Specialty Psychiatrist in AOT/Depot and Clozapine Clinic

Provide high quality psychiatric assessment, diagnosis, treatment planning, and ongoing medical care for adults with severe and enduring mental illness, particularly those who are disengaged, high risk, or non adherent with treatment. Manage a defined medical caseload, supervised by consultant psychiatrist, within the Assertive Outreach, depot, and clozapine functions, working closely with the multidisciplinary team. Undertake regular clinical reviews, including mental state examinations, risk assessment, physical health monitoring, and review of treatment response, ensuring care is evidence based and recovery focused. Provide middle grade medical leadership within the Assertive Outreach pathway, contributing to MDT meetings, huddles, and zoning discussions, and offering clinical oversight on risk management and medication optimisation. Lead and deliver depot antipsychotic and clozapine clinics, ensuring safe prescribing, monitoring of efficacy and side effects, and effective liaison with nursing, pharmacy, and consultant colleagues to maintain continuity of care. Review adherence, capacity, consent, and tolerability, and contribute to engagement strategies (including community based work and joint visits) to improve medication concordance in line with the AO SOP. Contribute to formulation, care planning, crisis planning, and supported transitions back to standard CMHH pathways when service users are stabilised. Take an active role in the assessment and management of clinical risk, including suicide, self harm, violence, vulnerability, and safeguarding, and support timely escalation and de escalation of care, including admission avoidance or facilitated admission where required. Work collaboratively with a wide range of partners, including crisis services, inpatient teams, primary care, local authorities, community, cultural and faith groups, to reduce avoidable admissions and A&E attendances. Deliver care flexibly across settings, including home visits, ensuring effective access for service users and carers, and actively involving them in treatment and care planning. Provide day to day medical cover for the AOT/Depot and Clozapine Team and participate in the Brent middle grade on call rota in line with service need. Maintain accurate, timely, and high quality clinical records, ensure appropriate discharge processes (including ICD 10 coding), and contribute to the development and review of clinical protocols. Participate in continuing professional development and annual appraisal in accordance with Trust policy.