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Transcript of consultant general adult psychiatry - NHS Scotland | Jobs
Information Pack
MS15023681
CONSULTANT GENERAL ADULT PSYCHIATRY
CAITHNESS AND NORTH WEST SUTHERLAND
NHS HIGHLAND
APPOINTMENT OF CONSULTANT IN GENERAL ADULT PSYCHIATRY
INFORMATION PACK
Section 1 Welcome
Section 2 Advert
Section 3 Job Information
Section 4 Person Specification
Section 5 Terms and Conditions
Section 1 ndash Welcome
Introduction
Thank you for your interest in joining NHS Highland This information package contains details
relating to the local area this post and the Terms and Conditions of Service
NHS Highland is committed to becoming a learning organisation recognising that staff require
access to opportunities to learn maintain and develop skills and knowledge and we recognise the
importance of valuing and supporting our staff throughout their time here
We offer
Policies to help balance commitments at work and home and flexible family friendly working
arrangements
Excellent training and development opportunities
On-site library services at the Centre for Health Sciences
Access to NHS staff benefitsstaff discounts
Cycle to Work Scheme
Excellent student support
Access to NHS Pension scheme
Recruitment Process Applicants are expected to make contact with the department before applying and we would
strongly encourage those that are shortlisted to visit the department prior to interview The cost of
one preliminary visit will be met by NHS Highland
When organising a visit candidates must agree appropriate travel and accommodation
arrangements with the Medical Staffing Department prior to booking Expenses will be reimbursed
to candidates who are subsequently shortlisted
Failure to confirm arrangements with Medical Staffing may result in limited reimbursement of expenses Department Contact Dr Amy Macaskill Service Clinical Director ndash General Adult
Psychiatry - amymacaskillnhsnet Preliminary Visit Expenses Jackie Sutherland Medical Staffing Manager jackiesutherlandnhsnet
Completed applications should be submitted via our website at httpsapplyjobsscotnhsuk
All candidates and employees are afforded equal opportunities in the recruitment and selection
process and in employment irrespective of their age disability gender reassignment marriage or
civil partnership pregnancy and maternity race religion or belief sex or sexual orientation
Your personal information will not be sent with the application for shortlisting The application
form will be identified by the candidate number only to ensure that no applicant will be
unfairly discriminated against
Job reference MS15023681 Closing Date 3 July 2020 Interview Date 6 August 2020
Section 2 ndash Advert
NHS HIGHLAND NEW CRAIGS INVERNESS
CONSULTANT IN GENERAL ADULT PSYCHIATRY
FULL-TIME POST (10 PArsquos)
We seek to appoint a highly-motivated Clinician with an enthusiasm for General Adult Psychiatry The post holder will be welcomed into a friendly and forward thinking team of Consultants where peer support is valued and protected This is a post covering the adult population of the Caithness and NW Sutherland area of North Highland The post holder will travel to these areas as part of the role The community mental health teams are well established comprising of CPNrsquos CBT nurse therapist Social Worker CPNrsquos for addictions MHO Housing Officer mental health support workers and administrative staff The post holder will work closely with the locality CMHT providing out-patient as well as in-patient services in New Craigs Hospital in Inverness The successful candidate will be supported to attend clinical teaching group meetings and CPD at New Craigs Hospital Applicants must be on the GMC specialist register in General Adult Psychiatry or within 6 months of award of CCT by date of interview as consideration can be given to appoint on a proleptic basis This post is offered as 10 PArsquos per week and attracts one Special Interest Session in addition to one session of SPA incorporated in the job plan Also the current timetable spreads the 10 sessions over 4 days The timetable however is negotiable Research proposals which are in line with service requirements would be considered favourably This post will also involve participation in the Consultant on call rota on a 120 basis Applications for flexible working will be considered Interested applicants should contact Dr Amy Macaskill Service Clinical Director ndash General Adult Psychiatry New Craigs Hospital Inverness at amymacaskillnhsnet Prospective applicants are encouraged to contact us in order to arrange an informal visit Applications should be made via httpsapplyjobsscotnhsuk Closing date for completed applications 3 July 2020 Proposed Interview Date 6 August 2020
Section 3 ndash Job Information
Introduction This post has become available through the restructuring of consultant provision to NHS Highland It offers an interesting experience of psychiatry in a rural location whilst maintain professional links with the cadre of consultant colleagues in Inverness The post is well supported by an established and dynamic hospital and Community Mental Health Team The post holder will be responsible for the in-patient and out-patient psychiatric care and treatment of patients from Caithness and NW Sutherland A junior doctor and GP trainee are also attached to the post This post attracts 10 PA sessions The advertised timetable distributes those sessions over 4 working days If this pattern of working is not suitable to the applicant an alternative pattern may be negotiated Clinical Duties These include the provision of consultant psychiatric services to the designated sector including psychiatric assessment and overview of the development of treatment plans in liaison with GPs and multi-disciplinary colleagues It is anticipated that the Consultant will work to a modernised consultative role within the team retaining a caseload of more complex cases and providing supervision to junior doctors within the team Mental Health Services in Highland Mental health services in Highland provide a range of health services over some 10000 square miles ranging from Caithness in the North Lochaber in the south to Skye in the west and Strathspey in the east GP Practices covered by this Post Durness Health Centre Tongue Health Centre Armadale Medical Practice Thurso and Halkirk Medical Practice Riverbank Medical Practice Thurso Riverview Practice Wick Lybster Medical Practice Dunbeath Health Centre Castletown and Canisbay Joint Medical Practice Special interest A special interest appropriate to the needs of the population would be supported in addition to one SPA session and can be discussed at interview Liaison The post-holder will be expected to liaise with local authority general hospital colleagues hospital and community staff and other agencies including voluntary bodies as appropriate to the role
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
APPOINTMENT OF CONSULTANT IN GENERAL ADULT PSYCHIATRY
INFORMATION PACK
Section 1 Welcome
Section 2 Advert
Section 3 Job Information
Section 4 Person Specification
Section 5 Terms and Conditions
Section 1 ndash Welcome
Introduction
Thank you for your interest in joining NHS Highland This information package contains details
relating to the local area this post and the Terms and Conditions of Service
NHS Highland is committed to becoming a learning organisation recognising that staff require
access to opportunities to learn maintain and develop skills and knowledge and we recognise the
importance of valuing and supporting our staff throughout their time here
We offer
Policies to help balance commitments at work and home and flexible family friendly working
arrangements
Excellent training and development opportunities
On-site library services at the Centre for Health Sciences
Access to NHS staff benefitsstaff discounts
Cycle to Work Scheme
Excellent student support
Access to NHS Pension scheme
Recruitment Process Applicants are expected to make contact with the department before applying and we would
strongly encourage those that are shortlisted to visit the department prior to interview The cost of
one preliminary visit will be met by NHS Highland
When organising a visit candidates must agree appropriate travel and accommodation
arrangements with the Medical Staffing Department prior to booking Expenses will be reimbursed
to candidates who are subsequently shortlisted
Failure to confirm arrangements with Medical Staffing may result in limited reimbursement of expenses Department Contact Dr Amy Macaskill Service Clinical Director ndash General Adult
Psychiatry - amymacaskillnhsnet Preliminary Visit Expenses Jackie Sutherland Medical Staffing Manager jackiesutherlandnhsnet
Completed applications should be submitted via our website at httpsapplyjobsscotnhsuk
All candidates and employees are afforded equal opportunities in the recruitment and selection
process and in employment irrespective of their age disability gender reassignment marriage or
civil partnership pregnancy and maternity race religion or belief sex or sexual orientation
Your personal information will not be sent with the application for shortlisting The application
form will be identified by the candidate number only to ensure that no applicant will be
unfairly discriminated against
Job reference MS15023681 Closing Date 3 July 2020 Interview Date 6 August 2020
Section 2 ndash Advert
NHS HIGHLAND NEW CRAIGS INVERNESS
CONSULTANT IN GENERAL ADULT PSYCHIATRY
FULL-TIME POST (10 PArsquos)
We seek to appoint a highly-motivated Clinician with an enthusiasm for General Adult Psychiatry The post holder will be welcomed into a friendly and forward thinking team of Consultants where peer support is valued and protected This is a post covering the adult population of the Caithness and NW Sutherland area of North Highland The post holder will travel to these areas as part of the role The community mental health teams are well established comprising of CPNrsquos CBT nurse therapist Social Worker CPNrsquos for addictions MHO Housing Officer mental health support workers and administrative staff The post holder will work closely with the locality CMHT providing out-patient as well as in-patient services in New Craigs Hospital in Inverness The successful candidate will be supported to attend clinical teaching group meetings and CPD at New Craigs Hospital Applicants must be on the GMC specialist register in General Adult Psychiatry or within 6 months of award of CCT by date of interview as consideration can be given to appoint on a proleptic basis This post is offered as 10 PArsquos per week and attracts one Special Interest Session in addition to one session of SPA incorporated in the job plan Also the current timetable spreads the 10 sessions over 4 days The timetable however is negotiable Research proposals which are in line with service requirements would be considered favourably This post will also involve participation in the Consultant on call rota on a 120 basis Applications for flexible working will be considered Interested applicants should contact Dr Amy Macaskill Service Clinical Director ndash General Adult Psychiatry New Craigs Hospital Inverness at amymacaskillnhsnet Prospective applicants are encouraged to contact us in order to arrange an informal visit Applications should be made via httpsapplyjobsscotnhsuk Closing date for completed applications 3 July 2020 Proposed Interview Date 6 August 2020
Section 3 ndash Job Information
Introduction This post has become available through the restructuring of consultant provision to NHS Highland It offers an interesting experience of psychiatry in a rural location whilst maintain professional links with the cadre of consultant colleagues in Inverness The post is well supported by an established and dynamic hospital and Community Mental Health Team The post holder will be responsible for the in-patient and out-patient psychiatric care and treatment of patients from Caithness and NW Sutherland A junior doctor and GP trainee are also attached to the post This post attracts 10 PA sessions The advertised timetable distributes those sessions over 4 working days If this pattern of working is not suitable to the applicant an alternative pattern may be negotiated Clinical Duties These include the provision of consultant psychiatric services to the designated sector including psychiatric assessment and overview of the development of treatment plans in liaison with GPs and multi-disciplinary colleagues It is anticipated that the Consultant will work to a modernised consultative role within the team retaining a caseload of more complex cases and providing supervision to junior doctors within the team Mental Health Services in Highland Mental health services in Highland provide a range of health services over some 10000 square miles ranging from Caithness in the North Lochaber in the south to Skye in the west and Strathspey in the east GP Practices covered by this Post Durness Health Centre Tongue Health Centre Armadale Medical Practice Thurso and Halkirk Medical Practice Riverbank Medical Practice Thurso Riverview Practice Wick Lybster Medical Practice Dunbeath Health Centre Castletown and Canisbay Joint Medical Practice Special interest A special interest appropriate to the needs of the population would be supported in addition to one SPA session and can be discussed at interview Liaison The post-holder will be expected to liaise with local authority general hospital colleagues hospital and community staff and other agencies including voluntary bodies as appropriate to the role
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Section 1 ndash Welcome
Introduction
Thank you for your interest in joining NHS Highland This information package contains details
relating to the local area this post and the Terms and Conditions of Service
NHS Highland is committed to becoming a learning organisation recognising that staff require
access to opportunities to learn maintain and develop skills and knowledge and we recognise the
importance of valuing and supporting our staff throughout their time here
We offer
Policies to help balance commitments at work and home and flexible family friendly working
arrangements
Excellent training and development opportunities
On-site library services at the Centre for Health Sciences
Access to NHS staff benefitsstaff discounts
Cycle to Work Scheme
Excellent student support
Access to NHS Pension scheme
Recruitment Process Applicants are expected to make contact with the department before applying and we would
strongly encourage those that are shortlisted to visit the department prior to interview The cost of
one preliminary visit will be met by NHS Highland
When organising a visit candidates must agree appropriate travel and accommodation
arrangements with the Medical Staffing Department prior to booking Expenses will be reimbursed
to candidates who are subsequently shortlisted
Failure to confirm arrangements with Medical Staffing may result in limited reimbursement of expenses Department Contact Dr Amy Macaskill Service Clinical Director ndash General Adult
Psychiatry - amymacaskillnhsnet Preliminary Visit Expenses Jackie Sutherland Medical Staffing Manager jackiesutherlandnhsnet
Completed applications should be submitted via our website at httpsapplyjobsscotnhsuk
All candidates and employees are afforded equal opportunities in the recruitment and selection
process and in employment irrespective of their age disability gender reassignment marriage or
civil partnership pregnancy and maternity race religion or belief sex or sexual orientation
Your personal information will not be sent with the application for shortlisting The application
form will be identified by the candidate number only to ensure that no applicant will be
unfairly discriminated against
Job reference MS15023681 Closing Date 3 July 2020 Interview Date 6 August 2020
Section 2 ndash Advert
NHS HIGHLAND NEW CRAIGS INVERNESS
CONSULTANT IN GENERAL ADULT PSYCHIATRY
FULL-TIME POST (10 PArsquos)
We seek to appoint a highly-motivated Clinician with an enthusiasm for General Adult Psychiatry The post holder will be welcomed into a friendly and forward thinking team of Consultants where peer support is valued and protected This is a post covering the adult population of the Caithness and NW Sutherland area of North Highland The post holder will travel to these areas as part of the role The community mental health teams are well established comprising of CPNrsquos CBT nurse therapist Social Worker CPNrsquos for addictions MHO Housing Officer mental health support workers and administrative staff The post holder will work closely with the locality CMHT providing out-patient as well as in-patient services in New Craigs Hospital in Inverness The successful candidate will be supported to attend clinical teaching group meetings and CPD at New Craigs Hospital Applicants must be on the GMC specialist register in General Adult Psychiatry or within 6 months of award of CCT by date of interview as consideration can be given to appoint on a proleptic basis This post is offered as 10 PArsquos per week and attracts one Special Interest Session in addition to one session of SPA incorporated in the job plan Also the current timetable spreads the 10 sessions over 4 days The timetable however is negotiable Research proposals which are in line with service requirements would be considered favourably This post will also involve participation in the Consultant on call rota on a 120 basis Applications for flexible working will be considered Interested applicants should contact Dr Amy Macaskill Service Clinical Director ndash General Adult Psychiatry New Craigs Hospital Inverness at amymacaskillnhsnet Prospective applicants are encouraged to contact us in order to arrange an informal visit Applications should be made via httpsapplyjobsscotnhsuk Closing date for completed applications 3 July 2020 Proposed Interview Date 6 August 2020
Section 3 ndash Job Information
Introduction This post has become available through the restructuring of consultant provision to NHS Highland It offers an interesting experience of psychiatry in a rural location whilst maintain professional links with the cadre of consultant colleagues in Inverness The post is well supported by an established and dynamic hospital and Community Mental Health Team The post holder will be responsible for the in-patient and out-patient psychiatric care and treatment of patients from Caithness and NW Sutherland A junior doctor and GP trainee are also attached to the post This post attracts 10 PA sessions The advertised timetable distributes those sessions over 4 working days If this pattern of working is not suitable to the applicant an alternative pattern may be negotiated Clinical Duties These include the provision of consultant psychiatric services to the designated sector including psychiatric assessment and overview of the development of treatment plans in liaison with GPs and multi-disciplinary colleagues It is anticipated that the Consultant will work to a modernised consultative role within the team retaining a caseload of more complex cases and providing supervision to junior doctors within the team Mental Health Services in Highland Mental health services in Highland provide a range of health services over some 10000 square miles ranging from Caithness in the North Lochaber in the south to Skye in the west and Strathspey in the east GP Practices covered by this Post Durness Health Centre Tongue Health Centre Armadale Medical Practice Thurso and Halkirk Medical Practice Riverbank Medical Practice Thurso Riverview Practice Wick Lybster Medical Practice Dunbeath Health Centre Castletown and Canisbay Joint Medical Practice Special interest A special interest appropriate to the needs of the population would be supported in addition to one SPA session and can be discussed at interview Liaison The post-holder will be expected to liaise with local authority general hospital colleagues hospital and community staff and other agencies including voluntary bodies as appropriate to the role
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Completed applications should be submitted via our website at httpsapplyjobsscotnhsuk
All candidates and employees are afforded equal opportunities in the recruitment and selection
process and in employment irrespective of their age disability gender reassignment marriage or
civil partnership pregnancy and maternity race religion or belief sex or sexual orientation
Your personal information will not be sent with the application for shortlisting The application
form will be identified by the candidate number only to ensure that no applicant will be
unfairly discriminated against
Job reference MS15023681 Closing Date 3 July 2020 Interview Date 6 August 2020
Section 2 ndash Advert
NHS HIGHLAND NEW CRAIGS INVERNESS
CONSULTANT IN GENERAL ADULT PSYCHIATRY
FULL-TIME POST (10 PArsquos)
We seek to appoint a highly-motivated Clinician with an enthusiasm for General Adult Psychiatry The post holder will be welcomed into a friendly and forward thinking team of Consultants where peer support is valued and protected This is a post covering the adult population of the Caithness and NW Sutherland area of North Highland The post holder will travel to these areas as part of the role The community mental health teams are well established comprising of CPNrsquos CBT nurse therapist Social Worker CPNrsquos for addictions MHO Housing Officer mental health support workers and administrative staff The post holder will work closely with the locality CMHT providing out-patient as well as in-patient services in New Craigs Hospital in Inverness The successful candidate will be supported to attend clinical teaching group meetings and CPD at New Craigs Hospital Applicants must be on the GMC specialist register in General Adult Psychiatry or within 6 months of award of CCT by date of interview as consideration can be given to appoint on a proleptic basis This post is offered as 10 PArsquos per week and attracts one Special Interest Session in addition to one session of SPA incorporated in the job plan Also the current timetable spreads the 10 sessions over 4 days The timetable however is negotiable Research proposals which are in line with service requirements would be considered favourably This post will also involve participation in the Consultant on call rota on a 120 basis Applications for flexible working will be considered Interested applicants should contact Dr Amy Macaskill Service Clinical Director ndash General Adult Psychiatry New Craigs Hospital Inverness at amymacaskillnhsnet Prospective applicants are encouraged to contact us in order to arrange an informal visit Applications should be made via httpsapplyjobsscotnhsuk Closing date for completed applications 3 July 2020 Proposed Interview Date 6 August 2020
Section 3 ndash Job Information
Introduction This post has become available through the restructuring of consultant provision to NHS Highland It offers an interesting experience of psychiatry in a rural location whilst maintain professional links with the cadre of consultant colleagues in Inverness The post is well supported by an established and dynamic hospital and Community Mental Health Team The post holder will be responsible for the in-patient and out-patient psychiatric care and treatment of patients from Caithness and NW Sutherland A junior doctor and GP trainee are also attached to the post This post attracts 10 PA sessions The advertised timetable distributes those sessions over 4 working days If this pattern of working is not suitable to the applicant an alternative pattern may be negotiated Clinical Duties These include the provision of consultant psychiatric services to the designated sector including psychiatric assessment and overview of the development of treatment plans in liaison with GPs and multi-disciplinary colleagues It is anticipated that the Consultant will work to a modernised consultative role within the team retaining a caseload of more complex cases and providing supervision to junior doctors within the team Mental Health Services in Highland Mental health services in Highland provide a range of health services over some 10000 square miles ranging from Caithness in the North Lochaber in the south to Skye in the west and Strathspey in the east GP Practices covered by this Post Durness Health Centre Tongue Health Centre Armadale Medical Practice Thurso and Halkirk Medical Practice Riverbank Medical Practice Thurso Riverview Practice Wick Lybster Medical Practice Dunbeath Health Centre Castletown and Canisbay Joint Medical Practice Special interest A special interest appropriate to the needs of the population would be supported in addition to one SPA session and can be discussed at interview Liaison The post-holder will be expected to liaise with local authority general hospital colleagues hospital and community staff and other agencies including voluntary bodies as appropriate to the role
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Section 2 ndash Advert
NHS HIGHLAND NEW CRAIGS INVERNESS
CONSULTANT IN GENERAL ADULT PSYCHIATRY
FULL-TIME POST (10 PArsquos)
We seek to appoint a highly-motivated Clinician with an enthusiasm for General Adult Psychiatry The post holder will be welcomed into a friendly and forward thinking team of Consultants where peer support is valued and protected This is a post covering the adult population of the Caithness and NW Sutherland area of North Highland The post holder will travel to these areas as part of the role The community mental health teams are well established comprising of CPNrsquos CBT nurse therapist Social Worker CPNrsquos for addictions MHO Housing Officer mental health support workers and administrative staff The post holder will work closely with the locality CMHT providing out-patient as well as in-patient services in New Craigs Hospital in Inverness The successful candidate will be supported to attend clinical teaching group meetings and CPD at New Craigs Hospital Applicants must be on the GMC specialist register in General Adult Psychiatry or within 6 months of award of CCT by date of interview as consideration can be given to appoint on a proleptic basis This post is offered as 10 PArsquos per week and attracts one Special Interest Session in addition to one session of SPA incorporated in the job plan Also the current timetable spreads the 10 sessions over 4 days The timetable however is negotiable Research proposals which are in line with service requirements would be considered favourably This post will also involve participation in the Consultant on call rota on a 120 basis Applications for flexible working will be considered Interested applicants should contact Dr Amy Macaskill Service Clinical Director ndash General Adult Psychiatry New Craigs Hospital Inverness at amymacaskillnhsnet Prospective applicants are encouraged to contact us in order to arrange an informal visit Applications should be made via httpsapplyjobsscotnhsuk Closing date for completed applications 3 July 2020 Proposed Interview Date 6 August 2020
Section 3 ndash Job Information
Introduction This post has become available through the restructuring of consultant provision to NHS Highland It offers an interesting experience of psychiatry in a rural location whilst maintain professional links with the cadre of consultant colleagues in Inverness The post is well supported by an established and dynamic hospital and Community Mental Health Team The post holder will be responsible for the in-patient and out-patient psychiatric care and treatment of patients from Caithness and NW Sutherland A junior doctor and GP trainee are also attached to the post This post attracts 10 PA sessions The advertised timetable distributes those sessions over 4 working days If this pattern of working is not suitable to the applicant an alternative pattern may be negotiated Clinical Duties These include the provision of consultant psychiatric services to the designated sector including psychiatric assessment and overview of the development of treatment plans in liaison with GPs and multi-disciplinary colleagues It is anticipated that the Consultant will work to a modernised consultative role within the team retaining a caseload of more complex cases and providing supervision to junior doctors within the team Mental Health Services in Highland Mental health services in Highland provide a range of health services over some 10000 square miles ranging from Caithness in the North Lochaber in the south to Skye in the west and Strathspey in the east GP Practices covered by this Post Durness Health Centre Tongue Health Centre Armadale Medical Practice Thurso and Halkirk Medical Practice Riverbank Medical Practice Thurso Riverview Practice Wick Lybster Medical Practice Dunbeath Health Centre Castletown and Canisbay Joint Medical Practice Special interest A special interest appropriate to the needs of the population would be supported in addition to one SPA session and can be discussed at interview Liaison The post-holder will be expected to liaise with local authority general hospital colleagues hospital and community staff and other agencies including voluntary bodies as appropriate to the role
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Section 3 ndash Job Information
Introduction This post has become available through the restructuring of consultant provision to NHS Highland It offers an interesting experience of psychiatry in a rural location whilst maintain professional links with the cadre of consultant colleagues in Inverness The post is well supported by an established and dynamic hospital and Community Mental Health Team The post holder will be responsible for the in-patient and out-patient psychiatric care and treatment of patients from Caithness and NW Sutherland A junior doctor and GP trainee are also attached to the post This post attracts 10 PA sessions The advertised timetable distributes those sessions over 4 working days If this pattern of working is not suitable to the applicant an alternative pattern may be negotiated Clinical Duties These include the provision of consultant psychiatric services to the designated sector including psychiatric assessment and overview of the development of treatment plans in liaison with GPs and multi-disciplinary colleagues It is anticipated that the Consultant will work to a modernised consultative role within the team retaining a caseload of more complex cases and providing supervision to junior doctors within the team Mental Health Services in Highland Mental health services in Highland provide a range of health services over some 10000 square miles ranging from Caithness in the North Lochaber in the south to Skye in the west and Strathspey in the east GP Practices covered by this Post Durness Health Centre Tongue Health Centre Armadale Medical Practice Thurso and Halkirk Medical Practice Riverbank Medical Practice Thurso Riverview Practice Wick Lybster Medical Practice Dunbeath Health Centre Castletown and Canisbay Joint Medical Practice Special interest A special interest appropriate to the needs of the population would be supported in addition to one SPA session and can be discussed at interview Liaison The post-holder will be expected to liaise with local authority general hospital colleagues hospital and community staff and other agencies including voluntary bodies as appropriate to the role
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Service Development The post-holder will be encouraged to play a role in the planning and development of future services within the sector Involvement of clinicians in service provision is encouraged by NHS Highland which as an organisation is committed to quality improvement through the Highland Quality Approach Recent and significant service developments have come about through direct involvement of clinicians Consultants are represented at the monthly Mental Health Clinical Standards Group meeting and there has been development of condition-specific ICPs and a focus on managing admission to and discharge from hospital by reviewing and updating our admission and discharge criteria Education and Training Duties include the training of junior medical staff and medical students from Aberdeen University when attached to the team In addition other trainees such as Broad Based trainees Remote and Rural Trainees and GPST in Psychiatry are hosted by the department with the GPST trainee being based in Caithness There is the opportunity to participate in weekly Case ConferenceJournal Club meetings to which the post-holder will be invited to present cases from time to time Contractual Obligations Along with other General Adult consultants the post-holder will provide specialist reports as required eg to the Court local authority and other agencies including working as an Approved Medical Practitioner under the Mental Health (Scotland) (Care and Treatment) Act 2003 and the Adults with Incapacity (Scotland) 2000 On-Call Responsibilities will be included within the contract currently approximately 1 in 20 The post-holder will supervise and support doctors in training Cross cover arrangements with appropriate medical colleagues for holidays and study leave will be included on a reciprocal arrangement CPD NHS Highland supports CPD and attendance at appropriate internal and external educational events is encouraged We have departmental peer groups to support college CPD certification and an in-house teaching programme We are also able to link with consultant psychiatry colleagues in Aberdeen for regular CPD events Digital Technology The facility for telelinking has existed in Highland for some time and provides a means of efficient communication between Consultants the Sector Ward and New Craigs colleagues when necessary and also with the community teams when working at New Craigs A pilot is currently being run in Caithness using lsquoNear Mersquo which is a way of conducting clinical activity from a remote location It is envisioned that this will lead to greater working flexibility and patient satisfaction Section 22 Approved Medical Practitioner Status The post holder will be expected to hold Section 22 Approval or undergo the appropriate training to carry out work of this kind when eligible including Mental Health Act and AW Incapacity Act duties
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
SERVICES AND FACILITIES Morar Ward Admission of patients from Caithness and NW Sutherland will usually be to Morar Ward in New Craigs Hospital This ward provides 24 in-patient beds for patients admitted from North Highland excluding Inverness The ward staff participates in regular teamstaff support meetings and the post-holder will be invited to join these as appropriate Psychotherapy Department This department currently provides the Eating Disorder Service and Personality Disorder Service for Highland and provides DBT CBT and IPT It is based at Greenfields House on the New Craigs campus Current staffing consists of 19 wte Consultant Psychiatrist 1 wte staff grade psychiatrist 2 wte nurse therapists variable trainees on clinical attachment and 1 wte secretary Clinical Psychology The aim of the department is to improve the mental and physical health of the population of the Highlands through efficient delivery of psychology services and through the dissemination for psychological knowledge The clinical psychology department is a central organisational structure with responsibility for delivering all applications of psychological principles to health care (clinical health and counselling psychology) as per the MATRIX The service also provides support consultancy and training to other professional colleagues who are engaged in psychological therapy or who use psychological principles in their work The department is a Training Department for the East and South of Scotland Doctoral course in Clinical Psychology Current staffing consists of 13 wte psychologists 12 guided self-help therapists and 7 CBT therapists Liaison Psychiatry Services At Raigmore Hospital there is a well-established liaison psychiatry team consisting of 4 WTE nursing staff and 05 WTE consultant input The team provides specialist psycho-social assessment for all patients referred from the wards at Raigmore Hospital and those seen in the A amp E Department Mental Health Assessment Team This team of senior psychiatric nurses is based in New Craigs Hospital but has a Highland-wide remit for the assessment in liaison with the on call doctor of unplanned referrals to the hospital and decision making regarding urgent treatment The post-holder will have the opportunity to liaise as appropriate with the team regarding patient care plans MENTAL HEALTH SERVICES IN HIGHLAND Braeside Psychiatric Day Hospital To complement other community services a multidisciplinary acute day hospital (Braeside) provides a range of psychological therapies for patients from Inverness and surrounding areas The day hospital has been shown to cope with complex cases which would otherwise be admitted to hospital
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Rehabilitation Service The Highland Rehabilitation Psychiatric Service includes an 8 bedded secure facility as well as a 10 bed community facility This service is supported by 1 wte Consultant Psychiatrist and 05 wte Sp Dr Personality Disorder Services This service is supported by 1 WTE Consultant Psychiatrist and includes a Dialectical Behavioural Therapy team which assesses referrals of patients with borderline personality disorder with a view to inclusion in a DBT treatment programme In addition it has recently opened a Personality Disorder Service Day Hospital which operates one day a week providing practical help and training to patients The treatment of Personality Disorder in NHS Highland follows the phased approach to treatment and the majority of all in-patient and out-patient clinical staff have now been trained in The Decider which is a life skills based stabilisation programme of therapy Dual DiagnosisAlcohol and Substance Misuse The addiction services are structured to include a specialist centre Osprey House (see below) which is situated near the Raigmore Hospital campus and there are well established community teams A Dual Diagnosis post has been developed for inpatients at New Craigs NEW CRAIGS SITE Major Facilities
New Craigs (Adult Mental Health) inpatient facilities in Inverness
New Craigs (Learning Disabilities) inpatient residential style facilities adjacent to the above units
New Craigs Acute Dementia Assessment Unit
New Craigs IPCU
New Craigs Secure Rehab (Bruar Ward)
Aonach Mor Rehabilitation Unit
Braeside Acute Day Hospital located at New Craigs
Osprey House is a base for Substance Misuse services and is located close by at Raigmore DGH Inverness
Migdale Hospital Bonar Bridge has Psychiatry for Elderly beds Current Services Mental health services in Highland employs 19 wte Consultant staff supported by Associate Specialists Staff Grades Clinical Assistants Specialist Registrars Psychiatric trainees GP trainees and FY2 doctors There are 216 registered nursing staff 134 nursing assistants a range of Allied Health Professionals and a team of Clinical Psychologists There is emphasis on supporting multidisciplinary working and staff governance approaches to corporate decision making are well established New Craigs is a substantial PFI for the redevelopment in new build facilities of Psychiatric and Learning Disability inpatient provision in Inverness opened in July 2000 The current inpatient provision is as follows
42 Acute Psychiatric beds
10 IPCU beds
6 Addictions and Dual Diagnosis beds
24 beds for acute dementia assessment
10 NHS Continuing CareRehabilitation (dementia) beds
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
12 NHS Psychiatry for Elderly beds
10 NHS Continuing CareRehabilitation beds in a community setting (Aonach Mor) The population in the Highlands is dispersed and at only 7 people per square kilometre is almost the lowest population density in the European Union Apart from the city of Inverness and towns such as Fort William Nairn Thurso and Wick most people live in small rural communities The region has variations in infrastructure in terms of public services transport employment amenity and retail Although much of the area has a buoyant economy there is evidence of rural deprivation and pockets of urban deprivation can be found within Inverness and some of the larger towns COMMUNITY INFRASTRUCTURE Community Infrastructure (Caithness) The Community Mental Health Team is based in Wick and Thurso It consists of CPNs CPNs for Addictions CPNs in Care of the Elderly Mental Health Social Work a dedicated Mental Health Officer a Housing Officer embedded in the team a dedicated CBT therapist and Support Workers All staff are trained in the provision of The Decider life skills programme In addition there are community centres in Wick (The Haven) and Thurso (Stepping Stones) specifically set up to meet the needs of patients with mental health problems Close working links have been made with Vocational Support and the CAB In addition the team is able to refer patients to Branching Out an outdoor activity programme for those with mental health needs The Orchard Services for children and adolescents with Learning Disabilities are provided in a community setting managed by the Social Services Department of Highland Council with NHS input NHS Highland collaborated in the establishment of The Orchard in Inverness a residential and respite unit and provides trained nurses for the facility Osprey House In addition to locality based provision there is a purpose-build centre Osprey House near Raigmore Hospital There are four CPNs for Addictions in Inverness along with one nurse who acts as the dual diagnosis worker for Highland-wide There is also a nurse who works Highland-wide but mainly in Inverness for the Drug Treatment and Testing Order scheme this being a joint HealthSocial Work initiative Forensic Psychiatry There is currently a WTE Forensic Psychiatrist who coordinates the care and treatment of patients with significant forensic issues undertakes regular visits to the prison and the management of forensic cases through liaison with the courts The State Hospital and the criminal justice system DEMOGRAPHICS AND SERVICES The percentage of the population aged 65 plus is likely to increase very considerably over the next few years This has implications not only for Learning Disabilities Services Glenview Unit and the local hospitals but also for psychiatric inpatient and community provision The organisation is very aware of these impending pressures and the Older Adult Psychiatric Service is undergoing re-design in order that it might meet these challenges SUICIDE AND ALCOHOLDRUG USE The Highland suicide rate has been shown to be the highest in Scotland and this has been the subject of extensive research A number of ldquoChoose Liferdquo initiatives have been taken forward in
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Highland and there is an extensive training programme for staff and the general community around suicide prevention Alcohol use in the region is significant and impacts on the demand for services There is an increased use of drugs by younger people including those under sixteen There are well developed addiction services and a liaison psychiatry team to focus on this vulnerable group TOURISM The population of the Highlands increases during the tourist season with a consequential impact on drugalcohol and psychiatric services As with permanent residents a primary requirement is prompt access to services when required There is a designated Consultant who holds responsibility for out of area patients
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Section 4 ndash Job Plan
NHS HIGHLAND NEW CRAIGS HOSPITAL INVERNESS
JOB PLAN FOR CONSULTANT
Whole-time Consultant in Adult Psychiatry for Caithness and NW Sutherland NHS Highland based at New Craigs Hospital There will be an expectation to travel to Caithness one day per week as part of the role
You will be expected to work with local managers and professional colleagues in the efficient running of the service and will share with Consultant colleagues in the Medical contribution to management Subject to the provisions of the Terms and Conditions of Service you are expected to observe the NHS Highland Boardrsquos agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of NHS Highland In particular where you formally manage employees of NHS Highland you will be expected to follow the local and national employment and personnel policies and procedures You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary You are required to comply with the NHS Highland Boardrsquos Health amp Safety Policies
You have agreed that you will be responsible for the training and supervision of the junior medical staff who work with you and you will be expected to devote time to this activity on a regular basis In addition you will be expected to ensure that junior staff have access to advice and counselling If appropriate you will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers RESOURCES Consultant Psychiatrists
The post holder will be welcomed into a team of Consultant Psychiatrists as follows
Dr Nikki Thomson Forensic Psychiatrist
Dr Alistair Hay Forensic Psychiatry
Dr Amy MacAskill General Adult Fort William and Lochaber
Dr Andy Gajda General Adult East RossSutherland
Dr Jenny Hyland General Adult Inverness
Dr Arvind Gupta General Adult Inverness
Dr Isaac Sundeep General Adult Inverness (Inverness in-patients)
Dr Idris Thomas (Locum) General Adult Mid Ross
Dr Lewis Thomson General Adult Nairn Badenoch and Strathspey
Dr Neil McNamara Rehabilitation Psychiatry IPCU
Dr Dirk Maliepaard Older Adult North Highland Inverness
Dr Fiona McGibbon Older Adult South Highland
Dr Mo Laditi Older Adult West HighlandInverness
Dr Gary Oakley (Locum) Older Adult Mid amp East Highland
Dr Karen Blagden (Locum) Older Adult Inverness
Dr Sheena Jones Learning Disabilities InvernessNorth HighlandWest Highland
Dr Ashwin Bantwall Learning Disabilities InvernessNorth HighlandWest Highland
Dr Heather Ireland PsychotherapyEating Disorder Service
Dr Tim Agnew PsychotherapyPersonality Disorder Service
Dr David Gordon Addictions
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Dr Alex Keith Addictions
The Speciality DoctorAssociate Specialist establishment is as follows
Dr Susan Brown General Adult
Dr Caroline Bather Older Adult
Dr Alison Stevenson Addictions
Dr Peter Carr General AdultPsychotherapy
Dr Claire Dawson General Adult
Dr Cath Rees General Adult
Dr Ruth Gilmore Rehab
Dr Yankov (Locum) Older Adult West
Dr Ann MacRae Addictions
Dr Roderick MacLean Addictions
Dr Atiqu Rahman (Locum) Older Adult
Dr Nidhi Rajan Older Adult
Dr Wendy Kerr Older Adult (Locum)
Dr Malcolm MacRae GP with Special Interest Learning Disability STAFF WITHIN THE POSTHOLDERrsquoS TEAM Community Staff (Caithness) 1 Band 7 advanced practitioner professional lead (also covers Sutherland) 24 Band 6 CPNs 04 Band 6 Forensic CPN (also covers Sutherland) 2 Band 5 community staff nurse (development posts) (one vacant commencing June 2018) 05 Band 5 community staff nurse 1 Housing Officer 1 Mental Health Social Worker 1 Consultant psychiatrist 2 days a week 1 Trainee Doctor 2 days a week (not able to work autonomously) 1 CBT Therapist (also covers Sutherland) 1 Guided Self Help Therapist (also covers Sutherland) 3 social care support workers (various hours) Training Grades Trainees There are currently 12 junior doctors within the department as a whole a mixture of FY2 GP trainees and psychiatric trainee doctors The Clinical Tutor is supported via the Deanery in Aberdeen Psychiatric trainees attend a programme of MRCPsych training based in Aberdeen but there is also a local teaching programme for all junior doctors and a balint group SpRs A number of Consultants are accredited as SpR trainers and we have slots in General Adult and Old Age psychiatry Psychotherapy and Child Psychiatry locally with usually several trainees at a time Administration Support and Equipment One whole time equivalent medical secretary The postholder will have designated office PC or laptop mobile phone available
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Duties and Responsibilities The main duties and responsibilities for this post include
a) Provision with consultant colleagues of a service in General Adult Psychiatry to NHS Highland with responsibility for the prevention diagnosis and treatment of illness and for the proper functioning of the Department
b) Out-of-hours responsibilities 1 in 20 c) Requirements agreed for the provision of cover for consultant colleagues d) Cross-cover for nightweekend emergency duties e) Professional supervision and management of junior medical staff f) Responsibilities for carrying out teaching accreditation and examination duties as required and
for contributing to postgraduate and continuing medical education activity g) Responsibilities which relate to a special interest h) Requirements to participate in medical audit and in continuing medical education (where
appropriate and agreed) i) Managerial including budgetary responsibilities (where appropriate and agreed) j) Work on behalf of the NHS Highland Board such as domiciliary consultation or services provided
by NHS Highland for other agencies eg Prison Service (where appropriate and agreed) k) Managerially Accountable to the Clinical lead
Job Plans It is a requirement for all consultants to have a job plan Agreed job plans are prospective and set out
All professional commitments
Time and service commitments
Accountability and management arrangements
Objectives
Resources
Any agreed extra programmed activities All job plans are held electronically but reflect the model format contained at Appendix 4 of the New Consultant Contract The job plan will be subject to review at least annually or more often if changes to staffing resources or working practices or the consultantrsquos circumstances require it Work Programme As required under Section 3 and 4 of the Terms and Conditions of Service of the new consultant contract the duties detailed above are supported by the timetabled job plan attached The indicative weekly timetable included in the job plan shows your programmed activity commitments and indicates the hospital(s) and other locations where each commitment will be undertaken and the type of work involved The complexity of the departmental timetable means an inevitable degree of flexibility but the overall sessions worked will be agreed on an annualised basis Completion of the job plan does not give rise to a contractual duty to work beyond the programmed activities agreed
SEE ADDITIONAL PDF JOB PLAN DOCUMENT FOR FURTHER INFORMATION
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Section 5 ndash Person Specification
Essential Criteria - these are attributes without which a candidate would not be able to undertake the full remit of the role Applicants who do not clearly demonstrate in their application that they possess the essential requirements will normally be eliminated at the short listing stage
Desirable Criteria - these are attributes which would be useful for the candidate to hold When short listing
these criteria will be considered when more than one applicant meets the essential criteria
Requirement Essential Desirable
1 Qualifications MB ChB or equivalent MRC Psych
Approved Medical Practitioner status obtained by undergoing Section 22 training (Mental Health Scotland Act 2003)
2 GMCSpecialist Registration Current licence to practice with the GMC Completed appropriate Higher specialist training with appropriate CCTon the Specialist Register or within six months of obtaining at time of interview
3 Clinical Experience Knowledge of Mental Health Act and associated duties Overall clinical knowledge and experience commensurate with Consultant responsibility Proficient in effective community liaison eg with GPs
Experience of rural catchment
4 Teaching amp Training In date Appraisal and Revalidation Registration for CPD with Royal College of Psychiatrists Commitment to maintaining and developing skills
5 Research amp Audit Experience Understands principles of audit and experience of using audit in practice Research skills and evidence based training
Evidence of participation in audit projects Participation in research or ideas regarding future participation
6 Staff Management Experience of management training at SpR level
7 Team Working amp Interpersonal Skills Commitment to clinical excellence and team working Ability to cope with stressful situations and undertake appropriate responsibility Highly developed communication skills Good time management
Initiative Leadership skills Previous research or service development experience
8 Other Full UK driving licence
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
Section 6 ndash Terms and Conditions
TERMS AND CONDITIONS OF SERVICE This appointment is offered on the terms and conditions of service of the Consultant Contract
in accordance with the Hospital Medical amp Dental Staff (Scotland) and current General Whitley
Council Further information can be found here httpwwwmsgscotnhsukpaymedical
Job Title CONSULTANT IN GENERAL ADULT PSYCHIATRY
Type of Contract Full time
Permanent
Location New Craigs Hospital Inverness
Salary pound82669 - pound109849 per annum
Placing on the salary scale will be on the minimum point unless
the successful applicant has previous experience in a NHS
Consultant post or previous non-NHS experience equivalent to
that gained in an NHS Consultant post
Arrangement of
Duties
See separate Job Plan
Medical Negligence NHS Highland takes responsibility for expenses and damages
arising from medical negligence where they as the employer are
vicariously liable for the acts and omissions of their medical and
dental staff However the appointee is strongly advised to maintain
separate medical defence or insurance cover for all work which
does not fall within the scope of the Boards indemnity scheme
details of which are given in NHS Circular 1989(PCS) 32
Registration with
General Medical
Council
Applicants must have full registration with the General Medical
Council a licence to practise and be eligible for inclusion on the
GMC Specialist Register Those trained in the UK should have
evidence of higher Specialist Training leading to a CCT or be within
six months of confirmed entry from the date of interview Non UK
applicants must demonstrate equivalent training
Disclosure of
Criminal
Convictions
Appointment to this post will be made subject to satisfactory
screening by Disclosure Scotland This post is considered to require
registration with the Protecting Vulnerable Groups (PVG) Scheme
as it involves substantial access to children and or vulnerable
adults A PVG Scheme Record will contain details of all convictions
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
on record whether spent or unspent This means that even minor
convictions no matter when they occurred will be included in the
Scheme Record It may also contain non conviction information held
locally by the police where this is considered relevant to the post
Following the selection interview only the successful candidate will
be subject to registration with the PVG Scheme Offers of
appointment will be made subject to satisfactory PVG Scheme
screening and medical fitness Please note that a commencement
date will only be issued once this clearance has been received
Rehabilitation of
Offenders Act 1974
The Rehabilitation of Offenders Act 1974 provides for many people
who have been convicted of certain criminal offences the
opportunity to have no need to refer to these convictions or the
circumstances relating to them in the course of their daily lives
Certain convictions can therefore be regarded as ldquospentrdquo after the
lapse of a period of years under the terms of the Act The National
Health Service employment for which you are applying is excluded
in the provisions of the Act unless otherwise stated in the job
description If the post is excluded you are required not to withhold
information about convictions which for other purposes are ldquospentrdquo
under the provisions of the Act In the event of employment any
failure to disclose such convictions could result in dismissal or
disciplinary action by your employer Any information given
however will be completely confidential and will be considered only
in relation to the post for which this application form refers
Medical Fitness All prospective members of staff are asked to submit a confidential
health questionnaire to the Occupational Health Service On the
basis of this they may be passed fit or an appointment for further
information or screening may be required All entrants must be
certified medically fit and employment is conditional on such
certification All appointees are expected to comply with NHS
Highlandrsquos Immunisation Policy
Those posts classified as Exposure Prone Procedures
appointments are dependent on satisfactory proof of immunity or
freedom from Hep B infection prior to appointment
Right to Work NHS Highland has a legal obligation to ensure that itrsquos employees
both EEA and non EEA nationals are legally entitled to work in the
United Kingdom Before any person can commence employment
within NHS Highland they will need to provide documentation to
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
prove that they are eligible to work in the UK Non EEA nationals
will be required to show evidence that either Entry Clearance or
Leave to Remain in the UK has been granted for the work which
they are applying to do Where an individual is subject to
immigration control under no circumstances will they be allowed to
commence until the right to work in the UK has been verified You
will be required provide appropriate documentation prior to any
appointment being made
Annual Leave amp
Public Holidays
The leave year shall run from date of taking up appointment and in
a full year the postholder will be entitled to 6 weeksrsquo annual leave
plus 10 statutory and public holidays as agreed by NHS Highland
Superannuation New entrants to NHS Highland who are aged sixteen but under
seventy five will be enrolled automatically into membership of the
NHS Pension Scheme Should you choose to opt out
arrangements can be made to do this via wwwsppagovuk or
01896 893000
Notice The postholder will be required to give and is entitled to receive a
minimum of three months notice of termination of employment
Removal Expenses Assistance with Removal expenses will be given in accordance with
the NHS Highland Long Term Relocation Policy It is compulsory
that you discuss any arrangements relating to your relocation with
us before arranging anything Failure to do so may result in limited
or no assistance being given
Private Residence Your private residence shall be maintained in contact with the public
telephone service and shall be not more than 10 miles or 30
minutes by road from your hospital base unless the Board gives
specific approval to you residing at a greater distance
Identity Badge
Policy
NHS Highland has a policy that all staff will be issued with and
required to wear an Identity Badge at all times when on duty If your
badge needs replacing for any reason you are required to contact
the FireSecurity Office Estates Department to arrange for a
replacement All identity badges are the property of NHS Highland
and must be returned when you terminate your employment
Smoke Free Policy NHS Highland operates a No Smoking Policy of tobacco products or
e-cigarettes in any of our properties vehicles or grounds When
selecting new staff NHS Highland does not discriminate against
applicants who smoke but applicants who accept an offer of
employment will in doing so agree to observe and familiarise
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access
themselves with NHS Highlands Smokefree policy
Confidentiality In the course of your duties you may have access to confidential
material about patients members of staff or other health service
business On no account must information relating to patients be
divulged to anyone other than authorised persons - for example
medical nursing or other professional staff as appropriate who are
concerned directly with the care diagnosis andor treatment of the
patient
If you are in any doubt whatsoever as to the authority of a person or
body asking for information of this nature you must seek advice
from your superior officer Similarly no information of a personal or
confidential nature concerning individual members of staff should be
divulged to anyone without the proper authority having first been
given Failure to observe this rule will be regarded by your
employers as serious misconduct which could result in serious
disciplinary action being taken against you including dismissal The
unauthorised disclosure of official business under consideration by
the Board Management Team or one of its Committees by an
employee is also regarded as a breach of confidence and may lead
to disciplinary action
Scottish Workforce
Information Standard
System (SWISS)
The information that staff provide will be used for employment
purposes and where necessary to comply with legal obligations
The purpose of holding this information is for administration ie
employment and pay amendments superannuation workforce
managementplanning and other personnel matters in relation to
employment Any requests for information outwith the above will
only be processed with individual consent (eg building society
mortgage applications etc)
Staff information will be held securely and will be accessed at a
local regional and national level to meet the requirements outlined
above Managers may also hold information within your
department There will be no unauthorised access