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Herefordshire NHS Consultant Post CCT ST7+ Psychiatry - Forensic Psychiatrist United Kingdom via Workplace Doctors on a fixed term/ permanent basis.

*** GMC Registration Required ( General Medical Council) Essential

*** Specialist Register entry on the GMC Register

***CESR / CCT or Post CCT (within 6 month of job offer) or equivalent overseas qualification.

***Location: Herefordshire - United Kingdom

***Speciality: Psychiatry – Forensic Psychiatrist

*** Role: Consultant / ST 7+ / Post CCT / CESR

***Duration: Fixed Term / Permanent (NOT Locum Basis)

***Pay rate: £NEGOTIABLE (dependent on experience £79,860 to £110,465 a year)

***Start date: ASAP

*** Exact location details provided upon receipt of application / CV


This is a replacement post of Consultant Forensic Psychiatry and is part of the continuing development of forensic services, allowing us to offer sustainable specialist forensic services for the population of Herefordshire. The post-holder will have inpatient facilities at a medium secure unit

Our NHS client prides itself on being a friendly and caring place to work where the aim to combine our patient first approach with innovative and creativity against a backdrop of holistic team working, as encapsulated in their vision and values.

Herefordshire is bordered by Gloucestershire, Worcestershire, Shropshire and the Welsh counties of Monmouthshire and Powys. Herefordshire has a population of around 230,000 people. The county town is the cathedral city of Hereford with other significant towns at Leominster, Ross-on-Wye and Ledley.

The stunning landscape of Herefordshire is dominated by agricultural land, two Areas of Outstanding Natural Beauty – the Malvern Hills and the Wye Valley – dotted with pretty villages and the River Wye upon its exit from and re-entry to Wales. The M50 provides a direct motorway link into Herefordshire from the South, whilst the A40 provides access for traffic from Oxford, London and the Midlands and the A49 goes North to South through the county.


In patient forensic medium secure services for men are primarily based at a medium secure unit. This is a 25 bed unit, based over three wards. A five bed high dependency ward, 10 bed acute admission and assessment ward and a 10 bed continuing care ward which is also the pre-discharge ward.

The inpatient forensic team includes; three consultant forensic psychiatrists, a senior and junior trainee Doctor. We have two consultant forensic psychologists and three psychology assistants. Links with a local University clinical psychology course have ensured an excellent standard of interviews and committed psychology assistants. At present the psychology service provides only for the inpatients. Our occupational therapy team includes two full-time senior therapists, a band for occupational therapist and a technical instructor. They provide a range of activities for the inpatients including evening and weekend sessions.

The nursing in patient team includes the service manager, matron, security nurse, three band seven ward managers, seven band six nurses and a full complement of staff. Links with a local University and student nurse places support our consistently full complement of nurses.

The community forensic team has recently reached its full complement. A band seven manager, five qualified staff and two community support workers. They provide care and support for local forensic community patients as well as a care coordinator role for Herefordshire forensic patients who are placed out of area in secure settings.

Our admin team includes; two band fives, one of which is a new post to support with audit, research, IT development and referrals Management. We also have a band four medical secretary and three band three staff as well as an apprentice administrator. Ward clerical support is provided by a band two administrator. The admin team provide cross cover across services. Each RC has their own PA who is part of this team.

General Duties- guideline only

Clinical duties will include:

  • Comprehensive assessment of referrals
  • Leadership of MDT in patient care team
  • Attendance at the weekly Multidisciplinary Referral and allocation meeting.
  • Working to the requirements of the Mental Health Measure.
  • MHA administration and Tribunal attendance
  • Clinical supervision and practice development of medical, nursing and other staff.
  • Provision, as required, of specialist forensic assessments for the Courts, MAPPA and National Offender Management Service.
  • Provision of specialist forensic assessments and consultation advice to Hospital Trust’s and acute inpatient services in Herefordshire.
  • Assessment of patients in Independent sector secure hospitals and supervision to care coordinators as required.
  • The post holder will be responsible for the overall psychiatric care of an inpatient population within the medium secure services.
  • Together with colleagues in the multidisciplinary team, you will offer medical leadership, & assessment & management both for inpatients and for the wider responsibilities of the forensic service locally which includes prisons and community forensic mental health team.
  • The consultant forensic psychiatrists within the service work to a model such that each has primary responsibility for a caseload within inpatient provision. The Clinical Director currently provide consultant input to the HMP prison for 2 sessions.
  • The patients to which consultants are affiliated is initially fixed but may alter as the service evolves to meet changes in demand. The successful candidate will provide input to the medium secure (male) Mental Illness treatment pathway.
  • There is an outpatient commitment attached to this post, however as the Forensic outreach services develop as part of STP, it is anticipated that job plans for all the consultants in the forensic service will be reviewed and may incorporate sessions working with the community forensic mental health team along with an equivalent reduction of inpatient responsibility.
  • Referrals to the secure service are sent directly to the risk and Referrals manager and Clinical Director and referrals allocated for gatekeeping assessments appropriately, taking into account individual workload and availability. Assessments are The rate of referrals varies but each consultant can reasonably expect to undertake an assessment and provide a written report 1-2 x monthly.
  • Consultant supervision to care coordinators for patients in out of area placements in other medium secure hospitals and high secure hospitals.
  • Gate keeping assessments for mentally disordered offenders into secure services.
  • Consultant input to the multidisciplinary community forensic team. The team provides enhanced community support and a recovery approach for people stepping down from medium security.
  • Consultation and capability building work with local mental health services to improve their management of risk and offending behaviour.
  • Hold responsible clinician status, and be an approved clinician as defined within the Mental Health Act for patients within the service.
  • The post holder will provide supervision, clinical leadership and management of junior medical staff.
  • The post holder is expected to work flexibly with colleagues to enable the smooth running of the service, and to ensure the most appropriate care is provided to each individual patient.
  • To participate in clinical governance activities including clinical audit and risk management so as continuously to improve the quality of care provided.
  • To provide short term cover for authorized periods of absence from duty of Consultant colleagues.
  • To participate in continuing professional development according to The Royal College of Psychiatrist guidelines.
  • To comply with all Hospital policies and procedures, drawn up in consultation with the professions in respect of clinical matters.
  • To complete all relevant clinical administration associated with the post.
  • The appointee must be able to travel around the facilities serviced by this post which, in relation to referrals, may be at significant distance – the post holder is expected to participate in the multidisciplinary assessment of new referrals and in gatekeeping and ongoing review of patients placed elsewhere.
  • These duties are subject to review from time to time in light of the changing requirements of the service. If alterations to the described duties are required, these will be mutually agreed between the appointee and the Hospital.

Job Plan

Regular job planning meetings will be undertaken with the post holder to ensure that the appointee is remunerated for any additional activities undertaken and that the job plan accurately reflects the overall workload undertaken by the post holder.

The supporting professional activities (SPAs) allocation within the provisional job plan is an illustrative guide and will be finalised following individual agreement with successful candidates.

Further discussion on supporting professional activities will depend on the Trust's requirements and the individual's particular expertise.

The job Plan will be reviewed and agreed with the post-holder at appointment.

Programme of Work – Timetable (provisional)

Direct Clinical Care

2 x sessions ward work, including administration and MHA preparation

1 x session ward round

1 x session forensic MDT meeting

3 x session’s community forensic assessments, consultation and reviews

Supporting Professional Activities

The post is offered with 3 SPA sessions subject to negotiation with the hospital.

2 x sessions maintaining professional standards and revalidation


This is as described in the Medical and Dental Terms and Conditions, in line with the Consultant Contract (2003). The current full time salary scale (as of July 2020) ranges from £79,860 to £110,465 a year with eight thresholds.

The on call supplement is Category A and attracts a supplement of 5% of basic salary.

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, 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.


The consultant will be required to participate in programmes for teaching clinical students, training junior doctors and in clinical examinations. The post-holder’s contribution to teaching, training and research will be included in the regular job plan review. Teaching will take place during programmed activities and flexibly at other times.

  • To provide conditions for improved training opportunities in line with national and local recommendations arising out of GMC and related requirements
  • To supervise and manage the work of his/her junior medical staff and participate in the training and development of these staff to the standards required by the Royal Colleges.

Clinical Governance & Audit

The consultant will participate in clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies. There are 6 half day clinical governance meetings per annum which substitute regular fixed sessions. There is a weekly consultant meeting before MDT on Friday to discuss any issues during the week and to plan for next week.

Personal & Professional Development

The post-holder will be required to keep himself/herself fully up-to-date with their relevant area of practice and be able to demonstrate this to the satisfaction of the Trust.

The Trust supports the requirements for continuing professional development as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities.

Medical revalidation is the process by which the General Medical Council (GMC) confirms the continuation of a doctor’s licence to practise in the UK, provides greater assurance to patients, the public, employers and other healthcare professionals that licensed doctors are up-to-date and fit to practise. It is a key component of a range of measures designed to improve the quality of care for patients.

The Trust supports Royal College guidance on provision of mentors for new consultants in line with GMC recommendations. All newly appointed consultant staff are provided with a list of locally trained mentors who are available for ongoing support as required.

Personal Responsibilities


All confidential information, including patient records, individual staff records, details of contract prices and terms and any other confidential information, must under no circumstances be divulged or passed on to any unauthorised person or persons. The penalty for breach of confidentiality will normally be summary dismissal.

Workplace Doctors are looking for medical professionals with UK & Overseas experience: that possesses the following qualities:


*** Ability to act as part of a team

*** Ability to cope with a varying work load

*** GMC Registration Essential (General Medical Council) - We can provide guidance if needed

*** Specialist Register entry on the GMC Register

***Post CESR or CCT obtained (CCT - Certificate of Completion of Training) or (CESR- Certificate of Eligibility for Specialist Registration)

****IELTS and PLAB Exam Part 1 & 2 (IELTS, overall score 7.5) – overseas doctors

****GMC Registration Essential (General Medical Council) – We can provide guidance if needed

Doctors guide to working in the UK – Click here

Note: The Trust operates a policy whereby all employment for staff that have access to children/vulnerable adults will be subject to a satisfactory DBS Disclosure (Disclosure and Barring Service) The Criminal Records Bureau ( CRB ) and the Independent Safeguarding Authority ( ISA ) have merged to become the Disclosure and Barring Service ( DBS ). CRB checks are now called DBS checks. Overseas candidates will require an international police check or character reference.

Tier 2 Certificate of Sponsorship (formerly a Work Permit)

Applications from job seekers who require Tier 2 sponsorship to work in the UK are welcome and will be considered alongside all other applications. However, non-EEA candidates may not be appointed to a post if a suitably qualified, experienced and skilled EU/EEA candidate is available to take up the post as the employing body is unlikely, in these circumstances, to satisfy the Resident Labour Market Test.

At Workplace Doctors we welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion.  Candidates will be offered an interview providing they meet the minimum criteria for the post.

Workplace Doctors is a recruitment agency that offers locum, fixed term, permanent & locum medical jobs to cover the NHS, HSE, public and private sectors for Doctors and Nurses, AHP medical professionals.

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

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV along with your GMC Registration to  You are able to also apply online (see below)