Republic of Ireland HSE Consultant Liaison Psychiatry Psychiatrist in Connacht Region 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: Liaison Psychiatry Psychiatrist

*** 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

*** Pay rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary (allowances paid extra)

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 new post is for psychiatrists with experience of liaison psychiatry interested in working with well-respected and established multidisciplinary teams in Connacht Region with teams at the forefront of HSE psychiatry services and with further developments in psychological medicine services.

The posts are anticipated to be primarily based in a hospital setting and link with the teaching hospitals and with surrounding primary care providers. One is to be based in with the current liaison psychiatry team providing a service to the regional hospitals. There will be opportunities for the appointed consultants to work with the Trust directorate level development team to finalise the specification of the service delivered within the agreed commission. There are parallel developments in other teams in the Acute Care Pathway that the post holder will be encouraged to be aware of and liaise where appropriate. Future developments may include outreach into integrated mental and physical health pathways in primary care surgeries for example. Consideration will be given to candidates preferred areas of working, both in terms of geographical location and the current service evolution.

Specific Duties

The liaison psychiatry team is commissioned to full-time consultant liaison psychiatrists, (one younger adult/IPMS and two all age adult/IPMS who cross cover each other) and up to two further posts to expand the integrated psychological medicine role alongside the acute care pathway that is already established. The Liaison psychiatry team serves the over 18 yrs Younger adult and Older Adult inpatients and users of all departments in the nearby hospitals. They also work closely with a Consultant led perinatal psychiatry team that is co-located with the hospital.

Doctors are concerned about their responsibility and accountability for care provided by members of their team to individuals with whom they have had little or no contact. The trust recognises there are three main models of responsibility which apply:

· Direct responsibility; this arises from direct clinical involvement in a case. For example, it may involve making a diagnosis, prescribing treatment or making an assessment of risk.

· Delegated responsibility; the consultant delegates some or all aspects of care to other professionals but retains overall responsibility. Every professional is, however, responsible for the quality of the care they provide, and accountable if it falls below acceptable standards. This means, for example, that if a consultant delegate’s assessment, treatment and care to a more junior doctor, the consultant is not accountable to the HSE for the decisions or actions of the junior doctor but the consultant is responsible for ensuring that the junior doctor is appropriately trained, experienced and supervised.

· Distributed responsibility; responsibility for the care of the individual is distributed among the professionals involved, according to their role and contribution. The consultant is responsible for the own direct clinical involvement, including the quality of advice and assessment given. Individual professionals are responsible for their own caseloads, and for the delivery of healthcare in accordance with the advice given and accepted. In this model, consultants would retain ‘clinical primacy’ i.e. assume clinical leadership in selected and specific cases working closely in a consultative fashion with the care coordinator, key worker or other professionals to manage the case. In this model the trust does not expect that consultants carry ‘overall responsibility’.

Most consultants will manage patients using the direct and distributed model but there may be instances where the delegated model is appropriate. The consultant should judge which model is appropriate in discussion with senior members of the clinical team.

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 Psychiatrist: Liaison 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.

Work programme It is envisaged that the post holder will work 10 programmed activities over 5 days. Following appointment there will be a meeting at no later than three months with the clinical manager to review and revise the job plan and objectives of the post holder. The overall split of the programmed activities is 7.5 to be devoted to direct clinical care and 2.5 to supporting professional activities (as per the Royal College of Psychiatrists recommendation). The timetable is indicative only.

On-call and cover arrangements The Post holder will participate in robust, cross-cover arrangements with a senior medical colleague/s for annual and study leave. No more than 50% of consultants should be on annual or study leave at any time in a locality. Organisation of cross cover is the responsibility of the post holder. There is a cross cover policy in place for sickness absence.

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

Service Provision and Cover during Absences

The consultant has a continuing responsibility for the care of patients in his/her charge and for the proper functioning of the service allowing for appropriate delegation for the training of his/her staff.

He/she must be available by telephone and able to attend the hospital in a timely fashion when on-call (40 minutes journey time).

Consultant staff must ensure that services are covered during his/her planned absences. Where fixed commitments need to be cancelled during planned absences appropriate notice (8 weeks) must be given. Absences must be co-ordinated with other consultant staff in the specialty to ensure senior cover is always available.

Essential 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 Psychiatry: Liaison Psychiatry

Office Accommodation

The post holder will undertake administrative work associated with their clinical and other professional duties.  Adequate time and facilities for clinical administration, including appropriate office space, secretarial support and access to a personal computer, software & internet access, will be available.

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

The hospital welcomes all applications irrespective of age, disability, gender, sexual orientation, race or religion- essentially the applicant must meet the criteria mentioned above

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.***