Clinical Specialist Nurse

3 months ago

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

Job summary

Band 6 Clinical Nurse Specialist

North Camden Rehab and Recovery Team

The North Camden R&R Team provides community based secondary health care and social care support to deliver effective recovery pathways with adults who are living with symptoms of, or are recovering from episodes of psychosis.

Dependant on the needs of the individual and carers, this can be short or long term support and includes co produced recovery and plans, developing collaborative relapse prevention strategies, longer term specialist treatment and complex case management provision.

We are looking for an experienced Mental Health Nurse to join our highly skilled and established multidisciplinary team in our trauma informed, recovery orientated and evidence based clinical approach to care. With robust clinical supervision and team support you will offer a caseload of people with complex needs creative support and signposting to empower them to live well. Aswell as delivering specialist health interventions and being involved in assessing and reviewing care and support needs, you will take part in adult safeguarding, provide statutory reports and assessments, be involved in supporting colleagues and supervising others, play a part in team development and be a advocate in supporting service users address the inequalities they may experience.

Main duties of the job

As a Clinical Specialist Nurse you will be working alongside a multi-disciplined team of therapy staff, medics, psychologists, supports workers, social workers, welfare and employment workers and supported by a clinical manager. You will keywork a caseload of people with complex needs and ensure holistic assessment and care delivery through a variety of direct activities and through signposting and liaison with partner agencies and community offers as their needs change through the pathways. 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 medications in clinics and in people's homes and support and monitor treatment plans. You will support people to access care for their physical and social health to address isolation and health inequalities.

You will produce social circumstances reports for Tribunal and managers hearings for patients on sections of mental health act and you will take active role in undertaking adult safeguarding enquiries and be part of multiagency networks to protect vulnerable adults and their children.

Outside of your caseload you will act as a duty worker and help run clinics on a rota basis. You will play an active part in team meetings, clinical decision making, supervising junior staff and students, and supporting your peers.

About us

The partnership between Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) and Camden and Islington NHS Foundation Trust (C&I) is going from strength to strength since it was originally established in 2021 forming the North London Mental Health Partnership.

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. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

Job description

Job responsibilities

As clinical nurse specialist in North camden R&R Team, you will perform duties and hold the following duties and main responsibilities (this list is not exhaustive):

Work as part of Multidisciplinary Team within the R&R Team in the delivery of holistic care for and with service users Collaboratively complete Dialog + assessment and care planning with service users Ensure Dialog + mandatory 6 months reviews are completed to monitor outcomes Hold a defined caseload of service users and manage their care delivery Complete thorough risk assessment and formulation for service users on your caseload and keep these updated. Raise safeguarding concerns and act as enquiry officer for your cases and any delegated cases. Ensure all incidents, near miss or actual are reported to your manager and reported through Datix. Take on Duty Person responsibilities as assigned and attend and occasionally chair daily morning huddles and weekly clinical 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 and liaise with other statutory services and partnership agencies. Undertake care act assessments, mental capacity assessments and play an active role in best interests decisions. 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. Complete S117 annual reviews following Dialog + and medical reviews. Take lead in assessing and addressing service users physical health needs and get involved in supporting their access to general healthcare and specialisms. Ensure an annual physical health tool is completed for all your caseload Work with partner agencies to meet service users needs 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. Liaise with inpatient ward colleagues and 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 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/Qualifications

Essential

2 years Post registration experience Evidence of further post-registration relevant training /ongoing academic study relevant to area of practice Mentorship or recognised teaching and assessing certificate or willingness to undertake

Desirable

Other advanced training AMHP/NMP/CBT in Psychosis

Knowledge and Experience

Essential

Demonstrable experience in a senior specialist capacity caring for people with psychosis in a community care or inpatient setting. Demonstrate a sound knowledge and understanding of the needs and difficulties of people with complex mental health and/or substance misuse problems and the impact on families. Demonstrate a clear understanding of the Mental Health legislation, its application and use in practice. Demonstrate an ability to liaise with other agencies, carers and the service user's wider support network

Desirable

An awareness of research and evidence of its application in the workplace. Evidence of collaboration in quality Improvement initiatives

Skills/Abilities

Essential

Excellent verbal and written communication skills Able to work autonomously and to deputise for senior staff in a variety of roles when required to do so Competent using computers and keyboards for entering personally generated data, generating and responding to emails, conducting web searches, storing data and retrieving data, producing reports etc.

Desirable

Demonstrable experience of adaptability to change

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