Detailed job description and main responsibilities

Clinical Psychiatric Input to Oxon Link Team

Clinical functions for the psychiatric role are varied:

• senior clinical advisory and support role to Oxon clinical and youth-work colleagues
• provision of general mental health support as well as specific functions expected of a consultant CAMHS psychiatrist:
  o management of complex cases
  o contribution to consideration of referrals
  o advice and instigation re appropriate treatments such as medication when needed
  o acceptance of joint responsibility/lead clinical role with other team members 
  in particularly complex cases
• development of other functions in line with ‘The Framework for Integrated Care’ (FIC):
  o establishment of case formulation as central to team functioning and approach to complex cases across agencies
  o working within a graded model of intervention (advice/formal consultation/direct clinical input, as required); liaison and facilitation of access to appropriate provision
  o particular emphasis on support and joint working with other professionals already working alongside the young person (rather than automatic assumption of a direct clinical role)
•  size of clinical caseload varies depending on level of input between 30-40 cases

Systemic/Strategic ‘Programme’ Functions
These are largely undertaken by lead clinician(s), operational manager and Youth Work Lead within our voluntary sector partner organisation, RAW. These strategic functions are varied 
and all relate to ensuring wider awareness of children with complexity and their particular needs (as well as those of their families/carers and professionals working with them). Such 
functions in relation to children in complex situations include:

• cross-agency relationships: ensuring development of positive relationships with senior colleagues in other agencies, Integrated Care Partnerships (ICPs) and provider collaboratives
• commissioning support: providing health-based support and advice to those considering new commissioning initiatives
• gaps in provision: identifying gaps in existing service provision for children and young people with complex needs (also areas where provision might be duplicated by lack of consultation before service implementation)
• information resource: developing an overview of existing provision such that hub clinical practitioners are able to advise about its suitability in individual cases where professionals may be uncertain
• oversight of training for professionals: development of a training needs analysis and integration of training within existing training programmes (such as those provided by safeguarding children’s boards); in particular, ensuring 
  that the principles of ‘The Framework for Integrated Care’ (FIC) at practitioner and systemic levels are well understood and lead to positive developments
• co-production: ensuring that genuine co-production involving young people, families and carers, and professionals is fully supported within the project development
• data collection and evaluation: organising and facilitating efficient and meaningful data collection to fulfil national and local evaluation requirements
• linkage between local, regional and national developments: ensuring that learning from other Vanguard projects is incorporated in service developments locally and across the Thames Valley (and vice versa

2) Horizon Team

Role of Psychiatrist in Horizon

The psychiatric input to Horizon will include:

• case consultation and advice
• initial general psychiatric assessments where concerns regarding mental health/neurodevelopmental diagnostic and management issues require clarification and are not available without significant delay elsewhere
• support for multi-agency needs assessment, risk assessment and care planning
• direct involvement in interventions as appropriate including instigation an oversight of medication when required
• facilitation as necessary of access for young people into existing core CAMHS provision
• ongoing support for development and evaluation of the service
• contribution to training delivered by the Horizon clinical team
• advocacy with CAMHS and beyond for children/young people who have experienced sexual harm

Caseload varies between 10 and 20 cases