Old Age (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 Sadir Altaan	Old Age Psychiatry (Community)	Cornwall Partnership Trust
Dr Henry Cameron	Old Age Psychiatry (Community)	Cornwall Partnership Trust
Dr Vicky Brown	Old Age psychiatry (Inpatient)	Cornwall Partnership Trust
Dr Alejandro Corsico	Old Age Psychiatry (Community)	Longreach Hospital, Redruth
Dr Simon Vann Jones	Old age Psychiatry (Community)	Trevillis House Liskeard Cornwall

Post Information

POST	Old Age Psychiatry
TRAINER	Dr Sadir Altaan
EMPLOYING TRUST	Cornwall Partnership NHS Foundation Trust
TRAINING BASE	Banham House, Bodmin Hospital, Cornwall/ Elfordleigh Community Resource Centre, Launceston, Cornwall
JOB DESCRIPTION	This post will provide training opportunities in both organic and functional disorders for the older adult population of Northeast Cornwall (Launceston, Bude, Boscastle, Tintagel, Camelford and Callington). The population of this catchment area is spreading out through historical coastal and rural towns and villages.
COMMUNITY SERVICES	This service involves memory assessment (Memory Clinics), the assessment and management of dementia with behavioural and psychological symptoms in different settings (patients’ homes, care homes and occasionally in the local Community Hospital), and the assessment and management of functional psychiatric disorders complicated by complex physical health problems and the effects of aging.
INPATIENT SERVICES	There is one organic ward for the whole of Cornwall with a designated inpatient consultant, and about six functional bed on Fletcher ward for the east part of Cornwall. This service involves the assessment and management of severe mental disorder (organic and functional) when the risk to the patient is too high for their management in the community or when community support is felt to be inappropriate. Inpatients will be supported by the Multi-Disciplinary Team and a Junior Doctor, usually a GP trainee. Admission rate is generally low.
THE COMMUNITY TEAM	This includes the Team manager, four CPN’s, two HCA’s, an OT, Dementia Liaison Nurse, Primary Care Practitioners and a psychologist has also been appointed and will be working closely with the different members of the community team. All referrals are team referrals, which will be triaged and discussed at the weekly MDT meeting.
TRAINING OPPORTUNITIES	The trainee will have the opportunity to work alongside the Multi-Disciplinary Team in providing memory assessments, and diagnoses as well as managing complex cases of dementia with behavioural and psychological symptoms. The trainee will also have the opportunity to assess and manage patients with functional and complex psychiatric disorders under supervision. The trainee will gain experience in the application of the Mental Capacity Act and the Mental Health Act in clinical practice. There are monthly old age psychiatrists meetings to discuss difficult to manage patients few of them will include meetings with consultant radiologist to review neuroimaging. Formal Royal College CPD peers meetings take place four times per year.
AUDIT & RESEARCH	The trainee will have the opportunity to develop his/her own audit or to participate in or lead one of the regional or national audits such as POMH UK audits. Dr Altaan is a member of the Mental Health Research Team at Cornwall Foundation Trust and has been active in dementia research. Trainees will have the opportunity to have supervised experience in research and would be welcome to attend the periodic Mental Health Research Team meetings.
TEACHING	There is a weekly teaching programme for GP trainees and core psychiatric trainees. There is a monthly Grand round for all the trainees and consultants and there are regular MRCPsych exam training classes during which the senior trainee could develop his/her teaching and educational skills. There are also opportunities in providing teaching and training to the Multi-Disciplinary Team and to the local General Practitioners.
ECT	There is a well-established ECT team based at Bodmin Hospital which is led by an Old Age Psychiatrist colleague, this could provide opportunities for a senior trainee to develop his/her ECT experience further.
CBT	Dr Altaan is a fully qualified CBT therapist and accredited member of BABCP and has a once weekly CBT clinic. The trainee would have the opportunity to develop his/her experience in psychological therapies should he/she wish to do so.
LEADERSHIP & MANAGEMENT	There is a senior medical and consultants business meeting which takes place once a month as well as regular business meetings for the Old Age Psychiatrists which the senior trainee is welcome to attend.

WEEKLY TIMETABLES: (see point 4 in Notes for Guidance)

TRAINEE TIMETABLE: (This can be adapted and tailored to trainees needs)

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

ON CALL: 14 includes S12 work- on call work will be supervised by consultants

Post Information

POST	Old Age Psychiatry
TRAINER	Dr Henry Cameron
EMPLOYING TRUST	Cornwall Partnership NHS Foundation Trust
JOB DESCRIPTION	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.

WEEKLY TIMETABLES

TRAINEE TIMETABLE:

	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
A.M	Memory clinic	Memory assessment MDT Home visit / clinic	Peer meetings / Academic programme	WholeTeam MDT Meeting	Research / Special Interest
P.M	Home Visits / admin / MDT work Supervision with consultant	Admin / home visits	Admin / home visits /emergency assessments	Admin / home visits	Research / Special Interest

ON CALL: Cornwall Rota, 1 in 9 days with Consultant supervision

Post Information

POST	ST4-6 Old Age Psychiatry
TRAINER	Dr Vicky Brown
EMPLOYING TRUST	Cornwall Partnership NHS Foundation Trust
JOB DESCRIPTION	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.
LOCATION OF POST	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
OTHER OPPORTUNITIES	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
ACADEMIC ACTIVITIES	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
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 and use of study leave, research and special interest sessions.
ABOUT THE TRAINER	I come from Cornwall originally but did my undergraduate training in Edinburgh and split my psychiatric training between Fife and Cornwall. I have been a consultant since 2000. I am dual registered for General Adult Psychiatry and Old Age Psychiatry. As a part time consultant, I am sympathetic to the needs of part time and full time trainees. Although I have no formal qualifications in them, I spent part of my training in addictions and psychotherapy, and retain an interest in those fields. However, my passion is care for people with dementia, particularly in ensuring good quality care in the later and more difficult parts of their life.

ON CALL: Cornwall Rota, 1 in 10 days with Consultant supervision

WEEKLY TIMETABLE:

TRAINEE TIMETABLE:

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)

POST INFORMATION

TRAINING POST	Old Age Psychiatry
TRAINING BASE	Longreach Hospital, Redruth
TRAINER	Dr Alejandro Corsico
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.

WEEKLY TIMETABLES

TRAINEE TIMETABLES

	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
AM	Special Interest (eg. AUDIT/ Research Project)	Home Visits + Supervision	Trainees Teaching: Weekly CPD: Monthly	Out Patient Clinic	Admin Ward Work Drop in Supervision
PM	Special Interest (eg. AUDIT/ Research Project)	Multi-Disciplinary Team Meeting + Ward Round	Admin Ward Reviews	Out Patient Clinic/ Admin	Community work: Home Visits

ON CALL- 1:9

POST INFORMATION

TRAINING POST	Old Age Psychiatry
TRAINING BASE	Trevillis House, Lodge Hill Liskeard Cornwall PL14 4EN
TRAINER	Dr Simon Vann Jones
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.

WEEKLY TIMETABLE

TRAINEE TIMETABLE

	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
AM	Supervision/Admin	Team MDT Memory Assessment ServiceMDT (biweekly)	CPD	Memory clinic/home visits Neuroradiology meeting (monthly)	Special interest day
PM	Home visits	Ward Round/Community work	Community work	Memory clinic/home visits	Special interest day

ON CALL-

1 in 9 on the general adult rota covering 136 rota and junior doctor ward queries. Paired with a covering consultant for OOH support.
Accommodation provided in Redruth or Bodmin if required

This page was last updated May 27th 2021 (4 months ago)