CONSULTANT IN FORENSIC
CLOSING DATE 22 JULY 2011
The successful candidate will provide consultant leadership for a multidisciplinary forensic community
learning disability team and will be expected to assess patients and provide liaison with local learning disability
services. This post has resulted from a reconfiguration of existing consultant psychiatrist provision and will
initially involve developing a service which links into established forensic and learning disability community
The post will be open to those with either forensic or learning disability CCT’s and comprises of 10
Programmed Activities. The successful candidate would work predominantly with an outpatient caseload of
about 30 patients across the health board area.
He or she will lead a multidisciplinary team and will be expected to assess patients for suitability for specialist
intervention. Joint working and liaison with community learning disability teams and services across the patch
is an essential component to this post and it is anticipated that much of the work will involve shared care in this
Applicants will be appropriately experienced, with full GMC registration, a licence to practice and be on
the GMC’s Specialist Register.
Those trained in the UK should have evidence of higher specialist training leading to CCT or eligibility
for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview.
Non UK applicants must demonstrate equivalent training. This post requires PVG Scheme
Membership/Disclosure Scotland Check.
MENTAL HEALTH SERVICES
CONSULTANT IN FORENSIC LEARNING DISABILITIES
NHS Greater Glasgow & Clyde
Mental Health Partnership Greater Glasgow & Clyde
GENERAL INFORMATION FOR CANDIDATES
1. This information package has been compiled to provide prospective candidates with details of the
post and background information.
2. The contents of this package are as follows:-
a. Job Description
b. Terms and Conditions of Service
Also included separately is the Division’s Equal Opportunities monitoring form. Please note, this
monitoring form is required for monitoring purposes only and will not be made available to the
interview panel prior to shortlisting.
3. Informal enquiries will be welcomed by Dr Martin Culshaw, Clinical Director (Tel: 0141 232 6449)
or Martin Montgomery, General Manager (Tel 0141 232 6454).
4. The closing date for applications is 24 July 2011
5. Shortlisting will take place shortly thereafter.
6. It is anticipated that interviews will be held on 8 August 2011
7. Any offer of appointment is subject to the receipt of two satisfactory references Disclosure
Scotland clearance and a report from the Occupational Health Service. Consultant appointments
Completion of day 1 and day 2 Section 22 training is needed prior to taking up the post as the job
includes AMP duties. Certificates must be provided to Medical Staffing.
CONSULTANT FORENSIC LEARNING DISABILITIES PSYCHIATRIST
This is a full time Forensic Learning Disabilities community post. The successful candidate will provide
consultant leadership for a multidisciplinary forensic community learning disability team and will be
expected to assess patients and provide liaison with local learning disability services. The job will be open
to those with either forensic or learning disability CCT’s. The successful candidate will be encouraged to
maintain or develop special interests, as part of their professional and career development.
This post has resulted from a reconfiguration of existing consultant psychiatrist provision and will initially
involve developing a service which links into existing forensic and learning disability community services.
The forensic community learning disability team will consist of (to be developed):
1 WTE consultant psychiatrist
2 WTE consultant forensic clinical psychologists
3 WTE forensic learning disability community psychiatric nurses
The focus of the forensic community learning disability service is:
joint working/shared care with the community learning disability service across NHSGGC;
provision of a liaison service to the community learning disability teams;
more direct management of a relatively small group of high risk patients (including restricted
patients) in the community (probably no more than 30 patients across NHSGGC).
The aims of the team are to:
1. Strengthen existing community learning disability teams by providing specialist forensic support as
2. Provide forensic assessments and reports including court reports for forensic patients and
3. Undertake risk assessment work, including assisting community learning disability teams with
complex risk assessment and management plans.
4. Provide second opinions to members of the community learning disability team where the case
continues to be held by that team.
5. Have lead responsibility for high risk cases and the psychiatric management of cases where
forensic need is paramount.
6. Have lead responsibility where there is a need for ongoing risk management/monitoring of
offending behaviour until mutually agreed handover to the relevant community learning disability
7. Promote the provision of a co-ordinated range of services (including access to health, criminal
justice services, social care, housing, education and employment and benefits advice) to meet the
individual needs of learning disabled offenders and serve the public interest. The public interest
covers both the protection of the public and the most effective use of resources consistent with
high standards of public safety.
8. Provide specialist forensic treatments e.g. for sexual offending behaviour.
9. Provide training to community learning disability team staff e.g. in risk assessment.
10. Undertake preventative work with potential offenders.
11. Facilitate access to specialist inpatient services as appropriate.
The service provides for patients who broadly meet the following criteria:
Aged 18 and over.
IQ of less than 70 plus functional deficits in 2 or more areas of daily living (e.g., socialization,
Learning disability to have been a life long condition, evident prior to the age of 18, and not
subsequently acquired through traumatic brain injury or illness.
Primary difficulties considered to be as a result of learning disability and not purely of a mental
History of serious violent or sexual offending (e.g., murder, culpable homicide, rape or serious
sexual offences against children) that has given rise to involvement with the criminal justice
system and remains as a current risk factor for future offending.
Present Glasgow and Clyde Service Provision
The division of Mental Health is responsible for the provision of mental health services for the whole of
Greater Glasgow and Clyde. The medical director of mental health and learning disabilities is Dr Linda Watt
who is based at the Health Board’s headquarters at Gartnavel Royal Hospital. The clinical director for the
forensic directorate is Dr Martin Culshaw. The forensic service General Manager is Martin Montgomery and
the management team operates from a range of bases including Rowanbank Clinic, Leverndale Hospital,
Douglas Inch Centre, Clutha House and Blythswood House in Renfrew.
The post covers Glasgow and Clyde which has a total population of 1.2 million. The successful applicant
will join 10 other forensic consultants in Glasgow and Clyde and will take part in a combined on call rota on
a pro rata basis.
The directorate’s clinical staff include forensic psychiatrists, clinical psychologists, nurses, occupational
therapists and social workers who specialise in working with mentally disordered offenders. The clinicians
are fully supported by an administration team who provide secretarial and administrative services to ensure
the smooth running of the directorate. For inpatients, care is provided through a progressive, patient
focussed approach, within a safe and secure environment. Treatment interventions are underpinned by risk
assessment and management to maximise the rehabilitation potential of the individual patient. The focus is
on maximising education and employment opportunities with a view to supervised or independent living in
the community in the future.
The forensic learning disability and low security services are longstanding components of the forensic
services in Glasgow and have a wealth of experience in staff and patient management.
The core components of the forensic directorate are:
1. Community service (not including forensic learning disability): this has undergone a period of
development in recent years into a robust cohesive single service for the whole of NHS Greater
Glasgow and Clyde. The directorate provides outpatient clinics and day services in Glasgow city
centre and various settings in Clyde. Community outreach services including sheriff court and
prison liaison work across Glasgow and Clyde.
2. Low Secure unit: there are 50 forensic low secure inpatient beds provided at Leverndale Hospital-
30 male mental illness beds, providing services ranging from assessment and respite through
continuing care and specialist treatments to rehabilitation; 12 close supervision learning disability
beds; and an 8 bedded, open, pre-discharge ward for intensive rehabilitation.
3. Medium secure unit at the Rowanbank Clinic. This is a 74 bed, purpose built, medium secure
forensic unit which opened in June 2007 at Stobhill Hospital. It is Scotland’s largest medium secure
unit, and represents not only a significant development locally but also a major expansion in the
range of services within the forensic estate in Scotland. The Clinic provides a medium secure
service to Greater Glasgow and Clyde and also to the West of Scotland region. Within the Clinic,
there is a 10 bed male admissions unit and 38 male rehabilitation beds across 3 wards. There are
10 female beds across 2 wards including 4 beds for female learning disability patients. There is a
separate male learning disability ward. The learning disability beds form the national medium
secure learning disability service for Scotland and are funded via a National Risk Share Scheme.
4. Forensic Learning Disability service: as well as low and medium secure learning disability beds,
there is a long established community forensic learning disability service across Greater Glasgow.
The advertised post involves extending, developing and harmonising this service across the whole
of the Greater Glasgow and Clyde area.
Medical Staffing - Forensic Directorate (not including this post)
Dr Mark Davidson – consultant forensic psychiatrist - Rowanbank Clinic
Dr Gavin Reid – consultant forensic psychiatrist - Rowanbank Clinic
Dr Martin Culshaw – consultant forensic psychiatrist – female services - Rowanbank Clinic
Dr Anne Macdonald- consultant forensic psychiatrist- Rowanbank Clinic
Dr Rona Gow - consultant forensic psychiatrist - Rowanbank Clinic
Dr Louise Ramsay – consultant forensic psychiatrist (learning disability) – Leverndale Hospital
Dr Melanie Baker – consultant forensic psychiatrist– Leverndale Hospital
Dr Brian Gillatt– consultant forensic psychiatrist– Leverndale Hospital
Dr George MacDonald – consultant forensic psychiatrist – Clyde community forensic team
Dr Kalpana Sankey – consultant forensic psychiatrist – Glasgow community forensic team
Dr Laurence Tuddenham – consultant forensic psychiatrist – Glasgow community forensic team
Dr Siobhan Murphy - consultant forensic psychotherapist
Dr Jeremy Burley – locum consultant forensic psychiatrist – Rowanbank Clinic
Dr Margaret Morrison - consultant forensic psychiatrist – (currently seconded to the Scottish Executive)
Mental Health Services in Greater Glasgow and Clyde
Adult and elderly services in Glasgow & Clyde are managed within the construct of Community Health
Partnerships within Glasgow and within Greater Glasgow and South Clyde as part of Community Health
Partnerships or Community Health and Care partnerships. Mental Health services have up until recently
been overseen/managed by the Mental Health Partnership, which is currently going through a period of
review. There are excellent clinical and non-clinical support services available including the full range of
psychiatric sub-specialities. General adult community services are already well established and based
around generic community mental health teams. These services have been enhanced by the further
development of crisis/home support, early intervention and primary care mental health teams.
Duties of the Post
The successful candidate would work predominantly with an outpatient caseload of about 30 patients
across the health board area. We would encourage the postholder to develop a sessional interest in an
additional area of forensic psychiatry to broaden their job plan and to allow the development of a specific
expertise. This could include prison sessions, a specific subspecialty outpatient clinic or an academic role
between the service and the university department.
The successful candidate will lead a multidisciplinary team and will be expected to assess and manage
patients deemed appropriate for input from the service. Joint working and liaison with community learning
disability teams and services across the patch is an essential component to this post and it is anticipated
that much of the work will involve shared care in this regard.
The successful candidate will also participate in the on call rota and cover for colleagues during absence in
line with arrangements set out in the national Terms and Conditions. The forensic on call rota covers the
whole of NHS Greater Glasgow and Clyde and, on the appointment of this post, full time consultants will be
on call 1 in 11. Home visits, court reports, Mental Health Act/Adults with Incapacity Act and liaison
assessments will be undertaken as required. Duties also include continuing clinical responsibility for the
patients in your charge allowing for all proper delegation to, and training of, staff.
Specific responsibilities of the post will include the following:
1. Provide consultant leadership to the Greater Glasgow & Clyde forensic community learning
2. Foster a multidisciplinary service which values and seeks out the contribution of respective
partner agencies and professional groupings.
3. Be the Responsible Medical Officer for restricted patients and other patients subject to compulsory
measures looked after by the forensic community learning disability team.
4. Responsibility for assessment and ongoing treatment of patients referred to the service.
5. Participate in a 1 in 11 on-call rota.
6. Liaison with forensic and learning disability colleagues.
7. Liaison with consultant colleagues, general practice colleagues and area learning disability teams
with regards to assessment and management of complex forensic learning disability cases.
8. Contribution to strategic development and ongoing development of the service and redesign as
required to meet the needs of the patient group.
9. Implementation of the shared values implicit in local and national policies as they apply to learning
disabled offenders, including the involvement of service users and carers in planning, delivering
and monitoring standards of service.
10. Teaching and supervision to individuals from varied backgrounds and in particular trainee medical
11. The post-holder will be expected to establish and maintain close professional links by attending
and taking part in local and national case conferences, journal clubs and other teaching.
12. The post-holder will be expected to participate in the medical advisory structure through the
divisions of psychiatry and other committees.
13. Home visits, court reports, CPA, MAPPA, Mental Health Act/Adults with Incapacity Act and liaison
assessments will be undertaken as required.
The exact nature of commitments will be a matter of agreement between the post-holder, Clinical
Director and the Medical Director.
The post holder will undertake the administrative duties associated with the care of patients and the proper
function of the clinical team. It is expected that the successful candidate will take part in continuing
professional development and participation in audit or research is encouraged. The post holder will be
actively involved in the teaching of undergraduate medical students. It is anticipated, in recognition of this,
that Glasgow University will grant the status of Honorary Clinical Senior Lecturer in Psychological Medicine.
In addition the post holder will be expected to participate in the postgraduate teaching of medical staff and
staff of other disciplines.
Informal enquiries will be welcomed by Dr Martin Culshaw, Clinical Director (Tel: 0141 232 6449) or Martin
Montgomery, General Manager (Tel 0141 232 6454).
HOW TO APPLY
To apply for these posts please include 12 CVs and names and addresses of 3 Referees, along
with the following documents;
Application Form (Parts A & B)
Equal Opportunities Addendum Form
Declaration Form Regarding Fitness to Practice
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to
access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to firstname.lastname@example.org or to the recruitment
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
The closing date will be 22 July 2011
PROVISIONAL JOB PLAN
CONSULTANT FORENSIC COMMUNITY LEARNING DISABILITY PSYCHIATRIST
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
a.m. Care Internal
Douglas Inch/Rowanbank teaching External
Programme Case conference/ Assessments
Assessments Service Journal club
p.m. Mental Health Group Task
JOB PLAN AND TIMETABLE
A job plan will be agreed between the post holder and clinical director.
This 10 programmed activity (p.a.s) (= 40 hour) post consists of:
1 p.a. of supporting professional activity
9 p.a. of direct clinical care
Direct clinical care time will include emergency and on call duties and 0.5 p.a. of a ‘group task’ relevant to
the directorate and the individual by negotiation. The group task will consist of a responsibility to the whole
directorate. The group task p.a. allows time and flexibility to take on different duties in negotiation with the
The job plan could also be arranged to suit a part time individual in discussion with the clinical director.
Terms and Conditions
TERMS AND CONDITIONS OF SERVICE
1. Terms and Conditions of Service
The terms and conditions applicable to this post are those of NHS Greater Glasgow - Primary
There is an NHS Superannuation Scheme which involves employee contributions of 6% of their
salary. Employees may opt out of the NHS Superannuation Scheme is they wish.
£74,504 - £100,446 per annum (pro rata for part-time)
4. Annual Leave
The full annual leave entitlement appropriate to this grade is 6 weeks (pro rata for part-time). In
addition there is an entitlement to statutory and public holidays as determined for Primary Care
5. Hours of Duty
10 programmed activities per week, however applications for part-time working would be
considered. A programmed activity is 4 hours duration.
6. Period of Notice
This post is subject to three month’s notice on either side. This post is offered on a permanent
7. No Smoking Policy
In recognising the danger to health of smoking and the right of non-smokers to enjoy smoke free
air, the Primary Care Division has implemented a smoking ban throughout all Trust premises.
8. Interview Expenses
Interview expenses will not be reimbursed if an offer of employment is
9. Removal Expenses
Assistance with removal expenses will be given where the successful candidate
is required to move house in order to satisfy the requirements of the post.
Application should be made in writing to the Medical staffing Department.
10. Section 22 Training
Completion of day 1 and day 2 Section 22 training is required prior to taking up post.
The Medical Staffing Department will require sight of your certificates to this effect.
PERSON SPECIFICATION (Ref: 23305D)
Applicants must have full GMC registration, a licence to practice and be eligible for inclusion in the
GMC Specialist Register. Those trained in the UK should have evidence of higher specialist
training leading to a CCT in Forensic Psychiatry and or Learning Disabilities or eligibility for
specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview.
Non-UK applicants must demonstrate equivalent training.
MRCPsych or equivalent.
An ability to interact professionally with colleagues, patients and carers.
A commitment to and working knowledge of multi-disciplinary working.
Knowledge of current issues in forensic psychiatry and learning disabilities and an understanding
of the therapeutic use of security.
Experience of working in a community mental health setting
Section 22 approval.
UK driving licence
Publications in the medical literature and/or presentations at Royal College or similar events.
Experience in providing teaching at undergraduate or postgraduate level.
Comprehensive experience of the practical use of mental health legislation.
Experience or training in a relevant therapeutic modality.