Old Age (Cornwall Partnership Trust)

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

Community Work

Community MDT Meeting

Clinical Supervision

Teaching/ CPD Training

Research/ Special interest

Inpatient work

P.M

Community Work /Admin

In patients MDT meeting

Community Work

Research/ Special interest

Admin

Roles and responsibilities of the trainee
To contribute to medical community and inpatient care of older people with mental illness in the West Penwith and Isles of Scilly region of Cornwall. Specific responsibilities can be agreed early in the post but the general aims for the trainee are to

• Gain experience in assessment and management of older people with organic and functional mental illness
• Develop ability to work independently in conjunction with a community mental health team and inpatient unit
• Manage a portion of the consultant catchment area under supervision
  
  

Core clinical work

• Assessment of early memory problems in a ‘memory clinic’ setting
• Assessment of new or complex cases referred by CMHT members
• Input to local dementia nursing and residential homes
• Inpatient care to a functional ward based at Longreach House, Redruth
• Weekly CMHT meeting

Location of post

• Primary work base is Bolitho House, Penzance
• Areas covered include Penzance, St Ives, Hayle, Marazion, St Just and Isles of Scilly
• Inpatient work at Longreach House, Redruth
• ·University of Exeter Medical School facilities at Royal Cornwall Hopsital, Truro

Opportunities

• ‘Generalist’ OAP experience working closely with consultant – broad range of clinical cases within one enthusiastic and welcoming team
• Unique opportunity to work with a remote island community on the Scilly Isles and contribute to the development of services for this population
• Regular peer clinical meetings including quarterly sessions with neuro-radiologist
• Close links with GP colleagues to expand experience in this area

 Academic activities

• Contribution to the weekly academic programme for junior trainees in Cornwall
• Participation in undergraduate training
• Study leave and opportunities for research and audit sessions will be strongly supported
• Monthly county-wide grand round presentations, research-positive Trust
• OAP management and clinical meetings

Supervision
Weekly consultant supervision is timetabled and made a priority.

Intended learning Outcomes
These will be agreed at the outset and achieved through a variety of clinical experience, formal and informal supervision, study leave, research and special interest sessions.

About the Trainer
I have been a consultant in this post since 2009, having completed higher training locally and part of my junior training in South London. My undergraduate training was at St Georges in London. I have an interest in clinical education and am enthusiastic about contributing to training in OAP. I am Training Programme Director for senior trainees in OAP, Academic Tutor and ‘professionalism development group’ facilitator for Exeter Medical School, and have a Postgraduate Diploma in Clinical Education. I work full time over 4 days with extended working hours to allow for my medical school work. There is a well-established cover arrangement with my neighbouring consultant colleague for my non-clinical day which supports the trainee.

More importantly, I live on a smallholding with several children and animals, and enjoy balancing the work with being outdoors in Cornwall. The work patch really is a stunning place to spend time with beautiful coast path walks and crystal clear waters. It’s not unusual to see seals from our team base. I enjoy cycling and running the Cornish paths, the occasional swim off our Newlyn beach and am keen to assist trainees in developing their own balance of work and life outside work, to assist with long term survival in the job as a senior doctor.

If interested, please feel free to get in touch to find out more.

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

A.M

P.M

To contribute to medical inpatient care of inpatients on Garner Ward (a locked ward for people with challenging behavior in dementia in Bodmin Hospital). Specific responsibilities can be agreed early in the post but the general aims for the trainee are 

• to gain experience in assessment and management of people of any age with challenging behavior in the context of dementia or probable dementia
• to develop ability to work independently in conjunction with the inpatient team
• to manage a small number (2-3) inpatients at any one time through the duration of their stay, supervised by the consultant
• writing reports for Tribunals and Managers’ Reviews and then presenting these to the panel. This would initially be done with direct, close supervision, but become more indirect as capability builds.
• Gaining practice in AC/RC work, including form filling (though not signing) under the supervision of the consultant
• Taking part in, then chairing a variety of meetings (best interest, Section 117 aftercare, discharge planning, family)
• Taking part in, then steering the ward round, including time management

Take on a small service improvement project.

• Primary work base is Garner Ward, with a shared office in Bellingham House (both in Bodmin Hospital)
• The ward admits patients from all over Cornwall and though the work is mostly ward based, there will be the opportunity to follow patients up at their discharge destinations
• Wednesday meetings in Newquay (CPD), Trengweath, Truro and Bodmin
• Peninsula Medical School facilities at Royal Cornwall Hospital, Truro

• The consultant is part time, so there is the opportunity to choose one day per week with one of the community consultants in Memory Clinic or focused on the CMHT if the trainee is full time. Alternatively there is scope for a mixed liaison/management/inpatient post, though if that is chosen, the time on the ward would be more limited to give time for the other options.
• Regular peer clinical meetings including quarterly sessions with a radiologist with special interest in dementia

• Contribution to the weekly academic programme for junior trainees in Cornwall
• Participation in undergraduate training where possible
• Study leave and opportunities for research and audit sessions will be strongly supported
• Monthly county-wide grand round presentations
• Old Age Psychiatry management and clinical meetings

• Weekly consultant supervision is timetabled and made a priority.
• Intended learning Outcomes
• These will be agreed at the outset and achieved through a variety of clinical experience, formal and informal supervision and use of study leave, research and special interest sessions.

Monday

Tuesday

Wednesday

Thursday

Friday

A.M

Community Work with Dr Giles Richards or Dr Henry Cameron or Dr Steve Naylor or Dr Sadir Altaan

Or Liaison / Management with Dr Sally Thomas (also submitting application to be ST4-6 trainer) at RCHT

Or, if permitted, Ward Round on Garner with Staff Grade Doctor

Special Interest/Research/Academic

Rotating Meetings

 Grand Round and SMSC

Difficult to Manage Patient Meeting (case based discussions) or Radiology Meeting

 CCD Consultant Business Meeting

CPD in Newquay

Peer Group

Ward Round on Garner with Dr Vicky Brown

Clinical work – see patients, prepare reports, supervised RC work

(Tribunal Slot)

P.M

As above

Supervision in Bellingham

Audit

Paperwork

(Tribunal Slot)

Ward Round on Garner with Dr Vicky Brown  – board round, MHAA, speaking to families, reviewing patients

Clinical work – see patients, prepare reports, supervised RC work

(Tribunal Slot)

TRAINING POST

TRAINING BASE

TRAINER

JOB DESCRIPTION

This post provides training opportunities in both Organic and Functional Illness in adults age 75+.

It is predominantly community based, with home visits in the area of Redruth and Helston. Inpatient care and Outpatient clinics are carried out in Longreach House Psychiatric unit within the grounds of Camborne/Redruth Community Hospital.

The Multidisciplinary team covers a population of approximately 15,353 people.

Community Services
The Memory Assessment Service (Memory Clinics) are also held at Longreach House, Basset Unit for the Diagnosis and Management of Cognitive problems. 

Inpatient Services
Perran Ward at Longrech House, is one of the acute inpatients Units with about 25 Beds where our Patients are admitted.

Training Opportunities
The Trainee will be part of the Multidisciplinary Team Composed by our Secretaries, Health Care assistants, Community Psychiatric Nurses, Primary Care Dementia Practitioners and Dementia Liaison Nurses providing care and support for our catchment area. Assessing Patients in the Community, managing Patients on the Ward, visiting Care and Nursing Homes, Performing Home visits with other professionals are some of the tasks that we would support to complete your training.

Teaching and Professional Development
There is a weekly teaching programme for trainees and Monthly CPD sessions. We also hold Monthly meetings to review our Patients with the Imaging Department.
There are plenty of opportunities to develop AUDIT projects.

Research
The Trust has a well-established and resourced Research Team, currently contributing to a wide range of National and International Research Projects on a wide variety of topics ranging from Clinical Psychiatry to Molecular Genetics. Support and supervision will be provided to encourage Trainees participation on research activities.

TRAINING POST

TRAINING BASE

Trevillis House, Lodge Hill Liskeard Cornwall PL14 4EN

TRAINER

JOB DESCRIPTION

This is a fantastic opportunity to experience community Old Age Psychiatry in a beautiful, largely rural part of Cornwall. The post will cover work across two cohesive, friendly and supportive teams with a wealth of experience. The Complex Care & Dementia service largely focuses on functional disorders in the over-75s as well as behavioural and psychological symptoms of dementia. The Memory Assessment Service is more focussed on the diagnosis of dementia but there is some degree of crossover. This is an opportunity to hone diagnostic skills, manage complex physical and psychological presentations in both functional illness (e.g. paraphrenias, anxiety disorders, depression) and dementias and to gain experience of managing and eventually leading a diverse MDT. We operate under a continuity model where we continue to manage our functional patients if they are admitted to hospital. The post will not automatically involve any work on the dementia inpatient unit unless the trainee is interested in this.

We are a cohesive and friendly team made up of CPNs, OTs, a Dementia Liaison Nurse, a Derriford Liaison Nurse, Memory Assessment Nurses, a psychologist and a very supportive medical secretary who also provides admin support to our trainees. We are based at Trevillis House, a lovely old manor house in the countryside on the edge of Liskeard however most of our clinical encounters are out in the community (private homes and care homes). Trevillis is accessible from most parts of the Deanery - approximately 30 minutes by car from Plymouth, 25 minutes from Bodmin, 50 minutes from Truro and 1hr 15 minutes from Exeter. It is also a 5 minute walk from Liskeard train station which is on the mainline.

The on-call is classed as non-resident however accommodation is provided (free) if required. The on-call covers OOH MHA assessments (vast majority at the POS suite in Redruth and less frequently at RCH, Camborne Police custody and in the community) and telephone support to the on-call junior doctors covering the East (Bodmin) and West (Redruth) sites. Attendance at the hospitals for non-MHAA work is rare and the SpR is not expected to carry out 24-hour seclusion reviews. There is always a covering consultant on-call available for advice.

Supervision is weekly (on-call commitments and annual leave allowing) and the trainee will be encouraged to pursue management, research, QI and teaching opportunities which are all plentiful. CFT has a very highly regarded Medical Education Team who provided high-quality, monthly, half-day CPD in Newquay/online as well as a host of other opportunities including a teaching programme for Junior Doctors where SpRs are encouraged and supported to deliver seminars.

As a trainer I am very interested in teaching, research and psychotherapy and encourage my trainees to pursue their own areas of interest. I have acted as PI and co-PI on a number of clinical trials and have previously been involved in basic science research. I am particularly keen to support trainees with their original research ideas and/or involvement with existing studies (previous trainees have been encouraged to do their GCP training and have acted as sub-PIs on cutting edge clinical trials). I am currently very interested in psychedelic research in psychiatry and neurodegenerative diseases and have published in this area. I am a qualified EMDR therapist and have close links with CBT trainers who have helped supervise trainees to achieve their psychotherapy competencies in the past.

TRAINING POST

TRAINING BASE

Chy Govenek, TR4 9LD

TRAINER

JOB DESCRIPTION

This training post will provide experience in assessing, treating and managing older adult patients with psychiatric disorders as well as younger people with dementia.

The post currently covers GP surgeries in Truro, Cambourne, St Agnes, Perranporth and Newquay providing unique experience across urban, suburban and rural areas with the complexities of having larger, shifting holiday populations throughout the year.  The job is based amongst some of the most stunning scenery in the UK but also covers area with high levels of need.

The Gannel team comprise different work streams:  there is the acute community mental health team (CMHT), covering functional and organic crises in mental health.  We manage patients in the community with support from other agencies such as social services and the home treatment team.  There is a Memory Assessment Service (MAS) which provides specialist assessment and initial management of dementia within a clinic and home setting with the dementia specialist team (PCDP’s and DLN) who follow up all those with a diagnosis of dementia in the community and providing liaison to the care homes.

Garner Ward provides in patient care for people with dementia in Bodmin Hospital.  Acute beds for those with more functional illnesses is in Longreach House, Redruth.  The Gannel team provide medical cover to in patients from our area and cross cover if other team consultants are not available.  Our CT1 trainee based on the ward who also works in the Gannel Memory Assessment Service.   Ward rounds occur once a week.  The ward work provides experience in taking part in and chairing ward rounds, writing reports, managing complex patients.

The team manager oversees teams within the central region.  Within the Gannel team, there are 6 nurses within the CMHT, 2 dementia liaison nurses, 3 primary care dementia practitioners and 2 HCA’s.  There is an OT in the team along with access to psychology and neuropsychology.  We have admin support for clinics and within the CMHT.  The doctors administrator is based at Chy Govenek.

The post holder will be able to gain experience in the triaging, assessment and management of complex older patients within the CMHT, work with the Memory Assessment Service developing management plans and reviewing patients who are more complex as well as in patient work.  There are opportunities for Mental Health Act assessments and section 12 work.  Mental Capacity Act use is frequent in older person’s mental health and the post holder will become familiar with criteria and implementation.

There is a monthly joint meeting with radiology which provides a unique opportunity to discuss the interface of clinical findings with imaging investigations.

The team regularly engages in quality improvement audit cycles and we would look to develop one with each trainee to meet their training requirements as well as for experience.  Trust wide projects will also be available such as POM UK.

There are a wide range of people training with the team:  The post holder will be expected to take a role in teaching and training the CT1 trainee, the medical students from Exeter as well as supervising and training the Physician Associates.  There are opportunities to support nursing and OT students training with the team.

The post holder will be part of a weekly teaching programme for GP trainees and core psychiatric trainees.

There are Grand rounds for trainees and consultants on a monthly basis.

The development of an MDT teaching programme within the CMHT service offers a post holder a project which can be planned, implemented and evaluated.  A MAS teaching programme is also available to be part of.

The Membership course offers trainees further experience of teaching.

Trainees may consider doing a Masters in medical education as part of their higher training if they have interest in that area.  The trainer is happy to facilitate this.

Research is expected as an ST 4 – 6 and there are opportunities for the trainee with the mental health research team to get involved with as well as the potential to develop their own projects with supervision.  The supervisor is happy to support research projects.

The post holder is expected to take an active role in the recruitment of patients within their clinical role and to be familiar with the research activities of the trust.

There are opportunities for management within the role such as implementing any changes, providing leadership particularly in the ward environment, shadowing management colleagues and attending business meetings.

Supervision is provided by the trainer on a weekly basis for one hour but ad hoc supervision with joint clinics and visits will be part of the training.  Work place based assessments are carried out in a timely and are a helpful way to provide feedback through the year.

Dr Abbey did her medical training Edinburgh.  She started psychiatric training in London, becoming a consultant in West London in 2007 before moving to Oxfordshire in 2015 to be nearer family.  She has worked in Melbourne, Australia and in New Zealand in psychiatry before the family made the decision to move to Cornwall in 2022.

Dr Abbey has been a trainer since 2007 of both junior and higher trainees, medical students as well as doing teaching for the MDT, the trust, for the section 12/AC courses in London and MRCPsych course.  She has taught statistics on the MSc for psychiatric research at UCL.  She has worked as a clinical fellow at UCH and did her masters in London before becoming a consultant.  In audit, Dr Abbey has been on the board for the POM UK audits in Oxford.  She has worked as a principal investigator on several research projects in London and Oxford.

The team and the consultant are very enthusiastic in supporting trainees and the team hopes to develop as a teaching and training hub with energy and commitment to growing the next generation of consultants and clinicians.

Gannel team huddle 09:15-09:30 (Teams)

Clinic with consultant

Supervision 11:30-12:30

Gannel team huddle 09:15-09:30 (Teams)

CPD, buisness and management meetings

Gannel team huddle 09:15-09:30 (Teams)

Memory Clinic Assessments

Admin