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 | General Adult (Community) | Avon House, Plymouth |
Dr Maung Oakaar | General Adult Rehabilitation (Inpatient) | Livewell Southwest |
Dr Muhammad Ismail | General Adult Liaison Psychiatry | University Hospitals Plymouth/ Derriford Hospital |
Dr Dimitrios Tsiakiris | Core Psychiatry General Adult | NorthWest Community Mental Health Team Cumberland Centre/Perinatal Mental Health Team Ridgeview, Plympton Clinic |
Dr Ramy Daoud | General Adult Rehabilitation (Community) | Greenfields Unit Mount Gould Hospital Mount Gould Road Plymouth, PL4 7QD |
Dr David Scott | General Adult | Glenbourne Unit Morlaix Drive, Plymouth PL6 5AF |
Dr Kate Lovett | General Adult Psychiatry | Cumberland Centre, PL1 4JZ |
Dr Adarsh Shetty | General Adult Rehabilitation (Community) | Mount Gould Hospital, PL4 7QD |
Post Information
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
CPD |
Specialist Addictions Clinic | STUDY/ RESEARCH DAY |
P.M |
OPA | Supervision
General Adult MDT |
MDT Broadreach Rehab and Clinic | Broadreach Rehabs / Hamoaze House |
ON CALL: 1 in 6
Post Information
WEEKLY TIMETABLES:
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 |
Post Information
Post: | General Adult Liaison Psychiatry |
Training Post: | Psychiatric trainee ST 4 - 6 |
Trainer: |
Dr Muhammad Ismail |
Base: |
University Hospitals Plymouth/ Derriford Hospital |
Employing Trust: | Livewell Southwest, CIC |
Job Description: |
The Liaison psychiatry Team at University Hospitals Plymouth (Known as Derriford Hospital) has developed over many years and currently the quality standards and staffing levels are envisaged at “Core 24” model in 2021. Following the merger of two teams, (Liaison Service for patients aged 18-65 years and one for older adults over 65 years), service commitment is to further develop a consultation and Liaison Service of “an all age” (Ageless) for people with mental health problems attending at University Hospitals, Plymouth. In addition the Safeguarding Adults Team, Alcohol Liaison Nurses, Frailty Nurse and Liaison Learning Disability team are co-located within the base. A separate service exists for CAMHS referrals including regular attendance by Youth workers for adolescents with alcohol problems. The Liaison Team at UHP is involved early at the point of triage in Emergency Department and provides biopsychosocial assessment, conducts risk assessment and management, care planning, contingency planning and medicolegal advice. The Liaison Team is heavily involved in group and team work, education, training, mentoring and network building to forge excellent relationship with our medical and nursing colleagues at University Hospital, Plymouth.
Responsibilities and opportunities of the Post 1. To perform biopsychosocial assessments and formulation of management plans in complex cases, advising medical teams on appropriate integrated care.
2. To provide clinical leadership, medical advice to Liaison team, to enable excellence in care to be delivered.
3. To provide advice regarding patient management to colleagues in secondary and primary care and bridging the gap with regard to management of psychosomatic conditions in the community (e.g. medically unexplained symptoms).
4. To assess and manage risk (e.g. suicide risk, violence/aggression, absconding etc.) relating to psychiatric conditions in general hospital settings.
5. Prescribing and giving advice to medical teams on psychotropic medication.
6. Providing expertise, and fulfilling a statutory role, in managing medico-legal issues using Capacity and Mental Health legislation.
7. Teaching and training of non-training grade doctors and psychiatric trainees allocated to Liaison team.
8. To advise and assist in the planning of services and setting goals and targets for the team according to local and national drivers.
9. To play an active part in psychiatric teaching. There is an active postgraduate teaching programme in psychiatry and there are opportunities to contribute to other academic meetings.
10. Medical students from the Plymouth University Peninsula Schools of Medical and Dentistry (PUPSMD)l attend regularly to obtain psychiatric experience as an integral part of their training, and Higher Trainee will be encouraged to participate in teaching and providing feedback sessions for these medical students.
11. An interest in research and a willingness to participate will be encouraged.
12. To undertake clinical audit activity and to participate in both internal and external audit as required for clinical governance.
13. To participate in Continuing Professional Development (CPD) as approved by the Royal College of Psychiatrists. Livewell Southwest is committed to CPD and the study leave allocation. The organisation facilitates participation in CPD for its trainees and all routine Journal Clubs and Case Conferences are validated for Internal Module CPD. A substantial part of each Wednesday is set aside for CPD activities.
14. To challenge stigma and discrimination towards psychiatric patients and professionals – by raising awareness, presentations/teaching sessions and informal discussions with various professionals etc. in a general hospital setting
15. To take an active interest in Medical management. The Trainee will work alongside the consultant and Service Manager to ensure smooth functioning of the service.
16. Higher Trainee will be encouraged to attend Livewell Southwest Senior Medical Staff Group and the Directorate Consultants’ Planning Group Meetings
17. To uphold the principles of Clinical Governance and adhere to Livewell Southwest’s clinical governance requirements.
18. To adhere to all the organisations policies and procedures.
Academic There is a weekly academic programme, including case presentations, a journal club, and a monthly grand round, run by the psychiatrists for core trainees, all trainees including Higher Trainee have protected time built into their job plans to attend. Some of these meetings may be chaired by the ST4-6. There will be opportunities for teaching of medical staff and students as well as other members of the multidisciplinary team. The MRCPsych Course for CT1-3 doctors is held locally. Higher Trainees working in the three mental health organisations within the peninsula are encouraged to assist in the delivery of modules. Teaching and development Medical students from the Plymouth University Peninsula Schools of Medical and Dentistry (PUPSMD) attend regularly to obtain psychiatric experience as an integral part of their training, either on observational placements in Years 1 and 2, or on pathway placements in Years 3 and 4. Higher Trainee will be encouraged to participate in teaching these medical students. Research / Quality Improvement / Audit Higher Trainee will be encouraged to participate in research. The Quality Improvement and Support Team (QUIST) consist of two Quality Improvement Facilitators and a NICE Audit Facilitator who are able to offer expert information, support and analysis for those wishing to undertake audit. They are supported by Meridian and SNAP systems for data management and analysis. The team supports a yearly cycle of regular audit as determined by national and local policy and guidance, as well as individual audits at the request of teams or individual clinicians. They play a key role offering advice and support throughout each stage of the audit cycle. Local academic links can assist with getting high quality own-account research or audits published. Any pre-existing special interest sessions and research projects would be fully supported. Supervision One hour of supervision weekly with the consultant on a mutually agreed weekday. 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. On-call duty rota The general psychiatric consultant on-call rota is 1:14 with the back-up of a consultant. There is a middle grade on call (SAS Doctors) from 5pm-10pm weekdays and at weekends. The ST4-6 on-call rota is 1:13 fixed on-call every 2 weeks and 4 weekend within 12 months with the back-up of a Consultant Learning Objectives; Learning objectives will be achieved as outlined by A Competency Based Curriculum for Specialist Training in Psychiatry, Sub-specialty endorsement in Liaison Psychiatry Curriculum forwarded by Royal College of Psychiatrists Approved by the GMC on 11 March 2016 (updated April 2016 and May 2017) https://www.rcpsych.ac.uk/docs/default-source/training/curricula-and-guidance/liaison_psychiatry_curriculum_march_2019.pdf?sfvrsn=63de54cd_4 |
WEEKLY TIMETABLES:
TRAINEE TIMETABLE:
MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | |
AM | DCC / Consultant meeting 2nd & 4th Monday of the month | DCC | CPD | DCC | Research |
PM |
Supervision DCC |
Special Interest | DCC | DCC | DCC / Admin |
ON CALL- 1 in 12 (MHS assessment, advice to Junior Doctors, advice to Specialty Doctors, Advice to PLNs & HTT if asked)
Post Information
WEEKLY TIMETABLES:
TRAINEE TIMETABLE:
MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | |
AM |
CMHT team meeting Direct Clinical Care time & shadowing supervisor |
Perinatal Team MDT meeting Lunchtime Journal club |
CPD, Research, Audit, QI etc. |
CMHT team meeting Direct Clinical Care time & shadowing supervisor |
Perinatal team Direct Clinical Care time & shadowing supervisor OR MRCPsych teaching (depending on schedule) |
PM |
lunch time Direct Clinical Care time & shadowing supervisor |
lunch time Direct Clinical Care time + supervision |
lunch time Direct Clinical Care, MDT meeting OR CPD, Special Interest, Research etc. |
lunch time Supervision Direct Clinical Care time & shadowing supervisor |
lunch time Direct Clinical Care time & shadowing supervisor OR MRCPsych teaching (depending on schedule) |
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. Other 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.
Post Information
WEEKLY TIMETABLE:
TRAINEE TIMETABLE:
MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | |
AM |
SPA Fortnightly consultant meeting/senior medical forum Tribunals/report writing |
Greenfields weekly MDT |
Balint Group CPD Weekly supervision for trainee (one hour). |
Syrena House weekly MDT |
Special interest |
PM |
SPA Fortnightly consultant meeting/senior medical forum Tribunals/report writing. |
Greenfields clinical work |
Community rehabilitation team outpatients |
Syrena House clinical work |
Special interest |
On Call: 1:6. To be confirmed. Clinical supervision will be provided by the on call consultant psychiatrist.
Post Information
Training Post | General Adult |
Trainer | Dr David Scott |
Training Base |
Glenbourne Unit Morlaix Drive, Plymouth PL6 5AF |
Job Description |
This is a general adult acute in-patient post based at the Glenbourne Unit on the Derriford Hospital site. The Glenbourne unit consists of a female ward (Bridford ward) and a male ward (Harford ward). This post is primarily for the female ward (Bridford ward) however it is likely that the higher trainee will also gain experience on the male ward too. The post involves in-patient management of patients, many of whom are detained under the Mental Health Act. There is no out-patient work. The post will give good opportunity to become confident in the practice of inpatient psychiatry, especially those subject to the Mental Health Act. There will be opportunity to write reports and present evidence at manager’s hearings and tribunals. The post will also give opportunity to become familiar with other aspects of the Mental Health Act such as Consent to Treatment and Section 17 leave requirements. A few patients will be managed on the ward under Deprivation of Liberty and Safeguards thus familiarisation with this framework will occur. There will be opportunity for the higher trainee to take a lead in patient management, setting up treatment plans, leading weekly ward rounds and leading on risk management and professionals meetings. The Glenbourne Unit has the on-site Place of Safety suite for Plymouth so there is opportunity to undertake Mental Health Act assessments on a regular basis for those detained under Section 136. Glenbourne is also within walking distance of Derriford Hospital there are frequent opportunities to undertake MHA assessments in A&E and medical wards. The Glenbourne Unit hosts the Plymouth’s ECT suite and there is opportunity to participate in this if interested. Glenbourne Unit is a well- run unit and has been rated as ‘Excellent’ by the CQC in its report from January 2020. Bridford ward has a good compliment of nursing staff, occupational therapists, ward based support workers. There is an excellent Occupational Therapy department on site offering a range of activities. There is a well-resourced Discharge Team to help facilitate a timely safe discharge of patients from hospital. There is a Psychologist attached to the Glenbourne who provides input for patients on both the male and female ward. As higher trainee you will have dedicated office space within the admin block based at Glenbourne Unit with access to IT support. You will have access to a Medical Secretary. There are opportunities to gain experience in non-clinical areas such as taking the lead on Quality Improvement projects, supervision of medical students on placement on the unit, participation in teaching and opportunities to present cases/journal club through the local CPD programme. There is a research department in Livewell and other higher trainees have had opportunity to be involved in these projects. Bridford ward has 1-2 junior doctors attached to it at any one time and there will also be opportunity to provide input into their training too. An hour’s weekly supervision will be provided as part of the rotation and will probably occur on a Monday although can be re-allocated to a different time in the week dependent on the trainee’s need. You will participate in a 1 in 14 non-resident on-call rota. You will be supervised by the on-call consultant as required. You will be the first port of call for any out of hours Mental Health Act assessments that should take place. MHA assessments form the main bulk of the on-call work out of hours however you will also be expected to provide support to junior doctors covering the Glenbourne Unit and any liaison and advice for some of the satellite units not covered by junior doctors (Lee Mill, Greenfields, Syrena House and Edgecumbe ward). |
WEEKLY TIMETABLE:
TRAINEE TIMETABLE:
MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | |
AM |
Senior Psychiatrist meeting Supervision 1 hr |
Ward Rounds |
CPD | Ward review/Tribunals/MHA assessments | Special Interest Day |
PM |
Ward reviews/Tribunals/MHA assessments |
Ward Rounds | Ward Rounds | Ward review/Tribunals/MHA assessments |
Special Interest Day
|
On Call: 1 in 14 with on-call supervision from on-call consultant.
Post Information
POST |
General Adult Psychiatry |
TRAINER NAME |
Dr Kate Lovett |
EMPLOYING TRUST |
Livewell Southwest |
TRAINING BASE |
Cumberland Centre, PL1 4JZ |
JOB DESCRIPTION |
This post affords extensive opportunities for developing clinical, leadership and educational skills in a dynamic community mental health team at the forefront of modern mental healthcare. The team is co-located at the Cumberland Centre, Devonport, Plymouth alongside a minor injuries unit, community services, sexual health service, dental school and GP practice. The postholder will gain experience in serving an urban and deprived community in the heart of the historic, industrial port of Devonport. The service is closely aligned with primary care and the post-holder will have the opportunity to be linked with specific practices to develop skills of consultation/liaison with primary care. They will also have the opportunity to manage their own small caseload in collaboration with the multidisciplinary team which includes team psychologists, social worker, community support workers, lived experience volunteer and community psychiatric nurses. The post is well supported by a whole time secretary. The team has 3.1 WTE consultants who provide cross-cover for each other and is supported by a medical duty system. The service is well ahead in working towards community pathway frameworks and is richly resourced by multiple community organisations and provides many opportunities for working closely with the third sector. There is ample opportunity for undertaking quality improvement projects under supervision. The service has successfully developed telepsychiatry clinics using VisibaCare app which facilitates multidisciplinary working and which patients can easily download on mobile devices. The clinical record system uses Systm1 which facilitates linked record keeping with primary care in 70% of cases. Laptop access using Virtual access facilitates home and remote working as well as providing full, mobile access to clinical records within patients’ homes, the emergency departments and other settings. Close links with Plymouth University and the medical school give opportunities to teach medical students for both standard and for curriculum enrichment activities. There are also extensive opportunities to provide educational activities to our fully recruited core training programme and foundation doctors within LIVEWELL SW. The postgraduate education programme is well organised, receiving excellent GMC survey feedback and supported by a dedicated administrator. Livewell SW is a social enterprise which is commissioned to deliver NHS mental health services for the city of Plymouth. It is an organisation with a strong social conscience with a clear focus on sustainability, which sets out to support and empower staff and the people we serve and puts people at the centre of all that we do. There is a fairly flat hierarchy within the organisation and psychiatrists in training will be warmly welcomed to gain leadership and management experience through participating in real time, meaningful project work. Dr Kate Lovett is a highly experienced higher specialist trainer and provides weekly psychiatric supervision. She has a strong interest in medical education having previously held roles as undergraduate lead for psychiatry in Plymouth, Training Programme Director and was Head of School of Psychiatry in the Peninsula Deanery until 2016. She is currently Dean of the Royal College of Psychiatrists and holds the educational portfolio for RCPsych as well as being a Trustee of the charity. She has extensive media experience and is also chair of the National Confidential Enquiry in Suicide Project Board. Please do not hesitate to get in touch to discuss your training needs and how a bespoke programme could be developed to meet your interests via k.lovett@nhs.net You can also get a taste of her values and what you might expect on placement by following her activities on Twitter @drkatelovett |
WEEKLY TIMETABLE:
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
a.m. |
Senior Medical Leadership Meeting |
Outpatient Clinic
|
Supervision CPD/Postgraduate Education/Chairing Journal Club
|
Clinical Admin |
Special Interest |
p.m. |
Outpatient Clinic
|
Reviews/Home Visits/Risk Management meetings |
Multidisciplinary Team Meeting
|
Medical Student Feedback sessions |
Research |
ON CALL: On call – non resident. 1:13. Backed up by on-call consultant/First Response Team/Liaison Psychiatry 24 hours and duty doctor who covers acute inpatient unit. Trainees are granted compensatory rest days following their on call commitment.
Post Information
Training Post | General Adult - Rehabilitation |
Trainer | Dr Adarsh Shetty |
Training Base |
Mount Gould Hospital, PL4 7QD |
Job Description |
The Specialist Outreach and Recovery Team (SORT) is an innovative and exciting service formed in September 2020 with the amalgamation of 2 well-established services, the Assertive Outreach Team and the Community Recovery Team. This post is based at Avon House, Mount Gould Hospital, Plymouth, with this team. This is a general adult rehabilitation post working with Dr. Shetty, an experienced trainer who has an endorsement in Rehabilitation Psychiatry. Dr. Shetty has experience of leading the development of the new Rehabilitation Psychiatry curriculum as per the ongoing GMC curriculum review. He has a keen interest in psychotherapy, and has led Balint groups for trainee doctors for the last decade. The SORT team is intended for patients with severe and enduring mental illness, particularly complex psychosis as defined in the NICE guidelines – Rehabilitation for adults with complex psychosis (19 August 2020). These patients are often difficult to engage, with complex presentations including treatment-resistant mental illness and dual diagnosis and multiple psychosocial factors complicating the illness and making the management difficult and complex. They often have limited life and social skills and with time, their cognitive ability can deteriorate. They often need intense and long-term input with the ability of the team to respond quickly to their needs. Without appropriate support in the community, these patients often need recurrent hospital admissions. The traditional model of CMHT is usually not able to provide the care required in managing these patients in the community, hence a more assertive outreach approach is required. Our SORT multi-disciplinary team comprises of:
Apart from providing intense input with quick response to crises, an integral part of their management plan is the recovery focus. An assertive outreach service has the ability to provide intense support for long periods, respond to crisis immediately and yet continue to work on the long-term goal of recovery for these patients. As these patients are complex and difficult to engage, building rapport and trust and providing continuity of care is very crucial. The SORT team works closely with other rehabilitation services including the female rehabilitation inpatient unit (Greenfields) and male rehabilitation inpatient unit (Syrena house). There will be ample opportunities for the higher trainee to take a lead with patient management, setting up treatment plans, leading daily team reviews and leading on risk management and professionals’ meetings. There will be opportunities to work creatively with our multi-professional team to engage patients whose previous relationships with mental health services have been extremely poor. Being a new service, there will be opportunities to lead on aspects of service development in rehabilitation. There will also be opportunities to take the lead on Quality Improvement projects, supervision of medical students on placement in the team, participation in teaching and opportunities to present cases and journal clubs through the local CPD programme. There is a research department in Livewell and other higher trainees have had opportunities to be involved in these projects. There will be dedicated time for supervision, which will be tailored to the trainee’s need, each week on a mutually agreed day. In addition to this, there will be regular ongoing contact with the consultant for any required advice or discussions. Please do not hesitate to get in touch to discuss your training needs and how an individualized placement programme could be developed to meet your interests via dradarshshetty@yahoo.co.in |
WEEKLY TIMETABLE:
MONDAY | TUESDAY | WEDNESDAY | THURSDAY | FRIDAY | |
AM |
Senior Clinicians Meeting (fortnightly) and Medical Advisory committees (MAC) fortnightly. |
09:00-09:30 Morning team meeting SORT MDT |
Balint group, CPD programme. Weekly 1-Hour supervision with Dr Shetty. |
09:00-09:30 Morning team meeting. SORT tribunals/managers hearings/urgent assessments |
Research/Special Interest |
PM |
SORT patient reviews/home visits/ MHS assessments |
SORT caseload formulation/home visits | SORT CPA reviews | SORT Reflective practice/professionals Meetings |
Research/Special Interest |
On Call: 1 in 13 fixed on-call every 2 weeks and 4 weekends within 12 months.