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    Clinical Nurse Specialist in Mental Health - London, United Kingdom - Guy's and St Thomas' NHS Foundation Trust

    Guy's and St Thomas' NHS Foundation Trust
    Guy's and St Thomas' NHS Foundation Trust London, United Kingdom

    3 weeks ago

    Default job background
    Full time
    Description

    Job overview

    The Clinical Nurse Specialist in Mental Health is now an established position (one each site) at the Royal Brompton and Harefield hospitals. This post will add a third CNS to the team. The post-holder is a member of the Psychiatric Liaison Team (consultant psychiatrist, lead nurse and CNS at each site) the service works widely across the heart lung and critical care clinical group. Clinical supervision is provided by the lead nurse in mental health and/or the consultant psychiatrist

    The post-holder will work as part of a multidisciplinary team (Clinical Psychology, Psychiatry, Clinical nurse specialists) at a primary base of this three-hospital site and will deliver comprehensive psychiatric assessment including risk assessment and risk management plans to patients who are referred to the CNS at each hospital site.

    Main base will be Royal Brompton hospital with working required across GSTT and Harefield hospital (shuttle bus available between Harefield and Royal Brompton)

    Main duties of the job

    An important part of the post-holder's responsibilities will include being a source of mental health knowledge and expertise and providing support to staff in their day to day management of patients who present with acute psychological and mental health problems.

    Liaison with health professionals on the Royal Brompton , Harefield and GSTT sites and with external mental health services will be a key part of the role with the safe discharge or transfer of patients to their local mental health services being paramount.

    Working for our organisation

    Guy's & St Thomas NHS Foundation Trust

    Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals – Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

    We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

    Detailed job description and main responsibilities

    Communication

  • The post holder will be operationally accountable to the Lead Nurse in mental health at the Royal Brompton and Harefield Hospitals (RBHH) and the Consultant Liaison Psychiatrist for day-to-day operational and managerial issues.
  • To foster, create and maintain comprehensive and meaningful networks and relationships with the key people and the key wards and departments in the RBHHensuring a timely response to the needs of patients with mental health problems in the hospital setting.
  • The post-holder will be able to demonstrate excellent communication skills and be able to promote cohesive relationships, look objectively at problems and be able to problem solve effectively.
  • To be directly accountable for your own professional practice and to operate in line with the professional code of conduct in relation to practice and the delivery of care and treatment.
  • To be responsible for maintaining full registration with the NMC and meeting revalidation requirements. Revalidation sign-off to be through mental health senior nursing staff
  • To promote and work within all relevant guidelines for good clinical practice recommended by professional bodies.
  • The post-holder will prioritise and organise their work effectively and efficiently, including the management of new referrals, an on-going case load and discharges.
  • Patient/customer care (both direct and indirect)
  • To contribute as a member of a multi-disciplinary team to the overall mental health, psychological and medical care of patients within the HLCC clinical group.
  • To work collaboratively with all members of the Multidisciplinary care team at both the Royal Brompton, GSTT and Harefield sites at times of service cover providing support and advice where appropriate and attending MDT meetings.
  • To provide advice, support and consultation regarding the psychological and mental health management of patients and their carers, to healthcare professionals on the postholder's primary site, and at the other site during times of cover.
  • To liaise with colleagues particularly the Consultant Psychiatrists and the Rehabilitation and Therapies Teams (including Social Services, Palliative Care and Chaplaincy) and the Psychological Medicine Team
  • To be responsible for completing comprehensive mental state examinations including risk assessment and risk management plans in collaboration with relevant healthcare professionals.
  • To be responsible for recommending evidence based psychological and psychiatric interventions and planning and reviewing all interventions and care plans.
  • To ensure that patient safety is always prioritised and that all staff who are responsible for the patients care are aware of any significant risks.
  • To advise, explain and alert staff to the need to provide increased levels of observation for patients who have been identified as posing an increased risk to themselves or others.
  • To always involve patients, carer's and families in the treatment, management and the formulation of care plans.
  • To monitor and ensure maintenance of high standards of care including a strong advocacy role for vulnerable patients experiencing mental health problems.
  • To provide mental health care appropriate to the client's physical health needs and make appropriate referrals when necessary to the patient's local primary care services and/or psychiatric/psychology services .
  • To liaise with all appropriate agencies concerning the care and current or future management plans for patients and provide written reports or documentation as requested.
  • To ensure that when detected, safeguarding issues are always raised and communicated to the local leads.
  • To ensure that the discharge of patients with mental health problems are managed safely and in accordance with local service policies and guidelines.
  • To maintain accurate records of referrals and patient contact activity on the Royal Brompton, GSTT and Harefield Electronic Patient Record systems. This will then be used to monitor activity and performance and the effectiveness of the service.
  • To always maintain accurate, legible and up to date clinical records ensuring that confidentiality and data protection responsibilities are assured.

    • Educational Responsibilities

  • To attend mandatory and statutory training as required
  • To help identify specific mental health related training needs for staff and contribute to training programmes required to meet these needs
  • To contribute to training workshops for staff on evidence based interventions for the management of psychiatric emergencies
  • Any other teaching commitments that may be required or requested by the Director of Allied Clinical Sciences, Lead Nurse or Therapy/Service Leads at the Royal Brompton and Harefield Hospitals

    • Continuing Professional Development

  • The post-holder will be expected to undertake an annual appraisal, and maintain an up-to-date Personal Development Plan (PDP)
  • The post-holder will be expected to attend regular supervision and be able to critically reflect on their work responsibilities and performance. The postholder may also be expected to provide reflective supervision for other designated staff palliative care
  • The post-holder will be expected to maintain an expert level of competence by identifying training needs and attending relevant training courses and conferences
  • The post-holder will be able to apply for all relevant and appropriate training courses with opportunities to apply for funding for relevant courses and conferences through the appropriate channels

    • Service Development Responsibilities

  • To work collaboratively in developing and co-ordinating links with other professionals and agencies
  • To assist in the future planning and development of the service as identified and negotiated with the HLCC clinical group.
  • To contribute to the development of relevant local policy and practice, and advise on the implementation of national guidance and policy within the Trust

    • Research, Audit and Evaluation Responsibilities

  • To undertake audits to ascertain the current issues with regard to mental health
  • To plan further audit work to address gaps which have not previously been identified
  • The post-holder will be expected to facilitate and take an active part in clinical/service audits within the service.
  • The post-holder will then be expected to implement any audit/research findings that will promote best practice and enhance service delivery.
  • The post-holder will be expected to regularly attend Directorate and or divisional clinical governance meetings.
  • Policy & Service development
  • The post-holder will work in accordance with local, Trust and national policies, protocols and guidelines.
  • To be a source of knowledge and advice for staff at the RBHH on current mental health legislation (Mental Health Act, Mental Capacity Act, Deprivation of Liberties, etc) and developments in mental health.
  • To help identify specific mental health related training needs for RBHH staff and contribute to training programmes required to meet these needs.
  • To contribute to training workshops for RBHH staff on evidence based interventions for the management of psychiatric emergencies.

    • Other duties

  • To abide by the Trust's Core behaviours for staff and all other Trust policies, codes and practices including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety.
  • To undertake any other duties commensurate with the grade as requested

    • For further details / informal visits contact:

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    Person specification

    Skills

    Essential criteria

  • Knowledge and experience of delivering teaching sessions
  • Extensive post registration experience at at Senior Staff Nurse level
  • Ability to adapt to the changing needs of the service
  • Relevant current clinical experience in the specialism
  • Experience of staff management
  • Committed to the specialism and effective teamwork
  • Motivated and able to motivate others
  • Calm and objective Approachable

    • Desirable criteria

  • Has attained or is working towards a Master's degree in professional nursing practice or equivalent experience
  • Leadership and management/ qualification or ability to demonstrate equivalent experience
  • Prescribing qualification

    • RELIABLE WORK RECORD

    Essential criteria

  • RELIABLE WORK RECORD

    • Desirable criteria

  • LEADERSHIP AND MANAGEMENT

    • Experience

    Essential criteria

  • Extensive post registration experience at Senior Staff Nurse level
  • Experience in change management
  • Experience of automous working

    • Desirable criteria

  • PREVIOUS BAND 7 EXPERIENCE

    • TEACHING

    Essential criteria

  • Knowledge and experience of delivering teaching sessions

    • Desirable criteria

  • ADDITIONAL QUALIFICATION

    • Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

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