Clinical service delivery at specialist level across the full spectrum of district level Psychiatry, including wards, outpatients, Emergency Centre and specialised clinics at both Karl Bremer Hospital and Eerste River Hospital (4 days / 1 day). Administrative & clinical governance including leadership, People Management processes, OPD management, data analysis, and quality improvement. Teaching, training and supervision of junior medical staff and students with participation in the hospital academic program as well as outreach supervision to primary health care nurse practitioners. Domain specific ouputs and participation within the Metro East ecosystem, including participation in and alignment with district-hospital-level services at two district hospitals in the Metro East ecosystem, and Mental Health Care Review Board liaison.