A rare opportunity has arisen within the Primary Care Network Team. The successful candidate will be responsible in delivering a high level of care for patients within one of the ten Primary Care Networks working to a Neighbourhood model.
Main duties of the job
You will contribute to the development of new ways of working as a key part of the integrated care network in local neighbourhoods and the development of the six NE Essex neighbourhoods.
This post will involve working with other agencies to support the development of resilient communities and the management of good mental health in line with NE Essex Alliance objectives and domains and the EPUT community transformation.
This post holder will be integral to the roll out of service transformation within secondary mental health working with the clinical manager and team manager to implement needs led care and interventions and in turn promoting an integrated care approach with community health and social care providers within primary care and community neighbourhoods.
The post holder will work with the wider health and social care economy including non-statutory and statutory organisations in the creation of integrated care plans to support people in their communities.
This post requires the delivery of direct patient care and management functions that compliments the current secondary mental health community management structure.
About us NHS CONSTITUTION
You are responsible for ensuring that the values outlined in the NHS Constitution are adhered to daily and any matters of concern are raised with the relevant Line Manager or through the necessary processes within the Trust.
You are responsible for delivering a compassionate, dignified and respectful service to patients at all times. DUTY OF CANDOUR
You must adhere to the principles of openness, transparency and the statutory duty of candour in your day to day work and conduct and encourage the same behaviours within the wider organisation.
Job description Job responsibilities
- Contribute fully to the integrated care agenda within the primary care networks.
- Engage in a systematic case discussion process with all community treatment clinical staff.
- Establish anticipated discharge/transfer of care dates are set at the earliest opportunity.
- Review progress towards discharge/transfer during case supervision
- Support staff with complex cases, facilitating MDT meetings, CPA and other forums as required.
- Monitor progress towards discharge/ transfer during case discussion. Working in collaboration with the Team Manager to support staff development and identify any learning or performance issues.
- Oversee management and care of patients with highly complex needs.
- Produce accurate and timely documentation, conduct and manage the maintenance of accurate and timely documentation / records on all service users in line with your Professional Code of Conduct and Trust policy and the contractual requirements
- Conduct and supervise assessment and observation to ensure appropriate and timely feedback to the team
- Conduct, supervise and oversee risk assessments of the individual highly complex cases and the potential hazards in the service users environment
- Provide professional clinical leadership at multi-disciplinary meetings i.e. referral / review / business, professional or safeguarding meetings
- Report and document incidents as required and act upon findings as appropriate
- Assess and review care and support and supervise lower banded staff in this process
- Provide education and training packages to support and develop patients understanding of mental illness.
- To develop and deliver mental health training packages for all staff within the PCN/Neighbourhood hub.
- Provide practical support, guidance and education for services users, carers and other professionals as required
- Undertake, supervise and sign off specialist assessments such as DST, NNA in line with professional frameworks to ensure the smooth flow of community cases.
- Provide specialist assessment and intervention commensurate with skills and training with colleagues where required
- Be competent in use of relevant screening and assessment tools, supervise and train lower banded staff in their use
- Lead and actively take part in comprehensive assessment, care planning, treatment and review of care
- Lead and participate in formulation, delivery and review of individualised evidence based care / care packages according to NICE guidance including non-medication strategies
- Lead in the continuing development of a high quality service clinically underpinned by evidence based practice, care pathways, NICE and DH Guidance
- Identify, assess and manage clinical and non-clinical risks / hazards in your area through the completion of the relevant risk assessments and the implementation of risk treatment plans for inclusion in the local and Trusts risk registers
- Contribute to the local team and neighbourhood emergency plan
- Understand the eligibility criteria and assessment process for Self-Directed Support (SDS) to meet service user needs
- Review SDS services in a robust and efficient manner, pro-actively promoting the approach of SDS
- Understand and utilise Health and Social Care commissioned services, demonstrating an empathetic approach of Fairer Access to Care Services
Person Specification Qualifications Essential
- Professional qualification in mental health or equivalent.
- Nurses Only - current nurse prescriber or willingness to work towards this qualification
Work Experience Essential
- Varied clinical experience in a range of Mental Health Services (or other relevant health/social care settings)
- Responding and resolving complaints at local level
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