Float Doctor in Lambeth Hospital

To provide medical and psychiatric advice to the inpatient wards under supervision of consultant psychiatrists, including our acute wards, the psychiatric intensive care unit and the rehabilitation and challenging behaviour unit in Lambeth Hospital. To accept medical responsibility for patients admitted to the inpatient wards under supervision of consultant psychiatrists. To initiate a psychiatric assessment, including mental state examination on first contact with the patient, and to regularly update the mental state examination. To ensure that a physical examination of all patients admitted to the inpatient wards under the care of the psychiatric team has been performed. To maintain adequate written documentation of all medical and psychiatric examination of the patients and to record contacts with relatives and carers and their outcomes. Clear diagnostic and treatment plans should be formulated and recorded, and a comprehensive case workup should be available within 24 hours of admission. To maintain adequate communication of medical activities. This includes completion and communication of electronic discharge notification and present medication details for the General Practitioner before the patient is discharged from the ward. A definitive discharge summary should be completed and sent within one week of discharge. The discharge summary should include presentation and progress during the admission, and statements of commitment to further follow up, monitoring and intervention, particularly if they are to be undertaken from within the community mental health teams. Should the patient be discharged back to the primary care, the significance of this or follow up work should be clearly indicated. To provide cover for planned leave and on-call commitments of the ward resident doctors with prior arrangement, including holding the duty bleep on Wednesdays (9am-5pm) during the Core Trainees academic day. To maintain a professional and ethical stance towards the patients, their relatives, other team members and other agencies. To acquire knowledge of and competence in legal framework including the Mental Health Act 1983/2007 and Mental Capacity Act 2005. To acquire competence in basic psychotherapeutic techniques and attend supervision sessions. Clinical supervision by the consultant psychiatrist in the host ward will take place on a regular basis, with regular feedback.