Job Description
We are pleased to offer this exciting opportunity for a Substantive Consultant Child & Adolescent Psychiatrist to join the Child and Adolescent Psychological Medicine service. You will be joining a vibrant multidisciplinary team providing clinical care to children and young people in a paediatric liaison setting. This is a unique opportunity to work as a part of a fully integrated, hospital-commissioned ‘in-house’ Paediatric Liaison service, that is part of the UCLH Children’s and Young Peoples (Paediatrics) Division. We offer multidisciplinary mental health care to a broad range of general and specialist services within one of the most prestigious and successful hospitals in England. You will be arriving at a time of change in the department, with opportunities to contribute to shaping service developments and supporting new clinical posts within our department. We are looking for a highly skilled Child & Adolescent Psychiatrist to commence work as soon as possible, ideally by September 2023.
CV required with application.
The Child and Adolescent Psychological Medicine service was developed to provide multidisciplinary consultation, assessment and treatment for paediatric and adolescent patients with psychological, emotional, behavioural and mental health clinical needs within the University College London Hospitals (UCLH) Children and Young People (previously Paediatric and Adolescent) Division. This includes assessment and management of acute mental health crises presenting to the Emergency Department, occurring on wards / Day Care and in out-patient clinics. The number and complexity of these presentations has increased significantly over the last decade. This post will predominantly work with this clinical group as a priority, though there is scope to work outside acute crises with UCLH patients requiring mental health interventions.
UCLH Paediatrics have inpatient beds based on the 11thand 12thfloors of University College Hospital providing general paediatric and adolescent care. Children and young people (CYP) in mental health crisis may be admitted to these wards. The department is also responsible for local and national referrals for specialist assessment and treatment of children and adolescents in both inpatient and outpatient settings. These services include adolescents with complex comorbid medical and mental health difficulties and the Children, Teenage & Young Adult Cancer Service; a national quaternary diabetes team; a rheumatology and gastroenterology team; and a national adolescent rehabilitation service working with Functional / Medically Unexplained Disorders, Chronic Fatigue and other Mind-Body or complex conditions.
The department includes the UCLH paediatric emergency department (ED), providing care for children and young people with urgent physical and mental health difficulties. The central London location of UCLH and the hospital’s proximity to international transport hubs results in a diverse range of presentations.
You will work alongside 1 full-time consultant Child & Adolescent Psychiatrist / Clinical Lead and 2 part-time consultants working 4 and 2 days respectively. There is the opportunity to join a peer Continuing Professional Development / Personal & Professional Development group with UCLH consultants and colleagues at the Whittington, Royal Free Hospital and the North Central London sector-wide equivalent services for children and young people. You will also join, support and be supported by the broad MDT including psychology, psychotherapy, social care, activity coordinators, education, and paediatric colleagues.
The department has in the last year recruited 2 Band 7 Paediatric Liaison Clinical Nurse Specialist posts. We anticipate up-banding one of the Band 7 posts to create a Band 8A Paediatric Liaison Mental Health nurse so there is clinical leadership for the crisis component of the service.
This post presents the following opportunities:
- Providing psychosocial assessment, case management and treatment to CYP presenting in mental health crisis to UCLH ED, admitted to the wards and/or referred urgently to the Child & Adolescent Psychological Medicine Team
- Clinical work with young people and their families in a collaborative and supportive multidisciplinary environment providing a wide range of clinical interventions including risk assessment, individual therapy, family work and safety planning
- Liaison and co-working with community services to deliver effective and timely care for CYP including community Child and Adolescent Mental Health Services (CAMHS), Children’s Social Care, education, Red-Thread, Bright Futures and UCLH specialist services such as the Lighthouse and Brandon Centre
- Potential for development of an outpatient caseload of CYP with co-morbid medical and mental health difficulties such as medically unexplained symptoms, diabetes, epilepsy, rheumatological conditions, cancer diagnoses, general paediatrics / adolescent medicine and allergies
- Funding for this post includes providing 1 PA for consultation to The Lighthouse, a specialist ‘one-stop-shop’ service for Children and Young People who have experienced Childhood Sexual Abuse. There is also 1 PA to provide additional psychiatric input to the CYP Psych-Oncology team. Interested candidates can undertake work within these specialist services, or alternatively these sessions can be covered by existing staff as part of negotiating the agreed Job Plan
- Co-working cases alongside Liaison Nurses, training Psychiatrists, Psychologists / Psychotherapists and paediatricians. Opportunity to clinically and/or professionally supervise, advise, and manage junior psychiatry trainees within the team
- Involvement with supervision and delivery of The Lucy Project, a research project in collaboration with GOSH / UCL Institute of Child Health offering low-intensity psychological interventions for UCLH Children and Young People, and their parents to improve psychological well-being
- Supervision and involvement in developing Child Wellbeing Practitioner roles within a hospital setting, providing psychological interventions as part of the national IAPT expansion. UCLH is the first site offering this service in the country
- Development of the department’s existing close collaboration with the North Central London sector-wide crisis service for children and young people (NCL CAMHS OOHs Crisis Service) who provide in-reach to the paediatric departments across the sector
- Audit and data collection projects meeting department, trust and regional goals including submissions to the NCL and NHS-E Mental Health Service Dataset (MHSDS) and improvement of the clinical pathway and patient journey of young people through the emergency department
- Joining trust and regional working groups dedicated to improving the care of young people and UCLH working practices including adolescent transition, UCLH Mental Health Operational Delivery & System Improvement Group, UCLH Mental Health Workforce Group and North Central London Children & Young People’s Mental Health Project board meetings
- Providing teaching and training to UCL medical students, psychiatry trainees, paediatric colleagues and crisis services both within UCLH trust and regionally
- Organisation and delivery of staff support groups for paediatric nursing colleagues in general paediatrics, and teenage/young adult cancer services.
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