Job summary

An exciting opportunity has arisen for a band 6 nurse/OT to work as part of the Focus Homeless mental health team. The team are a dynamic and dedicated MDT working with homeless mentally ill people in the London borough of Camden

The successful applicant will be working collaboratively with the Camden Safer streets team, the hostel providers in the Camden pathway and as part of the mental health services in C&I to provide an assertive outreach, triage and treatment service to homeless people with complex mental health needs

Main duties of the job

The role will involve outreach to a people living in homeless hostels and on the streets

As a care coordinator you will hold case load of service users with complex needs, offering personalised risk and treatment management support care plans

About us

Camden and Islington NHS Foundation Trust (C&I) provides high quality, safe and innovative mental health care to our patients in the community, in their homes or in hospital. We provide services for adults of working age, adults with learning difficulties, and older people in the London area. We currently deliver the majority of our care to residents in the London Boroughs of Camden and Islington. However, we also provide substance misuse services in Westminster, and a substance misuse and psychological therapies service to people living in Kingston. Our trust is also a member of University College London Partners (UCLP), one of the world’s leading academic health science partnerships. In addition we have specialist programmes which provide help and treatment for: veterans living in London, young people caught in the cycle of gang culture, older people living with dementia and other age related mental health conditions. For more information, please access the following link: https://www.candi.nhs.uk/

Date posted

13 January 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£40,448 to £47,965 a year per annum Inlcu HCAS

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

455-CANDI-327

Job locations

Focus Homeless Community Mental Health Team

4 Greenland Road

Camden

NW1 0AS

Job description

Job responsibilities

Clinical/Practice

  1. To be responsible for providing expert care in an area of designated expertise, in accordance with NMC codes of professional conduct
  1. To provide expert, autonomous and highly specialist clinical practice within a multi disciplinary Team to include:-
    1. Initial assessment and formulation using a range of mental health or other specialist tools
    2. When required to do so making appropriate judgements about own caseload
    3. To assess, plan, implement and evaluate care in negotiation with service users, carers and other services, considering the needs of a diverse community
    4. To undertake care co-ordinator responsibilities within the Care Programme Approach
    5. Apply a range of therapeutic modalities, using evidence based interventions in accordance with the requirements of service line care pathways
    6. Contributing to multidisciplinary team decisions at the point of discharge and or transfer of the service user
    7. To participate in and provide a specialist nursing perspective to multi-disciplinary team meetings/case discussions
    8. Maintaining contemporaneous records to the standard required by the trust and the relevant professional body (where appropriate to the post holder)
    9. Assessing and managing risk on a continuous basis, in line with trust policy
    10. Encouraging service users to accept an optimum level of responsibility for their programme of care and with their consent, where appropriate, seek the co-operation of friends, relatives, carers.
    11. Support other members of staff in their assessment and management of service user care needs through reviewing initial data collection; monitoring of their progress; feedback; discussion and reports at care reviews or CPA reviews with the team.
    12. To identify carers and to offer carers assessments and review carers care plans
  • To be able to demonstrate and explain clinical reasoning in relation to professional input to a service users care plan when required to members of the team, trainees or others external to the organisation.
  1. To recognise and respond appropriately to challenging behaviour in line with Trust policies
  1. At all times to act in accordance with trust policies in relation to risk assessment contributing to comprehensive assessments of risk, and monitoring as appropriate
  1. To have up to date and detailed knowledge, understanding and experience of Mental Health and or SMS legislation as required by the service line
  • To be aware of personal accountability and responsibility in respect of ensuring that cleanliness standards and practices are maintained in the clinical environment and that these are compliant with PEAT, The Hygiene Code, CQC requirements and Trust Infection Control protocols and procedures.
  • To follow trust policy in promptly reporting all accidents and incidents. Undertaking investigations when called upon to do so or nominating / supervising relevant others in this role.
  1. To be responsible for the administration, carriage and storage of drugs in accordance with relevant policies and professional guidelines.
  1. To review and recommend medication changes as appropriate in consultation with medical staff re efficacy and possible side effects and to develop user centred medication concordance.
  1. To ensure the implementation of national guidelines for clinical best practice and apply to practice where ever relevant.
  • To undertake and lead where appropriate, in the evaluation and audit of professional interventions, clients and the service.

Managerial

  1. To take operational day to day management responsibility as required at team/service level using performance management systems to ensure the effective delivery of contract activity to agreed quality standards
  1. To work in conjunction with the Team Manager to deliver integrated governance requirements, this may include contributing to the developing of policy and guidelines which determine practice standards.
  • To work with the Team Manager to ensure that staff are compliant with safeguarding requirements to protect children and adults at risk. To undertake safeguarding investigations in accordance with policy.
  1. To provide professional supervision and support for both clinically qualified staff, students and support staff, ensuring clinical best practice at all times.
  1. To ensure that practices are in place that assess, determine and support learning and development, clinical supervision, managerial supervision and appraisal processes.
  1. To take a lead on delivering delegated aspects of training within the team and or to the wider service line on an area of specialism as required by service need.
  • To be responsible for implementing policy relating to health and safety and monitor compliance e.g. fire marshals, safe environment etc
  • To provide consultation within the team on own area of specialism.
  1. To assist team members during care reviews
  1. The postholder, recognising service users as individuals, will foster collaborative working with other agencies both in investigations and in joint working; agree the best approach to meeting individuals mental health, physical health, and recovery, social, spiritual and recreational care needs, and ensure that care provided respects equality and diversity that is supportive of service users and their carers.
  1. To be aware of Service Line and Trust financial and budgetary controls and restraints and to manage delegated team resources accordingly.
  • To respond to complaints or other concerns as they arise and in accordance with trust policy, and in conjunction with the Operational Services Manager and Team Manager.
  • To undertake other duties in a corporate role as may be reasonably expected in accordance with the grade of the post to ensure the attainment of team and service objectives.

Education, Training and Research and Development

  1. i) To adhere to all Trust policies and procedures and requirements of professional NMC or HCPC registration.
  1. ii) To be managed by and receive supervision from a nominated line manager, including annual review of performance as part of the appraisal system. To be in receipt of and engage with clinical and professional supervision.
  • iii) To maintain and update relevant knowledge and skills, maintain a professional portfolio and participate in further training to comply with professional registration and clinical governance requirements.
  1. iv) To ensure that all standards and requirements of preceptorship or newly qualified nurse and occupational therapists are fulfilled
  1. v) To promote a culture that fosters staff involvement and a progressive attitude to service improvement.
  1. vi) To work with the Team Manager to deliver a culture and style of leadership that develops, empowers and recognises achievement while delivering results.
  • vii) To work with Team Manager to deliver service line workforce plans in the team.
  • viii) To ensure that all personal and team mandatory training requirements are up-to-date as required by Trust policies and professional requirements.
  1. ix) To act as a role model to others
  1. x) Evaluation of the service against Trust and national benchmarks with resultant development of the service in response to areas identified as needing development through staff training, service delivery.
  1. xi) To lead on agreed service line clinical governance programmes and service evaluations in discussion with the team manager.
  • xii) To actively maintain an awareness of current professional developments within the field of mental health, including current legislation, practice, research and development and policy

Communication

  1. Maintain confidentiality of information, in accordance with Trust Policy.
  1. Contribute to the effective communication process of often sensitive or highly sensitive information with service users, carers, family, friends and staff colleagues.
  • Always acting in a dignified and responsible manner with service users, visitors, carers and colleagues; listening carefully and responding using appropriate language and communication skills which acknowledge cultural differences and professional boundaries.
  1. Communicates appropriate and accurate information to and from other departments, service lines, and agencies as required.
  1. To lead, attend and participate in team meetings and contribute ideas to multi-professional team discussions.
  1. To use and complete all Trust clinical documentation to the required standard, including care plans, pathway documents and RiO progress notes and professional reports accurately and in a timely manner.
  • To work in ways that supports shared responsibility within the team, demonstrating support, respect and courtesy towards colleagues and those from other disciplines.
  • To act promptly in ensuring that all incidents related to service users, staff, visitors or others are reported using the correct format and procedures in line with trust policy. Ensure that all incidents are investigated and findings communicated and action plans are actioned

Job description

Job responsibilities

Clinical/Practice

  1. To be responsible for providing expert care in an area of designated expertise, in accordance with NMC codes of professional conduct
  1. To provide expert, autonomous and highly specialist clinical practice within a multi disciplinary Team to include:-
    1. Initial assessment and formulation using a range of mental health or other specialist tools
    2. When required to do so making appropriate judgements about own caseload
    3. To assess, plan, implement and evaluate care in negotiation with service users, carers and other services, considering the needs of a diverse community
    4. To undertake care co-ordinator responsibilities within the Care Programme Approach
    5. Apply a range of therapeutic modalities, using evidence based interventions in accordance with the requirements of service line care pathways
    6. Contributing to multidisciplinary team decisions at the point of discharge and or transfer of the service user
    7. To participate in and provide a specialist nursing perspective to multi-disciplinary team meetings/case discussions
    8. Maintaining contemporaneous records to the standard required by the trust and the relevant professional body (where appropriate to the post holder)
    9. Assessing and managing risk on a continuous basis, in line with trust policy
    10. Encouraging service users to accept an optimum level of responsibility for their programme of care and with their consent, where appropriate, seek the co-operation of friends, relatives, carers.
    11. Support other members of staff in their assessment and management of service user care needs through reviewing initial data collection; monitoring of their progress; feedback; discussion and reports at care reviews or CPA reviews with the team.
    12. To identify carers and to offer carers assessments and review carers care plans
  • To be able to demonstrate and explain clinical reasoning in relation to professional input to a service users care plan when required to members of the team, trainees or others external to the organisation.
  1. To recognise and respond appropriately to challenging behaviour in line with Trust policies
  1. At all times to act in accordance with trust policies in relation to risk assessment contributing to comprehensive assessments of risk, and monitoring as appropriate
  1. To have up to date and detailed knowledge, understanding and experience of Mental Health and or SMS legislation as required by the service line
  • To be aware of personal accountability and responsibility in respect of ensuring that cleanliness standards and practices are maintained in the clinical environment and that these are compliant with PEAT, The Hygiene Code, CQC requirements and Trust Infection Control protocols and procedures.
  • To follow trust policy in promptly reporting all accidents and incidents. Undertaking investigations when called upon to do so or nominating / supervising relevant others in this role.
  1. To be responsible for the administration, carriage and storage of drugs in accordance with relevant policies and professional guidelines.
  1. To review and recommend medication changes as appropriate in consultation with medical staff re efficacy and possible side effects and to develop user centred medication concordance.
  1. To ensure the implementation of national guidelines for clinical best practice and apply to practice where ever relevant.
  • To undertake and lead where appropriate, in the evaluation and audit of professional interventions, clients and the service.

Managerial

  1. To take operational day to day management responsibility as required at team/service level using performance management systems to ensure the effective delivery of contract activity to agreed quality standards
  1. To work in conjunction with the Team Manager to deliver integrated governance requirements, this may include contributing to the developing of policy and guidelines which determine practice standards.
  • To work with the Team Manager to ensure that staff are compliant with safeguarding requirements to protect children and adults at risk. To undertake safeguarding investigations in accordance with policy.
  1. To provide professional supervision and support for both clinically qualified staff, students and support staff, ensuring clinical best practice at all times.
  1. To ensure that practices are in place that assess, determine and support learning and development, clinical supervision, managerial supervision and appraisal processes.
  1. To take a lead on delivering delegated aspects of training within the team and or to the wider service line on an area of specialism as required by service need.
  • To be responsible for implementing policy relating to health and safety and monitor compliance e.g. fire marshals, safe environment etc
  • To provide consultation within the team on own area of specialism.
  1. To assist team members during care reviews
  1. The postholder, recognising service users as individuals, will foster collaborative working with other agencies both in investigations and in joint working; agree the best approach to meeting individuals mental health, physical health, and recovery, social, spiritual and recreational care needs, and ensure that care provided respects equality and diversity that is supportive of service users and their carers.
  1. To be aware of Service Line and Trust financial and budgetary controls and restraints and to manage delegated team resources accordingly.
  • To respond to complaints or other concerns as they arise and in accordance with trust policy, and in conjunction with the Operational Services Manager and Team Manager.
  • To undertake other duties in a corporate role as may be reasonably expected in accordance with the grade of the post to ensure the attainment of team and service objectives.

Education, Training and Research and Development

  1. i) To adhere to all Trust policies and procedures and requirements of professional NMC or HCPC registration.
  1. ii) To be managed by and receive supervision from a nominated line manager, including annual review of performance as part of the appraisal system. To be in receipt of and engage with clinical and professional supervision.
  • iii) To maintain and update relevant knowledge and skills, maintain a professional portfolio and participate in further training to comply with professional registration and clinical governance requirements.
  1. iv) To ensure that all standards and requirements of preceptorship or newly qualified nurse and occupational therapists are fulfilled
  1. v) To promote a culture that fosters staff involvement and a progressive attitude to service improvement.
  1. vi) To work with the Team Manager to deliver a culture and style of leadership that develops, empowers and recognises achievement while delivering results.
  • vii) To work with Team Manager to deliver service line workforce plans in the team.
  • viii) To ensure that all personal and team mandatory training requirements are up-to-date as required by Trust policies and professional requirements.
  1. ix) To act as a role model to others
  1. x) Evaluation of the service against Trust and national benchmarks with resultant development of the service in response to areas identified as needing development through staff training, service delivery.
  1. xi) To lead on agreed service line clinical governance programmes and service evaluations in discussion with the team manager.
  • xii) To actively maintain an awareness of current professional developments within the field of mental health, including current legislation, practice, research and development and policy

Communication

  1. Maintain confidentiality of information, in accordance with Trust Policy.
  1. Contribute to the effective communication process of often sensitive or highly sensitive information with service users, carers, family, friends and staff colleagues.
  • Always acting in a dignified and responsible manner with service users, visitors, carers and colleagues; listening carefully and responding using appropriate language and communication skills which acknowledge cultural differences and professional boundaries.
  1. Communicates appropriate and accurate information to and from other departments, service lines, and agencies as required.
  1. To lead, attend and participate in team meetings and contribute ideas to multi-professional team discussions.
  1. To use and complete all Trust clinical documentation to the required standard, including care plans, pathway documents and RiO progress notes and professional reports accurately and in a timely manner.
  • To work in ways that supports shared responsibility within the team, demonstrating support, respect and courtesy towards colleagues and those from other disciplines.
  • To act promptly in ensuring that all incidents related to service users, staff, visitors or others are reported using the correct format and procedures in line with trust policy. Ensure that all incidents are investigated and findings communicated and action plans are actioned

Person Specification

Education and Qualifications

Essential

  • Registered Mental Health Nurse Current registration with relevant professional body

Desirable

  • Other advanced relevant training i.e. CBT in psychosis/dynamics of mental health practice / Mentalisation Based Therapy / NMP etc.

Experience and Knowledge

Essential

  • Demonstrable experience in a senior specialist capacity caring for people with psychosis in a community care or inpatient setting.

Desirable

  • Sound practical experience of patient / service user care and engagement within the wider context of the organisation

Skills

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.

Desirable

  • Demonstrable skill of implementing change processes
Person Specification

Education and Qualifications

Essential

  • Registered Mental Health Nurse Current registration with relevant professional body

Desirable

  • Other advanced relevant training i.e. CBT in psychosis/dynamics of mental health practice / Mentalisation Based Therapy / NMP etc.

Experience and Knowledge

Essential

  • Demonstrable experience in a senior specialist capacity caring for people with psychosis in a community care or inpatient setting.

Desirable

  • Sound practical experience of patient / service user care and engagement within the wider context of the organisation

Skills

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.

Desirable

  • Demonstrable skill of implementing change processes

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

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).

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