Job summary
This is an exciting opportunity to work within a new, enthusiastic and innovative Rough Sleepers team within West London NHS Trust with excellent reviews from all stakeholders and has a wide demographic profile covering all areas of Hounslow, Ealing and Hammersmith & Fulham.
The team provides assertive community mental and physical health care within a multidisciplinary team context for rough sleepers and promotes collaborative and responsive care towards re-engaging the rough sleepers with their local communities over a period of time, working alongside our community partners. The outreach sessions are on a shift basis (early morning or late evenings) and is managed on a rota basis with other RAMHP team members. The appointee will play an integral role in working alongside the MDT in all aspects of its care through providing assessments, brief intervention, follow up, assertive outreach, and joint outreach sessions with St Mungo’s or Thames Reach. You will be working alongside and under supervision of the Consultant Psychiatrist in further developing the service, teaching and training new team members and primary care staff and providing clinical and managerial leadership to the team. It is expected that as the service is expanding with renewed funding in place the remit of the service, could include an in-reach aspect into accommodation for the rough sleeping population in the boroughs.
The post will cover up to 5 sessions per week (negotiable).
Main duties of the job
You will have a key role in assessment, outreach, liaison and consultation model to provide early, easy access and advice to all community partners to support care of rough sleepers in the locality. You will also provide clinical leadership to the team working alongside Dr Jose Maret, Consultant Psychiatrist, in clinical multi-disciplinary team meetings and referrals meetings as well as being available for case discussions, advice and supervision within and outside team meetings.
You will also have a role in the management of a smaller number of more complex cases, to offer senior assessments and more direct input in particular in risk and/or medication management and diagnostic assessments.
This will also include Mental Health Act Assessments, CTO reviews and supporting the duty function of the team with urgent concerns and assessments. You will have senior medical responsibility under supervision of the Consultant Psychiatrist for the care carried out by the team.
About us
West London NHS Trust is one the most inclusive and diverse providers of NHS mental and physical health care in the UK. We deliver services in the community, inpatient, specialist and forensic (secure) settings, across 30 main sites. We are a teaching Trust with a growing research portfolio, working with academic and industry partners and promoting patient and public involvement in research. We care for more than 99,000 people every year, serving a local population of 850,000 in Ealing, Hammersmith & Fulham and Hounslow.
The Rough Sleepers Team is a specialist mental health service providing community mental health care via outreach for street homeless people covered in the three Boroughs of Ealing, Hammersmith and Hounslow.
The Team is part of the Community and Recovery Service (CARMHS) pathway in West London and part of a wider network of statutory and 3rd sector organisation supporting homeless healthcare across the three Boroughs. The team was set up as a London Mayor and Greater London Authority (GLA) initiative in 2020 to provide essential care for vulnerable street homeless people in the London area.
Our principal partner in achieving this essential work is the Homelessness Charities, St Mungo’s Outreach service and Thames Reach, which operates in varying arrangements in all three Boroughs.
Job description
Job responsibilities
You will be expected to establish, develop and maintain positive relationships with all our partner stakeholders in the care of rough sleepers which include
- From Within WLT MINT, EIP teams, CATT, Liaison Services and Rehabilitation services
- From outside WLT (tri-borough) Housing and Safe-Neighbourhood teams, Adult Social Care and Adult Safeguarding, Department of Public Health, St Mungos and Thames Reach Charities, Substance misuse services, Supported Accommodation providers, No-Recourse to Public Funds panels and provisions, Law Centres, etc
You will also facilitate smooth transitions into and out of the service through relationships with other relevant services.
You will have the opportunity to work alongside Dr Jose Maret, Consultant Psychiatrist and Jeremy Mulcaire, Team Manager to provide leadership and development to the RAMHP Team. This will include developing strategy, quality improvement, audit, and written policies and guidelines for the future delivery of RAMHP services through working collaboratively with all stakeholders.
You will have the opportunity to participate in training alongside the Consultant Psychiatrist and Team Manager for key services and stakeholders with the WLT and in the community. This may include formal didactic teaching; individual clinical teaching based around individual cases; developing strategies for teaching and training.
You are also likely to contribute to complex case forums across disciplines, locality meetings and other community fora to improve clinical care and communication across services.
There is opportunity to provide teaching to Imperial College Medical Student placements on rotation within the post.
Although this post is not within a specifically designated research service, active participation in academic research is encouraged.
The post holders own research projects will be encouraged The Clinical Research Domain Clinical Lead for Community and Recovery Mental Health Services is Dr Sofia Pappa.
Job description
Job responsibilities
You will be expected to establish, develop and maintain positive relationships with all our partner stakeholders in the care of rough sleepers which include
- From Within WLT MINT, EIP teams, CATT, Liaison Services and Rehabilitation services
- From outside WLT (tri-borough) Housing and Safe-Neighbourhood teams, Adult Social Care and Adult Safeguarding, Department of Public Health, St Mungos and Thames Reach Charities, Substance misuse services, Supported Accommodation providers, No-Recourse to Public Funds panels and provisions, Law Centres, etc
You will also facilitate smooth transitions into and out of the service through relationships with other relevant services.
You will have the opportunity to work alongside Dr Jose Maret, Consultant Psychiatrist and Jeremy Mulcaire, Team Manager to provide leadership and development to the RAMHP Team. This will include developing strategy, quality improvement, audit, and written policies and guidelines for the future delivery of RAMHP services through working collaboratively with all stakeholders.
You will have the opportunity to participate in training alongside the Consultant Psychiatrist and Team Manager for key services and stakeholders with the WLT and in the community. This may include formal didactic teaching; individual clinical teaching based around individual cases; developing strategies for teaching and training.
You are also likely to contribute to complex case forums across disciplines, locality meetings and other community fora to improve clinical care and communication across services.
There is opportunity to provide teaching to Imperial College Medical Student placements on rotation within the post.
Although this post is not within a specifically designated research service, active participation in academic research is encouraged.
The post holders own research projects will be encouraged The Clinical Research Domain Clinical Lead for Community and Recovery Mental Health Services is Dr Sofia Pappa.
Person Specification
Education and Qualifications
Essential
- oPrimary Medical Degree.
- oFull registration with the GMC
- oEligibility for Section 12 approval
Desirable
- oMRCPsych.
- oEligible for inclusion in the Specialist Register or within 6 months of gaining CCT
Knowledge, Clinical expertise in specialty
Essential
- oAt least 4 years full time post graduate training (or equivalent gained on part time flexible basis)
- oAt least 2 years in a speciality training programme in psychiatry or as a fixed term speciality trainee in Psychiatry.
- oRelevant audit and governance skills
Desirable
- oEvidence of working with Rough Sleepers.
- oEvidence of working in leadership roles.
- oExperience of delivering training/supervision to medical students, psychiatric undergraduate and post graduate trainees.
- oExperience in service development activities including QI, audit and research.
Personal Skills
Essential
- oWillingness and ability to work within a Multidisciplinary team.
- oWillingness to work flexibly, adapting approach to the clinical situation and changing service provision.
Desirable
- oExperience of clinical supervision of junior doctors
CPD
Essential
- oEvidence of continuing professional development
Desirable
- oRegistered with Royal College of Psychiatrists for CPD
Professional Skills
Essential
- oDemonstrate effective leadership skills, and in being flexible and co-operative.
- oDemonstrate ability to work effectively in multi-disciplinary setting
- oDemonstrate good communication skills
- oDemonstrate sound knowledge of the Mental Health Act 1983 as amended, the Mental Capacity Act 2005 and other relevant legislation and developments in Mental Health and the NHS.
- oDemonstrate the ability to treat patients, carers and colleagues with respect and dignity, adopting a culturally sensitive approach.
Desirable
- oLeadership and Management Training
- oMRCPsych exams or working towards MRCPsych membership
- oPsycho-analytic understanding in working psycho-dynamically with patients in the community and teams.
Clinical Audit and Research
Essential
- oPrevious participation in audit and research
- oWilling to participate in clinical audit activities.
Desirable
Person Specification
Education and Qualifications
Essential
- oPrimary Medical Degree.
- oFull registration with the GMC
- oEligibility for Section 12 approval
Desirable
- oMRCPsych.
- oEligible for inclusion in the Specialist Register or within 6 months of gaining CCT
Knowledge, Clinical expertise in specialty
Essential
- oAt least 4 years full time post graduate training (or equivalent gained on part time flexible basis)
- oAt least 2 years in a speciality training programme in psychiatry or as a fixed term speciality trainee in Psychiatry.
- oRelevant audit and governance skills
Desirable
- oEvidence of working with Rough Sleepers.
- oEvidence of working in leadership roles.
- oExperience of delivering training/supervision to medical students, psychiatric undergraduate and post graduate trainees.
- oExperience in service development activities including QI, audit and research.
Personal Skills
Essential
- oWillingness and ability to work within a Multidisciplinary team.
- oWillingness to work flexibly, adapting approach to the clinical situation and changing service provision.
Desirable
- oExperience of clinical supervision of junior doctors
CPD
Essential
- oEvidence of continuing professional development
Desirable
- oRegistered with Royal College of Psychiatrists for CPD
Professional Skills
Essential
- oDemonstrate effective leadership skills, and in being flexible and co-operative.
- oDemonstrate ability to work effectively in multi-disciplinary setting
- oDemonstrate good communication skills
- oDemonstrate sound knowledge of the Mental Health Act 1983 as amended, the Mental Capacity Act 2005 and other relevant legislation and developments in Mental Health and the NHS.
- oDemonstrate the ability to treat patients, carers and colleagues with respect and dignity, adopting a culturally sensitive approach.
Desirable
- oLeadership and Management Training
- oMRCPsych exams or working towards MRCPsych membership
- oPsycho-analytic understanding in working psycho-dynamically with patients in the community and teams.
Clinical Audit and Research
Essential
- oPrevious participation in audit and research
- oWilling to participate in clinical audit activities.
Desirable
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
