East London NHS Foundation Trust
Consultant Child and Adolescent Psychiatrist

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ELFT has long been recognised as a centre of excellence for mental and health care, innovation and improvement. So it is a very exciting time for you to come and work for us. Our mission is to make a positive difference to people's lives by improving quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive – so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.
Job Overview
EAST LONDON NHS FOUNDATION TRUST
City & Hackney Specialist Child and Adolescent Mental Health Service
2 sessions – 12 month fixed term
CONSULTANT CHILD & ADOLESCENT PSYCHIATRIST
City And Hackney Specialist CAMHS is a long established service for the assessment and treatment of young people up to the age of 18 years, their families and carers living in the borough and has an excellent reputation.
You will join 4 (3.2 WTE) other Consultant Child & Adolescent Psychiatrists based in C&H CAMHS. In addition to the above clinical duties, clinical supervision, teaching, training and research, the service takes part in the Trust’s active and extensive Healthcare Governance and Quality Improvement agenda.
The local population is very diverse with high levels of deprivation. There are good working relationships with Community CAMHS, Social Care, Education and Third Sector agencies through the C&H CAMHS Alliance.
Applications will be welcomed from candidates included in or eligible for the Specialist Register or within six months of obtaining the CCT in Child and Adolescent Psychiatry.
For further information please contact Dr Rafik Refaat, Clinical Director ELFT on rafik.refaat@nhs.net.
Main duties of the job
This is an opportunity for an innovative and enthusiastic Consultant Psychiatrist to provide senior clinical consultant psychiatry input and leadership to the Neurodevelopmetal Pathway in City & Hackney Specialist CAMHS. This includes assessment and treatment of Autism, ADHD and Related Disorders and is linked to the CAMHS Disability Service based at the Hackney Ark.
The role of the consultant is to provide psychiatric assessment and treatment where appropriate, contribute a psychiatric perspective, provide senior clinical leadership to the multidisciplinary team, offer consultation to other professionals and agencies and facilitate the development of the team and wider service. In particular the Consultant Psychiatrist will provide clinical input to psychiatric and crisis assessments, medication reviews, risk assessments and management as well as consultation to the multidisciplinary team.
Working for our organisation
Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive – so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.
Detailed Job Description And Main Responsibilities
The Neurodevelopmental Pathway provides gold standard assessments for Autism Spectrum Conditions and Attention Deficit Hyperactivity Disorders as well as related disorders. Approximately 70% of children and young people with a neurodevelopmental condition such as ASC will have an additional disorder, such as ADHD, Tourette’s Syndrome, anxiety, depression and OCD as well as unique learning profiles. The team are focused on delivering evidence based care in an effective and accessible pathway. The Neurodevelopmental Pathway comprises a range of CAMHS disciplines including clinical psychology, family therapy, nursing (including nurse prescribers) and child and adolescent psychotherapy.
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Assessments are completed as a multi-disciplinary team (MDT) using standardised assessment tools. The post holder will help to lead the ADHD and Autism Assessment Clinics at Specialist CAMHS where young people may present with additional mental health difficulties. The post holder will have a caseload of approximately 40 cases plus contribute ADHD and ASC assessments. The post-holder’s caseload includes prescribing and follow up for comorbid mental health conditions in cases held jointly in the MDT or jointly with other pathways within the service. High risk cases are managed by the Adolescent Mental Health Team if appropriate.
There is a strong emphasis on psycho-education following assessment with regular parent groups post- ASD and ADHD diagnosis, improving access to good quality information (Roughan L, Parker J. Improving Interventions for Parents of Children and Young People with Autism Spectrum Disorder (ASD) in CAMHS. BMJ Open Quality March 2019). Where there are additional difficulties that warrant ongoing treatment in CAMHS care plans are formulated with the MDT and wider service. The post-holder will be expected to provide psychiatric input and interventions alongside MDT colleagues where appropriate. The post holder will be expected to liaise with families, schools and other agencies while taking opportunities to increase awareness of autism, ADHD and related disorders and how to support young people in the relevant environments. The post holder will also have a role in providing consultation and expertise to the wider MDT within Specialist CAMHS about young people with autism, ADHD and related disorders.
While primarily responsible for delivering a quality clinical service, the post holder is expected to be actively involved in the clinical governance and strategic development of the team alongside the CTL.
The post-holder would be expected to provide Consultant input into the general Assessment Clinic once monthly. The consultant will be joining a team of 5 other Consultant Child & Adolescent Psychiatrists (3.8 WTE) in City & Hackney Specialist CAMHS and CAMHS Disability Service. There is one Foundation doctor, 2 Psychiatric Core Trainees and 2 Specialty Training posts in Child & Adolescent Psychiatry attached to C&H Specialist CAMHS.
The post benefits from access to general administrative support from the clinical support team, but additionally there is specific administrative support to the NDT pathway, to assist with case load management and organization of clinic appointments.
Person specification
Education
Essential Criteria
- Full GMC registration
- MRCPsych parts 1&2 or equivalent
- Eligibility for inclusion on the Specialist Register or CCT in appropriate specialty (or within 6 months)
- Section 12 approved and Approved Clinician status or willing to apply for approval
Desirable criteria
- Higher academic degree
Experience
Essential criteria
- Possesses an extensive range of clinical knowledge and excellent clinical skills.
- Experience of assessment and management of CYP with complex mental health disorders
Making Things Better
Quality Improvement is a key part of our work to improve our services and refine how we do things. We have a global reputation for our quality improvement work and we don’t stand still! So we offer a fantastic opportunity for our staff to learn, lead and contribute towards improving our services.


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We launched our Five Year Strategy in April 2018, which identified four main strategic outcomes to improve: population health outcomes, experience of care, staff experience and improve value. This complements the NHS Long Term Strategy and sets out our direction of travel.
Our Community
We provide a wide range of community health and mental health inpatient services to children, young people, adults of working age, and older adults in The City of London, Hackney, Newham, Tower Hamlets, Bedfordshire and Luton. We provide Forensic services to the whole of North East London. We provide services in urban and rural settings, sometimes in our inpatient units, but mostly in the community close to where people live. Integrated care is key in making the best use of resources and providing effective care.
Aiming High
East London NHS Foundation Trust has achieved its third consecutive ‘Outstanding’ rating from the Care Quality Commission; the first Community and Mental Health Trust to achieve this rating for a third time. We were named in the HSJ’s Top 10 best places to work in healthcare and were voted Provider Trust of the Year in 2018.
Staff and Service Users United
We strive to ensure that staff feel valued by the Trust and as they are truly pivotal in delivering better outcomes for our patients and service users. Our aspiration is to help to make ELFT the best place to work. This Trust is clinician-led and provides the highest possible level of clinical expertise throughout its services. We pride ourselves on our service user involvement. A service user will be on your assessment centre and interview panel if you are invited to meet us.
We especially welcome people with lived experience of health difficulties, with insight and understanding of different backgrounds, cultures and lifestyles in our population as we believe that this will equip staff to deliver a high standard of care to our service users and patients.
Diversity
ELFT Is committed to being a diverse organisation and our workforce is reflective of the population and communities we serve. We believe that having colleagues with a range of backgrounds and life experiences enriches and adds value to the outcomes we have set out to achieve. Having partnered and endorsed by organisations who are representative and experts in various areas of equality and diversity, we can ensure we are meeting the pre-set standards all the way from recruitment stage throughout the career journey of our employees by being accessible, having fair inclusive practices and a host of staff networks to support, nurture and celebrate our valued staff in the workplace.
Other Reasons To Apply
As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that’s job share, part time or another flexible pattern.
As part of the relocation scheme we presently have, the Trust could support you with offering up to £8,000 for removal and associated expenses. This is subject to change and terms and conditions apply.
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