Locum Consultant Psychiatrist - Primary Care Liaison (St Albans)inSt AlbansinSt AlbansPUBLISHED MON 3 FEB 2025
In addition to clinical responsibilities, the post-holder will engage in administrative duties, contribute to service planning, maintain professional registration, and participate in the Trust's academic and continuous professional development programs. The role requires compliance with the Trust’s policies and active involvement in financial management, ensuring the service functions efficiently while adhering to governance protocols. The position reflects the Trust's "OUTSTANDING" CQC rating and aims to enhance mental health services in the North West of Hertfordshire.
Would you like to be part of something Outstanding?
We are seeking a Locum Consultant Psychiatrist, Primary Care Liaison for a fixed term 12 month appointment working 5 Programmed Activities per week.
This is a hugely exciting time for the Trust having recently achieved an OUTSTANDING CQC RATING and being one of just five mental health and learning disabilities NHS trusts in England to hold an outstanding rating.
The post-holder will provide specialist consultative liaison to Primary Care based staff for advice and guidance (GPs and Primary Care Mental Health Service) for the primary care networks in the North West of Hertfordshire. Where necessary a service user may be seen by the primary care liaison psychiatrist for one-off mental health diagnostic assessment and/ or medication management. Psychiatric consultation slots will be made available for GPs and primary care mental health practitioners for clinical discussion. The psychiatrist and primary care mental health practitioners will agree on the local process to support the booking of slots for primary care consultation with a psychiatrist where required.
The GP continues to hold overall clinical governance responsibility for patients seen by primary care mental health staff including psychiatrists in primary care. When an HPFT prescriber has made prescribing recommendations to primary care, the GP retains clinical responsibility to consider the recommendations for further action in primary care.
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The Post-holder will ensure clinical outcomes are clearly shared with the GP via primary care Electronic Clinical Record (ECR) e.g., SystmOne/ EMIS, subject to Information Governance arrangements supporting this access.
The post-holder will ensure a letter is generated within the primary care electronic record, this can be emailed to HPFT single point of access which will save it as additional information to Paris. Consultation in primary care can be sent as a letter to Specialist Mental Health Service or primary care mental health services. This may utilise HPFT primary care administrative support where available.
The post-holder will provide additional support to the primary and specialist care Multi-Disciplinary Teams (MDT) regarding diagnoses, risk formulation and medications. This will include support to integrated multi-disciplinary or multi system team meetings for mental health case discussion in primary care networks. GPs in the PCN can refer Adults with moderate to severe mental ill health or stable severe mental illness with low risk to self and others.
Primary Care Mental Health practitioners may discuss patients in the lower (17-18 yrs old) and upper age range (over 65 yrs old) with the post-holder who may offer outpatient appointment, but this will be on case-by-case basis. The service user must be aware of the referral and in agreement with it.
Based on need, current presentation, and risk, they may be referred on to different community health services, suchas secondary community mental health services, CRHTT (Crisis Team), SPA, and First Response Service.
People are not eligible to access this service if they are at acute risk to self or others; or they meet the threshold for the crisis team; if they are already receiving care from secondary mental health services (unless for supported discharge to community); if they suffer from a first episode of psychosis; if they take medication that requires a shared care protocol such as Clozapine or Lithium.
You must ensure the relevant professional registration is maintained, including Section 12, Approved Clinician, and Responsible Clinician status.
General Duties include, but not exclusive to;
- To undertake the administrative duties associated with the care of patients.
- To record clinical activity accurately and comprehensively and submit this promptly to the Information Department.
- To participate in service and business planning activity for the PCN and, as appropriate, for the whole mental health service.
- To participate in annual appraisal for consultants.
- To attend and participate in the academic programme of the Trust, including lectures and seminars as part of the internal CPD programme.
- To maintain professional registration with the General Medical Council, Mental Health Act Section 12(2) approval, and to abide by professional codes of conduct.
- To participate annually in a job plan review with the clinical manager, which will include consultation with a relevant manager to ensure that the post is developed to take into account changes in service configuration and delivery associated with modernisation.
- To work with local managers and professional colleagues in ensuring the efficient running of services and share with consultant colleagues in the medical contribution to management.
- To comply with the Trusts agreed policies, procedures, standing orders and financial instructions, and to take an active role in the financial management of the service and support the medical director and other managers in preparing plans for services.
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