Forensic Psychiatrist New Zealand AR-137

Position title: SMO – Regional Forensic Service
Delegation level:Nil
Responsible to: Assistant Group Manager / Clinical Director,
Location: North Island of New Zealand
Commitment: Minimum of two years
Relocation: NZ$15,000
Paid Vacation: Six weeks
Paid CME: NZ$16,000
Paid CME time off: 10 days
Paid sick leave: 30 days
This position description will be used in conjunction with the Senior Medical and Dental Officers Collective Agreement, and agreed work schedules, clinical duties and outputs targets.

Vision (Te Matakite):
Building healthy communities – Te hanga whaioranga mo te iwi.

Mission (Te Whakatakanga):
We will ensure community involvement at all levels and will focus on:
 increasing wellness through prevention, promotion and awareness activities
 ensuring equitable access to high quality health and disability support services.
Values:
 Acknowledging the diversity of our communities.
 Self responsibility.
 Personal and professional growth of the workforce.
 Inclusive and honest communication.
 Respect for each other.
 Enhancing the health and independence of our people.
 Striving for excellence.
Code of Conduct and Employee Expectations:
 Respect the rights of others.
 Carry out duties in a professional manner.
 Act in a fair, responsible, trustworthy, and legal manner.
 Perform duties honestly with impartiality.
Our code of conduct incorporates the State Services standards of integrity and conduct, and sets expectations relating to employee conduct.

Purpose of the position
 Provides psychiatric services as part of a multi disciplinary team to consumers of the Adult Mental Health Service. This service will at times need to be undertaken:
o In the home of the service user
o Within our inpatient environments
o At locations across the wider service region e.g. prison, remand or correctional facilities.
 Participates in service leadership and development activities.
 Supervise, support and mentor trainees, registrars, MOSS and peers, and where appropriate other Senior Medical Officers and multidisciplinary team members.

Organisational accountabilities
Clinical Activities:
(CanMEDS Medical Expert)
 Provides high quality clinical services as follows:
 To provide high quality consultative, assessment and treatment services within a multi-disciplinary team that are culturally appropriate and in accordance with professional standards and ethics and organisational policy and procedures.
 In accordance with the Mental Health Act (1992), to be the ‘Responsible Clinician’ for service users / tangata whai ora under the employee’s care, and / or when requested by the Director of Area Mental Health Services (DAMHS) and to attend to other legal requirements when requested through appropriate channels.
 To participate and contribute to the multidisciplinary team through active involvement in achieving team objectives.
 To participate in peer review activities consistent with RANZCP CPD guidelines.
 Clinical partnership ensures that patients receive integrated, appropriate, effective and efficient assessment and care.
 Provides supervision for and reviews clinical practice of medical officers, and is responsible for the ratification and/or modification of orders as appropriate.
 Delivers services using best practice methods, as new techniques are developed.
 Utilises and complies with our clinical pathways, protocols and procedures.
 Participates in on call rosters, is available when on call, and provides backup and cover when other specialists from the team are on leave.

(CanMEDS Communicator)
 Maintains clear, respectful and professional communication at all times.
 Acknowledges individual differences and needs of patients and their rights, governed by the Code of rights and Privacy Act 1993.

Performance Measures:
 Maintains good communication with patients and their families.
 Participates with the multidisciplinary team in the development of an integrated care plan.
 Ensures all notes, reports and correspondence are legible and signed.
 Ensures 95% of relapse prevention plans are up to date and developed with service user.
Education, Research and Staff Support:
(CanMEDS Scholar and Professional)
 Undertakes clinical medical education and teaching, and research activities as required.
 Participates in teaching, training, support and mentoring of others.
 Undertakes teaching activities with resident medical staff on an arranged and timely basis, meeting college requirements and our policy and procedural requirements, as applicable to the position.
 Provides supervision for trainees, registrars as applicable to the position.
 Seeks out and is involved in clinical research as agreed with the Clinical Director Mental health & Addiction services and the Service Manager.

 Promotes and participates in regular, timely staff and peer support activities and professional supervision.
 Engages actively in a programme for continuing medical education, and fulfils credentialing requirements.
 Participates in annual performance review process with Clinical Director, and Service manager/ Clinical Unit Leader as applicable to the position.

Performance Measures:
 Is seen by the multidisciplinary team as keen and available for support and mentoring
 Is involved in the training and education of Resident Medical Officers and multidisciplinary team members
 Has presented at training sessions or seminars
 Agreed achievements within annual performance review.

Supervisor:
 Maintain competence & credentialing as a registrar supervisor as applicable to the position.
 Complete supervisor requirements, including documentation.
Quality Assurance, Peer Review, Audit:
(CanMEDS Health Advocate)
 Provides support for and leadership with the services clinical governance framework and/or forum.
 Fulfils requirements for quality assurance, peer review, audit, and undertakes at least one quality assurance/ clinical audit activity per year.
 Regularly attends established Senior Medical Officer clinical review forums and meetings.
 Participates in reviews of patient care, mortality and morbidity meeting
 Participates in peer review processes.
 Results of reviews of and audit are communicated to colleagues, Director of Clinical Units, Clinical Director, Clinical Unit Leader, managers and relevant others.

Performance Measures:
 Up to date CME accreditation with relevant professional body
 Participation in quality assurance forums (as appropriate) within scope of practice, and at least one clinical audit completed annually

Clinical Leadership / Management Duties:
(CanMEDS Collaborator and Manager)
 Work with the Service Manager AMHS, other managers, others SMOs, health professionals, and other key staff to provide a quality service.
 Participates as required in the planning of the service direction (financial and clinical).
 Raises issues of concern with professional and managerial staff as they arise to allow for resolution as soon as possible.
 Assist in the collection of data relating to the service, and participates in the development and review of policies, procedures and protocols within own area of expertise.

Performance Measure:
 Clinical leadership at an appropriate level evident to service manager, clinical director, other SMOs and other health professionals

Senior Medical Officer Duties:
(CanMEDS Professional and Leader)
 Acts in a manner befitting a professional leader.
 Identify, report and if possible mitigate any identified service risks.
 Attends to patient complaints in a timely manner.
 Provides medical reports to external agencies as required by law.
 Provides reports on medical officers as reasonably required by management, including performance reviews, and information required for credentialing and privileging processes.
 Completes required administrative duties.

Performance measures:
 Positive feedback in annual performance review.
 Service risks reported to clinical director and management.
Organisational:
 The CanMEDS Physician Competency Framework is used as the standard for professional reviews.
 Complies with the our Corporate Records Management policy requirement to create and maintain full and accurate records.
 Provides a high quality service, and contributes to quality improvement and risk minimisation activities.
 Complies with legislation and policies for risk management and legal compliance.
 Works in alignment with the Treaty of Waitangi principles of partnership, participation and active protection, and will uphold tikanga best practice guidelines when working with Māori patients and their whānau.
 Follows established Health and Safety and other policies and procedures to ensure the safety of oneself and others.
 Knows department emergency response plan, able to initiate an emergency response and participate in response as applicable to the role.

Professional accountabilities
 Medical Council of New Zealand – A registered medical practitioner as a Specialist Psychiatrist
 Credentialed to work as a Specialist Psychiatrist by the our credentialing committee.
 Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.
Senior Medical Officers and Dental Officers Collective Agreement
 Required to undertake clinical responsibilities and to conduct themselves in all matters relating to their employment in accordance with best practice and relevant ethical and professional standards and guidelines, as determined from time to time by:
o The New Zealand Medical Association’s code of ethics
o The practitioners relevant medical college(s) and/or professional associations
o The New Zealand Medical Council
o The Health and Disability Commissioner
o The employers policies and procedures

Qualifications and experience
 Registration with Medical Council of New Zealand, therefore inclusive of scope of practice of specialist.
 A current practising certificate with the Medical Council of New Zealand.
 Qualified to practice as a specialist Psychiatrist
 A minimum of two years experience as a specialist Psychiatrist
 It is preferable to have Fellowship or RANZCP or equivalent

Organisational leadership/ behavioural competencies
Contribution:
 Models and adheres to the our values, vision, and code of conduct.
 Provides safe and quality service delivery for patients/ clients/ customers.
 Completes work within required timeframes.
Self and others:
 Seeks opportunities to continuously improve, and works to learn and grow.
Relationships:
 Maintains effective relationships patients/ clients / customers, and with peers and the employer, and encourages collaboration and effective group interactions.
Getting results:
 Is open to learning new things and picks up technical skills in a reasonable timeframe.
 Is action oriented and undertakes duties with professionalism and enthusiasm.
Change:
 Looks for opportunities to improve processes and uses logic and analysis to review information in order to make sound decisions.

Scope of position
Relationships:
Internal:
 Multi Disciplinary team
 Medical Records
 Clinical Director
 Manager(s)
 Professional Leaders/Team Leaders
 Resident Medical Officers
 Trainee registrars and other clinical staff
 Nursing staff
 Allied health professionals
 Administrative staff
External:
 Clients and their families/whānau and carers
 General Practitioners
 NGO Providers
 Clinical staff from other hospitals
 Local Community / Iwi networks
 Professional bodies
 Ministry of Health
Staff reporting:
 Number of direct reports: Nil
 Number of indirect reports: Nil
 Total budget: Nil

Work environment and work function/activity
Work environment:
 Works indoors in consulting rooms, clinics and offices within public or private hospitals, private medical centres and specialist clinics.
 Works in adequately lit, heated, ventilated, clean, well maintained & hygienic workspaces.
Work function/activity:
 Sedentary to heavy physical demand (role dependent)
 Specialist positions require:
 Adherence to service hazard register requirements e.g. radiation
 Use of gloves, hand washing, and use of alcohol gels
 Clothing changes e.g. scrub suits
 Frequently sits during consultations, discussions with patients and when reading medical reports, tests, patient case notes and writing patient notes and letters.
 Stands and walks around workspaces to gather equipment, read medical images and physically examine patients or conduct surgical procedures.
 There is an occasional requirement for lifting, stretching, reaching, bending, squatting or crouching during some physical examinations.
 Occasional repetitive hand and finger movements may be required in some medical procedures and when using a computer or hand writing.
 Driving may be required but is not a significant feature of the job.
 Frequently use medical equipment and materials.
 Mental activities necessary include a high level of cognitive functioning with medical, surgical, assessment, diagnostic, communication, interpersonal, organisational, problem solving and decision-making capabilities

Other requirements:
 Current New Zealand driver’s license.

Declaration

I certify that I have read this position description and reasonably believe that I understand the requirements of the position. I understand that:
a) this position description may be amended by the employer following reasonable notice to me
b) I may be asked to perform other duties as reasonably required by the employer in accordance with the conditions of the position.

Position holder’s name:

Position holder’s signature:

Manager’s name:

Manager’s signature:

Date of signing:

Provided with schedule of duties/ timetable
(reflects FTE)

Provided with service specific clinical duties
and outputs targets

Appendix 1

Job Description

Position SMO – Regional Forensic Service
Clinical Group Mental Health and Addictions Services
Title Consultant Psychiatrist
Reports to Assistant Group Manager and Clinical Director

Service Description
The forensic service provides a regional service to the midland region, covering the courts, prisons, and general mental health services within that area. Essentially forensic psychiatry is about legal (offending) issues pertaining to people who have or are thought to have a mental disorder.

The service is provided by the forensic service include a secure inpatient service of 30 beds and a community forensic service that includes a consultation/liaison service.

Job Description
The following is the routine clinical and non-clinical duties for a Senior Medical Officer working within Regional Forensic Service. It will have the flexibility so as not to restrict future service development and/or the implementation of initiatives.

Routine hours occur between 8.00 am and 6.00 pm, Monday to Friday.

Routine Clinical Duties

Community Work (including hospital based clinics)
Initial assessments and follow ups
These will generally be completed within scheduled clinic times. This will include routine and urgent crisis assessments.

Clinics
Routine clinics as scheduled in several locations.

Activities include: MDT meetings, meetings with families and other agencies, travel time, supervision of clinical work of registrars, research regarding treatment of individual patients, consultation with colleagues and Registrars, completing Mental Health Act assessments and documentation, MH Court attendance, correspondence, reports, and other administrative activities (stats & HONOS), liaison with GPs, other health professionals and group work.
Ward Work
Inpatient setting for routine assessment and review.

Additional ward time will be required where specific clinical issues arise and where follow-up action is required. The time involved in such ward visits varies.

Activities included/associated with ward work include: family meetings, consultation, multi-disciplinary team, care planning and discharge planning, associated administrative tasks.

Liaison Work
General hospital for follow up of:

a) Existing patients of the regional forensic service
b) Patients referred from other hospital based specialist services
c) Patients referred by consultation liaison
d) This would also include requests for second opinions under the Mental Health Act.

Leave
All annual leave, continuing medical education leave, and other planned special leave will be arranged in advance to facilitate appropriate allocation of scheduled work. The only exceptions to this will be if the SMO can arrange for another employed SMO to provide the service on their behalf, or if their Executive Clinical Director and Assistant Group Manager give approval. This approval will be mainly oriented toward unexpected opportunities or problems arising.

No Show at Sessions
An SMO can at short notice advise that they will not be available for a scheduled session only for reasons of:

* illness
* family bereavement
* urgent family or personal problems
* involvement in other clinical work that was either unplanned, or for reasons beyond their control, did not finish at the planned time (i.e. Mental Health Act hearings).
* involvement in call-back work immediately preceding a routine session, where the extent of this would compromise clinical safety.

The Executive Clinical Director and/or Assistant Group Manager will be advised.
Non-Clinical Duties
The following activities may or may not be specifically rostered to scheduled times, but will usually take place within the context of non-clinical duties.

This may include
• Attendance at monthly SMO meeting
• Attendance at peer review
• Attendance at weekly Journal Club/Grand round
• Personal literature review
• Participation in national and local organisations dedicated to education and maintenance of standards within general adult psychiatry sector, in consultation with the Executive Clinical Director and/or Assistant Group Manager
• Administrative tasks not directly associated with clinics &/or ward rounds.
• Preparation of materials for and provision of formal teaching to junior medical staff, nursing staff, other clinical support staff, and medical students.
• Research, Clinical Audit Programmes & Case presentations
• Supervision (Registrar, Medical Officer etc)
• Business meetings
• Credentialling

Note that the following activities are specifically covered by the collective employment agreement:
a) Attendance at New Zealand/Australian CME meetings at least once per annum, and at regional/world CME meetings at least once every three years. (Note the provision of CME leave and financial support for CME activities.)

Call Back and Rostered Acute Activities Participation in the on call roster will include: (see Remuneration Schedule for details)

• Being on-call and responding to any emergency calls received during the rostered on call period.
* Being available for consultation for in-patient and outpatient cases as required, to ensure appropriate responses to clinical issues, as they occur.
• When on call, the duty Senior Medical Officer will be required to remain immediately contactable, and to attend the hospital as required.

General Provisions
Support Staff
Staffing levels for support staff will be planned and determined by the Assistant Group Manager in consultation with the Executive Clinical Director, and in accordance with standards and safety levels agreed by the Employer. This is with particular reference to:

• Appropriate administrative and secretarial support
• Appropriately skilled junior medical staff coverage of evenings, weekends, and nights to ensure safe practices
• Appropriately skilled allied and nursing staff