Job summary

Band 7 Non-Medical Prescriber (Adult Mental Health), Changing Futures Programme, HAST

The Homeless Assessment Support Team is a multi-disciplinary community team designed to meet the mental health needs of Rough Sleepers. Typically, our clients’ needs are complex with a history of non-engagement with traditional psychiatric services. Do you see the person, not the ‘problem’?

Do you want to make a difference in people’s lives?

Do you want to help improve the way services and systems work?

The Changing Futures programme is a £64 million joint initiative by the Department for Levelling Up, Housing and Communities (DLUHC) and The National Lottery Community Fund. The fund is for local organisations to work in partnership to better support those who experience multiple disadvantages, including homelessness, substance misuse, mental health issues, domestic abuse, and contact with the criminal justice system. Sheffield is one of fifteen areas nationally selected to deliver an ambitious £3.267 million programme between now and March 2024. If you are a Non-Medical Prescriber driven by a passion to make a positive difference and like a challenge, we want to hear from you. We hope that the Changing Futures programme will have a lasting impact on improving health outcomes for this cohort and if successful it may be rolled out for longer.

Main duties of the job

The Specialist Mental Health Non-Medical Prescriber will work within the Changing Futures pathway of the Homeless Assessment and Support Team to provide a specialist clinical assessment and intervention to adults who need support with their mental health.

To work autonomously taking responsibility for care, quality, and clinical activity. Providing nursing triage and screening assessment, health advice and Nurse led treatment. Prescribing medicines within the Adult Mental Health scope of practice, medicine management audits and oversight, referrals to other health professionals or services as required. Set standards for care by implementing protocols and establishing health education activities. Maintain accurate documentation of assessment, planning and treatment of patients.

To deliver non-pharmacological interventions for the treatment of Mental Health.

Provides support for, and assists the Consultant Psychiatrist in the ongoing management of the pathway/service, and the ongoing development of services provided

The post holder will assist andwork in partnership with the clients/service users, staff and Consultant Psychiatrist within the team contributing to the strategy to enable the Service to be compliant with NICE Clinical Guidelines for the Integrated Health and Social Care for people Experiencing Homelessness.

The Post Holder will work within the defined scope of practice and that are in line with Sheffield Health & Social Care Non-Medical Prescriber policies.

About us

We are passionate about providing the very best care to the people we support, and we’re looking for amazing people who share this passion to join us.

What is it that makes our Trust such a special place to work? Well, it’s all about the people. Our staff, service users, carers and families all come from such diverse backgrounds and all have expertise and stories to share.

It’s important that you feel supported in your role, that the people who you work with are as passionate as you are and that your health and wellbeing is taken care of

If you’re interested in developing your career, you’ll have access to a range of training and education opportunities, including apprenticeships, work experience and placements, as well as the chance to get involved in research.

We are all very proud of the difference we make to people’s lives each and every day and if that’s something that you’d like to be part of we’d love to have you with us.

Date posted

17 November 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience

Contract

Fixed term

Duration

15 months

Working pattern

Full-time

Reference number

457-22-4743977

Job locations

HAST Hanover Medical Centre

100 William Street

Sheffield

S10 2EB

Job description

Job responsibilities

General Requirements

Registered Mental Health Nurse with live NMC Registration and recorded prescribing qualification. Registered General Nurse considered with relevant experience.

Independent Non-Medical Prescriber with clear demonstrable knowledge and skills and extensive previous experience relating to prescribing

Scope of Practice adult mental health

Principal Duties

Clinical

  • Perform and monitor comprehensive assessments of clients/services users needs. Plan, implement and evaluate care delivery according to changing health care needs. This would include delivering Mental Health specific assessment
  • Use advanced skills and expert knowledge to assess the physical, mental health and social needs of a defined client group, instigating therapeutic care plans and treatments based on the best available evidence to improve health outcomes
  • Take continuous management responsibility for the delivery of specialist care needs of individual and groups of clients/services users
  • Ensure patient information is collated, monitored and fully accurate, maintaining complete and contemporaneous records in line with NMC/ professional bodies and Trust standards
  • Promote the involvement and engagement of clients/services users and carer relatives in the assessment, planning, delivery and evaluation of care
  • Work within a multi-disciplinary team to ensure effective care plans and treatments are in place for highly complex clients/services users
  • Work collaboratively and ensure maintenance of effective multi-disciplinary communication and with other professionals, agencies and stakeholders to ensure needs are met in relation to care input, support for ongoing care needs and safe discharge
  • Communicate highly complex information about clients/services users conditions to multi-disciplinary team colleagues, to ensure effective delivery of patient treatments.
  • To ensure that systems are established and maintained to ensure effective communication with clients/services users, and carers / relatives
  • Use advanced skills and expert knowledge to clinically lead and enable others to deliver best practice across the service
  • Lead and support others to recognise, prioritise and respond appropriately to urgent and emergency situations including the assessment and management of risk
  • Ensure understanding of own and others level of accountability and responsibility when delegating tasks and duties
  • Lead, participate in and cooperate with concerns, complaints and investigations as required
  • To provide an Independent Prescriber service in accordance with the clinical setting agreed with the Line Manager. This will include initiating, titrating, and optimising pharmacological treatment for Adult Mental Health
  • To perform physical health monitoring specific to individual psychiatric medications and the NICE guideline
  • To order or undertake blood tests, ECGs and refer to specialists (i.e., cardiology) if required for diagnostic and monitoring purposes. Interpret the results and act accordingly. To undertake training to achieve this competence
  • To record all interactions and interventions with clients/services users into their medical records
  • Ensure effective communication with primary care and related healthcare professionals about review outcomes, treatment plans and referrals, normally through typed letters
  • Liaise with the clients/services users General Practitioner when as any matters aris
  • To receive specific supervision from suitably trained staff relating to the non-medical prescribing role
  • To attend and contribute to the Trusts Non-Medical Prescribing Forum (minimum of 3 times per year).
  • To work in accordance with the local shared care agreement for Mental Healt
  • To develop and deliver non-pharmacological interventions and treatmen
  • Take full professional and legal responsibility for all prescribing carried out
  • To provide advice to clients/service users and carers about safe and effective use of medicines
  • To conduct a risk assessment and take appropriate action when reviewing clients/service users
  • To record all interactions and interventions with clients/services users into their medical records
  • Ensure effective communication with primary care and related healthcare professionals about review outcomes, treatment plans and referrals, normally through typed letters. Liaise with the clients/services users General Practitioner when as any matters arise
  • To be responsible for the safety and security of the FP10 prescription pads in accordance with the Trust (and CCG where appropriate policies and procedures).
  • Leadership and communication

  • Lead, co-ordinate, organise and prioritise your own work and the work of the team on a day-to-day basis
  • Ensure supervision of others and participate in education and development
  • Lead and monitor the development of services, new ways of working and the implementation of change
  • Acts as a professional and clinical role model to all staff, clients/services users, carers and the public at all times
  • Develop effective and efficient relationships with members of the multi-disciplinary team on issues related to patient care
  • Act in a professional manner and ensure self and other staff always adhere to the work wear policy
  • Education and Training

  • Act as a clinical expert and information resource, leading in training, education and orientation programmes for staff, students and others
  • Assess and ensure the specialist education and training needs required for self, others and the service are identified, that will allow health care to be delivered to the user through new ways of working
  • Teach and educate clients/services users, their carers and other healthcare professionals to recognise subtle changes in their condition that could lead to exacerbation of acute deterioration and take appropriate actions
  • Proactively develop, implement and monitor public health and health promotion activities in accordance with national and local priorities
  • Contribute and partake in clinical research
  • Job description

    Job responsibilities

    General Requirements

    Registered Mental Health Nurse with live NMC Registration and recorded prescribing qualification. Registered General Nurse considered with relevant experience.

    Independent Non-Medical Prescriber with clear demonstrable knowledge and skills and extensive previous experience relating to prescribing

    Scope of Practice adult mental health

    Principal Duties

    Clinical

  • Perform and monitor comprehensive assessments of clients/services users needs. Plan, implement and evaluate care delivery according to changing health care needs. This would include delivering Mental Health specific assessment
  • Use advanced skills and expert knowledge to assess the physical, mental health and social needs of a defined client group, instigating therapeutic care plans and treatments based on the best available evidence to improve health outcomes
  • Take continuous management responsibility for the delivery of specialist care needs of individual and groups of clients/services users
  • Ensure patient information is collated, monitored and fully accurate, maintaining complete and contemporaneous records in line with NMC/ professional bodies and Trust standards
  • Promote the involvement and engagement of clients/services users and carer relatives in the assessment, planning, delivery and evaluation of care
  • Work within a multi-disciplinary team to ensure effective care plans and treatments are in place for highly complex clients/services users
  • Work collaboratively and ensure maintenance of effective multi-disciplinary communication and with other professionals, agencies and stakeholders to ensure needs are met in relation to care input, support for ongoing care needs and safe discharge
  • Communicate highly complex information about clients/services users conditions to multi-disciplinary team colleagues, to ensure effective delivery of patient treatments.
  • To ensure that systems are established and maintained to ensure effective communication with clients/services users, and carers / relatives
  • Use advanced skills and expert knowledge to clinically lead and enable others to deliver best practice across the service
  • Lead and support others to recognise, prioritise and respond appropriately to urgent and emergency situations including the assessment and management of risk
  • Ensure understanding of own and others level of accountability and responsibility when delegating tasks and duties
  • Lead, participate in and cooperate with concerns, complaints and investigations as required
  • To provide an Independent Prescriber service in accordance with the clinical setting agreed with the Line Manager. This will include initiating, titrating, and optimising pharmacological treatment for Adult Mental Health
  • To perform physical health monitoring specific to individual psychiatric medications and the NICE guideline
  • To order or undertake blood tests, ECGs and refer to specialists (i.e., cardiology) if required for diagnostic and monitoring purposes. Interpret the results and act accordingly. To undertake training to achieve this competence
  • To record all interactions and interventions with clients/services users into their medical records
  • Ensure effective communication with primary care and related healthcare professionals about review outcomes, treatment plans and referrals, normally through typed letters
  • Liaise with the clients/services users General Practitioner when as any matters aris
  • To receive specific supervision from suitably trained staff relating to the non-medical prescribing role
  • To attend and contribute to the Trusts Non-Medical Prescribing Forum (minimum of 3 times per year).
  • To work in accordance with the local shared care agreement for Mental Healt
  • To develop and deliver non-pharmacological interventions and treatmen
  • Take full professional and legal responsibility for all prescribing carried out
  • To provide advice to clients/service users and carers about safe and effective use of medicines
  • To conduct a risk assessment and take appropriate action when reviewing clients/service users
  • To record all interactions and interventions with clients/services users into their medical records
  • Ensure effective communication with primary care and related healthcare professionals about review outcomes, treatment plans and referrals, normally through typed letters. Liaise with the clients/services users General Practitioner when as any matters arise
  • To be responsible for the safety and security of the FP10 prescription pads in accordance with the Trust (and CCG where appropriate policies and procedures).
  • Leadership and communication

  • Lead, co-ordinate, organise and prioritise your own work and the work of the team on a day-to-day basis
  • Ensure supervision of others and participate in education and development
  • Lead and monitor the development of services, new ways of working and the implementation of change
  • Acts as a professional and clinical role model to all staff, clients/services users, carers and the public at all times
  • Develop effective and efficient relationships with members of the multi-disciplinary team on issues related to patient care
  • Act in a professional manner and ensure self and other staff always adhere to the work wear policy
  • Education and Training

  • Act as a clinical expert and information resource, leading in training, education and orientation programmes for staff, students and others
  • Assess and ensure the specialist education and training needs required for self, others and the service are identified, that will allow health care to be delivered to the user through new ways of working
  • Teach and educate clients/services users, their carers and other healthcare professionals to recognise subtle changes in their condition that could lead to exacerbation of acute deterioration and take appropriate actions
  • Proactively develop, implement and monitor public health and health promotion activities in accordance with national and local priorities
  • Contribute and partake in clinical research
  • Person Specification

    Knowledge and Skills

    Essential

  • Experience and ability to assess, plan, implement and evaluate risk/care plans to meet the needs of clients
  • Ability to work as a member of a multidisciplinary team and demonstrate awareness of MDT functioning.
  • Ability to reflect on and critically appraise own performance. Ability to recognise own limits & seek support re supervision as appropriate
  • To have developed computer skills to enable input of relevant data and typing of summaries and reports etc.
  • Excellent written & verbal communication skills
  • Good interpersonal skills & demonstrable ability to work with others
  • Ability to communicate with dissatisfied patients and staff and find resolutions to contentious issues or complaints
  • Understanding of equality of opportunity & related policies & procedures
  • Desirable

  • Willingness and ability to develop specialist knowledge of clinical aspects of Mental Health
  • Training and Qualifications

    Essential

  • Registered Mental Health Nurse with live NMC Registration and recorded prescribing qualification. Registered General Nurse considered with relevant experience
  • Independent Non-Medical Prescriber with clear demonstrable knowledge and skills and extensive previous experience relating to prescribing
  • Desirable

  • Training in assessment and treatment of Mental Health
  • Training in physical health assessments like ECG tracing, phlebotomy, and the interpretation of such results. Willingness to undertake this training.
  • Experience

    Essential

  • Extensive post qualification experience and demonstratable knowledge of a range of mental health presentations
  • Demonstrable experience to maintain and manage own caseload and work autonomously within the specialist area
  • Experience of assessing and managing risk, seeking support as necessary
  • Experience in supervision, teaching and developing the skills of students and junior staff as appropriate
  • Evidence of high level of interpersonal and communication skills in a variety of formats e.g. presentations, use of IM&T electronic information systems
  • Experience of liaising with GP’s and managing shared care and ongoing support
  • Experience of working in a community setting
  • Desirable

  • Experience of assessing, reviewing, and prescribing for Mental Health in adults
  • Experience of working with a cohort of service users experiencing multiple disadvantages including homelessness, substance misuse, mental health issues, domestic abuse and contact with the criminal justice system
  • Other

    Essential

  • Ability to motivate self and others
  • Ability to work within a clinical and community environment
  • To contribute and lead on service development
  • Person Specification

    Knowledge and Skills

    Essential

  • Experience and ability to assess, plan, implement and evaluate risk/care plans to meet the needs of clients
  • Ability to work as a member of a multidisciplinary team and demonstrate awareness of MDT functioning.
  • Ability to reflect on and critically appraise own performance. Ability to recognise own limits & seek support re supervision as appropriate
  • To have developed computer skills to enable input of relevant data and typing of summaries and reports etc.
  • Excellent written & verbal communication skills
  • Good interpersonal skills & demonstrable ability to work with others
  • Ability to communicate with dissatisfied patients and staff and find resolutions to contentious issues or complaints
  • Understanding of equality of opportunity & related policies & procedures
  • Desirable

  • Willingness and ability to develop specialist knowledge of clinical aspects of Mental Health
  • Training and Qualifications

    Essential

  • Registered Mental Health Nurse with live NMC Registration and recorded prescribing qualification. Registered General Nurse considered with relevant experience
  • Independent Non-Medical Prescriber with clear demonstrable knowledge and skills and extensive previous experience relating to prescribing
  • Desirable

  • Training in assessment and treatment of Mental Health
  • Training in physical health assessments like ECG tracing, phlebotomy, and the interpretation of such results. Willingness to undertake this training.
  • Experience

    Essential

  • Extensive post qualification experience and demonstratable knowledge of a range of mental health presentations
  • Demonstrable experience to maintain and manage own caseload and work autonomously within the specialist area
  • Experience of assessing and managing risk, seeking support as necessary
  • Experience in supervision, teaching and developing the skills of students and junior staff as appropriate
  • Evidence of high level of interpersonal and communication skills in a variety of formats e.g. presentations, use of IM&T electronic information systems
  • Experience of liaising with GP’s and managing shared care and ongoing support
  • Experience of working in a community setting
  • Desirable

  • Experience of assessing, reviewing, and prescribing for Mental Health in adults
  • Experience of working with a cohort of service users experiencing multiple disadvantages including homelessness, substance misuse, mental health issues, domestic abuse and contact with the criminal justice system
  • Other

    Essential

  • Ability to motivate self and others
  • Ability to work within a clinical and community environment
  • To contribute and lead on service development
  • Disclosure and Barring Service Check

    This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

    Certificate of Sponsorship

    Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

    From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

    UK Registration

    Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

    Additional information

    Disclosure and Barring Service Check

    This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

    Certificate of Sponsorship

    Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

    From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

    UK Registration

    Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).