consultant general adult psychiatry - NHS Scotland | Jobs

19
Information Pack MS15023681 CONSULTANT GENERAL ADULT PSYCHIATRY CAITHNESS AND NORTH WEST SUTHERLAND NHS HIGHLAND

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