Consultant Psychiatry- Rehabilitation in Connacht 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 – Connacht Region (Galway, Leitrim, Mayo, Roscommon, Sligo, Donegal)
***Speciality: Psychiatry- Rehabilitation
*** 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 post is full-time for 10 PAs but consideration will be given to those candidates who can arrange a job share. This post is to provide Consultant/Responsible Clinician duties for 12 patients on a male Longer-Term Low Secure Unit (LTLSU ) and 10 female patients on a step-down inpatient rehabilitation unit. The number of patients the consultant will be responsible for is in line with Royal College recommendations (see below under ‘Duties of Post’). The units are based in the Connacht region, in refurbished accommodation in the existing Department of Psychiatry.

The Trust serves a resident population of approximately 1.2 million. Each town has a core General Adult Service, including Crisis and Home Treatment Teams and Early Intervention, a CAMH service, an older peoples’ psychiatry service, and SMS teams. Rapid Assessment, Intervention and Discharge (RAID) teams have been introduced.

The Strategic goals of the HSE Trust are to:-

· Put local people and communities first
· Strive for excellence
· Use resources wisely
· Be the partner of choice
· Be a great place to work

Duties of the post

The appointee will be expected to provide consultant care of 12 patients  and 10 patients - inpatients . This is in keeping with the Royal College of Psychiatrists document ‘Safe Patients and High Quality Services’ that for consultant job planning purposes, Low Secure services should have 2-4 patients per PA and High-dependency should average 14 patients for 5 PAs. The post-holder would be expected to contribute to the General Adult on-call rota 1 in 12 paid at 3%.

Brief Summary
The consultant leads the team, but does not determine all aspects of patient care. The consultant has ultimate direct responsibility for determining diagnosis, medical treatment (including medication), the decision to admit and take on the Responsible Clinician role, the timing of a discharge, and all RC responsibilities under the Mental Health Act, but in effect most of these decisions and responsibilities, as with all others, are shared with the multi-disciplinary team. It is believed that the management of patients (especially in realm of risk) is at its best in an environment where unfettered debate between all grades of staff (and not only between disciplines) is actively encouraged.

The appointee must therefore have experience of participating in multi-disciplinary teams and be comfortable with this kind of working environment. It is policy that all treatment decisions, apart from emergencies, are decided in the Clinical Team Meetings, where the various treatment protocols and parameters are set, and contingency plans are put in place to enable the different disciplines to operate with a consistent approach but with sufficient flexibility to respond according to the patient’s needs. As far as possible the whole care plan is reached by consensus.

Main Duties of the Post
The appointee will: -

§ Take clinical responsibility for the in-patients, and lead the multidisciplinary team. Virtually all the patients are detained under the Mental Health Act.

§ Assume the role of RC, which carries with it the responsibility to ensure that all the necessary documentation (including Section 17 leave, Consent/Treatment, section renewal etc. forms) is correct and up-to-date, that adequate reports are provided for Manager’s Appeals or Tribunals within the time period laid down in the Code of Practice, and that either she/he attends or adequate representation is available. The appointee will maintain approval as an Approved Clinician and under the Mental Health Act.

§ Liaise appropriately with the Department of Justice (DJI) regarding those patients who are subject to Restriction Orders, and maintain an adequate system to ensure that the regulations laid down by the Ministry of Justice are adhered to.

§ Assess a proportion of the patients referred to the service in the setting from where they are referred, which may entail travelling to any part of the HSE. Assessments will be reported back to the multi-disciplinary referrals meeting for discussion, before a final decision is conveyed to the referrer. (Currently approximately one referral per month)

§ Regularly assess the clinical state of the inpatients, and be involved in psychological and/or family-based therapies, depending on the appointee’s training and interests.

§ Attend regular detailed Care Programme Approach meetings to review progress to date and set longer term goals, in consultation with family/carers and Care Coordinators

§ Attend weekly Clinical Team Meetings, and contribute to the multidisciplinary review of the patients. The consultant will normally chair this meeting. The aim is to review progress and to set short-term goals in keeping with the longer term goals set by the CPA review.

§ Visit patients who have been discharged from the service within the trial period and liaise with the Community Team and community RC.

§ Supervise the junior doctors, at least one hour each per week. Conduct workplace-based assessments. Appraise junior doctors. The appointee will have responsibility for at least 0.6 Specialty Doctor and may apply for a training post if they hold specialist training status.

§ Attend management and Clinical Governance meetings, and contribute to the clinical governance of the unit. Consequently the appointee will be expected to be involved in audit, according to the Trust policy on Audit (available on request), adhere to the various Trust policies on complaints, risk assessment and management, confidentiality etc, and participate in the annual appraisal of consultants and other doctors.

§ Maintain good standing with the Royal College of Psychiatrists for CPD, and accordingly keep medical knowledge up to date, and participate in the annual Personal Development Plan/Appraisal process, which is in line with the Royal College of Psychiatrists policy on CPD (copy available on request). Maintain registration and a licence with the MCI. The Trust fully supports CPD, and accordingly will grant study leave to enable the appointee to maintain their CPD registration with the Royal College. This is approved by the Lead Consultant.

§ Contribute to the teaching and CPD events locally, attending weekly case conferences, audit meetings, and seminars (Wednesday pm ) Time will be available for the post holder to undertake teaching outside these sessions if required.

§ Participate in LSU/Rehabilitation service development, and take on a shared responsibility with the other consultant for those patients who are repatriated to future services within the Trust.

§ Attend regular meetings (quarterly) with the Commissioners. Liaise with other stakeholders (e.g. GP providing physical healthcare to the patients on the unit)

§ Participate in the on-call rota [1:12]. During on-call the appointee may be called upon to advise junior doctors, or assess patients in the community, A&E departments, police stations etc at the request of GPs, police surgeons, junior doctors, or other consultants in other specialties, and provide the services of a Section 12 Approved Doctor and Approved Clinician. The appointee will liaise with the appropriate consultant who will have any ongoing responsibility for the patient.

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 Rehabilitation Psychiatry Consultant, 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.

7.5 PA’s Direct Clinical Care

3 for clinical team meetings and CPA case conferences & clinical work, 0.25 for assessment of referrals, (for the past 3 years there has been less than 1 referral per month to both units) 0.75 for monitoring of inpatients, 1 for writing reports and attendance at Manager’s Hearings and Mental Health Review Tribunals, liaison with the Ministry of Justice, 0.5 administration, 0.25 supervision of junior doctors (one Specialty Doctor), 0.25 emergencies (arising from on-call).

2.5 PA’s Supporting Professional Activities
CPD, appraisal, job planning, audit, management, clinical governance, service development, teaching, joint multi-disciplinary training, and incident reviews.

Supervision The post holder will have regular (at least six times per year) supervision with Lead Consultant  On call 1:12 (see above) at 3% supplement

NB during weeks with no CTMs the time will be used for duties such as teaching/training, emergencies, on-call work, assessments, report writing, administration and service development etc.

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- Rehabilitation.

Office Accommodation

Office accommodation will be provided for the appointee.

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.

Medical representation

 Every consultant is a member of the Trust Medical Staff Committee, which is chaired by an elected member. The LCs and Medical Director are members of this committee in their role as consultants, although are not invited to join the Local Negotiating Committee (LNC) functions of the MSC. Elected members of this committee represent the interests of their colleagues on the Trust LNC, which is chaired by the Medical Director and is attended by representatives of the consultants and MHCCGs, a IMO representative, and members of the Trust Human Resources department. Lead Consultants hold regular meetings with those colleagues whom they manage and this involves all medical staff in service development and management. The LCs support the Medical Director in the Trust Management Structures.

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.***