Consultant Psychiatry- Adult in Munster Region - Republic of Ireland on a fixed term / permanent basis; working for our client via Workplace Doctors

*** Must have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland – Munster Region (Clare, Cork, Kerry, Limerick, Tipperary, Waterford)
***Speciality: Psychiatry- Adult
*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

*** Role: Consultant (6+ years post graduate experience)

*** Duration: 12 months (FREE visa & work permit + relocation package offered)

*** Role: Consultant (6+ years post graduate experience)

*** Start date: ASAP

***IELTS Score of 7.0 Overall (minimum) – Essential

***Exact location details provided on application

Irish Teaching Hospitals and Medical Universities receive great international acclaim & recognition throughout the world, doctors with experience and training in Ireland typically enjoy great success in terms of professional career development & job satisfaction.

Overview

The Health Board employs around 11,000 staff and has a budget of around 1.1 billion euro’s.  It is responsible for the operation of three district general hospitals. There are twenty two other acute and community hospitals, and a network of over ninety health centres, clinics, community health team bases and mental health units.  It also coordinates the work of GP practices and the HSE services provided in the munster region by dentists, opticians and pharmacies.

The Health Board is currently undergoing a programme of change.  Mental Health Services are provided by a Mental Health and Learning Disabilities Division.

Adult Community Services

Adult psychiatry services are based around multidisciplinary Community Mental Health Teams which deliver secondary mental health services to defined catchment populations. The teams are organised in line with the six Local Authorities.   Teams are provided in partnership with Local Authorities, with differing levels of integration across Munster.

Acute Care Services

Acute Care is delivered from the three hospitals based in-patient facilities. Acute care is led by acute care consultants within a collaborative model of care which maintains community consultant involvement and offers continuity.

Home Treatment operates as part of Acute Care and are led by the acute care consultants.  It provides the gateway for inpatient beds and in addition provides input to individuals who are suitable for early discharge from inpatient care.

Rehabilitation Services

There are currently 3 open inpatient rehabilitation units.

There is a locked intensive rehabilitation unit based in the community hospital.

The rehabilitation units are managed by dedicated rehabilitation consultants, supported by Community Rehabilitation teams.

Forensic Services

Forensic Services are based at a Medium Secure Unit; a recently built unit with multidisciplinary forensic community teams, and Consultant Forensic Psychiatrists.

Primary Care and Psychological Therapy Services

Primary Care Mental Health Services provide initial assessment and treatment for people with mild to moderate mental disorders.  Referrals onto the CMHT’s for specialist management are made when appropriate. There is a well-established record for providing a range of specialist secondary and tertiary psychological treatments. The department has established procedures for referral, with specific professionals linked to each Community Mental Health Team. In the West there is a well developed Psychology Department with close liaison with the Psychology department in the University hospital in the region.

The Liaison Service has recently expanded, with dedicated Liaison Consultants across the three acute sites. The consultation style of services provides a comprehensive assessment and suggests follow-up for patients attending A&E department with an acute psychiatric presentation and those admitted to the medical wards with psychiatric elements to their presentation.   An Alcohol Liaison service provides input to the hospitals.

Older Persons Mental Health Services

Older Persons Mental Health Services are provided in the community by community mental health teams- elderly. They are organised in line with the Local Authorities. They provide primary and secondary care services, as well as memory services and day hospital provision.  

Patients from the nearby hospitals are admitted to wards for elderly mentally ill inpatients locally. One ward is for primarily cognitive disorders and the other for older people with functional mental disorder.

Substance Misuse Services

Six Community Drug and Alcohol Teams provided in Partnership with each local Authority work across the region.  There are active partnerships within the local Substance Misuse Action Teams (SMATs), Police, and Probation Services.  The service also has a Specialist Midwifery Service and mobile Harm Reduction Service that covers the six counties of Munster, both of which have been seen as National examples of good practice.

In-patient detoxification and rehabilitation services are provided.  This is a purpose built unit for the treatment of substance misuse/alcoholism provided by CAIS, an independent provider. 

Learning Disability Services

Community services are provided in partnership with the individual Local Authorities, centred on multidisciplinary teams.  Specialist in-patient beds are provided, the Intensive Support Service provides community assessment and management of challenging behaviours and there are well-developed supported and intensively supported living schemes.

Child and Adolescent Mental Health Services (CAMHS)

CAMHS are based within the Children and Young Persons division.  CAMHS Tier 4 Inpatient services are provided by a purpose built unit. Sat alongside the inpatient unit is a multi-disciplinary Intensive Community Support Team which works extended hours and prevents admission to out of area beds and facilitates early discharge from the inpatient unit.

Clinical Duties of Post Holder

The post holder will provide specialist psychiatric assessment, treatment and management for adults aged 18 upwards with serious and enduring mental illness.  The post holder will provide medical input to patients under secondary care when required by the care coordinator as well as provide consultation and supervision for Primary Mental Health Services in their catchment area.  Where appropriate the post holder will carry a case load.

The service will deliver a needs led service and therefore the post holder will be expected to manage those above 65 until such time as their needs are more appropriately met by the Older Persons Mental Health Services.  (Transition arrangements are under review).

The post holder will be based with the CMHT and work with the county manager to ensure clinical leadership of the multi-disciplinary team.  The post holder will assist with clinical supervision of the team. It is anticipated that the post holder will assist in training of team members in clinical matters.

The post holder will provide Responsible Clinician services to community patients.

The service operates an Acute Care Model with two dedicated inpatient consultant managing the new to service admitted patients.  The inpatient consultants also have responsibility for the Home treatment team patients.  The post holder will work collaboratively with the Acute Care Services.  There is a dedicated session within the job plan for consultation with the Acute Care Service.  In the event of one of the acute care consultants being on leave overall responsibility for the inpatients is held by the other acute consultant.  The post holder is expected to support acute care with their acute care session. 

The post holder will be expected to hold a current valid driving licence as the job involves community assessments and travelling to distant sites.

Teaching Commitments

·       regular commitments to ward based teaching of undergraduates.

·       participation in the lecture programmes for 2^nd and 4^th & 5^th year medical students.

·       teaching of other groups as required including other specialty juniors and specialist nurses.

Job Plan

A formal job plan will be agreed between the appointee, the Operational Medical Director and Lead Consultant Psychiatry- Adult, on behalf of the Trust’s Medical Director, based on the provisional timetable. This will be signed by the Chief Executive and will be effective from the commencement date of the appointment.

It will be reviewed at 3 months & thereafter annually or at any time, but no less than 3 months after a previous review, as requested by the appointee, Operational Medical Director or Clinical Lead & adjusted accordingly to the agreement of both parties.

On Call and Cover Arrangements

There is a 1:9 on call rota for consultants (Tier 3), which attracts Intensity Band 1

On call, leave and cover arrangements will be made with the community consultant colleagues.

The post holder will be expected to live within an area commensurate with on call duties.

Standard Duties and responsibilities

a) To participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan  and in line with policies as specified by the Employer.

b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services.

c) To work within the framework of the hospital / agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply.

d) To co-operate with the expeditious implementation of the Disciplinary Procedure 

e) To formally review the execution of the Clinical Directorate Service Plan with the Clinical Director / Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director / Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan.

f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures.

g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request.

h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training.

i) To supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care.

j) To participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty / sub-specialty is involved in the selection process. 

k) To participate in clinical audit and proactive risk management and facilitate production of all data/information required for same in accordance with regulatory, statutory and corporate policies and procedures.

l) To participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery

Requirements

This post is open to doctors who hold Registration as a Specialist in the Specialist Division of the Registrar of Medical Practitioners maintained by the Medical Council in Ireland in the specialty of Clinical and Psychiatry.

Office Accommodation

Office accommodation will be provided for the appointee with secretarial support.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through; joint clinics, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

If you are interested in working in growing your career and increasing your income, then talk to our healthcare team today. If you can fill the above requirements, we will give you the following benefits:

*** Visa & Work Permit for FREE!

*** Guidance, Training & Career Development

*** Dedicated & Supportive team- Consultant available when you need.

*** Excellent Basic Pay, Overtime paid for extra hours
***Assistance provided with relocation

We look forward to helping you progress your career and find you the ideal position.

Doctors Guide to working in the Republic of Ireland – Click here

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk  or apply online today (see below).

***Please note due to the high number of applications, we do answer every application in turn.***