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Consultant CAMHS Crisis and Liaison Team

NHS Business Services Authority
Job LocationLondon
EducationNot Mentioned
Salary£82,096 - £110,683 per annum
IndustryNot Mentioned
Functional AreaNot Mentioned
Job TypePermanent, full-time or part-time

Job Description

CONSULTANT PSYCHIATRIST CAMHS Crisis and Liaison Team & Borough based Crisis PathwaysFull time – 40 hours /10 PAs a week (part time applicants will be considered)£82,096 - £110,683 plus 5% supplement for on-call commitment and £2,162 London Weighting We wish to appoint an enthusiastic and dynamic Consultant Psychiatrist who is passionate about crisis work and ensuring safe and effective interventions are delivered to a high risk population. The crisis pathway comprises nurses, clinical psychology, and other professionals in CAMHS. The Consultant will work with all the disciplines of the team, and with external agencies within the child’s network, to provide crisis assessments, consultation, advice and support to ensure the best possible clinical outcomes for young people presenting in Crisis.Oxleas has engaged in a number of developments related to improving services for young people with crisis and acute presentations. These involved a new partnership with other trusts, internal crisis pathway re-design and a newly funded 3 borough children and young people’s mental health liaison service.Building on existing close partnerships, the South London Partnership was formed in 2017 and incorporates Oxleas; South London and Maudsley; and South West London and St George’s Trusts. It delivers New Models of Care for adult forensic patients and for children and young people. The partnership was successful in bidding to become Wave 2 (Tier 4 CAMHS) New Model of Care site in conjunction with NHS England. Since its inception, SLP have focused on adding value and driving improvements in patient experience and outcomes across the South London population. Improvements have included a 93% decrease in out of area placements for young people and enhanced community based interventions (eg DBT services and crisis services) which have reduced the need for hospital admissions. SLP are a provider collaborative from 1st Oct 2020, responsible for managing budgets and the patient pathways for inpatient and crisis care in CAMHS across two Integrated Care systems and 12 CCGs.The principles of the CAMHS New Care Model are as follows:

  • Young people will receive services which are appropriate to their needs and as close to home as possible
  • Young people with Emerging Unstable Personality Disorder will be protected from unhelpful admissions
  • Investment in local services will be targeted to keep young people out of hospital and admissions shorter
  • Care will be provided in line with the evidence base and NICE guidance
  • One CAMHS Support / Crisis line will provide a responsive and truly accessible service, linked to local crisis teams across the boroughs/Trusts
  • The Crisis teams will have staff with skills in DBT and parent behaviour management
  • Our model will be underpinned by principles of evidence based care. We will aim to use the established evidence based as well as engage in research and drive forward principals of evidence based care
    • Enablers of the New Care Model:
  • Crisis Line – providing immediate guidance, signposting or trigger of Crisis Team
  • Crisis Teams – preventing admissions or directing to best possible admission setting
  • Dialectical Behaviour Therapy Service – the most evidence based treatment for emotionally unstable young people (emerging unstable or borderline personality disorders) with risky behaviours such as high levels of self-harming. Envisaged to prevent unhelpful admissions, enable quicker discharges and ensure better environments on IP wards
  • Case Management – building upon SLaM expertise ensuring that children and young people are cared for in most appropriate setting/service. Also central to repatriation of out of area young people
  • Psychiatric Intensive Care – Work already underway to increase provision at SLaM
  • Strengthening of the Eating Disorder Pathway – Strengthening community provision to prevent unnecessary admissions and facilitate quick discharge with appropriate packages of community care
  • Autism and Learning Disability Support Packages – Working closely with Transforming Care Partnership to design patient focused packages of care that meet the needs of the individuals in this cohortAlongside the New Care Model, new CCG investment across Bexley, Bromley and Greenwich allowed the establishment of a Children and Young People’s Mental Health Liaison Service. This service operates out of hours between 8am and 10pm, 7 days a week, providing CAMHS assessments for crisis presentations in A&E. The liaison service serves two local hospitals, Queen Elizabeth Hospital, Woolwich and Princess Royal University Hospital, Farnborough. CAMHS successfully completed care pathway redesign to ensure that our crisis and rapid response services provided integrated, high quality assessment, support and interventions in and out of hours. We have developed a new multi-disciplinary clinical service to provide rapid response, crisis assessment and treatment, supported by a team Manager and Consultant Psychiatrist.
    • The service is delivered for young people who:
  • are at risk of immediate and significant self-harm
  • are an immediate and significant risk to others due to their mental health
  • are being considered for admission to a mental health inpatient unit
  • are in acute psychological or emotional distress that is causing them to not be able to undertake their daily activities, such as going to school and looking after themselves
    • Applicants must: have MRCPsych or equivalent; have completed higher training in child psychiatry or have equivalent experience; be on or eligible for entry to the GMC’s Specialist Register; and have Approved Clinician status/Section 12 approval.

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