This job has expired

Community Mental Health Nurse

Oxleas NHS Foundation Trust
£40,701 to £48,054 a year p.a. inc.
Closing date
22 Sep 2023
This is an exciting opportunity for the successful candidate to join the Bromley East ADAPT (Anxiety, Depression, Affective, Personality, Trauma) Team. The post holder will have responsibility for a manageable caseload of clients delivering various interventions for service users who have complex mental health. The main aim of the Team is to provide a timely intervention to address specific needs to promote re-engagement with primary care and third sector services to enable service users to live independently and enjoy a good quality of life.

You will be an integral part of a multi-disciplinary team that has adopted a whole team approach to ensure the best quality care. The team are trialling a new evidence based intervention for service users with personality difficulties and/or complex trauma. Structured Clinical Management is a nationally recognised intervention for such service users and you will be expected to complete the external training and provide the intervention to services users via a group format.

Main duties of the job

Provide comprehensive assessments and risk management plans.

Identify with support from the multi-disciplinary team if assessment has identified need for input from secondary care or if more appropriate to refer/signpost to primary care or 3rd sector services.

Manage a caseload of services users and ensure that they have evidence based care plans and risk management plans.

Liaise with colleagues in our crisis services to ensure timely input from community services to ensure discharge in an appropriate timeframe.

About us

Oxleas - About Us

Oxleas offers a wide range of NHS healthcare services to people living in South East London and Kent and to people in prison. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,000 members of staff work in many different settings including hospitals, clinics, prisons, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
  • We're Kind
  • We're Fair
  • We Listen
  • We Care

Job description

Job responsibilities

Clinical Skills

1. Working autonomously within the parameters of the role leading and supporting junior staff and wider care team to implement the delivery of quality nursing care, contributing to the physical, psychological, social, recreational and spiritual care in a recovery-focused way through therapeutic engagement and activities, and taking steps to address any issues that arise.

2. Leading on and undertaking activities to ensure that the fundamentals of careare met - nutrition, hydration, hygiene, comfort, emotional and social support:

Co-ordinating and evaluating collaborative patient centred care gettingfeedback and improving plans with the multi-disciplinary team (MDT).

Providing accurate information about care in an accessible format to patients and their relatives / carers.

Liaising and working positively with members of the multi- disciplinary team and partner organisations.

Administering, and monitoring the side-effects of, medication monitoringservice user compliance.

Safety: safe custody of medicines, sharps, clinical equipment, report allincidents following trust policy.

3. Leading and supporting/teaching junior staff on risk assessment and riskmanagement that involves making decisions based on knowledge of theresearch evidence, knowledge of the individual service user and their socialcontext, knowledge of the service users own experience and clinical judgment.

4. Supporting and supervising junior staff to develop the management of care needs through:

Initial data collectionMonitoring of individual service user / patient progressFeedback and discussionProducing reports and in-care reviewsDevising a plan of care and interventions in partnership with service users,carers and MDT

5. Coordinating junior staff and the wider care team in providing hands-on care to service users and evaluating processes of care delivered. This will include:

Undertaking 1-1 engagement with service users in an honest, open and nonjudgmental way.Recognising and valuing service users as individuals, acknowledging theimportance of maintaining the service users respect and dignity at all timesand ensure that the care provided respects equality and diversity.Developing care plans that reflect service user needs and relevant patientcare documentation working in partnership with service users, wider MDT and family/carers.

Ensuring the monitoring and recording service user clinical observations areundertaken, such as physical observations and vital signs and treating orescalating as appropriate any signs or symptoms of deterioration or that does not fulfill the personal parameters to the relevant professional for treatment.Promote healthy lifestyles and give health promotion advice and support.Implementing the principles of recovery: encouraging and supporting service users to engage with healthy lifestyles, facilitating psychosocial activities and other activities of their interest. Where appropriate contributing to psychological interventions.

6. Escorting service users, as required, in line with Trust policies.

7. Advocating for service users needs and rights within Trust policy. Encouraging and empowering service users to have an optimum level of responsibility for their individual programme of care.

Please see Job Description & Person Specification for further information.

Person Specification



  • 1 year post qualification


  • 6 months post qualification

Risk Assessment & Management


  • Experience of risk assessment & risk management


  • Understanding of importance of risk assessment & risk management



  • Experience of working with services users with personality difficulties


  • Interest in working with service users with personality difficulties

Employer details

Employer name

Oxleas NHS Foundation Trust


Carlton Parade

1-6 Carlton Parade



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