Job Description

Are you an experienced and forward-thinking Consultant Psychiatrist seeking an opportunity to deliver exceptional clinical leadership and high quality mental health care in the community?



The Oxfordshire Crisis Resolution Home Treatment Team (CRHTT) support flexible working practices and believe that investing in you is fundamental in achieving our vision of outstanding care delivered by outstanding people.



The CRHTT provides a range of psycho-social interventions to support people in crisis, or who are at risk of developing a mental health crisis, to receive care by means of the most collaborative and least restrictive interventions available.



The Trust is committed to high quality teaching and training for medical students, post graduate trainees in psychiatry, specialty doctors, students and other professionals. The consultant will provide direct clinical supervision and line management with opportunities to develop your skills.



Oxford is rated the top medical school in the world in THES ratings, and Psychiatry is rated by students as being the best specialty rotation on the course. Oxford has a track record of encouraging medical students to pursue psychiatry as a career, with 7% of graduates citing psychiatry as their first-choice career, equal highest of any UK medical school.



CRHTT services are now widespread across the UK and provide a genuine alternative to hospital care and treatment. The key components of CRHTT in Oxfordshire will be:



1. Crisis response (emergency assessments and reviews)

2. Intensive home treatment characterized by the availability of multiple visits each day which are of a length and content to allow for specialist psycho-social intervention to be delivered

3. Gate-keeping admissions to psychiatric beds

4. Enabling early discharge from psychiatric admission



The CRHTT provides a range of psycho-social interventions to support people in crisis, or who are at risk of developing a mental health crisis, to receive care by means of the most collaborative and least restrictive interventions available. The service will cover adults of working age and older adults. The Team is currently co-located in newly refurbished accommodation with the Oxford Safe Haven, The Team base is at the heart of the local community and within short distance from all hospital sites.



The team works from 07:00 to 00:00, 7 days a week. Consultants work Monday - Friday 9-5. Medical cover outside of CRHT doctor working hours is provided by duty and on-call doctor rotas.



Oxford Health is a great place to work and to be able to showcase the best of yourself when making an application please read the "candidate guide to making an application" and ensure your supporting statement is tailored to the role you are applying for and addresses any essential criteria.



As a Trust we provide physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and Northeast Somerset. Our services are delivered at community bases, hospitals, clinics and people's homes, delivering care as close to home as possible. Our vision is that no matter who you are or where you are, you will tell us that you receive: "Outstanding care delivered by an outstanding team"

Our values are:

"Caring, safe and excellent"



We offer a wide range of benefits designed to support your career and wellbeing. These include:



Excellent opportunities for career progression Access to study leave budget (30days & 1800 over 3 years) 33 days annual leave, plus bank holidays, rising to 35 days with continuous service NHS Discount across a wide range of shops, restaurants and retailers Competitive pension scheme Lease car scheme Cycle to work scheme Employee Assistance Programme Mental Health First Aiders Staff accommodation (please note waiting lists apply) Staff networking and support groups hosted by our Equality, Diversity & Inclusion team

The Consultant will provide senior medical input and clinical leadership to the CRHT. The post holder will have responsibility for those patients seen by them, together with those patients seen by medical staff directly supervised by the post holder.

2. The post holder will work alongside the team manager and the other Consultant Psychiatrists in the team to ensure the effective functioning and development of the service.

3. The Consultant will provide direct clinical supervision and line management to the trainees and speciality doctors and any senior trainee placed with the team. This will include 1 hour per week clinical supervision for trainees and be in line with trust guidance for supervision. The consultant will be expected to provide direct clinical care and ensure clinical frameworks are adhered to.

4. Providing timely written correspondence to relevant professionals documenting assessments, on-going management, progress, and eventual discharge using Trust IT and clinical records system - training will be provided where needed.

5. Work collaboratively with other agencies. In particular liaison with staff from other teams to manage smooth and timely transfer into and out of the CRHT.

6. Active commitment to delivering the Trust's clinical governance agenda.

7. Contribution to developing and delivering improved clinical services as outlined in the National Service Framework for Mental Health.

8. The consultant will be expected to contribute to the collection of data as required by the Trust and other relevant agencies. This includes the timely recording of clinical activity data, and participation in clinical audit with appropriate administrative support.

9. Governance - all services are expected to maintain effective governance including measuring and reporting performance. This is based on national standards and local contracts. Consultants provide a lead in the team in reviewing performance and governance. Key quality and outcome measures are embedded in the care packages aligned to each care cluster.

10. The consultant will be expected to attend most regular directorate managerial meeting as necessary, particularly Joint Consultant Committee and Directorate/Managerial liaison meeting.

11. The consultant will be expected to participate in and attend the local training programme for junior doctors.

12. The consultant would be expected to participate in both a CPD peer group and a clinical supervision group with fellow consultants.

13. Consultant would be expected to maintain their own programme of training and CPD accreditation with the support of their Lead consultant/Clinical Director.

14. The consultants within the CRHT will normally cross-cover for each other for annual leave, study leave and brief periods of sickness absence. While the consultant is working alone in the team the cross cover will be with the perinatal consultant Dr Lucy Caswell.

15. The consultants take part in the Oxfordshire Adults of Working Age out-of-hours rota or the Older adult out of hours rota according to individual experience and area of specialist training. This will be established on discussion with your line manager. The adult rota is: 1 in 23 rota, with 3%, band A intensity. The Older Adult rota is: 1 in 9, with 2%, Band B intensity. Normally, there are 2 core trainees and 2 ST4-6 trainees on shift out of hours.

16. The appointee will be entitled to study leave (up to 30 days over 3 years) and expenses according to the Trust's (currently 1800 over 3 years), in line with national terms and conditions of service

17. Appraisal, Job Planning and Revalidation:

The Trust Appraisal and Revalidation link is with Medical Human Resources. Upon commencement the Consultant Psychiatrist will be allocated to one quarter of the year during which he/she will organise appraisal and allocated an appraiser. The postholder will have an annual job plan review with the Lead Doctor/AMD for the county. The postholder will be enrolled in a multi-source feedback at the appropriate time, so that the results of a 360 degree appraisal can be provided for the purposes of revalidation. The Responsible Officer is Dr Mark Hancock and the Trust has comprehensive guidance and support for the revalidation process.