General Adult (Plymouth)

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 Alison Battersby Community Psychiatry with Experience in Addictions Avon House, Plymouth
Dr M Cooper General Adult Psychiatry Glenbourne Unity and Home Treatment Team
Dr Maung Oakaar Lee Mill low Secure Unt Livewell Southwest

 

 

Post Information 

POST Community Psychiatry with experience in Addictions
TRAINER Dr Alison Battersby
EMPLOYING TRUST Livewell Southwest
TRAINING BASE Avon House, Plymouth
JOB DESCRIPTION The general adult psychiatry component of this position covers a deprived area of Plymouth with high   comorbidity.  The Team is busy and dynamic with high incidences of dual diagnosis and forensic issues.  The Team approach is recovery orientated practice and the postholder will be coached to work in this style with both mental health and addiction issues.  

This post also offers exciting opportunities to work at the forefront of addictions treatment.  Dr Battersby is Academic Secretary for the Addictions Faculty of the Royal College Psychiatrists and this gives the trainee the opportunity to participate in national projects.  Opportunities exist for pursuing a research project during the post.  The postholder will gain the skills needed to thoroughly assess and work with people with any addition problem including sex, internet and gambling addictions.  The postholder will also learn how to prescribe for and detoxify individuals with addictions.  Opportunities also exist to learn about the preparation of medicolegal reports for asylum seekers who have experienced trauma/torture.

 

WEEKLY TIMETABLES

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Consultant Meetings Weeks 2 and  4

OPA weeks 1 and 3

Specialist Addiction Clinic Admin/Flexible Clinical Time

11.30 – 1.30 – CPD

Specialist Addictions Clinic STUDY/ RESEARCH DAY

P.M

OPA Supervision 2 – 3

General Adult MDT 3 - 4

MDT Broadreach Rehab and Clinic Broadreach Rehabs / Hamoaze House  

ON CALL:   1 in 6

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Consultant Meetings Weeks 2 and  4

Outpatient Clinic  weeks 1 and 3

Specialist Addictions Clinic Admin/Flexible Clinical Time

11.30 – 1.30 – CPD

Specialist Addictions Clinic Outpatient Clinic

P.M

OPA Supervision 2 – 3

General Adult MDT 3 - 4

MDT Broadreach Rehab and Clinic Broadreach Rehabs / Hamoaze House Admin

 

 

 


 Post Information

POST General Adult Psychiatry
TRAINER Dr M Cooper
EMPLOYING TRUST Livewell Southwest
TRAINING BASE Glenbourne Unit & Home Treatment Team (HTT)
JOB DESCRIPTION This full time equivalent (FTE) training post provides an ample opportunity to gain experience in managing acutely unwell mental health working age clients. The post is primarily based in Glenbourne Unit and has close liaison work with Home Treatment Team as a part of gate keeping admissions to this inpatient unit. This post is under Outer City Locality of HTT/Glenbourne Unit. The outer city locality caters to people living and registered with GP practices within outer city catchment area and works in close association with 3 Community Mental Health Teams (Central North East, Plym and North West localities). The populace of nearly 77400 people are covered by 27GP practices in this catchment area. As this area is deprived, the patients present with more complex psychosocial needs in addition to mental health needs and often carry dual diagnoses (with comorbid substance use, personality disturbances, learning difficulties and forensic involvements). The Integrated Care Pathways are being developed in lines with NICE & RCPsych Guidelines to manage these complex conditions. The inpatients are managed as voluntary or detained under Mental Health Act. Mostly admissions to Glenbourne are gate kept by HTT and discharged through the same route under newly developed Nurse Led Discharge Policy & facilitated by Satellite Service of HTT. 

The secondary mental health services are being redefined currently under QIPP & TCS agendas and apex services like Glenbourne & HTT are at the forefront of leading some quality improvement changes. The post holder would gain a greater understanding of these reforms and would provide a substantial support to teams working here. The post holder can accompany educational supervisor in some of these administrative meetings e.g., Consultant Psychiatrists Meetings on alternate Mondays and Glenbourne Development Meetings on once a month Wednesday mornings.

The clinical responsibilities include assessment of new admissions to Glenbourne (Outer City Clients), reviewing them on regular basis, liaise with GPs, carers or key workers, discharge planning and leading weekly multidisciplinary ward rounds and community clinical reviews each under direct supervision of trainer. Additional skills in preparing reports and representing RC in Mental Health Tribunal Reviews as needed. Sec. 12 (2) approval or training for the same would be required.

The post holder would be directly responsible to Dr. Michael Cooper, Consultant HTT & Glenbourne Unit. Trainee would also have opportunities to interact with Dr. Naresh Buttan, Consultant Psychiatrist covering inner city division of Glenbourne & HTT. The clinical supervision during day time would be available from Dr. Cooper, Educational Supervisor (in addition to protected 1 hr weekly session on Monday afternoon) and his team at Glenbourne & HTT.

The Glenbourne Unit has Foundation Year 2 Trainees posted for 4 months in each wards (Harford & Bridford). The post holder would be expected to provide work based supervision to the F2 Doctors in Bridford Ward. There are other teaching avenues.  Local MRCPsych teaching can be negotiated.  The University of Plymouth  Medical School sends 3rd & 4th year medical students for 3 weeks rotation in psychiatry and this post holder would be expected to provide clinical bedside teaching to them.  

The post holder would also be able to co-chair (Chair- Dr. Buttan) twice/thrice monthly case conferences presented by other trainees. The Journal Club and Case Conferences are held twice/thrice in a month for 1 hrs each on Wednesday mornings at Glenbourne Unit. Monthly once CPD and Grand Rounds each provide opportunities for this post holder to demonstrate their presentation skills as well. The presentation slot in these academic activities can be negotiated. The post holder would be expected to participate in an ongoing or fresh audit to demonstrate their research skills.

The trainer has a special interest in Psychotherapies having trained in Cognitive Analytic Therapy and Psychodynamic therapy and has links with the psychotherapy department which offers opportunities for formal psychotherapy training across several modalities.  There would be support and supervision for the trainee in developing a special interest in that area or any area of trainee’s choice depending upon the availabilities of resources.

Other information regarding pay scales, hours of working, leave arrangements will be laid out in service contract and can be obtained from Medical Staffing Department at Glenbourne Unit.

 

 

WEEKLY TIMETABLES

TRAINEE TIMETABLE: (Subject to variations)

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Visit Glenbourne Unit for new assessments/ reviews support Satellite service of HTT & F2 doctor in Glenbourne Unit

Option to attend Consultant Planning Meeting

Ward rounds with Trainer at Glenbourne

Academic activities at Glenbourne Unit (Balint Group, journal club, case conference)

Glenbourne Unit/ HTT as per the clinical needs

HTT/ Glenbourne (visits/ assessments)

P.M

HTT (Home visits/ assessments)

1 hour (protected) of supervision with Trainer

Special interest/ research/ academics 

Community Clinical Reviews at HTT

HTT (visits/ assessments)

Special interest/ research/ academic

The Home Treatment Team Consultant Psychiatrist is the first point of call for Mental Health Act assessments which the trainee will be encouraged to undertake as per their educational needs.

ON CALL:   Currently 1 in 10 with consultants on call. The on-call cover is to provide psychiatrist cover for Plymouth Area, A&E, HTT, Glenbourne and other peripheral units within the trust. The supervision as per the clinical need provided by on-call consultants.

 

TRAINER TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Consultant Meetings

Glenbourne Ward Rounds

Academics/CPDs/ Peer reviews

Psychotherapy supervision

Psychotherapy

HTT

P.M

Glenbourne/ Home Treatment Team

1 hour (protected) of supervision with Trainer

Glenbourne Ward Rounds

HTT Clinical reviews

HTT(visits/assessments)

HTT

 

 


 Post Information

POST Lee Mill Low Secure Unit
TRAINER Dr Maung Oakaar
EMPLOYING TRUST Livewell Southwest
JOB DESCRIPTION Lee Mill is a 12 bedded, Low Secure inpatient unit on the outskirts of Dartmoor, near Ivybridge. It is a city wide recovery service that provides multi-disciplinary care for males of adult age who experience severe and enduring mental health problems.

Lee Mill provides care and treatment for adult males who have severe and enduring mental health problems and complex needs including: autistic spectrum disorders, learning disabilities, drug and alcohol problems and acquired brain injury and are not experiencing an acute episode to enable people to work on their own recovery.

Some service users may have a history of offending behaviour, including persistent antisocial offending and serious offences resulting in harm to others and some may have been detained under the Mental Health Act (including forensic sections).

We are nationally commissioned by the South of England Specialised Commissioning Group to provide local Low Secure Services. We provide a step down from Medium Secure, eg. The Butler Clinic and Psychiatric Intensive Care (PICU) and a step up from local provider services, eg. The Glenbourne Unit and Recovery Inpatient Units.

The multi-disciplinary team comprises:

  • Consultant Psychiatrist
  • Speciality Doctor
  • Psychologist
  • Mental Health and Learning Disability Nurses
  • Occupational Therapists
  • Health Care Assistants
  • Technical Instructors
  • Housekeeping
  • Secretarial
  • Chaplain
  • Advocacy
  • Pharmacy

Low Secure Forensic Rehabilitation psychiatrists work with people with long-term and complex mental health problems, the majority of whom have a diagnosis of schizophrenia. Although many people with severe and enduring mental health problems such as schizophrenia experience ongoing active symptoms of illness and impairments in cognition and drive, social stigma and the secondary handicaps consequent on the illness, those who are referred for Low Secure Forensic Rehabilitation are those whose problems are of such complexity or severity that they have not been able to be discharged home following an acute admission. These problems include treatment resistance (non-response to first-line medications), cognitive impairment (most commonly affecting executive function and verbal memory), pervasive negative symptoms (e.g. apathy, amotivation, blunted affect), and co-existing problems (e.g. substance misuse, premorbid intellectual disability, developmental disorders such as those on the autism spectrum). These complex problems contribute to major impairments in social and everyday functioning and to challenging behaviours that impede recovery and increase the risk of adverse outcomes. Comorbid, chronic physical health problems are also commonly present.

Consultants in Low Secure Forensic Rehabilitation psychiatry have expertise in the assessment and long-term treatment and management of this patient group. They adopt a biopsychosocial approach that embraces recovery-oriented practice.

Specialist trainee will be obtain the following experience from Lee Mill Low Secure Unit.

CLINICAL ROLE
  1. Detailed assessment and management of patients with complex mental health needs in Low Secure Forensic Rehabilitation settings. This includes:
  • expertise in medication management for treatment-resistant

conditions;

  • Risk assessment and management (eg. HCR-20)
  • physical health screening and medical liaison with colleagues in

primary and secondary care;

  • appropriate use of psychosocial interventions;
  • appropriate use of mental health and mental capacity legislation,
  • safeguarding processes, appointeeship and Court of Protection;
  • detailed knowledge of local supported accommodation provision;
  • Expertise in managing patients’ transitions between different settings.

 

  1. Second opinions and advice to colleagues on the diagnosis and management of patients with complex mental health needs.
  2. Support and advice to services that provide supported accommodation and complex community care packages for this group.
  3. Review of patients in out-of-area placements.
  4. Close working relationship with the paired consultant and team
  5. Liaison and smooth transition of care to other consultant
LEADERSHIP ROLE
  • Low Secure Forensic Rehabilitation psychiatrists use their clinical leadership skills to facilitate successful partnership working with voluntary sector agencies that facilitate social inclusion, including those that provide supported accommodation, vocational training and employment.
  • Low Secure Forensic Rehabilitation psychiatrists should sit on the local ‘placement’ panel to ensure the appropriate placement of patients in facilities that are tailored to their needs, that opportunities for local treatment and support have been fully explored prior to a placement being made out of area, and that there is ongoing review of an individual’s suitability for local repatriation at the earliest opportunity (Royal College of Psychiatrists, 2011).

WEEKLY TIMETABLES:

CONSULTANT TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Consultant Meeting

QIPP Meeting/ Audit/ Service Development

Supervision ( Specialist Trainee)

(SPA)

MDT

(DCC)

Teaching/CPD

Supervision (speciality Doctor)

(SPA)

Community Forensic Team

(DCC)

CPA reviews
P.M

Patients Reviews

Risk Management meetings

MAPPA/HCR20 

(DCC)

MDT/Admin

(DCC)

MHRT/Managers hearing/Reports

(DCC)

Out of Area Patient/ Referral

Assessment

(DCC)

College Tutor/Medical student teaching/MHA scrutiny (SPA)

 

 

TRAINEE TIMETABLE:

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Consultant Meeting

Supervision

(SPA)

MDT

(DCC)

Teaching /CPD

(SPA)

Assertive Outreach Service

(DCC)

Special Interest

P.M

Assertive Outreach Service

(DCC)

MDT/Admin

(DCC)

Out of Area Patient/ Referral

Assessment

(DCC)

Assertive Outreach Service

(DCC)

Special Interest