Job Description
Role Overview
This is a senior clinical post within a specialist forensic mental health service, providing psychiatric leadership for a low secure female learning disability ward (Ivy / Clover / Kestrel). The role is focused on delivering high-quality, legally compliant, recovery-oriented care for detained patients with complex needs, alongside multidisciplinary collaboration and service leadership.
The postholder will act as the Responsible Clinician for patients detained under the Mental Health Act, supporting long-term rehabilitation pathways (average length of stay approximately five years) within a structured inpatient setting.
Key Responsibilities
Clinical Leadership & Patient Care
- Provide consultant-level psychiatric assessment, diagnosis, and treatment planning within a forensic learning disability setting
Lead weekly multidisciplinary team (MDT) meetings, formulation reviews, and structured risk management discussions
Oversee CPA (Care Programme Approach) reviews, typically held every six months
Manage referrals (approximately four per year) from internal and external services
Ensure safe, evidence-based prescribing and clinical decision-making within a bio-psycho-social framework
Legal & Safeguarding Duties
- Fulfil statutory responsibilities under the Mental Health Act (MHA) and Mental Capacity Act (MCA)
Prepare and present reports for tribunals, hospital manager hearings, MAPPA meetings, and Section 117 aftercare processes
Ensure all care delivery aligns with legal and ethical frameworks governing detained patients
Team & Service Delivery
Work closely with ward managers, psychologists, occupational therapists, social workers, pharmacists, and junior doctors
Supervise and support junior medical staff, including training responsibilities where appropriate
Contribute to multidisciplinary planning and collaborative care delivery across secure services
Working Environment
The post sits within a large forensic inpatient service, alongside multiple consultant colleagues and a wider clinical workforce including specialty doctors and trainees. The service is structured to support long-term rehabilitation, risk reduction, and reintegration planning for complex patients.
Person Requirements
Essential Experience & Skills
- GMC registration with licence to practise
Inclusion (or eligibility within 6 months) on the Specialist Register in Psychiatry
Approved Clinician and Section 12 approval under the Mental Health Act
Strong clinical judgement in managing complexity, uncertainty, and risk
Excellent communication skills in multidisciplinary and legal contexts
Ability to lead MDT decision-making and influence service delivery
Leadership & Development
- Experience working within or leading multidisciplinary teams
Commitment to service improvement, clinical governance, and audit activity
Ability to supervise trainees and contribute to medical education
Engagement in continuing professional development (CPD)
DBS information (safeguarding requirement)
Desirable Attributes
- Experience in forensic psychiatry or secure inpatient settings
Involvement in research, service evaluation, or academic publication
Training in education, leadership, or healthcare management
Familiarity with NHS service structures and governance frameworks
Professional Context
- This role is embedded in a trust committed to recovery-focused care, public protection, and long-term patient rehabilitation. It is suited to psychiatrists who are comfortable working with complex forensic cases and who value collaborative, structured, and legally robust clinical environments.
Career information for doctors in the UK NHS
UK Skilled Worker visa guidance (for international applicants)
Summary
This Consultant Psychiatrist role combines senior clinical responsibility, legal authority under mental health legislation, and multidisciplinary leadership within a secure forensic learning disability service. It offers an opportunity to shape patient recovery pathways while contributing to teaching, governance, and service development within one of the UK’s specialist mental health settings.