PI

 

WARD ROUND Glenbourne MHU, Glenbourne MHU meeting

 

+

emergency work, patient reviews, MHAAs

Emergency work, patient reviews, clinical network   meetings, MHAAs

 

SPA TIME

CPD, audit, benchmarking, mentoring, leadership PA

Trainee Supervision protected time





POST INFORMATION

TRAINING POST Perinatal Psychiatry
TRAINING BASE Jasmine Lodge MBU, Wonford House Hospital
TRAINER  Dr Laurie Windsor
JOB DESCRIPTION

This post on a Mother and Baby Unit is an unique opportunity for trainees to gain an experience in perinatal psychiatry. The Mother and Baby Unit and associated Outreach Team is a national specialist service that provides in-patient care for Cornwall and the Isles of Sicily, Devon and Somerset.

There are eight beds for mothers and their babies and an outreach team that works across three counties. The Outreach team will complete assessments and reviews on in-patient wards and community settings. It consists of six full time equivalent band 7 practitioners and medical input from the core trainee, speciality doctor and consultant.

The trainee will be involved in out-patient assessments and reviews with the perinatal community mental health team. This will be working alongside Dr Jo Black a full time consultant perinatal psychiatrist who is also the associate national clinical director for perinatal mental health for NHS England. She is present clinically for advice and support on Monday and Tuesday as well as attending the out-patient clinics and MDT meetings with the higher trainee.

As the year progresses I will aim to support the higher trainee to complete more independent assessments or reviews. I will either be present to supervise these or I will on the ward or contactable by phone at all times during working hours. Supervision will occur once a week. Dr Windsor has five years experience of being a consultant trainer and has been involved in post-graduate education. I will work with the trainee to ensure that they have clear learning outcomes and that they meet these during the placement.

There will opportunities to complete audits, quality improvement projects and to be involved on-going research that the perinatal service is involved with. There will also be opportunities to be part of mindfulness and other therapeutic groups.



WEEKLY TIMETABLES

TRAINEE TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM

09.30-12.30

Out-patient clinic alongside Dr Jo Black – Torbay Hospital

09.30.12.30
Out-patient clinic alongside Dr Jo Black (Women’s Health – RD&E)

09.00 – 12.00
Outreach and In-patient Team MDT case review

Day for Quality Improvement, Research, Education, Leadership or Clinical Opportunities. Joint visits with the Outreach Team (an assertive community team based at the MBU)
PM

14.00-15.00
Torbay Team MDT Meeting

15.00-17.00
Paperwork or home visit

14.00-15.00
Exeter Team MDT Meeting

15.00-17.00
Paperwork or home visit.

13.00-14.00 – Supervision with Dr Laurie Windsor

Joint visits with the Outreach Team (an assertive community team based at the MBU)
Day for Quality Improvement, Research, Education, Leadership or Clinical Opportunities. Joint visits with the Outreach Team (an assertive community team based at the MBU)

ON CALL-  On call is currently 1 in 14. The nature of the duties includes provide telephone support to junior doctors, face to face assessments on mental health wards if junior doctors require
                support and mental health act assessments.
                There will always be a consultant psychiatrist on call to provide telephone and face to face support if required.

Further clinical supervision can be providing by Dr Windsor in the weekly one hourly supervision sessions. In practice as a Mother and Baby Unit consultant I will be present or contactable by
phone at all times between 9-5

 

TRAINER TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM

09.00-11.30
Monday Morning MDT Meeting

11.30-12.30
Ward and paperwork.

09.00- 09.30
Morning MDT Handover

09.30 – 12.30
Ward rounds/ CPAs/ Professional Meetings

09.00 – 12.00
Outreach and In-patient Team MDT case review

Supporting Professional Activities (Leadership or Management Activities)

CPD/Peer Group, Governance/audit and External duties

09.00- 09.30
Morning MDT Handover

09.30-13.00
Emergency Reviews for Ward and Outreach Team

PM 13.00-17.00
Ward Reviews

14.00-15.00
Supervision of Junior Doctor

15.00-16.00
Supervision of Speciality Doctor

13.00-14.00
Supervision of Higher Trainee

14.00-15.00
Supporting Professional activies (Leadership or Management Activies, CPD/ Peer group) 

15.00-17.00
Advice and assessments for the Outreach Service

14.00-17.00
Advice and assessments for the Outreach Service

14.00 – 17.00
Emergency reviews for Ward and Outreach Team. Paperwork

 

 


 

POST INFORMATION

TRAINING POST General Adult Psychiatry
TRAINING BASE Exmouth CMHT, ST Johns Court, Exmout
TRAINER Dr Liz Frayn
JOB DESCRIPTION Exmouth is a busy CMHT covering adults of working age in Exmouth and surrounding area, including Woodbury and Budligh Salterton. Dr Frayn also covers the early intervention team for the area, and this is a good opportunity for a trainee with an interest in early intervention to gain experience of working independently with supervision. The details of the time table outlined above are very flexible, and the trainee will be very much encouraged to focus on aspects of the job they are particularly interested in.

 

WEEKLY TIMETABLES

TRAINEE TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM Options: clinic in Exmouth, alternating with MH assessment team day in Exeter (seeing new referrals with SMHPs Exmouth CMHT MDT meeting 10.30am (possible monthly attendance at Exeter east and mid early intervention team MDT meeting) Admin time Clinic (CMHT clients) 12-1: supervision with Dr Frayn special interest day
PM As above Admin time Monthly education meetings Clinic (early intervention clients) special interest day

ON CALL-Higher trainees are part of the consultant rota, with a consultant also on call at all times to support. Currently around 1:22 nights and weekends on call. Issues arising on call can be discussed in weekly supervision.

 

TRAINER TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM Alternate Mondays: MHAT clinic in Exeter OR seeing patients newly referred to CMHT in Exmouth 9am: new referrals discussion with team manager 10.30am: Exmouth CMHT MDT meeting Admin/SPA (includes organisation of monthly teaching, mentoring of new consultant colleague) All day clinic: CMHT clients 12-1pm: supervision for trainee NON-WORKING DAY Consultant cover provided if required
PM As above Clinic: early intervention and EMHT clients As above    

 


 

POST INFORMATION

TRAINING POST General adult psychiatry
TRAINING BASE Wonford House Exeter
TRAINER Charles Dixon
JOB DESCRIPTION

This is a post in rehabilitation psychiatry and comes at an exciting time as the rehabilitation service is being re-developed in order to provide help to more people with a diagnosis of psychosis in a more flexible way. There will be an 8 bedded open rehabiliation ward with patients aiming for stabilisation on the ward before they are transferred into the community where the rehab team will continue to work with them for up to one year to build their recovery in the community they are going to live in.

The post will enable a trainee to be involved in seeing patients both on the ward and in the community. Once the senior trainee is settled in they will have the opportunity to take a lead in the care of a small group of patients with consultant support and follow them from stabilisation on the ward to increasing recovery and independence in the community.

We are a recovery focused service that works with people in a holistic way. The trainee will get experience of medication and the mental health act but also the use of therapy and less mainstream treatments. The trainee will also be encouraged to attend the recovery learning college and consider co-producing a course for them in an area they are interested in.

Any questions feel free to contact Dr Dixon on charlesdixon@nhs.net or call 01392 208806

 

WEEKLY TIMETABLES

TRAINEE TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM MDT patient discussion Supervision with consultant Ward reviews Team meeting Research/special interest Rehab OPAs MDT patient discussion
PM Rehab OPAs Ward reviews Admin Research/special interest Admin

ON CALL- 1 in 30 covering section 12 work and offering advice to core trainees. Clinical supervision provided by on call consultant at the time and if not urgent by trainer

 

TRAINER TIMETABLE

  MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
AM MDT patient discussion Core trainee supervision ST supervision Care pathways meeting Ward reviews Team meeting Non work day Rehab OPAs MDT patient discussion
PM Rehab OPAs Ward reviews SPA Non work day Medical student teachin