The post holder will deliver a high quality, comprehensive mental health service for mothers with serious and enduring mental health difficulties. The role involves managing a defined caseload, acting as a key member of the multi-disciplinary team, the post holder will provide assessment, psychosocial, evidence-based interventions using a collaborative approach and will be skilled at risk assessment and management. S/he will complement the multi-disciplinary working of the team, providing supervision for other team members, as agreed with the Operational Manager. She/he will participate in team and service development and evaluation. Liaison, advice and consultation with a wide range of agencies is central to the role.

Main duties of the job

• Take responsibility for the management of a complex caseload, which includes, specialist assessment, care planning in conjunction with service user and carer, evaluation of individual treatment plans.
• Responsible for participating in the setting of quality standards, including the auditing, monitoring and reviewing of practice in line with current clinical guidance practice and policy.
• Assess patient's individual care needs, develop, implement and evaluate programmes of care.
• Deliver a range of interventions in accordance with the agreed plan of care and pathway guidance including pharmacological and psychologically informed interventions.
• Complete and contribute, where appropriate to robust risk assessments and risk management plans. Deliver and promote positive risk taking, where appropriate, to improve quality of life and maximise occupational performance/independence.
• Maintain an effective reporting system by observing and reporting verbally and in writing on patient condition
• Utilise agreed outcome measures to review the effectiveness of interventions, as part of the care planning and evaluation process.
• Maintain an up-to-date level of professional competence within the specific environment.
• Assist in the implementation of evidence-based practice and participate in research and other projects as required.

About us

We are looking to recruit enthusiastic, passionate and motivated community practitioner to join our Perinatal Mental Health Team covering the East Staffs area. We are a specialist service that strives to deliver excellent standards of care to expectant and new mothers with severe and complex mental health problems.

This is an exciting opportunity to be part of the perinatal service and to help shape the future of perinatal mental health care in Staffordshire. You will be joining a friendly and supportive multidisciplinary team with extensive training opportunities along with regular supervision, reflective practice and opportunity for career progression.

As a member of the team you would provide specialist assessments and interventions to women and families during pregnancy, delivery and up to 2 months postpartum. The post holder will continue to develop upon our strong links with Midwifery, Health Visiting, Maternal Mental Health Service, Family Nurse Partnership, Adult Mental Health, IAPT, CAMHS services and voluntary sectors.

We have adapted to new ways of working due to pandemic, and some of the blended working developments will continue as clinically indicated. The team works closely with the Brockington Mother and Baby Unit in Stafford, and with the Shropshire Community Perinatal Mental Health Team.

Job description

Job responsibilities

Research and Service Development

• Identify and highlight to the Pathway Manager relevant issues in relation to the needs for people and their carers assessed using best practice evidence, in order that these are reflected in service planning, development and future provision.
• Develop efficient and relevant health promotion activities to promote health education and ensure that preventative approaches and interventions are used to maintain independence.
• Actively engage in the organisations clinical governance initiatives, for example to participate and lead in audit, clinical supervision and bringing critically evaluated evidence and research into practice.
• Participate and lead on research within area of clinical expertise.
• Participate in the development of the service to ensure clinical governance processes are actively implemented at team level.

Human Resources and Training

• As required, supervise junior staff provide clinical advice/supervision support, leadership and professional supervision, in line with Trust Policies.
• Support in the provision of formal and informal training of pre/post registration students, staff members, carers and service users.
• Participate in staff appraisal and performance reviews as identified.
• To participate, when required, in the recruitment, selection and induction of junior/support staff.
• Provide a learning environment to support students (multidisciplinary) undergoing training and assist new and junior members of staff, peers and other disciplines to develop professional competence.
• Lead on the development and delivery of specialist Mental Health education and training to: clients, carers, families staff, students and other relevant organisations.
• Promote mental health education to reduce stigma within the community and support relatives of sufferers of all types of Mental illness.

Systems and equipment

• Maintain timely data collection and regular inputting of information through the use of data collection systems e.g. daily diaries/RIO, Safeguard, ensuring that confidentiality is maintained at all times in accordance with legislation and Trust policy.
• Return accurate Mental Health Minimum Data Set (MHMDS) data to Planning and Information Department as required. Ensure all key targets are met and entered on the computer system as per Trust policy.
• To work in partnership with other service providers to access and provide equipment and opportunities for service users to maximise functioning where possible.
• Responsible for ensuring actions are carried out where safety alerts are issued regarding equipment.

Decisions and judgements

• Undertake specialist assessments of patients with complex mental health, physical health and social problems to ensure appropriate treatment support and management.
• Undertake a comprehensive and specialist nursing mental health assessment resulting in an individualised care plan.
• Facilitate the discharge or transfer of the patient to other services where appropriate.
• Ensure that practice is evidence-based paying particular attention to the Trusts guidelines, policies, protocols and pathways.
• Be available for individual supervision with agreed clinical supervisor in line with Trust policies.
• Implement, review and maintain Trust Policies and Procedures and propose changes to working practices within the ward area.

Communication and relationships

• Communicate sensitive diagnosis and treatment related information with patients, utilising highly developed communication skills to overcome barriers to understanding.
• Establish therapeutic relationships with service users, and implement evidence based therapeutic interventions with appropriate boundaries in accordance with professional code of conduct.
• Ensure that all members of the multi-disciplinary team, their colleagues, service users and appropriate others are informed/updated of changes involving current care plans, progress, mental state and psychosocial factors in line with best practice.
• Liaise with and advise service users and carers, local authority and other statutory bodies and third sector agencies.
• Communicate sensitive information to carers and relatives.
• Use a range of communication styles and channels as appropriate to the task.

General

• Responsible for the promotion of carer and service user involvement within the service and for its provision.
• Responsible for participation in the Trust appraisal process, identifying own/others mandatory professional, supervisory, personal development and training needs and in supporting the provision of induction, mentorship, appraisal and clinical supervision to colleagues as appropriate.
• Responsible for the effective utilisation of clinical/financial resources to ensure adequate clinical care is provided with a requirement that all incidents, which may compromise care, are reported immediately to a senior manager, and clinicians involved in their care as appropriate.
• Responsible for accessing and participating in clinical, managerial and caseload supervision.
• Responsible for understanding and meeting own professional responsibilities under Child Protection legislation and Adult Safeguarding policies.

Physical demands of the job

• The post holder will be expected on a daily basis to implement highly developed physical skills pertinent to the area of specialism, for example, injection administration, manual handling, de-escalation skills and driving.
• Standard keyboard skills required for inputting data onto RiO.

Most challenging/difficult parts of the job

• The nature of the client group is such that the post holder will be required to concentrate when assessing / implementing programmes of care and will need to be able to address interruptions from other patients / staff as necessary.
• The post holder will be frequently exposed to emotional or distressing circumstances.
• The post holder will frequently be exposed to potential incidents of physical and non-physical assault.

Person Specification

Qualifications

Essential

• Registered mental health Nurse/Social Worker or Occupational Therapist
• Post-registration experience, evidence of formal courses and training at diploma/degree level.

Desirable

• Leadership qualification
• Qualification in providing supervision
• Qualification in coaching
• Non - medical Prescriber
• Psychological intervention Qualification including EMDR, CBT, CBTp, Family Interventions, CAT, DBT
• Phlebotomy

Experience

Essential

• Evidence of extensive post registration experience with working with adults experiencing mental health related difficulties
• Experience of working with women experiencing perinatal mental health needs/knowledge of demographic risk factors for this client group.
• Experience of working with people who have difficulty in engaging with services and have complex mental health needs.
• Experience of working in community setting and making decisions autonomously.
• Experience of assessing, planning, co-ordinating and managing people with mental health problems in a community setting.
• Experience of integrating care delivery across multi-disciplinary /multi agency teams
• Experience of leading/contributing to CPA/SAP process.
• Experience of presenting at local/national level.
• Experience and ability to carry out clinical audit.

Skills

Essential

• Knowledge of the Mental Health NICE Guidelines.
• Understanding of the principles of the Care Programme Approach and Community Care Act
• Demonstrate understanding of Equality and Anti-discriminatory practice
• Knowledge of other relevant local and national documents/drivers that affects practice
• Knowledge of the wide range of statutory independent and third sector service provision for adults with mental ill health
• Skills of assessing, planning and evaluating care, for people with mental health related difficulties, utilising the principles of Recovery
• Skilled in the assessment of clinical risk and developing and communicating appropriate risk management plans
• Knowledge and experience of holistic assessment of someone's mental ill health, strengths and needs and appropriate nursing and multi-disciplinary and agency interventions.
• Ability to complete and interpret HONOS
• Ability to integrate the assessment, care planning and the review process for service users/carers in a sensitive manner
• A range of skills and knowledge to deliver evidence based interventions
• Knowledge of the physical health needs and monitoring requirements for people rec
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  301-VS-23-5726438-A