General and Older Adults Psychiatry

We offer a comprehensive training environment for higher trainees in general adult, old age and dual adult / old age higher specialist training.

As part of the North West London Programme (Combined Charing Cross and St Mary’s Higher Training Scheme) we offer a comprehensive training environment for higher trainees in General Adult, Old Age and Dual Adult / Old Age Higher Specialist Training. We also provide the General Adult training for those trainees appointed for Dual General Adult / Psychotherapy Higher Specialist Training in the Region.

The North West London Programme operates as two sectors, the Charing Cross Sector and the St Mary’s Sector, each with its own Programme Director, Educational Supervisor network and particular range of posts. While trainees are appointed to one sector and retain their Programme Director and Educational Supervisor there, it is possible to be considered for a post in the other sector according to training or other individual needs.

Our team

Charing Cross Sector      

  • Dr Daniel Andrews, Programme Director and Educational Lead
  • Ms Annette Buckley, Programme Manager

St Mary’s Sector    

  • Dr Elaine Arnold, Programme Director and Deputy Educational Lead
  • Mrs Marie Jayakody, Programme Manager

Clinical experience

In addition to providing speciality specific experience in General Adult and Old Age Psychiatry, the experience available in our posts and the wider programme emphasises the development of advanced clinical competencies with additional focus on opportunities to foster leadership, management, research, teaching and those competencies necessary for future consultant practice.

The programme for General Adult and Old Age Psychiatry higher specialist training is 36 months and the training posts available within the North West London Programme provide considerable scope to meet specific curriculum requirements for:

12 months ‘core’ experience

For both inpatient and community experience in the Certificate of Completion of Training (CCT) Specialty

12 months ‘non-core’ experience

For general CCT specialty experience, including opportunities for experience in liaison, substance misuse and rehabilitation so as to gain an endorsement to the CCT

12 months experience

For CCT Specialty experience or in another sub-specialty

 We aim to achieve, and where possible exceed, the curriculum requirements for each speciality to equip our trainees as future consultants so they can respond to the changing needs and challenges of the modern health service.

Our training posts

Between the two sectors, the North West London Programme provides for a total of 59 training posts reflecting core and non-core general/older adults attachments and a number of more specialist attachments.

In addition to offering the broadest clinical coverage, the posts reflect a range of diverse locations, service models and local and organisational environments in which our higher trainees can build on their experience.

General Adult Psychiatry

 

Total

St Mary’s

Charing Cross

Core (Inpatient and community)

20

11

9

Non-core

21

12

9

 

CMHT/Recovery teams

4

3

1

Psychiatric Intensive Care

1

 

1

Crisis resolution teams

1

1

 

Early intervention service

1

1

 

Joint homeless team

1

 

1

Endorseable posts

13

7

6

 

 

Substance misuse

3

2

1

Liaison

5

3

2

Rehabilitation

5

2

3

Other specialist posts

4

3

2

 

Eating disorders

1

1

 

Forensic

3

2

1

Psychotherapy

1

 

1

Old Age Psychiatry

 

Total

St Mary’s

Charing Cross

Core (Inpatient and Community)

7

4

3

Non-core (Community and cognitive impairment teams)

7

4

3

 

Our range of services in North West London

Training posts are distributed within the services of the two NHS Trust ‘Local Education Providers’ – CNWL and West London Mental Health NHS Trust. Both Trusts provide mental health services in North West London. While individual circumstances can vary, we aim to offer two consecutive posts in the same service area to help trainees gain familiarity with services and their local and wider organisational management.

Central and North West London NHS Foundation Trust

  • Hillingdon Hospital
  • Horton Rehabilitation Services
  • Gordon Hospital
  • Northwick Park Hospital
  • St Charles Hospital
  • St Mary’s Hospital
  • South Kensington and Chelsea Mental Health Centre
  • Soho Centre for Mental Health
  • Park Royal Centre for Mental Health

West London Mental Health NHS Trust

  • Charing Cross Hospital
  • Hammersmith and Fulham Mental Health Unit
  • Lakeside Mental Health Unit
  • St Bernard’s Hospital
  • St Vincent’s Centre
  • Three Bridges Regional Secure Unit

Enhanced opportunities for higher training

The North West London Programme offers distinctive and enhanced opportunities for higher trainees in their progress towards readiness for future consultant practice in their chosen Certificate of Completion of Training (CCT) Specialty.

Special Clinical Interest and Research

We offer enhanced opportunities for the use of two special clinical interest sessions (SCI) for trainee’s personal development and to gain experience that is additional to that provided in posts. SCI is protected time in our posts and their use is agreed on an individualised basis between the trainee and their Educational Supervisor, with oversight of their Training Programme Director. In addition to opportunities to negotiate focussed SCI experience with the services and consultant trainers within the programme, we have a portfolio of over 40 additional SCI in highly specialist clinical and related services that include:

  • Early Intervention Services
  • Crisis resolution services
  • Gender identity services
  • Eating disorders
  • Electro-convulsive therapy (ect)
  • Joint homelessness team
  • Neuropsychiatry
  • Liaison psychiatry
  • Specialist drug and alcohol services (including national problem gambling service)
  • Specialist rehabilitation services
  • Psychotherapy (various modalities and services)
  • Perinatal and child and family psychiatry
  • Intellectual disability / psychiatry of learning disability
  • Adult and adolescent forensic psychiatry,
  • Court diversion and prison services
  • Freedom from torture, spirituality and psychiatry

Our SCI portfolio also offers supervised modules to gain further advanced experience in:

  • Leadership and management projects
  • Research
  • Teaching and Training

The North West London Regional Programme

Hosted at the Institute of Education on the London University campus, we offer a monthly, whole day academic meeting for our higher trainees. This bespoke programme is designed specifically to meet the advanced needs of our trainees in respect of their clinical practice and, in particular, in their completion of the faculty development training, advanced communication skills and clinical leadership and management.

The programme includes a lunchtime network meeting with the Programme Directors and a trainee business meeting.

Attendance is mandatory for ST4 and, whilst strongly encouraged for ST5-6, the Medical Directors of both trusts within our region support attendance at the programme and we find high levels of trainee engagement and satisfaction.

Psychotherapeutic skills

To meet curriculum goals the programme provides a range of opportunities within certain posts and the SCI to support reflective practice, Balint group experience and the supervised experience of psychological therapies. In addition to local psychotherapy teams, our psychotherapy tutor, Dr Anne Patterson, Consultant Medical Psychotherapist, is available to co-ordinate this experience tailored to individual trainee’s needs.

Less than full time training and individual circumstances

We support the view that the modern medical workforce needs to reflect the contribution of diverse groups of clinicians and that we need to make sure opportunities for training continue when people’s circumstances change.

Many of our posts are designed to enable LTFT opportunities, either as stand-alone arrangements or as job shares. Via our programme directors, educational supervisors and support services in each Trust we actively support those who, for whatever reason, need to adjust the way their training and posts are delivered.

Contact details:

Address: 2nd Floor, Chamberlain House, St Charles Hospital, Exmoor Street, London W10 6DZ
Phone: 020 8206 7385

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