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CORE CLINICAL AND LEADERSHIP:

1.    Managing psychotherapy referrals, as well as psychotherapy waiting lists in the Psychotherapy Service. 

2.    Providing specialist psychological therapy assessments and extended consultations. The post-holder will provide on a weekly basis one new psychotherapy assessment directly, two follow-up assessment consultations and one consultation for ongoing complex psychotherapy cases. 

3.    Holding a clinical caseload including –
•    patients undergoing psychotherapy assessment; 
•    complex psychotherapy patients; 
•    patients in ongoing psychotherapy treatments including as provided by junior medical staff and any non-medical psychotherapists under the supervision of the post-holder (on average forty patients approximately). 

4.    Providing clinical and psychotherapy supervision for –
•    2 WTE Psychotherapy junior doctor posts (six-months psychotherapy placements usually at CT3 level) and,
•    1 WTE Psychotherapy Higher trainee (ST4-6) post 
allocated to this Consultant post. 

5.    The post holder will also be providing regular supervision of psychotherapy cases of junior doctors (from other teams) during their rotation placement in Westminster services. 

Psychotherapy cases are allocated to junior doctors following assessment by the consultant psychotherapist in the service. 

The post-holder will maintain consultant responsibility for psychotherapy cases throughout the psychotherapy treatments. 

Junior doctors are supervised in supervision groups typically made up of five supervisees for one hour a week. 

Psychotherapy supervision consists in the discussion and the review of the clinical management of individual psychotherapy cases. 

6.    Attending weekly and fully participating in the Westminster North and South Hub multidisciplinary team meetings

7.    Direct involvement in the community teams’ clinical work alongside other hub consultant colleagues. 

8.    Providing clinical leadership to allow for the provision of a full range of psychological treatments across Westminster. 

9.    Medical input and clinical leadership in line with the Trust’s strategic objectives. 

TEACHING:

1.    Supervision of psychotherapy cases of junior doctors during their rotation placement in Westminster services. Psychotherapy cases are allocated to junior doctors following assessment by the consultant in the service. 

The post-holder will also be responsible for completing the relevant ARCP assessments. This includes Structured Assessment of Psychotherapy Experience (SAPEs) for his/her CT, ST doctor-supervisees and Psychotherapy Assessments of Clinical Experience (PACEs) where needed once every six months. 

2.    Balint Group sessions are held on a weekly basis for junior doctors based in KCW. 
The post-holder will complete the relevant work-place based assessment for ARCP purposes. The post holder can work together with Dr Florence Dalton, Medical psychotherapist in K&C and the Trust psychotherapy tutor to divide responsibilities for running the Balint group across KCW.

3.    Regular teaching in adult psychotherapy for the Combined Charing Cross and St Mary’s MRCPsych course.
 
4.    Active role in the Westminster, Kensington & Chelsea postgraduate teaching programme provided at St Charles Hospital.

5.    Teaching of any medical students and Foundation Year doctors in the N and S hubs as relevant. 

6.    Consultant psychiatrists are also required to provide Educational supervision responsibilities for Scheme trainee doctors (CTs and/or STs)and the post holder is expected to provide this for 2 trainees.