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Consultant in Child and Adolescent Psychiatry

Health and Community ServicesUnited Kingdom

9 days ago

Job type

Temporary

Job description

Job summary

Following a significant redesign, and a new model of carewhich will support all children and young people to thrive, Jersey CAMHS we arelooking to recruit two consultant Child and Adolescent Psychiatrists to joinour multi-disciplinary team. The successful applicants will join the two existingconsultants. This is an exciting time to join CAMHS with the launch of theservice redesign and significant investment into the service. There is ample opportunity for private practice.

Situated just 40 minutes flying time from London withexcellent transport links to Europe the small beautiful Island of Jersey enjoysgreat weather, sandy beaches surrounded by soaring cliffs and offers a healthywork-life balance. There are excellent opportunities for a wide range ofoutdoor activities including sailing, diving, kayaking and paddle boarding. Jerseyhas the ideal lifestyle and work environment. An exciting opportunity hasarisen for the successful applicant to relocate to the Island.

The post holders will be expected to take on thefull range of duties including the routine and emergency diagnosis andmanagement of children and young people with significant mental health problems up to the age of 18, the support of other team members and providingconsultation and advice to other agencies.Successful applicants will be encourage to develop a special interestand take a clinical lead in one of the following areas

Eating Disorders

Crisis Intervention

NeurodevelopmentalDisorders

Transition

Main duties of the job

The service has expanded and continues to develop its service delivery to meet the needs of the community.As a senior clinician you will have opportunity to shape the service and influence child mental health more widely on the island.

Full travelling expenses are paid from a UK port of entry, with a generous relocation package available and the appointee may take advantage of Jersey taxation policies. The post attracts residential qualifications and Jersey has excellent affordable private education for children. Under Jersey Law, applicants must possess FULL registration with the General Medical Council and hold a licence to practise.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

Living in Jersey is also financially attractive.We have a flat rate of income tax which compares favourably to the UK and we offer a generous public sector pension scheme, which is not subject to UK lifetime or annual contribution restrictions.The Jersey Consultant Contract is similar to the UK but with a higher level of increments. Subject to satisfactory performance, incremental progression is automatic for between points 1 to 17 on the pay scale. Formal applications are required for points 18 20

About us

We pride ourselves in delivering high quality carethat is patient-centred, safe and effective. We are a vibrant organisationwhere clinicians are at the forefront of developing and managing services. We offer a wide range of clinical services onthe Island and have good links with specialist services in the UK. There is agenerous study leave budget which doctors are strongly encouraged toutilize. We are currently planning a newgeneral hospital and new mental health inpatient unit, so the next few yearswill be an exciting time. There are strong relationships between mental health,primary and secondary care. CAMHS sits under Children Young People andEducation Services (CYPES) directorate which enables many opportunities forinnovative multi-agency working. However the medical posts line managed andaccountable to Health and Care Jersey (HCJ). There are many joint learning and teachingopportunities, based in our modern, purpose-built education centre. We have arotation of Resident doctors from Health Education Wessex. We welcome clinicalresearch. This is anexcellent opportunity to be part of developing a genuinely integrated care system.

For applicants appointed at the maximum increment, additional salary up to £206,059 per annum is available through annual panel application once in post.

Job description

Job responsibilities

Place of Work

The CAMHS clinics are based at Liberte House, St Helier which is in themain town. It is co-located withChildrens Social Care and the Children and Families Hub. The post-holder mayalso be required to see Children and Young People who have been admitted toJersey General Hospital or Orchard House {adult mental health in-patientfacility}.

In-PatientProvision

There is no designated inpatient provision butthe team provide flexible intensive packages of care for children and youngpeople with severe or complex mental health difficulties. The packages ofcare can be provided both for assessment and treatment. The programmes are set up jointly with otherservices including Paediatrics, Adult Mental Health and Childrens Services {Social Care}.

The Paediatric and Adult Mental Health teamsare supportive in providing in-patient facilities and both the paediatric ward {Robin Ward} and acute adult mental health ward {Orchard House} are used foryoung people who require admission. Robin Ward will admit young people upto their 17th birthday. The postholder will be clinicallyresponsible for young people admitted toRobin Ward and Orchard House under theircare and will be expected to undertake reviews of these patients.

All those under 16, and most under 18 admittedto Orchard House are cared for separately to the other in-patients if possibleor are under continuous observation for safeguarding reasons. There is anew provision currently being built which will provide facilities for youngpeople to be admitted to an area separate from the main ward. It is anticipatedthat this may become available from December 2023.

When necessary young people can be transferredto the UK for inpatient treatment.

The CAMHS Team

CAMHS is staffed by a multi-disciplinary team withsecretarial and administrative support.The service aims to provide a comprehensive assessment, treatment andtherapeutic service for a range of developmental, behavioural, emotional andpsychiatric difficulties in children and young people up to their 18thbirthday. The service is restructuring and the new posts are currently beingrecruited to, the team structure below represents existing posts and thosecurrently being recruited to.

Medical Staff

4Consultant Child & Adolescent Psychiatrists {1.8 in post, 2 posts vacant to be recruited to, currently locum cover in place}

1.6Associate Specialists

ClinicalFellow - Fixed term contract

ConsultantCommunity Paediatrician

Duty & Assessment

Duty & Assessment Manager

1 Advanced Nurse Practitioner

3 Nurse Practitioners

9 CAMHS Practitioners

6 Health Care Assistants {currently vacant}

Duty & Assessment Administrator

Early Intervention

Service Manager Early Intervention

7 CAMHS Practitioners

2 Primary Mental Health Workers

Early Intervention administrator

1 Assistant Psychologist

1 Parent-Infant Psychotherapist

2 Support Workers

Specialist CAMHS

Service Manager Specialist CAMHS

Service Manager Looked After Children

1 Consultant Clinical Psychologist

4 Psychologists

2 Assistant Psychologists

1 Art Psychotherapist

1 Senior Social Worker

1 Family and Systemic Therapist

5 Nurses {3 Clinical Nurse Specialists, 2 NursePractitioners}

1 CAMHS Practitioner

1 PBS Practitioner

1 Dietician {1 day per week}

2 Support workers

1 Health Care Assistant

Neurodevelopmental Pathway

Neurodevelopmental Pathway Service Manager

Consultant Clinical Psychologist

2 Clinical Psychologist

1 Assistant Psychologist

2 Clinical Nurse Prescribers

1 Specialist Nurse

1 Nurse Practitioner

Systemic and Family Therapist

Occupational Therapist

2 Speech and Language Therapists

Neurodevelopmental Pathway Administrators

Admin and Informatics

TeamManager Quality & Assurance

InformaticsOfficer

Officeand Administration Manager

3Medical Secretaries

4Receptionists

Responsibilities andExpectations of the Post Holders

Thepost holder will be an experienced clinician, who can demonstrate a commitmentto multidisciplinary clinical work and provide clinical leadership, support andadvice to the team.

Thecommitments of the post require a level of flexibility. The 4 Consultant Psychiatrists will providecross cover with 2 Associate Specialists in CAMHS so that there will always be atleast one psychiatrist available over the working week.

Wewould be particularly interested in applicants who could demonstrate skills inworking with older adolescents, crisis management, eating disorders and thedevelopment of transition services. Thepostholders will be supported in developing a special interest one or more ofthese areas.

Thepost holder will be expected to

Work with children and young people with acutemental health presentations including self-harm, suicidal ideation, low moodand psychotic symptoms and providing support to other members of the team inmanaging this group during periods of crisis.

Diagnose and managecommon psychiatric disorders using both psychological and pharmacologicaltherapies.

Work with young people with mental healthproblems who have a history of alcohol and substance misuse.

Provide consultation and liaison to other medicalspecialities, Education, Social Services and other agencies.

Develop and deliver training programmes for avariety of disciplines aimed at improving the level of expertise and thestandard of care within the mental health services.

Participate and contribute to the psychiatryteaching programme.

Provide supervision formental health and other professionals, and receive clinical supervision

Liaise and work effectively with others whoprovide services to children and young people as appropriate.

Comply with Health and Community Services agreed policies and procedures.

Work with managers and professional colleagues toensure the efficient running of the services and to share with consultantcolleagues the medical contribution to the management of the service.

Participate in clinical governance activities andQuality Improvement including audit

Thereis no requirement for Section 12(2) status and / or Approved Clinician statusand / or DOL assessment. However the postholder will be required to attendtraining to become an Approved Practitioner under the Mental Health (Jersey)Law 2016.

Populationand CAMHS Caseload

The population of Jersey at the end of 2019 wasestimated to be 107,800 with approximately 22,910 under the age of 19.

The current number of cases open to CAMHS is 1867

The total number of new referrals received in2023 was 1351 {6030 new referrals in by June 2023}

The current postholders {locum} caseload isapproximately 90. Most of the cases on the caseload will have an allocated careco-ordinator but there may be some exceptions to this. Most new assessments areundertaken by other members of the MDT, but some will require initial medicalassessment. There are no fixed requirements for new assessments and follow upappointments. On average there maybe 1-2 new assessments per week and 15-20follow up appointments, depending on the complexity of the cases and othercommitments.

The postholder will be required to participatein the daytime {9am 5pm} medical on call rota for 1-2 days per week. Theinitial duty response, including hospital liaison assessments, is made by theduty worker who will contact the doctor on call if required. With an expansionof our duty service to 8am 8pm there may be a requirement to provide medicalcover for this in the future.

AnnualLeave & Study Leave

Consultants areentitled to 30 days of annual leave increasing to 32 days after 7 years service at Consultant level, plus bank holidays.

Studyleave for the purpose of professional development should be applied for throughthe Clinical Lead and is approved by the Director of Medical Education. Thereis a generous study leave budget and there is an entitlement of 30 days every 3years.