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    Clinical Specialist Nurse - London, United Kingdom - Camden and Islington NHS Foundation Trust

    Camden and Islington NHS Foundation Trust
    Camden and Islington NHS Foundation Trust London, United Kingdom

    3 weeks ago

    Default job background
    Permanent
    Description

    Job summary

    Band 6 Clinical Nurse Specialist

    Islington Assertive Outreach Team

    In partnership with LB of Islington - The Islington Assertive Outreach Team provides care for service users living with severe mental illness with co-morbid drugs and alcohol complications and who are very difficult to engage thus leading to frequent readmissions to hospital.

    Assertive Outreach model works flexibly and creatively using team approach to engage service users in ways and places that are acceptable to them. Staff engages more closely while allowing enough room for autonomy for service users

    We are looking for motivated, energetic, ambitious registered nurses who are who are ready to take on this new challenge to work in a creative way to engage mental health service users in an assertive outreach team model. If you are that nurse then look no further.

    You will work with a small team of highly skilled multi-disciplinary team professionals in a specialised mental health team to support care delivery to a small team caseload of 80-90 and you will hold a maximum of 16 cases.

    You will be someone with the right values and behaviours who can help us deliver our Trust priorities:

  • Early and effective intervention -
  • Helping people to live well -
  • Research and innovation -
  • Keeping our service users, carers and staff safe -

    • Main duties of the job

    As a Clinical Specialist Nurse you will provide clinical nursing leadership, in particular working alongside a multi-disciplined team of therapy staff, psychiatry and psychology and supported by a clinical manager. You will keywork a small caseload and ensure holistic assessment and care delivery through a variety of activities directly. This will include clinical and social care delivery, working in collaboration with Local Authority colleagues. You will be an expert in medications and be able to administer depot injections both on site and in people's homes. You will produce social circumstances reports for Tribunal and managers hearings for patients on section of mental health act and you will take active role in safeguarding processes.

    About us

    The partnership betweenBarnet, Enfield and Haringey Mental Health NHS Trust (BEH)andCamden and Islington NHS Foundation Trust (C&I)is going from strength to strength since it was originally established in 2021 forming theNorth London Mental Health Partnership. Why choose to join the Partnership? We believe that by working together, our two Trusts can achieve more for the residents of North Central London and our patients than we can by working apart. Deliver the best care using the most up-to-date practise in supporting those with mental health illnesses. Transforming and creating a positive environment for our service users, staff and visitors. Creating and working together to become a great place to work for all our staff. We offer flexible working, a wide range of health and wellbeing initiatives, NHS Pension and so much more. The postholder will need to be comfortable working in an environment of complex matrix management arrangements and will at all times behave and align with our Trusts' values and cultural pillars: We are kind We are respectful We work together We keep things simple We empower We are proudly diverse In order to meet the needs of the new Partnership services you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Enfield and Harringay Trust and Camden and Islington Trust.

    Job description

    Job responsibilities

    As clinical nurse specialist in Assertive Outreach Team, you will perform duties and hold the following duties and responsibilities but note this list is not exhaustive:

  • Work as part of Multidisciplinary Team within the Islington Assertive Outreach Team in the delivery of holistic care for service users
  • Collaboratively complete Dialogue + assessment and care planning with service users
  • Ensure Dialogue + mandatory 6 months reviews are completed to monitor outcomes
  • Hold a caseload of up to 16 service users and manage their care delivery
  • Complete thorough risk assessment and formulation for service users on your caseload
  • Raise safeguarding concerns and act as enquiry officer for your cases and any delegated cases
  • Take on the role of SAM when nominated and attend requisite training
  • Ensure all incidents, near miss or actual are reported to your manager and reported through Datix.
  • Take on Duty Person responsibilities as assigned and chair daily stand up meetings
  • Maintain sufficient contacts with service users face to face, telephone and other media, completing diary appointments and outcoming them promptly
  • Make timely and accurate case note entries
  • Communicate effectively with MDT both in and outside meetings
  • Undertake care act assessmentsfor all your caseload on Local Authority System (LAS)
  • Complete Support plans and arrange to attend funding panel in timely manner for service users requiring packages of care and review the same support plan at set dates
  • Ensure all eligible service users have s117 care plan agreed and completed at point of discharge and referred to funding panel. S117 should also be reviewed annually following Dialogue + and medical reviews.
  • Take lead in supporting physical health matron in assessing and addressing service users physical health needs and get involved in Wellbeing clinic
  • Ensure Annual physical health tool is completed for all your caseload
  • Work with partner agencies to meet service users needs
  • Undertake safeguarding enquiries and act as a SAM
  • Undertake MHAs if qualified as an AMHP
  • Manage medications for the whole team alongside other nurses and administer depot injections safely, at the centre and in service users homes while monitoring their compliance, efficacy and side effects. Ensure documentation accurately both on the chart and on Rio.
  • Ensure stock and individual medications are ordered and stored in timely manner and correctly
  • Ensure there is consent or SOAD certificate on all service user medication charts
  • Ensure s132 rights for any service users on CTO are presented to them whenever CTO is renewed
  • Complete social circumstances report for detained in-patients and community patients on CTO who are on your caseload or when asked to cover.
  • Attend Ward Rounds for in-patients and assist in arranging safe and early discharge, ensuring 72 hours follow up is completed.
  • Attend Tribunal or Associate Hospital Managers hearing for your service users or when asked to cover for colleagues
  • Take lead in infection prevention and control
  • Support student nurses and other students by as supervisor and assessor
  • Supervise and appraise Assistant Practitioners when assigned.
  • May on occasions be asked to deputise on behalf of team manager
  • Take on Lead or Champion Roles for specific task or areas of the service
  • Attend monthly supervisions and annual appraisal
  • Complete all statutory and mandatory trainings in a timely manner
  • Identify learning needs and discuss with your supervisor/line manager
  • Offer orientation, induction and preceptorship to new staff
  • You will be an agile worker able to prioritise and reprioritise to manage demand and flow
  • Identify and inform your manager/senior practitioner tasks to be completed if working from home
  • To be pro active and take initiative to improve service delivery, using quality improvement methodology
  • Use evidence based practice to deliver care ( NICE guidelines, Royal college of psychiatry)
  • A good understanding of trauma informed care and its implementation in care and support
  • Keep up to date with local and national changes in care delivery and understand how they will impact in care delivery
    • Person Specification

    Education/Qualification

    Essential

  • Registered Health Professional - Nursing (all registrations)
  • Evidence of further post-registration relevant training /ongoing academic study relevant to area of practice

    • Desirable

  • Evidence of Level 2 Safeguarding Adults and Children

    • Knowledge and Experience

    Essential

  • Extensive experience of working in a community MH Service
  • Demonstrate a clear understanding of the Mental Capacity Act legislation, its application and use in practice with people with dementia
  • Demonstrate an understanding of risk together with an ability to evaluate and contain risk with reference to the individual, staff and carers
  • Evidence of participation in service development/Quality Improvement project

    • Skills and Ability

    Essential

  • -Qualified and Registered RNMH
  • -Experience working at Band 6 or above -Experience working in an in-patient or community mental health team
  • -Excellent communication skills ,Risk assessment Skills, Writing Social Circumstances Reports, Good understanding of MHAct, MCAct and Care Act ,Good understanding and ability to deliver care for physical health conditions in people with SMI -Compationate and person centred approach to care
  • -Evidence of recent CPD activities -Demonstrate reflectivity as practitioner -Up-to-date mandatory training record

    • Desirable

  • -Post- qualification studies -SAM -AMHP, -Experience using Rio and LAS systems -Experience applying for packages of care and attending funding panels, Assessing Nursing or other students ,Quality Improvement skills/knowledge
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