Job Description

We are delighted to invite applications for an exciting full-time (10PA), Speciality Doctor post in the Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) ARFID Team.

MCCAED is situated within the CAMHS Clinical Academic Group of South London and Maudsley NHS Foundation Trust, the most comprehensive mental health service for children and young people in the country. This is one of three full-time Specialty Doctor posts within MCCAED.

This post would be suitable for a wide range of doctors, especially those with a background in eating disorders, paediatrics and / or community CAMHS. In addition to extensive opportunities to develop clinical knowledge, experience and skills in child and adolescent eating disorders, there are also excellent opportunities for quality improvement activities, research, teaching and training.



The postholder will have the following key areas of responsibility:

Assessments and therapeutic work with children, adolescents, and parents Undertake physical examinations and order investigations as required Prescribe and monitor psychotropic medication Liaise with paediatric colleagues and general practitioners around the physical health care of patients Co-work with and consult to other colleagues within the team

The post will be located on the Maudsley site, location of our Trust headquarters, which is less than 5 minutes from Denmark Hill train station (zone 2). In the next few months our clinic will be moving from the Michael Rutter Centre to a larger new purpose-built clinic with state-of-the-art facilities on the same site called the Pears Maudsley Centre.

1. Accountability:

The appointee will be professionally responsible to The Associate Medical Director via the Joint Head of Service, Dr Mima Simic, and Dr Pippa Hugo. The appointee will be managerially accountable to the Lead Clinician, Dr Sacha Guglani and the Service Manager for National & Specialist CAMHS, Donna Underwood, who work in partnership with the MCCAED Senior Clinicians to deliver this service.

2. Clinical Duties:

The postholder will assist in the assessment and management of children referred to MCCAED ARFID Team. The postholder will join colleagues and co-work cases where necessary; undertake physical examinations as required; order investigations e.g. blood results and ECGs, and check and act on their results. They will also be responsible for prescribing and monitoring psychotropic medication. The postholder would be expected to have a small caseload of patients from the ARFID service. These may be seen for monitoring of medication, mental state, psychiatric, or physical risk, or because the postholder is care-coordinating as the lead therapist. The post holder will play a key role in liaising with General Practitioners and Paediatric colleagues around patient care.

The postholder is not expected to have responsibilities for management, strategic service development, or business planning. However, if the postholder was interested in these areas then opportunities to develop and apply knowledge and skills in these areas could be explored. Further responsibilities are described below.



3. Secretarial Support and Office Facilities



This post will be based at The Michael Rutter Centre / Pears Maudsley Centre at the Maudsley Hospital, with offices above the clinical area. The MCCAED administrative team provide administrative and appropriate secretarial support to the team. The postholder will have access to a desk and computer facilities. The office will be shared with other members of the ARFID team or Specialty Doctor and / or Consultant Psychiatrist.

The service is networked to the Trust intranet with IT support from the central services of the trust. The trust is committed to the digital development of all staff and in line with the Digital Me programme to enable more flexible working the post holder will have his / her own Trust computer/ laptop, and, if desired, their own Trust mobile phone. The post holder will be expected to keep their own diary, preferably electronically.

4. Provision and Cover During Absences:

Cover for colleagues is prospective. The postholder should therefore ensure that leave arrangements should be agreed with their supervising consultant and peers in advance.

5. Medical Practice:

All members of the Trust's medical staff are expected to practice within current GMC guidelines, those contained within the booklets on Good Medical Practice and Maintaining Good Medical Practice. These booklets outline the duties of doctors who are registered with the GMC, emphasizing the responsibility of every doctor to ensure standards of good clinical care, to keep up to date with clinical skills, to work in teams and to maintain good relationships with colleagues in all disciplines. The Trust is committed to these principles and will provide support for education and development of all grades of staff.

6. Clinical Governance:

The Trust has established multi-disciplinary clinical governance mechanisms that the postholder will be expected to participate in including evidence-based practice implementation of local policies and procedures that support best practice - both uni-disciplinary and multi-disciplinary. Risk management processes to ensure clinical and non-clinical risks are identified and actions taken as appropriate.

7. Audit and Quality Improvement:

The Trust undertakes regular quality improvement and clinical audit of their activities, and the appointee will be expected to take part in this program, and further develop specific projects and associated data collection relevant to their work and their department.



8. Teaching, Supervision and support to training and non-consultant specialty doctor posts: Weekly supervision for the post-holder will be ring-fenced and provided by Dr Pippa Hugo, Consultant Child and Adolescent Psychiatrist. There is also weekly supervision for trainee doctors. There is weekly team meeting in which cases are discussed and 2 multidisciplinary assessment mornings, during which new assessments are discussed. In addition, there is monthly Systemic Supervision, monthly CPD and a monthly team reflective practice group. Supervision for other treatment modalities is available.

9. Continuing professional development (CPD):

The post holder is expected to remain in good standing for CPD with the Royal College of Psychiatrists.

The post holder must, according to RCPsych OP98 'Continuing Professional Development: Guidance for Psychiatrists' be part of a peer group, have a personal development plan and be regularly involved in case-based discussion.

There is a requirement for the post holder to take part in mandatory training as specified by the Service Clinical Director.

10. Other Elements of the Role:

a. Ensure that electronic patient clinical records relating to post holder's work are well maintained and meet Trust standards for documentation and communication with referrers and users are met.

b. Contribute to the development of policies and procedures to support good practice and ensure that appropriate high-quality clinical services are delivered.

c. Ensure that policies and procedures are implemented to safeguard and protect children and young people, and where necessary implement the CPA process.

d. Promote good links with GPs, nursing and medical colleagues, local CAMH services, schools.

e. Provide a service which promotes diversity, meets the needs of service users from diverse ethnic, cultural and religious traditions, is accessible and sensitive to needs relating to disability, gender, and sexual orientation.

f. Collate activity information as requested to meet the demands of Performance Management and Service Planning.

g. Apply quality standards to all work undertaken, in line with Trust Clinical Governance policies.

h. Attend professional meetings as appropriate within and outside the Directorate, in accordance with CPD and agreed Personal Development Plan.

i. Assist in the implementation of research and evaluation where required.

11. Job Plan:

The contract states that there is a requirement for all staff to have firm job plans. These plans are intended to give the Clinical Director a more explicit input into the arrangements and review of doctors' duties. A job plan is a detailed description of the duties and responsibilities of a doctor and of the facilities available to carry them out. A job plan and a work program are an integral part of the doctor's contract of employment. Appraisal and job planning occur annually with the Consultant Psychiatrist of the service.