Out of Hours Psychiatry Service Contract

Descriptions

The service required is an out of hours liaison psychiatry service (5 p.m.-9 a.m. Monday – Thursday and 5 p.m. Friday to 9 a.m. on Monday) for the Royal Marsden NHS Foundation Trust, both the Chelsea and Sutton sites of the hospital. [On the Sutton site the hospital has 101 beds for adult patients being treated for cancer and no emergency department. On the Chelsea site the hospital has 105 beds and 16 critical care beds]. This service is required to support the medical teams who are managing inpatients with mental health problems who either present for the first time or become acute outside of normal working hours (9 a.m.-5 p.m. Mon-Fri). Issues which may arise include delirium, steroid induced psychosis or behaviour that puts either the patient or others at risk with a potential need for detention under the mental health act.The out of hours service (5 p.m.-9 a.m. Monday–Thursday and 5 p.m. Friday to 9 a.m. Monday plus UK Bank Holidays) will have three on-call components:1) provision of out-of-hours on-call telephone psychiatric clinical advice/consultation/assessment from a consultant psychiatrist for medical teams managing inpatients;2) provision of face to face psychiatric assessment by a consultant psychiatrist if onsite intervention is required following initial telephone assessment;3) provision of the responsible clinician function out-of-hours is required which will include very occasionally the assessment for detention under section 2 of the mental health act for patients detained under section 5(2) out of hours by the nominated deputy of the responsible clinician (i.e. by one of the oncology ST/Clinical Fellows).In addition, this service is required during work hours to cover for any periods of annual leave/sickness of the consultant psychiatrist.Out-of-hours response times1) On-call telephone advice will be provided by a consultant psychiatrist within sixty minutes of the initial call by clinical staff at The Royal Marsden Hospital.2) If a face to face assessment is required, this will take place within 4 hours of the initial call.3) An assessment for detention under the mental health act will take place within the required 72 hours from the initial assessment following discussion with the onsite clinical team.All the doctors providing the on-call service will be consultants psychiatrists. The provider will be responsible for ensuring that:• they have completed the relevant statutory and mandatory training as defined by the NHS core skills framework;• they have completed all the necessary NHS employment check standards; including relevant professional registration, references, right to work etc.;• have a current valid DBS- enhanced with barred list information;• have annual appraisal;• are familiar with the details of the service requirements of this contract;• valid section 12 certification;• organising a back-up service if the individual on call is not available;• current liability insurance is in place.