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Detailed job description and main responsibilities

RESPONSIBILITIES OF THE POST

• Provide senior medical input and clinical leadership to Perinatal Service. The post holder will have responsibility for those patients seen by himself/herself, together with those patients seen by medical staff directly supervised by the post holder such as trainees.

• Work alongside the team manager, service manager and the other Consultant Psychiatrists in the service to ensure the effective functioning and development of the service.

• Provide direct clinical supervision and line management to the trainees and speciality doctor and any senior trainee placed with the team. This will include 1 hour per week psychiatry supervision for each trainee in an accredited training post.  In addition, clinical supervision needs to be available and ensured daily for medical trainees and a pro rata equivalent level of supervision needs to be provided for speciality doctors.

• Provide direct clinical care and ensure medical involvement in the CPA process and weekly multidisciplinary ward rounds. Family meetings, professionals’ meetings, further ad hoc patient reviews and seclusion reviews are expected as part of this role. The consultant will be expected to adhere to good clinical practice based on research evidence.

• The post holder will contribute to referral management with the team manager and leadership team. The post holder will jointly review care plans with care coordinators, attend daily FACT meetings.

• The Consultant will provide senior medical input and clinical leadership to the perinatal team. Medical responsibility for patients usually remains with the GP, except where a medical member of the team takes a patient on for continuing treatment. The post holder will have responsibility for those patients seen by himself/herself, together with those patients seen by medical staff directly supervised by the post holder. The post-holder will be required to undertake MHA assessments and undertake RC responsibility for patients as required. 

• Expected to be eligible for Section 12(2) approval under the Mental Health Act. The Trust will support obtaining Section 12 approval and Approved Clinician status if required. Health based place of safety assessments on the two Littlemore site are a core part of the job.

• The post holder will fulfil the requirements for Mental Health Act work for patients under their care. This specifically relates to the preparation of reports for Tribunals and Managers meetings, as the Responsible Clinician. Appropriate transfer processes should be adhered to for accepting and discharging patients from inpatient wards under the MHA act.

• Provide timely written correspondence to relevant professionals, including letters to GPs, other professionals, MHA Tribunal reports documenting assessments, on-going management, progress, and eventual discharge using Trust IT and clinical records system – training will be provided where needed.

• Work collaboratively with other agencies, in particular liaison with staff from other teams, AMHTs, Mother and Baby Units, primary care perinatal and mental health teams, crisis and home treatment teams, etc.

• Contribute to developing and delivering improved clinical services as outlined in the National Service Framework for Mental Health.

• Provide Consultant cross-cover to other perinatal Consultant regularly within the team, and to the Buckinghamshire perinatal consultant and other teams occasionally for for annual leave, study leave, unplanned leave, and brief periods of sickness absence.

• Participate in the Oxfordshire Adult on-call consultant Rota (Currently approximately 1 in 26 Oxfordshire, category A, banded at 3%). There are usually two specialist registrars ST4 to ST6 trainees, on call, who take first line responsibility for referrals from the community. The ST4 or ST6 trainees also provide second line support to ST1 to ST3 trainees on shift duty at the main hospital sites.

• Participate in a no Fixed Abode rota (NFA) which all consultants are rostered on for newly presented patients who have no fixed address in Oxfordshire but require allocation to a team.