East London NHS Foundation Trust
Specialist Grade Doctor - Addictions & CMHT (dual diagnosis)

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Specialty and Associate Specialist (SAS) Older People Psychiatrist (Community) – Luton
About the Organisation
ELFT has earned recognition as a centre of excellence for mental and health care, driving innovation and improving services. Our mission is to make a positive difference in people’s lives by enhancing the quality of life for all those we serve.
Our values are:
- We Care
- We Respect
- We are Inclusive
We seek people who embody these values in their work with service users, carers, and colleagues.
Job Overview
This is a newly developed role. The Specialty and Associate Specialist (SAS) Psychiatrist will provide expert clinical input to Older People Services in Luton, operating within a community setting.
The role focuses on supporting a multidisciplinary team (MDT) in managing patients with dual diagnosis (mental health and substance use disorders). The post-holder will work closely with:
- Pharmacy staff
- Psychologists
- Social workers
- Community Psychiatric Nurses (CPNs)
- Trainees
Professional accountability is to the Medical Director, while operational accountability rests with the Chief Executive Officer.
Main Duties
The Post-Holder Will:
- Provide clinical leadership and contribute to the development of Addictions Services, with an opportunity to act as a visiting FDAC (Families & Drugs Advisory Committee) Psychiatrist in Luton.
- Offer specialist clinical input by:
- Conducting regular assessment clinics for dual-diagnosis patients (serving CMHT and Addiction Services).
- Supporting patients in Path to Recovery (P2R).
- Ensure high-quality care, aligned with best practice guidelines and maintaining professional standards.
- Adopt a recovery-focused approach, placing the service user at the centre of care and decision-making processes.
- Serve as the senior specialist clinician, offering expert support to both medical and non-medical team members.
- Conduct comprehensive psychiatric and physical assessments for substance misuse patients.
- Work closely with the FDAC team, which involves:
- Seeing 2 parents per month in face-to-face clinic assessments (Luton Law Court or FDAC base).
- Partnering with FDAC mental health practitioners who deliver pre-assessment substance screening.
- Sharing assessment findings with key workers and writing short court reports for parent referrals.
- Collaborating with addiction services (Resolutions and P2R) to provide ongoing care recommendations.
- Participate in out-of-hours on-call duty (with a salary supplement by agreement with HR and line manager).
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Working for ELFT
Our Mission & Values
We believe in: ✅ We Care – Valuing every individual we serve. ✅ We Respect – Honouring dignity in care delivery. ✅ We are Inclusive – Welcoming diverse backgrounds and experiences.
We are committed to quality improvement to refine our services continually.
Community & Strategy
ELFT serve multiple communities across:
- The City of London
- Bedfordshire & Luton
- Tower Hamlets, Hackney, and Newham
We deliver integrated community care, balancing urban and rural services while maintaining high clinical expertise.
Benefits & Opportunities
Where You Could Work
We were rated "Outstanding" by the Care Quality Commission (CQC) in 2016, 2018, and 2021. We were also praised by HSJ’s Top 10 Best Places to Work in Healthcare and voted Provider Trust of the Year in 2018.


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Staff Development & Support
ELFT prioritises: ✔ Flexible working (job share, part-time options offered) ✔ Relocation support – Up to £8,000 for moving expenses (subject to terms) ✔ Learning & growth through teaching, training days, and social events ✔ ** Strong culture of support** among experienced colleagues
Why You’ll Enjoy Your Work
This role involves compassionate engagement with families facing:
- Psychological distress
- Undiagnosed mental health conditions
- History of trauma, abuse, or substance use disorders
An environment built on care, collaboration, and improvement will allow you to thrive.
Person Specification
Qualifications
✅ Essential:
- MB BChir (or equivalent medical qualification)
✅ Desirable:
- Membership or Fellowship (MRCPsych/MFRP or equivalent)
Experience & Criteria
Essential Experience:
- Six years+ post-medical qualification in psychiatry, including:
- Three years+ experience in Addictions Psychiatry
Desirable Experience:
- Clinical background in Acute Adult Psychiatry
What Next?
Don’t wait! Apply now—some posts close early due to high demand.
Application Notes
- We use AI in recruitment, but your application must reflect your voice and personal expertise.
- Pre-interview references: not requested (verified after offer).
- You’ll need to provide professional emails for referees post-offer.
- Shortlisting may take up to four weeks. If unselected, you won’t be contacted.
Apply at ELFT Careers Portal.
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