Old Age

The East Training Scheme (North Western).


Why should I choose Old Age Psychiatry?

Old Age Psychiatry is an exciting and challenging medical specialty. It spans the breadth of functional and organic psychiatry and has several subspecialties, including memory assessment, liaison psychiatry and inpatient care. There is a strong emphasis on the physical care of patients and as such allows clinicians to maintain and indeed broaden their core medical knowledge. Legal aspects to cases are fascinating, covering issues such as mental capacity, best interest decisions and the Mental Health Act. It is truly a multidisciplinary specialty with daily contact with other professions such as nurses, occupational therapists, psychologists and other allied health professionals. It is an exciting time to enter into the specialty with potential disease-modifying drugs for Alzheimer’s dementia on the horizon and an ever-increasing realisation of the importance of specialist care for those in later life. Make the wise choice of Old Age Psychiatry and embark upon the most fascinating career in medicine. More information can be found here and here.

Why train in the North West (East Scheme)?

The North West (East Scheme) provides higher training in Old Age Psychiatry in a comprehensive training programme over 3 years with entry as part of the national recruitment process at ST4 level. The scheme is relatively large , covering Cumbria, Lancashire and Greater Manchester with training sites in a wide range of locations. All the posts are well established, with experienced Educational Supervisors, all of whom have been approved for the training of higher trainees and who meet the relevant requirements set down by the various bodies overseeing training. The scheme has demonstrated that the entire curriculum can be delivered and has been consistently successful in preparing trainees for successful appointment at Consultant selection processes. Furthermore, the region has some of most beautiful landscape in the country, with good travel networks and excellent schools.

What posts are available?

The training scheme in Old Age Psychiatry offers training in a wide variety of posts and different styles of delivering Consultant expertise. Trainees in Old Age Psychiatry normally undertake 3 Higher Training Posts. It is possible to complete training with 2 Higher Training Posts in Old Age Psychiatry and a further post in General Adult Psychiatry or other Psychiatric specialties. Trainees in Dual CCT Old Age/General Adult can expect to complete 2 posts in General Adult Psychiatry and 2 in Old Age Psychiatry.

The posts are in 4 trusts- Cumbria Partnership Trust, Greater Manchester Mental Health Trust(GMMH); Lancashire Care Tust(LCFT) and Pennine Care NHS Trust:

  

TRUST

LOCATION

SETTING

TRAINER

Cumbria Partnership(1 salary)

Carlisle

Community

Dr Reynolds

Cumbria Partnership

Kendal

Community

Dr Wray

GMMH (11 salaries)

Bolton

Community

Dr Paranthaman

GMMH

Bolton

Community

Dr Seabourne

GMMH

Salford

Community

Dr Malik

GMMH

Trafford

Inpatient

Dr Benjamin

GMMH

Central Manchester

Community

Dr Ratcliffe

GMMH

North Manchester

Community/In-patient

Dr Baldwin

GMMH

North Manchester

Community/In-patient

Dr Dunne

GMMH

North Manchester

Community

Dr Leroi

GMMH

Wythenshawe

Community/In-patient

Drs Braude / Cole

GMMH

Wythenshawe

Community/In-patient

Dr Lennon

GMMH

MRI

Liaison

Dr Longson

LCFT (5 salaries)

East Lancs

Community

Dr Kukkadapu

LCFT

Blackpool

Inpatient

Dr Thomas

LCFT

Blackpool

Inpatient

Dr Chilman

LCFT

Chorley

Community

Dr Karim

LCFT

Lancaster

Community

Dr Mulinga

LCFT

Lancaster

Community

Dr Napier

Pennine Care (3 salaries

Stockport

Mixed

Dr Aitken

Pennine Care

Stockport

Mixed

Dr Hayden

Pennine Care

Rochdale

Mixed

Dr Datta

Pennine Care

Tameside

Mixed

Dr Parvez

 

How are posts allocated?


The Training Programme Director in accordance with the placement policy decides allocation to the posts taking into account various factors such as preferences expressed by the trainees, training needs, availability of posts, personal circumstances and family commitments. Trainees are usually notified about their placement in June prior to a post starting in August.

Will I have a Portfolio? 

Yes. Currently trainees use the RCPsych portfolio which trainers in the scheme are very familiar with and which links easily with outcomes of the Old Age curriculum.

Will I be on the on-call rota?

Yes. There is a mix of shift patterns across the region for out of hours experience. Generally this will cover the entire age spectrum and there will always be consultant supervision available. See the job descriptions of individual posts for further details.


What Academic Opportunities are there? 

The scheme welcomes applicants for Academic Clinical Fellow posts. The North West Deanery has been successful in its application for an Old Age Psychiatry specific Academic Clinical Fellow. This post holder will train as usual in core psychiatry and will be able to progress through to Higher Trainee in Old Age Psychiatry. The expectation would be that the successful post holder will have completed a PhD during or at the end of core training and would then be in a position to apply for an Academic Clinical Lecturer post in Old Age Psychiatry within the University of Manchester.

What about special interest sessions?

Trainees are entitled to 2 sessions each week for research and/or special Interests.
There are many opportunities for special interest sessions throughout the region, including: Cognitive neurology clinics, geriatrics, palliative care, psychological therapies, liaison psychiatry, ECT, older adult forensics, drug and alcohol services, dementia in Down’s Syndrome and Parkinson’s clinics.

Do higher trainees get to meet frequently?

There are approximately 6 registrar training days per year where trainees from the whole region organise educational programmes, often with expert speakers. These are an ideal opportunity to gain extra learning specific to Old Age Psychiatry and also to network with peers. The current Old Age Higher Trainee Rep can be contacted here.

Can I get study leave?

There is a generous annual study leave budget which can be used to fund courses and conferences, in agreement with your local supervisor and TPD. Further information can be found here.

How often will I meet the TPD?

There are two formal meetings with the TPD each year to review progress towards learning outcomes; midpoint in the post and also before the ARCP. The TPD is also available throughout your training should you need to discuss specific matters. The current TPD is:

Dr Raghu Paranthaman, Consultant Psychiatrist

Contact details here.

What about research / audit?

There are strong research collaborations in the North West, including organisations such as the Manchester Academic Health Science Centre, The University of Manchester and the Wolfson Molecular Imaging Centre. Higher trainees can avail themselves of research opportunities in older adult mental health and dementia in the region – further information is available here. Achievement of the relevant research Learning Outcomes in the curriculum can be achieved by undertaking your own research, assisting with an existing programme or writing a literature review to a publishable standard. Supervision is available for all of these activities.

All trainees are expected to take part in the work of their local audit departments in a progressively more complex or more detailed way as they develop skills in this area. Trainees are expected to present their findings at local or regional meetings, and are encouraged to submit their presentations to regional and national college meetings.

 

What teaching opportunities are there?

With the large number of students from several universities, there are many opportunities to develop teaching skills. The Universities runs courses to develop teaching and presentation skills. Trainees are encouraged to develop their skills in presenting to peers and senior colleagues, and to patients and carers groups. Higher trainees can also deliver teaching sessions and present case studies in weekly local educational programmes.

Can I train Less than full time (LTFT)?

Yes. Details can be found here. 

Thinking of Applying to Higher Training?

You will find details about the application process here.



The West Training Scheme (Mersey).

Why train in the West Scheme?

The training area in the North West (West Scheme) covers Merseyside, Southport, Wirral, Wigan & Leigh, St Helens & Knowsley, Warrington and some parts of Cheshire. One of the advantages of training in this area is that compared to most other training schemes the region covered is relatively compact and it is feasible to live centrally around Liverpool and be able to commute to any of the posts throughout the 3 year training programme. Higher Training posts in Old Age Psychiatry are subject to the national recruitment process at ST4 level. The posts within the programme are well-established and provide good quality training in a range of settings. All trainees will have experienced Educational Supervisors, all of whom have been approved for the training of higher trainees and who meet the relevant requirements set down by the various bodies overseeing training. The scheme has demonstrated that the entire curriculum can be delivered and has been consistently successful in preparing trainees for successful appointment at Consultant selection processes.

 

What posts are available?

The training scheme in Old Age Psychiatry offers training in a wide variety of posts and different styles of delivering Consultant expertise. Trainees in Old Age Psychiatry normally undertake 3 Higher Training Posts. Trainees in Dual CCT Old Age/General Adult can expect to complete 2 posts in General Adult Psychiatry and 2 in Old Age Psychiatry. The available posts are in three different Trusts including Merseycare NHS Foundation Trust, Cheshire & Wirral Partnership NHS Foundation Trust, and North West Boroughs Healthcare NHS Foundation Trust.

 

TRUST

LOCATION

SETTING

TRAINER

Merseycare NHS Foundation Trust

Mossley Hill Hospital,

Liverpool

Functional & Organic Inpatients and Community

Dr Richman

(Training Programme Director)

Merseycare NHS Foundation Trust

Mossley Hill Hospital,

Liverpool

Functional & Organic Inpatients and Community

 

Dr Barnes

Merseycare NHS Foundation Trust

South Sefton Neighbourhood Centre,

Liverpool

Organic Inpatients/ Functional & Organic Community

 

Dr Sikdar

Merseycare NHS Foundation Trust

Aintree Hospital,

Liverpool

Liaison Psychiatry

Dr Allington

Cheshire & Wirral Partnership NHS Foundation Trust

Stein Centre,

Wirral

Functional & Organic Community

 

Dr Ferran

Cheshire & Wirral Partnership NHS Foundation Trust

Delamere Resource Centre,

Crewe

Functional & Organic Community

 

Dr Oomman

North West Boroughs Healthcare NHS Foundation Trust

Brooker Centre,

Halton

Mainly Organic Community

Dr Watson

North West Boroughs Healthcare NHS Foundation Trust

Hollins Park, Warrington

Mainly Organic Community

 

Dr Cameron

North West Boroughs Healthcare NHS Foundation Trust

Knowsley Resource and Recovery Centre,

Prescot

Functional and Organic Inpatients and Community

 

Dr Baldwin

North West Boroughs Healthcare NHS Foundation Trust

 

O’Hanlon Centre,

St Helens

Functional Inpatients/Functional and Organic Community

 

Dr Raju

North West Boroughs Healthcare NHS Foundation Trust

Knowsley Resource and Recovery Centre,

Prescott

Functional & Organic Inpatients and Community

 

Dr Nash

 

 

How are posts allocated?

The Training Programme Director in accordance with the placement policy decides allocation to the posts taking into account various factors such as preferences expressed by the trainees, training needs, availability of posts and personal circumstances. Trainees are usually notified about their placement in June prior to a post starting in August.

 

Will I have a portfolio?

Yes. Currently trainees use the RCPsych portfolio which trainers in the scheme are very familiar with and which links easily with outcomes of the Old Age curriculum.

 

Will I be on the on-call rota?

Yes. There is a mix of shift patterns across the region for out of hours experience. Generally this will cover the entire age spectrum (adult and old age) and there will always be consultant supervision available. See the job descriptions of individual posts for further details.

 

What academic opportunities are there?

Higher Trainees can apply for an honorary clinical lecturer post at the University of Liverpool and can become OSCE assessors for their formative and summative assessments. HEENW supported masters level modules on ‘Medical teaching and learning in the work place’ and ‘Leadership and management ‘are run through Edgehill University towards a Master’s level certificate. Both of these modules have a summative assessment.   There are also opportunities to present interesting cases and journal papers at local educational meetings and the ST forums.

 

What about special interest sessions?

Trainees are entitled to 2 sessions each week for research and/or special Interest.

There are many opportunities for special interest sessions throughout the region, including: Acquired Brain Injury and Cognitive neurology clinics at the Walton Neurology Centre in Aintree; Geriatric Medicine; Palliative Care, Psychological Therapies; Neuro-radiology;  Liaison Psychiatry, ECT; Drug and Alcohol services, and Movement Disorder clinics.

 

Do higher trainees get to meet frequently?

There are approximately 6 registrar training days per year where trainees from the whole region organise educational programmes, often with expert speakers. These are an ideal opportunity to gain extra learning specific to Old Age Psychiatry and also to network with peers.

 

Can I get study leave?

There is a generous annual study leave budget which can be used to fund courses and conferences, in agreement with your local supervisor and TPD. The application for study leave has to be completed electronically. Further information can be found here. https://www.nwpgmd.nhs.uk/study-leave

 

How often will I meet the TPD?

There are two formal meetings with the TPD each year to review progress towards learning outcomes; midpoint in the post and also before the ARCP. The TPD is also available throughout your training should you need to discuss specific matters. The current TPD is:

Dr Anna Richman, Consultant Old Age Psychiatrist

 

What about research /audit?

All three Trusts have their own well-developed research departments which have access to various clinical trials that trainees can take part in. The local research departments also work in close collaboration with Royal Liverpool and Broadgreen University Hospitals Research Centre which is an accredited centre for Phase 1 research trials. There are also links with some of the research projects ongoing at Manchester University.

All trainees are expected to take part in the work of their local audit departments in a progressively more detailed way as they develop skills in this area. Trainees are expected to present their findings at local or regional meetings and are encouraged to submit their presentations to regional and national College meetings.

 

What teaching opportunities are there?

Third year and fourth year medical students from Liverpool University are placed on Psychiatric placements in all the three Trusts. Trainees are also invited to deliver expert teaching sessions at Liverpool University. These sessions are organised by the Liverpool university tutors. There are also ample opportunities to deliver teaching sessions to groups of fourth year medical students. The University runs courses to develop teaching and presentation skills. Trainees are encouraged to develop their skills in presenting to peers and senior colleagues, and to patients and carers’ groups. Higher trainees can also deliver teaching sessions and present case studies in weekly local educational programmes, as well as developing leadership skills through chairing these sessions.

 

Are there any leadership and management opportunities?

All higher trainees can apply for various roles such as LNC, School Board and ST forum representatives.

 

Can I train less than full time (LTFT)?

Yes. Details can be found here: https://www.nwpgmd.nhs.uk/content/less-full-time-training

 

Where can I find more information on applying for higher training?

You will find details about the application process here: https://www.nwpgmd.nhs.uk/national_Psychiatry_Recruitment