Community mental health nurse

Job summary

Fulltime band 5 community mental health nurse post, with the Shrewsbury West & Rural CMHS, based at Severn Field's Health Village in Shrewsbury. The post holder will need to hold a full UK driving license and have access to their own vehicle with business insurance to fulfil community visits and activities.

The team is a diverse group consisting of multiple disciplines to ensure a full MDT approach is considered for the interventions provided to the service users within our service.

Main duties of the job

1. Working in an identified adult community mental health team, with the flexibility of working across services, dependent on skill and service need.

2. Delivering a high quality clinical service to patients and their families.

3. Key working of an identified caseload with access to regular and robust supervision.

4. Delivering nursing interventions, in accordance with an agreed care plan, to an identified group of people experiencing mental health related difficulties.

About us

By joining Team MPFT, you will be helping your communities and in return for this, we will support you by;

Supporting your career development and progression Excellent NHS Pension scheme Generous maternity, paternity and adoption leave Options for flexible working Up to 27 days annual leave (increasing with service up to 33 days) and the opportunity to purchase additional leave Extensive Health and Wellbeing support and resources If you work in our community teams, we pay for your time travelling between patients Lease car if you complete more than 500 business miles per annum, fully insured and maintained (including tyres), mileage paid at lease car rate Salary sacrifice car - fully insured and maintained (including tyres), your gross pay is reduced by the cost of the vehicle before tax, NI and pension deductions are calculated, mileage paid at business rates Salary sacrifice bikes up to £2k Free car parking at all trust sites Free flu vaccinations every year Citizens Advice support linked with a Hardship Fund for one off additional support up to £250 (if the criteria is met)

And more. We are proud to be a diverse and inclusive organisation and there is a choice of staff networks that help you meet like-minded people.

Job description

Job responsibilities

Take responsibility, with supervision of the Band 6 Nurse, for the management of a complex caseload, which includes, specialist assessment (within service specification), care planning in conjunction with service user and carer, evaluation of individual treatment plans (including REQUOL 10)

Responsible for participating in the setting of quality standards, including the auditing, monitoring and reviewing of practice in line with current clinical guidance practice and policy.

Administer medication, complying with relevant Trust procedures and NMC Guidance and where applicable to your role.

Assess patient's individual care needs, develop, implement and evaluate programmes of care.

Deliver a range of interventions in accordance with the agreed plan of care and Pathway guidance including; pharmacological and psychologically informed interventions.

Complete and contribute, where appropriate to robust risk assessments and risk management plans. Deliver and promote positive risk taking, where appropriate, to improve quality of life and maximise occupational performance/independence.

Maintain an effective reporting system by observing and reporting verbally and in writing on patient conditions.

Utilise agreed outcome measures to review the effectiveness of interventions, as part of the care planning and evaluation process.

Support in the provision of formal and informal training of pre/post registration students, staff members, carers and service users.

Participate in the development of the service to ensure clinical governance processes are actively implemented at team level.

Assist in ensuring that the aims and objectives of the ward/department (as set by the responsible nurse) are fulfilled and to identify factors which may inhibit these from being achieved.

The post holder will be required to work within the NMC Code of Practice and professional guidelines.

Maintain an up-to-date level of professional competence within the specific environment.

Assist in the implementation of evidence-based nursing practice and participate in research and other projects as required.

Systems and equipment

Maintain timely data collection and regular inputting of information through the use of data collection systems daily diaries/RIO, Safeguard, ensuring that confidentiality is maintained at all times in accordance with legislation and Trust policy.

Return accurate Mental Health Minimum Data Set (MHMDS) data to Planning and Information Department as required. Ensure all key targets are met and entered on the computer system as per Trust policy.

Decisions and judgements

Undertake assessments, culminating in an agreed plan of action and/or care and intervention. Make clinical judgements backed up by clinical reasoning and recommendations regarding appropriate actions/sign posting in consultation with multi-disciplinary staff and in accordance with the clinical pathway and service specification.

Assess patients with complex mental health, physical health and social problems to ensure appropriate treatment support and management.

Undertake a comprehensive assessment in conjunction with more senior members of the team, resulting in an individualised care plan.

Facilitate the safe and timely discharge or transfer of the service user to other services where appropriate.

Ensure that practice is evidence-based paying particular attention to the Trusts guidelines, policies, protocols and pathways.

Be available for individual supervision with agreed clinical supervisor in line with Trust policies.

Implement, review and maintain Trust Policies and Procedures.

Ensure that the requirements of the Mental Health Act (1983) are observed, adhered to and implemented.

Plan and organise own daily activities in line with service need.

Communication and relationships

Communicate sensitive diagnosis and treatment related information with patients, utilising highly developed communication skills to overcome barriers to understanding.

Establish therapeutic relationships with service users, and implement evidence based therapeutic interventions with appropriate boundaries in accordance with professional code of conduct.

Ensure that all members of the multi-disciplinary team, their colleagues, service users and appropriate others are informed/updated of changes involving current care plans, progress, mental state and psychosocial factors in line with best practice.

Liaise with and advise service users and carers, local authority and other statutory bodies and third sector agencies.

Communicate sensitive information to carers and relatives.

Use a range of communication styles and channels as appropriate to the task.

General

Responsible for the promotion of carer and service user involvement within the service and for its provision.

Responsible for participation in the Trust appraisal process, identifying own/others mandatory professional, supervisory, personal development and training needs and in supporting the provision of induction, mentorship, appraisal and clinical supervision to colleagues as appropriate.

Responsible for the effective utilisation of clinical/financial resources to ensure adequate clinical care is provided with a requirement that all incidents, which may compromise care, are reported immediately to a senior manager, and clinicians involved in their care as appropriate.

Responsible for accessing and participating in clinical, managerial and caseload supervision.

Responsible for understanding and meeting own professional responsibilities under Child Protection legislation and Adult Safeguarding policies.

Physical demands of the job

The post holder will be expected on a daily basis to implement highly developed physical skills pertinent to the area of specialism, for example, injection administration, manual handling, de-escalation skills and driving.

Standard keyboard skills required for inputting data onto RiO.

Most challenging/difficult parts of the job

The nature of the client group is such that the post holder will be required to concentrate when assessing / implementing programmes of care and will need to be able to address interruptions from other patients / staff as necessary.

The post holder will be frequently exposed to emotional or distressing circumstances.

The post holder will frequently be exposed to potential incidents of physical and non-physical assault.

Person Specification

Qualifications

Essential

Registered Mental Health Nurse on NMC Register. Conforms to NMC requirements

Desirable

Phlebotomy training

Experience

Essential

Experience of working with people experiencing mental health related difficulties. Experience of working with people who have difficulty in engaging with services and have complex mental health needs.

Desirable

Experience of working in community setting and making decisions autonomously

Skills, knowledge & ability

Essential

Knowledge of Mental Health Act, the Mental Capacity Act and DOLS. Knowledge of pharmacological interventions prescribed in mental health. Knowledge of the physical health needs and monitoring requirements for people receiving adult community mental health services.

Desirable

Skilled in utilising specific assessments and outcome measures including; GAD7, PHQ9, CAARMS, PANNS, SWEMWBS, Lunsers, GASS.

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