Clinical Nurse Specialist

South West London & St Georges Mental Health NHS Trust
£51,488 to £57,802 per annum inclusive of Inner London HCAs
Closing date
25 Sep 2023

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Band 7
Full Time
We are looking to recruit an experienced band 7 Clinical Nurse Specialist to cover 12 month maternity leave, working as a member of our established Adolescent Outreach Team. The team are really fortunate that we have an experienced full multi disciplinary representation, and high levels of retention of staff. The MDT are skilled and highly committed to supporting the wider network, parents and carers to support young people to remain at home, and if required to come to hospital facilitate a safe discharge and reduce length of stay.

The post-holder will work within AOT as a Clinical nurse Specialist providing Care Coordination and Assessment of an agreed caseload of AOT clients, and offering expert consultation to the network and referrers.

The post-holder must be committed to effective team working and to the coherent delivery of the care this will include individual, family, group work and telephone support.

The team are always looking to develop the service to meet the needs of the young people and their parents/carers, this role would be at the forefront of this. The team also has 2 band 6 nurse roles, which are development posts and this role would be supporting these roles and inspiring our future senior nurses.

The team has strong working relationships with our local inpatient service (Aquarius), SLP inpatient units (Snowsfields and BAU), Tier 3 community CAMHS, CAMHS Emergency Care Team (CECS), CAMHS Crisis Line and CAMHS Bed Management.

Main duties of the job

This is a fantastic and exciting opportunity has arisen for a Clinical Nurse Specialist to join AOT to cover 12 month maternity leave.

The post-holder will work within AOT as a Clinical nurse Specialist providing Care Coordination and Assessment of an agreed caseload of AOT clients, and offering expert consultation to the network and referrers.

Adolescent Outreach Team (AOT) is a highly experienced and dedicated multidisciplinary team that provides an acute Tier 4 community service to high risk 12 to 17year olds experiencing a range of mental health difficulties. We work predominantly within the home from our base in Springfield Hospital, aiming to prevent hospital admissions, and also provide support to inpatient teams to enhance discharge packages and support early discharge.

Agile and flexible working:

In this role you will be able to work 7 days of the week. The shifts will include 8am-4pm, 9-5pm and 12pm-8pm on weekdays and 11am-7pm on weekends and bank holidays, giving you the very best of good work life balance.

About us

We are Proud to Belong at South West London and St George's Mental Health NHS Trust.

We have expert services, a rich history and a clear commitment to providing the best quality care for those with mental ill-health. The Care Quality Commission already rates our services as 'good' - we aspire to be 'outstanding'.

This is a great time to join us. We are transforming the way we care for our communities to support our mission of Making Life Better Together. We have built two brand new mental health facilities at Springfield University Hospital, which are amongst the best in the world. More developments are planned across our sites and services.

We are inclusive and diverse and strive to be actively anti racist. We want to attract people from all backgrounds and experiences to enrich the work we do together. We are proud to co-produce and involve our local communities in all that we do.

We offer flexible working, career development and a variety ofbenefits to enable a positive, welcoming environment in which our people and their careers can thrive.

About our locations:

Springfield University Hospital, Tooting

Our largest, 19-ward site is in Springfield Village, created following our �150m investment into two new world class mental health facilities. A 32-acre public park, shops and cafes are coming soon. Close to shops, cafes and Tooting Bec on the Northern Line plus Earlsfield and Tooting rail stations and bus routes.

Job description

Job responsibilities

  • To provide a nursing perspective to the clinical work of the team and to the delivery of all aspects of the service.
  • To provide specialist nursing guidance, advice and consultation to colleagues in all the disciplines in the team, contributing expertise to the treatment formulations and plans for intervention.
  • To participate fully in the referral and allocation process, advising on the appropriateness of referrals for outreach or inpatient nursing intervention.
  • To care co-ordinate a small clinical caseload of highly complex and demanding cases, providing a care package which offers the most effective therapeutic response to adolescents and their families.
  • To act as co-worker to fellow Care Co-ordinators, working jointly and collaboratively with other clinicians in the multi-disciplinary team.
  • To devise, co-ordinate and deliver specialist assessment and interventions, drawing on a varied range of theoretical frameworks and treatment modalities.
  • To assess and make plans for the management of risk, including making an assessment of how this responsibility might be safely shared with and communicated to the young person, parents and other carers/agencies, as appropriate, whilst always adhering to Trust Policy and Safeguarding Legislation.
  • To be responsible for liaising with colleagues from other agencies, convening multi-agency meetings as appropriate and communicating often complex clinical information in an effective and sensitive manner.
  • To work in ways that are sensitive to the needs of young people and families from varied racial, cultural and religious backgrounds, showing understanding of the impact that race, culture, gender, sexual orientation, religion, age, disability and social difference may have on the young person and their family/systems.
  • To undertake consultation to colleagues in other agencies relevant to the work of the service, including, Education, Social Care, Health and others in the network as appropriate, in order to benefit their work with the young person and their family.
  • To be available to undertake urgent assessments, with a Tier 4 or Tier 3 colleague, responding rapidly where necessary. Able to undertake risk assessments and risk management, analyse, make judgements and decisions about treatment plans and provide specialist advice for other professionals on aspects of risk assessment and management.
  • To be responsible for maintaining high standards in clinical record keeping, including using computer based data entry systems. Responsible for communicating effectively with clients, referrers and other agencies, verbally and in writing, adhering to Trust Policy regarding confidentiality and data protection.
  • To be responsible for providing reports as required. These will include assessment and discharge summaries, letters to GPs, referrals to other specialist services where needed and contribution to the services quarterly and annual reports for commissioners.
  • To plan and prioritise own workload and to be administratively efficient, convening, and conducting client sessions and co-ordinating services.
  • To contribute to the financial management of the service to ensure that budgets are not overspent.
  • To assist clients in completing benefits forms.

Practice and Service Development
  • To contribute to ARC development and the Trusts service planning through identifying ways of enhancing the work of the service in addressing the specific needs of this client group and means of addressing gaps in service provision to promote best outcomes for young people and their families.
  • To participate in the monitoring and development of the teams operational policies and services through deploying professional skills in service evaluation, research and/or audit.
  • To be responsible, as appropriate, for representing the AOT and/or ARC team, or the discipline in local initiatives across the Specialist Services Directorate, CAMHS or Trust-wide development groups.

Teaching, Training, Consultation and Supervision
  • To contribute to the generic training needs of the service by identifying areas for learning and providing specialist training, as required, on subjects relevant to the delivery of Tier 4 CAMHS.
  • As requested, to contribute to consultation, teaching and training within CAMHS and to other agencies, which will include the preparation of teaching materials and presentations.
  • To provide supervision to nursing colleagues and trainees and consultation connected to particular pieces of work with clients.
  • To participate in own and colleagues practice development reviews.

Research and Audit
  • To undertake or participate in relevant clinical research and/or audit projects on a regular basis in order to make a contribution to clinical governance, quality assurance and to ensure that high standards of practice are maintained and service improvements made.
  • To contribute to the development of systems for monitoring and evaluating the teams operational policies and service outcomes in order to improve the service to clients.
  • To use theory and research to inform evidence-based practice in work with individuals, families and their networks in line with current and best practice.

Clinical Governance
  • To attend the weekly team meeting, for discussion and team supervision of clinical work and ongoing formulation and planning.
  • To attend where possible case discussion sessions, CPD sessions, Aquarius Ward Round and the monthly Staff Group.
  • To attend 3 monthly professional senior nurse meetings and contribute to developments in strategic planning for the nursing profession across the Trust, and particularly in CAMHS.
  • To maintain up-to-date knowledge of key legislative issues and research findings concerning the provision of health and welfare services to young people and their families.
  • To be accountable for maintaining high professional standards of clinical practice via annual personal development review and plans.
  • To adhere to the NMCs code of professional conduct and ethics.

  • To have the ability to sit with young people/families for extended periods of time, often within pressured circumstances and to sustain intense concentration and problem-solving and decision-making skills.
  • To create a calm and containing environment for young people or parents in a highly emotive situation and respond appropriately to this need.
  • To be continually aware of Trust Health & Safety Policies when meeting clients in various community settings, particularly within their own home.
  • Ability to cope with the physical demands of frequent travel across the 5 boroughs within the Trust.

Training and Development
  • To undertake mandatory and statutory training as required by Trust policy.
  • To maintain and develop personal and professional skills and knowledge base through regular supervision, training, and professional development reviews.
  • To ensure regular and appropriate continuing professional development, requiring appropriate study leave to meet training requirements and standard and practice guidelines of the Nursing and Midwifery Council.
  • To contribute and commit to undertaking an annual Development Review/appraisal.
  • To undertake personal development as identified in the Personal Development Plan (PDP).

Person Specification

Training and Qualifications


  • oFirst degree in mental health nursing
  • oRegistered RMN (with current NMC registration)
  • oAdditional Specialist training, e.g. Diploma in Child, Adolescent and Family Mental Health, CBT, Family Therapy, Psychosocial Interventions
  • oENB 998 or equivalent
  • oEvidence of continuing professional and personal development


  • oSupervision and /or management training or qualification



  • oDemonstrable experience of post- registration work with adolescents with mental health problems
  • oExperience of managing a complex caseload in a mental health setting and providing complex packages of care
  • oExperience and knowledge of using Child Protection policy to guide decision making regarding care and appropriate referrals to other services, including social services
  • oExperience of delivering teaching/ training
  • oExperience of working with other agencies
  • oExperience of clinical supervision of staff and mentoring others
  • oExperience of report writing
  • oExperience of providing individual therapy
  • oExperience of carrying out risk assessments


  • oExperience of co-ordinating multi-agency meetings
  • Any attachments will be accessible after you click to apply.


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