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 Stefano Kustermann | General Adult Psychiatry (Community) | 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 (Community) | Pydar Street, Truro |
Dr Alind Sivastava | General Adult Psychiatry (Community) | Trevellis House, Liskeard |
Dr D Mackintosh | General Adult Psychiatry (Community) | Pydar Street, Truro |
Dr Claudia Murton | General Adult Psychiatry (Liaison) | Treliske Hospital, Truro |
Dr Jeremy Sandbrook | General Adult Psychiatry | The Coach House, Longreach House, Redruth, TR15 3ER |
Dr Simon Marlow | General Adult – EARLY INTERVENTION FOR PSYCHOSIS SERVICE | The Kernow Building, Wilson Way, Pool, Redruth, Cornwall, TR15 3QE |
Dr Ashley Broom | General Adult Psychiatry | Truro Health Park, TR1 2JA |
Post Information
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 |
Admin Supervision |
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.
Post Information
WEEKLY TIMETABLES
TRAINEE TIMETABLE:
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
|
A.M |
Admin & Supervision Referrals Meeting (Fettle Ward) |
CPAS & Supervision (MHRTs/Managers Reviews) (Cove Ward) |
Trust CPD |
Fettle Ward / Assessments |
Special Interest Session |
P.M |
MDTS/CPA (Fettle Ward) |
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.
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
Post Information
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 Clinical Administration |
Home Visits/ Complex case management |
Research |
Emergency Assessments |
ON CALL 1 in 9 supervised by consultant
Post Information
POST |
General Adult Psychiatry |
TRAINER | |
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 / Research | 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.
POST INFORMATION
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/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
Post Information
TIMETABLES:
Trainee timetable:
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
|
A.M |
Liaison Ward work |
Supervision Liaison Ward Work |
Teaching/CPD | Research or Special Interest | Liaison OPD clinic |
P.M |
Administration / F1 supervision |
Liaison MDT | Research or Special Interest | Liaison ward work | Liaison ward work |
ON-CALL 1: 10 approx with Consultant Cover
Post Information
POST | General Adult |
TRAINER | Dr Jeremy Sandbrook |
EMPLOYING TRUST | Cornwall Partnership Trust |
TRAINING BASE | The Coach House, Longreach House, Redruth, TR15 3ER |
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 psychiatrist. |
TIMETABLES:
Trainee timetable:
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
|
A.M |
Ward MDT |
CMHT MDT |
Education |
Special Interest |
Clinic |
P.M |
Supervision Admin |
Clinic | Flexible | Special Interest | Ward Reviews |
ON-CALL TBC
Post Information
TRAINING POST | General Adult – EARLY INTERVENTION FOR PSYCHOSIS SERVICE |
TRAINING BASE | The Kernow Building, Wilson Way, Redruth Cornwall TR15 3QE |
TRAINER | Dr Simon Marlow |
JOB DESCRIPTION |
Early Intervention Team consists of two multidisciplinary teams situated in the East (Bellingham House, Bodmin Hospital) and the West (Kernow Building, Wilson Way, Pool, Redruth) of the county. The staff in each team consists of one Consultant Psychiatrist (covering both teams), a staff grade psychiatrist, a core trainee (covering both teams), clinical psychologists, clinical associate psychologists, keyworkers (CPNs, OTs, social workers), support workers, administration, IPS workers (employment support). We do not currently manage inpatients as patients are cared for by iCMHT consultants when admitted to the ward but we do like to inreach and keep some link in with ward reviews. The nature of work is the assessment, review and coordination of first episode of psychosis interventions including the use of psychotropic medication. We provide a up to 3 year service for anyone of adult age with a first episode of psychosis (but only those >35 years of age with a duration of untreated psychosis under 18 months). You would be on the S12/RC rota with a nominated RC supervisor who would be oncall with you, where you would be first point of contact for S12 work during office hours and out of hours with the back up of RC oncall to supervise you or complete nominated RC work. We have an admin team as well as medical secretarial support. There may be opportunity to engage or even develop a psychoeducative group or engage in national or local audit, and teach medical students or local trainees. The west office is located next to the research team and would be good opportunities to engage in research locally. There are a number of targets regarding physical health which would be great to continue quality improvement programmes. The bases have some office space but remote working will continue to be encouraged and facilitated. |
WEEKLY TIMETABLES:
TRAINEE TIMETABLE:
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
|
A.M |
Clinical Appointments – West (could be Friday as alternative) |
MDT - EAST | Teaching | MDT WEST | Special Interest Time (could be a Monday as alternative) |
P.M |
Clinical and Educational supervision. (could be Friday as alternative) |
Clinical Appointments East | Admin | Emergency Appointments |
Special Interest Time (could be Monday as alternative) |
ON CALL: Usually joins 1:12 rota alongside an RC to provide supervision during oncalls. This will be in the form of 9-9am the following day where 9am-5pm will be S12 oncall and answering.
Post Information
POST |
General Adult
|
TRAINER NAME
|
Dr Ashley Broom |
EMPLOYING TRUST
|
Cornwall Partnership NHS Foundation Trust |
TRAINING BASE |
Truro Health Park, TR1 2JA
|
JOB DESCRIPTION |
Cornwall Foundation Trust (CFT) endorse a ‘continuity model’ of care, and so this post will involve both inpatient and community clinical work. Specifically, the higher trainee is expected to attend ward rounds and provide additional support to the inpatient team where necessary; to undertake new patient assessments and support the CMHT assessing team; to undertake both routine and emergency outpatient work, including support to patients currently under the care of the Home Treatment Team; and to make the most of additional ad hoc clinical opportunities, such as home visits, MHA assessments, mental health tribunal experience, direct consultation with GPs, and consultation with other teams.
The Carrick integrated CMHT is a busy team, comprising of psychiatric nurses, occupational therapists, social workers, support workers, and psychology colleagues. The South Carrick patch covers Falmouth and the surrounding area. This brings diversity to the post with patients from across the socio-economic spectrum. The patch also includes the university on the Penryn Campus, providing opportunity to gain experience in student mental health.
The CMHT is based in Truro Health Park (THP), where office space and administrative support is available. Working from home arrangements are also supported where possible. A mobile phone and laptop are provided by the trust. Outpatient clinics are held in both THP and Falmouth Community Hospital, though telephone and video consultation are also utilised. Inpatient beds are in Longreach House, on the Camborne Redruth Community Hospital site.
The trainer is also a clinical supervisor for GP trainees who provide clinical support to the team. The trainee might wish to take on teaching roles for the GP trainees. Medical students also frequently rotate through the team, and the trainee is encouraged to participate in medical student teaching. Additional opportunities are available because the trainer runs a Special Study Unit for second year students twice per year.
CFT has an active research department, and support will be given for the trainee to engage in such activity if desired. The trainer is currently acting as Principal Investigator for a trial which the trust is participating in.
Participation in audit is expected during the post. Participation in management opportunities is also encouraged as part of higher training, and the GAP consultant body in Cornwall is seeking to establish a more meaningful presence in the Trust management structure.
The trainer qualified with an MSc in Psychodynamic/Psychoanalytic psychotherapy during his own ST years, and support will be given to the trainee to undertake further post-graduate training and qualification as part of special study and research time if that is desired. Because of this further education, the trainer has specific interest in the application of psychoanalytic/psychodynamic principles to general psychiatric work. Therefore, participation in psychotherapy training is also highly encouraged.
|
Weekly Timetables
TRAINEE TIMETABLE:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
a.m. |
Community MDT |
Admin/Home Visits |
Trust CPD/Teaching Programme |
Outpatient Clinic |
Research/Special Interest |
p.m. |
Outpatient Clinic |
Ward Round (Longreach Hospital) |
Urgent clinical work |
Admin Supervision |
Research/Special Interest |
ON CALL – There is a 1 in 10 non-resident on call commitment. The ST on call will align with a paired consultant RC throughout the post who provides direct support and supervision. The on call rota covers the whole of Cornwall for both Section 12 work and urgent advice/RC duties.