We are looking for a Consultant Liaison Psychiatrist to work at The Royal Marsden Hospital. We have 6 PAs to recruit at our Sutton site (another Consultant Liaison Psychiatrist works 6 PAs at our Chelsea site).
The Adult Psychological Support Service (APSS), in which Liaison Psychiatry is based, provides a service for patients across the two sites of the hospital for inpatients, those receiving ambulatory care and outpatients. Other pathways within the service are: directive therapies (e.g. CBT/ Third Wave approaches, EMDR); exploratory therapies (e.g. integrative, existential, psychodynamic); family therapy (primarily working with adult patients with dependent children, and young adult patients); psychosexual therapy.
Main duties of the job
The Liaison Psychiatry pathway has three main functions: (i) to provide the general liaison psychiatry service to the inpatient wards of the hospital, (ii) to provide a Duty Clinician function, and (iii) to provide psycho-oncology psychiatry through pre-planned outpatient and day patient appointments.
The specific psychiatric issues and associated risks in a specialist cancer hospital include hyperactive delirium, steroid‑induced mania and psychosis, major depression, suicidal planning and intent, desire for hastened death, as well as people with pre‑existing severe mental illness.
Person Specification
Qualifications
- Primary medical degree
- MRCPsych or equivalent
- The GMC specialist register for general adult or old age psychiatry
- If an applicant is UK trained, they must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview
- If an applicant is non‑UK trained, they will be required to show evidence of equivalence to the UK CCT.
- Full and specialist registration (and with a licence to practise) with the General Medical Council (GMC) (or be eligible for registration within six months of interview)
- Section 12 Approval
- Registered as a Responsible Clinician as specified by Mental Health Act
- MRCP Liaison Psychiatry subspecialty endorsement
- Higher Degree in relevant subject (MD, PhD or equivalent)
Clinical Competence
- Assessing & managing risk of harm to self & others
- Diagnosis and evidence‑based treatment of psychiatric disorders in adults
- Detecting & managing depression and delirium in the physically ill hospital patient
- Choice of psychotropic medication in the context of physical illnesses and their treatment
- Assessing and managing the severely mentally ill in the general hospital setting, including the use of the MCA and MHA
Experience
- Completed minimum of three years full‑time training in an approved higher psychiatric training scheme or equivalent
- A proven track record in liaison psychiatry at ST or consultant level. Specialised knowledge of liaison psychiatry service provision.
- Clinical expertise in the assessment and management of risk
- Track record in the training and supervising of clinicians in psychological assessment and nursing development including autonomous practice and prescribing
- Experience of liaison psychiatry service development, leading clinical governance and audit activitiesExperience in the management of people with cancer and mental health problems, including the assessment and management of complex co‑morbidities
- Experience of oncology / palliative care
- Psychotherapy training of any modality
Personal Qualities
- The ability to work in collaboration a team of different disciplines
- The ability to work liaising with other services
- Commitment to achieving excellence
- Excellent communication and empathic skills including discussion of life‑threatening conditions and requests for assisted suicide
- Committed to personal and professional development
- Commitment to innovation in research and practice
- Cultural sensitivity and ability to work with a diverse population
- Willing to participate in training of junior medical staff/medical students/staff from other disciplines
- Demonstrable leadership skills
- Sound organisational skills
- Ability to work on own initiative
- Ability to travel between sites and meet flexible demands of the role as required
- Ability to contain and work with organisational stress and ability to contain and understand the stress of others in a team
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.
£109,725 to £145,478 a year per annum incl. £2,162 London Weighting
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