Application Form

Please ensure that you have read the supporting information and guidance notes before completing this form. Once completed please submit your application form, including signatures to: Naomi Lockwood Head of Leadership and Organisational Development Cambridgeshire & Peterborough NHS Foundation Trust Block 14 Ida Darwin Fulbourn Cambridge CB21 5EE. The deadline for receipt of applications is 12.00 pm on Friday 8 th July 2011. Late applications will not be considered eligible and will therefore not be reviewed. Please send any questions you may have to joanna.smith@cpft.nhs.uk or call on 01223 884353.

Multi-Professional Deanery

Application Form

About you
Contact Details: Full Name (Inc. Title) Job Title Service Area Organisation Name Work Address Post Code Work Telephone Number Mobile Number Work E-mail
Dr Babu Sandilyan Mani Specialty Registrar (5) Crisis Resolution and Home Treatment team CPFT Elizabeth House, Fulbourn Hospital, Cambridge CB21 5EF 01223 218810 07886799058 Babu.mani@cpft.nhs.uk

Concepts:
What does effective leadership look like to you?

In my view, an effective leader should lead from the front. An effective leader should be able to command respect rather than demand respect. 1. Strive for personal excellence in doing so, be a role model 2. Strive for efficiency of the team create a drive in team members to aim for personal excellence and also foster an environment for effective team working 3. have a clear understanding of the health care needs both locally and nationally and have the ability to motivate individuals and teams towards achieving a goal.

What are the most important aspects of clinical leadership?

An organisation is a system and for effective running of the system, effective working as individuals and as a team is vital. Always approach issues with open mind and open to new ideas Always look out for opportunities for

Service Improvement:
Please identify something which you believe would improve your services for your service users and explain why you believe this.

In the current economic climate, the resources are scarce and we should be looking for ways of providing effective care innovatively and maximise productivity. With the bed numbers dwindling, an effective crisis team has a huge role to play. The crisis teams should evolve in a way to play a part in delivering the services. From my own experience of working with the Bedford Acute Assessment Unit, I think an Acute Assessment unit as part of the crisis team would be a huge benefit. It gives flexibility for the crisis teams in that they could manage brief admissions before taking them on again for further management (thereby providing continuity). It would also reduce the so called inappropriate admissions to acute units during night (which is usually blamed on the poor Junior doctors). There are arguments that an acute assessment unit is not safe but in my own personal experience, if it is managed properly it is very effective in service delivery. Out-patient ECT is increasing of late partly due to pressure on bed numbers and partly due to the appreciation that it can be delivered safely for community patients. There are guidelines to make it safe and one of the guidelines is the 24 hour rule that somebody has to stay with the patient after ECT. In the past, if the patient does not have a relative or friend, it led to admission to an acute unit. In the past year, I have been involved in planning outpatient ECT involving massive co-ordination of various teams and we have achieved the treatment delivery effectively (with the crisis team support providing the qualified staff, ward providing a Lounge for patients to stay and families taking over when it is feasible for them for eg. After work). I think a protocol could be devised based on our new experience and I think it would improve efficiency, cut cost without compromising patient care.

Please describe any previous experience of service improvement initiatives you have led on?

I have been involved in small service improvement projects in the last 5 years and I think two of them are worth mentioning. 1. In 2005, I was working as a Trust grade SHO and I was responsible for writing weekly clozapine prescriptions (as part of my job role). The system was so fragmented that the changes to prescriptions were not communicated properly to me or to the pharmacy leading to numerous prescription errors compromising patient safety. I led an audit on the clozapine prescriptions and we identified that communication was a huge issue. There were no many assumptions and we concluded that patients on clozapine were not getting the best care. We presented a report based on this audit and our recommendation was that a separate consultant led clozapine clinic should be set up. The recommendations were accepted and improved the patient safety considerably 2. As a ST3, I was working for the crisis team (2009) and I was given an opportunity to work 2 sessions with the Assertive Outreach team. I soon realised that I had to do around 70 hand written prescriptions every week and it effectively ate into one of my session. I was pushing for some system for printing prescriptions but the cost factor was cited for not being able to provide it. My own feeling was that clinicians should be able to spend time on clinical work rather than paper work and every effort should be made to use technology to try and minimise the time spent on paper work as much as possible. I sat down one evening (actually quite late in the evening). I devised an MS Excel based database of patient medication and designed a FP10 prescription on MS publisher. Using the mail merge technique I was able to print out the prescription in a few minutes. It freed up clinical time and I could fit in more patients for medical reviews (thereby increasing my training opportunity)

Motivation:
Please tell us why you are applying for this programme. You may wish to consider: a) What interests you about this programme b) How you expect to benefit from participating in this programme c) What you offer to other participants

I can commit to attending and participating fully to all dates of the programme: Signed: Date:

I am in full support of the trainees application to participate in this programme: Educational Supervisor: Clinical Supervisor: (where known) Date: Date: