Psychiatry

An opportunity for a Consultant Psychiatrist or Specialty Doctor in General Adult Psychiatry to join one of three Community Mental Health Teams in the North West of England. CESR, Section 12 and AC training & development are supported in this NHS post. Situated north of Manchester, the location is ideal for those looking for the city life, or the peace and quiet of the countryside. The role is ideal for experienced General Adult Psychiatrists looking for an NHS job in a friendly and supportive team. Specialty Doctors or Associate Specialists will also be considered for the role, a good level of experience in General Adult Psychiatry would be essential. 

This full time (10PA), permanent post would be based within either the Community mental Health Team (CMHT), Single Point of Access Team, or Urgent Care Pathway. 

This is a really exciting opportunity to work with patients and their families as part of a passionate multidisciplinary team and a very supportive NHS Trust. Overseas applications are welcomed and the trust has in place numerous support measures to make all new recruits career change a success.

WHAT IS THE TRUST LIKE?
In this NHS Trust they are proud of their traditions around research, education and development of the Medical Workforce. They have within their Medical workforce, the RCPsych CESR Evaluator of the year, the RCPsych NW Trainer of the Year and the RCPsych Researcher of the Year!

They have an extremely active education/teaching programme which our Consultants enjoy supporting.

The Trust specialises in secure, inpatient and community mental health services and covers the whole of the county, employing around 7,500 members of staff across more than 420 sites, working with a multitude of partners to provide health & wellbeing services. The Trust’s vision is to provide high quality care, in the right place, at the right time, every time.

WHAT IS THE THE GENERAL ADULT PSYCHIATRY COMMUNITY TEAM LIKE?
Situated on the coast, the immediate area is almost entirely urban, containing several towns. The rest of the the catchment area is rural with villages. 

The services are delivered as part of a multi-disciplinary team (MDT) that works with individual patients. The psychological services provided are comprehensive and include a range of assessments and treatments.  The occupational therapy services provide a wide range of opportunities for patients.

WHAT IS LIFE LIKE IN THE REGION?
The NHS Trust operates in an area that includes the Lake District National Park with World Heritage Centre status. It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. 

It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. This location is ideal for families and professionals alike, based within 20 minutes from central Manchester and in a wonderful town of its own right, you will be spoilt for choice on where to settle with your family. For city lovers, Manchester is ideal. For those wanting a smaller town, Preston is fast becoming one of the most popular places to relocate to, and is surrounded bu magnificent countryside.

State and private schools have excellent reputations with a number of secondary and primary schools having outstanding Ofsted reports, being ranked as some of the highest in the country. Housing is affordable with many areas being significantly more competitive than the rest of the UK.

The region offers a county of contrasting landscapes, with wide, open spaces, diverse heritage and plentiful food and drink, covering 3,075 km2 of England’s North West. There is something for everyone, with countryside, canals, coast and towns. Enjoy stunning views, quiet lanes, rare wildlife and our famous Lancashire coastline.
There is the unique, wildlife rich bays in the north to the flat and fertile coastal plain around the estuaries. Parts of the area have been voted as the best places to live in the UK by Channel 4 show Best Place to Live in the UK.

While most people might think Manchester, London and Leeds would be the ideal spots for people to settle down - this area perhaps beats them all, certainly according to a new study!

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT LCSFT?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

• Experience of working in General Adult Psychiatry

• Board Certified Specialist in Psychiatry

Non-EEA Candidates:

• MRCPsych

• Experience of working in General Adult Psychiatry

UK based applicants

• Experience of working in General Adult Psychiatry

• Within 6 - 12 months of completing CCT

An opportunity for an experienced Consultant Child and Adolescent Psychiatrist to join a dedicated and passionate NHS community CAMHS team in the North West of England. Situated close to Manchester, and also the Lake District, this is a great location to join the NHS.  Suitable for experienced Child Psychiatrists, the trust will support. CESR and consider both Specialty Doctor, Specialist Grade and Consultants to join their team depending on your situation and experience. 

This full time post based within Tier 3 Generic CAMHS and ideal for experienced child & adolescent psychiatrists from the UK and overseas. 

WHAT IS THE NHS FOUNDATION TRUST LIKE? 
At the Trust, they are proud of their traditions around research, education and development of the Medical Workforce. They have within their Medical workforce, the RCPsych CESR Evaluator of the year, the RCPsych NW Trainer of the Year and the RCPsych Researcher of the Year!

They have an extremely active education/teaching programme which our Consultants enjoy supporting.

The Trust specialises in secure, inpatient and community mental health services. The NHS Foundation Trust covers the whole of the county and employs around 7,500 members of staff across more than 420 sites, working with a multitude of partners to provide health & wellbeing services. The Trust’s vision is to provide high quality care, in the right place, at the right time, every time.

WHAT IS THE DEPARTMENT & TEAM LIKE?
The Tier 3 CAMHS team is one of the 7 CAMH Services within this NHS Trust. There are good links with primary care, Children's Services, local schools and the Paediatricians at the nearby University Hospitals. 

The post is within the tier 3 CAMHS team, which provided generic & outpatient CAMHS. The post holder will be involved in assessing, diagnosing and treating children and young people presenting with a range of mental health difficulties up to the age of 18 years.

WHAT IS LIFE LIKE IN THE REGION?
Situated close to Manchester, the trust operates in an area that includes the Lake District National Park with World Heritage Centre status. It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits.

State and private schools have excellent reputations with a number of secondary and primary schools having outstanding Ofsted reports, being ranked as some of the highest in the country. Housing is affordable with many areas being significantly more competitive than the rest of the UK.

The Lake District, one of the most beautiful regions of the UK, is located in the heart of Cumbria, a predominantly rural county in the far north west of England.
World famous for its beautiful lakes and mountainous fells, carved out long ago by glaciers, the Lake District today is a playground for walkers and outdoor enthusiasts.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THE TRUST?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates: 

• Experience of working in Child & Adolescent Psychiatry 

Non-EEA Candidates: 

• MRCPsych

UK based applicants 

• Experience of working in Child & Adolescent Psychiatry 

An opportunity for a Consultant Psychiatrist in Liaison Psychiatry to join an established Liaison Psychiatry Team based in North West England, near Manchester. You would be joining a Team operating within the Emergency Department (A&E) and Medical Assessment Wards. CESR, Section 12 and AC training & development are supported in this NHS post.

Situated next to Manchester, the location is ideal for those looking for the city life, or the peace and quiet of the countryside, and is ideal for experienced Psychiatrist looking for an NHS job in a friendly and supportive team. Experienced Specialty Doctors or Associate Specialists will also be considered for the role, a good level of experience in General Adult or Liaison Psychiatry would be essential. 

You will be leading an MDT supported by junior doctors, nursing staff, operational managers, clinical psychologists, social workers, pharmacists and OTs. An opportunity to work in an exciting, fast paced environment and being able to deliver to the overall care available to patients referred to the team. This is a really exciting opportunity to work with patients and their families as part of a passionate multidisciplinary team and a very supportive NHS Trust.

Overseas applications are welcomed and the trust has in place numerous support measures to make all new recruits career change a success.

WHAT IS THE TRUST LIKE?
In this NHS Trust they are proud of their traditions around research, education and development of the Medical Workforce. They have within their Medical workforce, the RCPsych CESR Evaluator of the year, the RCPsych NW Trainer of the Year and the RCPsych Researcher of the Year!

They have an extremely active education/teaching programme which our Consultants enjoy supporting.

The Trust specialises in secure, inpatient and community mental health services and covers the whole of the county, employing around 7,500 members of staff across more than 420 sites, working with a multitude of partners to provide health & wellbeing services. The Trust’s vision is to provide high quality care, in the right place, at the right time, every time.
 

WHAT IS THE THE LIAISON PSYCHIATRY TEAM LIKE?
Based in Preston, this service provides:

• A rapid mental health assessment service for individuals aged 16 and over who present to the Accident & Emergency Department and Medical Assessment Unit of the Acute Trusts.

• Mental health assessments and advice for clients who are in-patients on medical wards within the Acute Trusts

• Comprehensive risk and mental health assessments to a standardised level of best practice

• Advice and support to colleagues within the Acute Trusts

• Signposting/referral onto relevant statutory and non-statutory agencies as identified, including Single Point of Access (SPOA), Perinatal Community Mental Health Teams (PCMHT), Home Treatment Teams (HTT), Substance Misuse Services and Housing and Emergency Social Services Team in response to client need

• Improved communication between the Accident and Emergency Department, Mental health services and other departments within the Acute Trust Hospital setting in relation to patient care and management 

WHAT IS LIFE LIKE IN THE REGION?
The NHS Trust operates in an area that includes the Lake District National Park with World Heritage Centre status. It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. 

It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. This location is ideal for families and professionals alike, based within 20 minutes from central Manchester and in a wonderful town of its own right, you will be spoilt for choice on where to settle with your family. For city lovers, Manchester is ideal. For those wanting a smaller town, Preston is fast becoming one of the most popular places to relocate to, and is surrounded bu magnificent countryside.

State and private schools have excellent reputations with a number of secondary and primary schools having outstanding Ofsted reports, being ranked as some of the highest in the country. Housing is affordable with many areas being significantly more competitive than the rest of the UK.

The region offers a county of contrasting landscapes, with wide, open spaces, diverse heritage and plentiful food and drink, covering 3,075 km2 of England’s North West. There is something for everyone, with countryside, canals, coast and towns. Enjoy stunning views, quiet lanes, rare wildlife and our famous Lancashire coastline.
There is the unique, wildlife rich bays in the north to the flat and fertile coastal plain around the estuaries. Parts of the area have been voted as the best places to live in the UK by Channel 4 show Best Place to Live in the UK.

While most people might think Manchester, London and Leeds would be the ideal spots for people to settle down - this area perhaps beats them all, certainly according to a new study!

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THE TRUST?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

• Experience of working in General Adult or Liaison Psychiatry

• Board Certified Specialist in Psychiatry

Non-EEA Candidates:

• MRCPsych

• Experience of working in General Adult or Liaison Psychiatry

UK based applicants

• Experience of working in General Adult or Liaison Psychiatry

• Within 6 - 12 months of completing CCT

An opportunity for a Consultant Old Age Psychiatrist to join an established community older adults team, as part of the Memory and Later Life Services. This is a replacement post due to the retirement of a full-time Consultant. CESR, Section 12 and AC training and development are supported in this NHS post. 

Situated next to Manchester, the location is ideal for those looking for the city life, or the peace and quiet of the countryside. 

Based in one of the trust main hospitals, this full time old age psychiatry job would be part of the community services which are organised into two teams. Each of these teams delivers: Memory clinic function (all ages); Hospital liaison; and CMHT functions for patients with dementia (all ages) and people who have functional disorders with age related needs and/or frailty issues.

This is a really exciting opportunity to work with patients and their families as part of a passionate multidisciplinary team and a very supportive NHS Trust. Overseas applications are welcomed and the trust has in place numerous support measures to make all new recruits career change a success.

Experienced Specialty Doctors or Associate Specialists will also be considered for the role, a good level of experience in Old Age Psychiatry would be essential.

WHAT IS THE TRUST LIKE?
In this NHS Trust they are proud of their traditions around research, education and development of the Medical Workforce. They have within their Medical workforce, the RCPsych CESR Evaluator of the year, the RCPsych NW Trainer of the Year and the RCPsych Researcher of the Year!

They have an extremely active education/teaching programme which our Consultants enjoy supporting.

The Trust specialises in secure, inpatient and community mental health services and covers the whole of the county, employing around 7,500 members of staff across more than 420 sites, working with a multitude of partners to provide health & wellbeing services. The Trust’s vision is to provide high quality care, in the right place, at the right time, every time.

WHAT IS THE THE OLD AGE PSYCHIATRY TEAM LIKE?
As a consultant in the Community Mental Health Team for Older Adult Psychiatry, you would be joining an enthusiastic supportive team of Consultant Old Age Psychiatrists covering the 3 clusters that provide specialist assessment and care for Older Adults with moderate to severe mental illness. The total team case load at present is around 700 (none on CTOs). Consultants do not regularly carry their own case load as each patient has a care co-ordinator in the CMHT.

You will work with a large number of partners and stakeholders both in mental health services, universal services and specialist mental health practitioners and health visitors.
For community clinic work adequate time, at least one hour, is allocated for the assessment of a new patient, or typically half an hour for a follow-up appointment. Current medical staff will tend to see 3 or 4 patients in a typical clinic (1PA) as a mixture of new and followup.

In the past few years the older adult CMHTs have started to work through ‘virtual clinics’. This model is to manage the increasing demand of new referrals with suspected dementia. These referrals are seen initially by a nurse who conducts an enhanced assessment including a cognitive evaluation. Neuroimaging is then typically carried out prior to the ‘virtual clinic’. In these clinics a psychiatrist will meet with the nurses and discuss the assessments carried out in order to try to reach a diagnosis and management plan, which is followed through by the nurse. This way of working has improved doctor time efficiency by 300% and allowed nearly 75% of new dementia referrals to be diagnosed this way.

The Trust is responsible for community and mental health services. Having specialists such as neurologists, neurophysiologists, speech and language therapists, physicians and many others within the same Trust has made for a much more collaborative way of working, breaking down barriers that sometimes exist when these services are within differing NHS Trusts.

WHAT IS LIFE LIKE IN THE REGION OF LANCASHIRE AND SOUTH CUMBRIA?
The NHS Trust operates in an area that includes the Lake District National Park with World Heritage Centre status. It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. 

It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. This location is ideal for families and professionals alike, based within 20 minutes from central Manchester and in a wonderful town of its own right, you will be spoilt for choice on where to settle with your family. For city lovers, Manchester is ideal. For those wanting a smaller town, Preston is fast becoming one of the most popular places to relocate to, and is surrounded bu magnificent countryside.

State and private schools have excellent reputations with a number of secondary and primary schools having outstanding Ofsted reports, being ranked as some of the highest in the country. Housing is affordable with many areas being significantly more competitive than the rest of the UK.

The region offers a county of contrasting landscapes, with wide, open spaces, diverse heritage and plentiful food and drink, covering 3,075 km2 of England’s North West. There is something for everyone, with countryside, canals, coast and towns. Enjoy stunning views, quiet lanes, rare wildlife and our famous Lancashire coastline.
There is the unique, wildlife rich bays in the north to the flat and fertile coastal plain around the estuaries. Parts of the area have been voted as the best places to live in the UK by Channel 4 show Best Place to Live in the UK.

While most people might think Manchester, London and Leeds would be the ideal spots for people to settle down - this area perhaps beats them all, certainly according to a new study!

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT LCSFT?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

• Experience of working in Old Age Psychiatry

• Board Certified Specialist in Psychiatry

Non-EEA Candidates:

• MRCPsych

• Experience of working in Old Age Psychiatry

UK based applicants

• Experience of working in Old Age Psychiatry

• Within 6 - 12 months of completing CCT

An opportunity for a Consultant Psychiatrist in General Adult Psychiatry to join one of three Home Treatment Teams in the North West of England. CESR, Section 12 and AC training & development are supported in this NHS post. Situated near to Manchester, these psychiatry teams are ideal for those looking for the city life, or the peace and quiet of the countryside, and is ideal for experienced General Adult Psychiatrists looking for an NHS job in a friendly and supportive team.

Experienced Specialty Doctors or Associate Specialists will also be considered for the role, a good level of experience in General Adult Psychiatry would be essential. 

This full time (10PA), permanent post would be based at either Lancaster, Nelson or Blackburn - all within a short journey to Manchester. 

This is a really exciting opportunity to work with patients and their families as part of a passionate multidisciplinary team and a very supportive NHS Trust. Overseas applications are welcomed and the trust has in place numerous support measures to make all new recruits career change a success.

This post is being offered due to the previous Consultant Psychiatrist moving into the local Perinatal Psychiatry Service.

WHAT IS THE TRUST LIKE?
In this NHS Trust they are proud of their traditions around research, education and development of the Medical Workforce. They have within their Medical workforce, the RCPsych CESR Evaluator of the year, the RCPsych NW Trainer of the Year and the RCPsych Researcher of the Year!

They have an extremely active education/teaching programme which our Consultants enjoy supporting.

The Trust specialises in secure, inpatient and community mental health services and covers the whole of the county, employing around 7,500 members of staff across more than 420 sites, working with a multitude of partners to provide health & wellbeing services. The Trust’s vision is to provide high quality care, in the right place, at the right time, every time.

WHAT IS THE THE GENERAL ADULT PSYCHIATRY HOME TREATMENT TEAM TEAM LIKE?
The Home Treatment Team (HTT) supports adults of working age living in the Lancaster & Morecambe community. The team has various functions including assessment, gate keeping and a home treatment function as an alternative to admission. This also includes facilitating early discharge from hospital. The main clinical duties are arranged around conducting clinics for new patients and follow up reviews. This includes patients seen by the trainees in a fully supervised clinic.

Mental health services for adults of working age in the Lancaster and Morecambe area are provided to a population of 91,000. The Home Treatment Team (HTT) supports adults of working age living in the local community.  The team has various functions including assessment, gate keeping and a home treatment function as an alternative to admission.  This also includes facilitating early discharge from hospital.

A range of other professionals with varying level of expertise support the HTT: operational managers, nurses, clinical psychologists, social workers, pharmacists, occupational therapists and administrative and secretarial staff.

The services are delivered as part of a multi-disciplinary team (MDT) that works with individual patients. The psychological services provided are comprehensive and include a range of assessments and treatments.  The occupational therapy services provide a wide range of opportunities for patients.

The Home Treatment Team expects to receive on average 25 new referrals a week.  The team aims to see referrals for assessment on the day of the referral and gate keeping clients within one hour of the request.

WHAT IS LIFE LIKE IN THE REGION?
The NHS Trust operates in an area that includes the Lake District National Park with World Heritage Centre status. It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. 
It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits. This location is ideal for families and professionals alike, based within 20 minutes from central Manchester and in a wonderful town of its own right, you will be spoilt for choice on where to settle with your family. For city lovers, Manchester is ideal. For those wanting a smaller town, Preston is fast becoming one of the most popular places to relocate to, and is surrounded bu magnificent countryside.

State and private schools have excellent reputations with a number of secondary and primary schools having outstanding Ofsted reports, being ranked as some of the highest in the country. Housing is affordable with many areas being significantly more competitive than the rest of the UK.

The region offers a county of contrasting landscapes, with wide, open spaces, diverse heritage and plentiful food and drink, covering 3,075 km2 of England’s North West. There is something for everyone, with countryside, canals, coast and towns. Enjoy stunning views, quiet lanes, rare wildlife and our famous Lancashire coastline.
There is the unique, wildlife rich bays in the north to the flat and fertile coastal plain around the estuaries. Parts of the area have been voted as the best places to live in the UK by Channel 4 show Best Place to Live in the UK.

While most people might think Manchester, London and Leeds would be the ideal spots for people to settle down - this area perhaps beats them all, certainly according to a new study!

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT LCSFT?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

• Experience of working in General Adult Psychiatry

• Board Certified Specialist in Psychiatry

Non-EEA Candidates:

• MRCPsych

• Experience of working in General Adult Psychiatry

UK based applicants

• Experience of working in General Adult Psychiatry

• Within 6 - 12 months of completing CCT

An opportunity for a Consultant Old Age Psychiatrist to join an established an established Inpatient Ward as part of a wider Memory and Later Life Service. CESR, Section 12 and AC training & development are supported in this NHS post. International candidates are encouraged to apply - and a variety of entry points will be considered, including the new Specialty Grade for experienced candidates. 

Experienced Consultants, Specialty Doctors or Associate Specialists will be considered for the role, a good level of experience in Old Age Psychiatry would be essential. 

Based in one of the trusts main hospitals, this full time old age psychiatry job would be part of the inpatient services, which comprise of three wards in total. 

This is a really exciting opportunity to work with patients and their families as part of a passionate multidisciplinary team and a very supportive NHS Trust. Overseas applications are welcomed and the trust has in place numerous support measures to make all new recruits career change a success. 

WHAT IS THE TRUST LIKE?
In this NHS Trust they are proud of their traditions around research, education and development of the Medical Workforce. They have within their Medical workforce, the RCPsych CESR Evaluator of the year, the RCPsych NW Trainer of the Year and the RCPsych Researcher of the Year!

They have an extremely active education/teaching programme which our Consultants enjoy supporting.

The Trust specialises in secure, inpatient and community mental health services and covers the whole of the county, employing around 7,500 members of staff across more than 420 sites, working with a multitude of partners to provide health & wellbeing services. The Trust’s vision is to provide high quality care, in the right place, at the right time, every time.

WHAT IS THE THE OLD AGE PSYCHIATRY TEAM LIKE?
You would be joining an enthusiastic supportive team of Consultant Old Age Psychiatrists within the In-patient services which are presently delivered on two sites. 

This role would be based in the larger of the two hospitals, with around 268 beds, a fuller range of specialities and an accident and emergency department. Across these two hospital sites there are currently three mental health in-patient units. 

The two districts have each seen an increase in the number of referrals of new patients into the service over the past decade. Service Yearly Referrals for the inpatient services at the hospital are approximately 310. 

WHAT IS LIFE LIKE IN THE REGION OF LANCASHIRE AND SOUTH CUMBRIA?
The NHS Trust operates in an area that includes the Lake District National Park with World Heritage Centre status. It provides opportunities for living in beautiful places and accessing a wide range of outdoor pursuits.
State and private schools have excellent reputations with a number of secondary and primary schools having outstanding Ofsted reports, being ranked as some of the highest in the country. Housing is affordable with many areas being significantly more competitive than the rest of the UK.
The region offers a county of contrasting landscapes, with wide, open spaces, diverse heritage and plentiful food and drink, covering 3,075 km2 of England’s North West. There is something for everyone, with countryside, canals, coast and towns. Enjoy stunning views, quiet lanes, rare wildlife and our famous Lancashire coastline.
There is the unique, wildlife rich bays in the north to the flat and fertile coastal plain around the estuaries. Parts of the area have been voted as the best places to live in the UK by Channel 4 show Best Place to Live in the UK.
While most people might think Manchester, London and Leeds would be the ideal spots for people to settle down - this area perhaps beats them all, certainly according to a new study!

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT LCSFT?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

• Experience of working in Old Age Psychiatry

• Board Certified Specialist in Psychiatry

Non-EEA Candidates:

• MRCPsych

• Experience of working in Old Age Psychiatry

UK based applicants

• Experience of working in Old Age Psychiatry

• Within 6 - 12 months of completing CCT