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NHS Health and Community Services

Clinical Fellow - CAMHS

East of England, East of England

Fixed-Term

£40,066.00 to £50,510.00

Junior Doctor FY1&2

Clinical Fellow - CAMHS

Job summary

We have a new and exciting role within the Child and Adolescent Mental Health Service (CAMHS) to offer an enthusiastic and caring Clinical Fellow. The post holder will predominantly work in the Neurodevelopmental Pathway managing the treatment and monitoring of children and young people with a diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) under the supervision of a senior CAMHS doctor. This will include prescribing medications for this condition using EPMA, evaluating response to treatment, monitoring of physical health and addressing any other mental health concerns that may present. The post holder will also have the opportunity to observe and then undertake diagnostic assessments of ADHD under supervision. There will also be opportunities to join the duty team and eating disorders pathway to expand experience of Child and Adolescent Psychiatry.We are not expecting any prior training in ADHD assessment, but this would be a great role for someone considering a career in Psychiatry.

For an informal discussion regarding the role please contact Catherine Keep on [email protected] or telephone 01534 445053.

Main duties of the job

Job Purpose

Record clinical activity accurately and contemporaneously on the electronic patient record system.
Prescribe medication (including controlled drugs) using EPMA
Ensure effective liaison between mental health services and the acute hospital, and with other agencies in the voluntary and statutory sectors as appropriate.
Undertake, exceptionally, to perform additional duties in occasional emergencies and unforeseen circumstances.
Attend regular supervision with their supervising Consultant/Associate Specialist
Participate in annual appraisal and revalidation.
Participate in the academic programme of the organisation, including the weekly mental health education programme.
Maintain professional registration with the General Medical Council, and the Jersey Care Commission.
Attend Jersey Mental Health Law training.
Abide by professional codes of conductincluding the Royal College of Psychiatrists Good Psychiatric Practice and the General Medical Councils Good Medical Practice.
Comply with the employers agreed policies and procedures and standing financial instructions.
Comply with the Trusts Health and Safety policies and training requirements, including all mandatory training.

About us

The multi-disciplinary team is operationally managed through the Children, Young People and Educations Services Directorate. Medical staff are line managed through the Medical Director structure of Health and Community Services (this includes Appraisal and Revalidation, annual leave and study leave policies and approval).The post is based within the Womens and Childrens Care Group, HCS (Health & Community services).

CAMHS is staffed by a multi-disciplinary team with secretarial and administrative support. The service aims to provide a comprehensive assessment, treatment and therapeutic service for a range of developmental, behavioural, emotional and psychiatric difficulties in children and young people up to their 18th birthday. The service is restructuring, and the new posts are currently being recruited to.The CAMHS clinics are mainly based at Liberte House, La Motte Street, St Helier. There are also clinics at the Edith Quenault Centre and Gorey Youth Service. CAMHS is co-located with Childrens Social Care and the Children and Families Hub.

Job description

Job responsibilities

The CAMHS Team

CAMHS is staffed by a multi-disciplinary team with secretarial and administrative support. The service aims to provide a comprehensive assessment, treatment and therapeutic service for a range of developmental, behavioural, emotional and psychiatric difficulties in children and young people up to their 18th birthday. The service is restructuring, and the new posts are currently being recruited to, the team structure below represents existing posts and those currently being recruited to.

Medical Staff

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

1.6 Associate Specialists

Consultant Community Paediatrician

Fixed term Clinical Fellow

Duty & Assessment

Duty & Assessment Manager

1 Advanced Nurse Practitioner

3 Nurse Practitioners

9 CAMHS Practitioners

6 Health Care Assistants (currently vacant)

Duty & Assessment Administrator

Early Intervention

Service Manager Early Intervention

7 CAMHS Practitioners

2 Primary Mental Health Workers

Early Intervention administrator

1 Assistant Psychologist

1 Parent-Infant Psychotherapist

2 Support Workers

Specialist CAMHS

Service Manager Specialist CAMHS

Service Manager Looked After Children

1 Consultant Clinical Psychologist

4 Psychologists

2 Assistant Psychologists

1 Art Psychotherapist

1 Senior Social Worker

1 Family and Systemic Therapist

5 Nurses (3 Clinical Nurse Specialists, 2 Nurse Practitioners)

1 CAMHS Practitioner

1 PBS Practitioner

1 Dietician (1 day per week)

2 Support workers

1 Health Care Assistant

Neurodevelopmental Pathway

Neurodevelopmental Pathway Service Manager

Consultant Clinical Psychologist

2 Clinical Psychologist

1 Assistant Psychologist

2 Clinical Nurse Prescribers

1 Specialist Nurse

1 Nurse Practitioner

Systemic and Family Therapist

Occupational Therapist

2 Speech and Language Therapists

Neurodevelopmental Pathway Administrators

Admin and Informatics

Team Manager Quality & Assurance

Informatics Officer

Office and Administration Manager

3 Medical Secretaries

4 Receptionists

Place of Work

The CAMHS clinics are mainly based at Liberte House, La Motte Street, St Helier. There are also clinics at the Edith Quenault Centre and Gorey Youth Service. CAMHS is co-located with Childrens Social Care and the Children and Families Hub.

In-Patient Provision

There is no designated inpatient provision but the team provide flexible intensive packages of care for children and young people with severe or complex mental health difficulties. The packages of care can be provided both for assessment and treatment. The programmes are set up jointly with other services including Paediatrics, Adult Mental Health and Childrens Services (Social Care).

The Paediatric and Adult Mental Health teams are supportive in providing in-patient facilities and both the paediatric ward (Robin Ward) and acute adult mental health ward (Orchard House) are used for young people who require admission. Robin Ward will admit young people up to their 17th birthday.

All those under 16, and most under 18 admitted to Orchard House are cared for separately to the other in-patients if possible or are under continuous observation for safeguarding reasons. There is a new provision currently being built which will provide facilities for young people to be admitted to an area separate from the main ward. It is anticipated that this may become available from June 2024.

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

This is a full-time post of 40 hours (10 PAs) per week, based at CAMHS, Liberte House. The postholder will be managerially responsible to their supervising consultant and through them to the Lead Consultant for the service.

The timetable will consist of 9 Clinical Programmed Activities (including administration) and 1 Supporting Professional Activity (SPA). The Clinical PAs will include: direct clinical contact (in the ward), indirect clinical contact (in multi-disciplinary meetings and reviews), and clinical administration. The SPA will include: CPD, audit & quality improvement activity, appraisal, revalidation and educational visits to other parts of the service.

The post holder will be provided with a shared office space including a laptop computer.

Shortly after appointment a weekly timetable will be agreed between the Lead Consultant and the ADHD service. The timetable below is for indicative purposes only.

Draft Timetable (indicative, to be reviewed following appointment)

Monday

Tuesday

Wednesday

Thursday

Friday

Duty team meeting

Duty assessments (under supervision) or new ADHD assessments with Dr Fitzgerald

ADHD Clinic with Dr Keep

10 ADHD MDT Meeting

12- Doctors meeting

SPA: teaching programme, CPD, audit, quality & appraisal activity.

Duty team meeting

ADHD Clinic with Dr Fitzgerald

Clinical Supervision

Clinical Admin

Prescriptions

Prescriptions or Eating Disorders clinic

Team supervision meeting - monthly

Team business meeting monthly

Clinical admin

ADHD Titration and follow up clinic

Prescriptions and Clinical Admin

It is anticipated that there may be an introductory period of shadowing and learning to be able to perform these assessments and training will be given.

Person Specification

Experience

Essential

Experience of assessing and treating psychiatric patients as F1/F2
Experience working in general medicine.
Knowledge and evidence of participation in CPD
A sound understanding of clinical governance

Desirable

Working knowledge of MCLaw and DOLS

Qualifications

Essential

Full current GMC registration with license to practice
Basic medical degree
Completion of Foundation Years training (or equivalent)
Current BLS certificate

Desirable

Current ALS certificate

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants .