Lead Nurse for Reducing Restrictive Practice

South London & Maudsley NHS Foundation Trust
£54,223 to £60,316 a year pa inc HCAS
Closing date
26 Jun 2022

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Band 8A
Contract Type
Full Time
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An exciting opportunity has arisen to take up the new trust wide position of Lead Nurse in Reducing Restrictive Practice. You will join the Nursing and Quality Directorate and work closely with the Nurse Consultant for Restrictive Practice to deliver on a core part of the patient safety strategy for the trust: reducing restrictive practices such as restraint, seclusion and blanket restrictions.

This is an ideal post for some who is looking for a varied and challenging role that requires a unique combination of knowledge and skills to deliver on what the role sets out to achieve. You will employ nursing expertise, clinical leadership skills, knowledge of improvement methodology and research skills in working directly with clinical teams.

We are looking for a nurse who is driven to make change in this important area of practice. Someone who is able to engage and work with the complexity of the challenge and diverse range of stakeholders including, staff, service users, family/carers and members of the wider community the Trust serves.

Successful candidates will have a strong clinical foundation, recognised clinical leadership proficiency, a proven ability in undertaking complex practice improvement initiatives, including the use of data and an ability to work across the whole trust system from floor to board and with the full range of professionals, service users, family/ carers and the wider community.

Main duties of the job

  • To advise on clinical practice development, and the implementation of practice development initiatives across in-patient services relating to restrictive practices.
  • To lead on specific projects related to reducing restrictive practices.
  • To work directly with service users and their carers.
  • To work directly with multi-professional care teams, offering expert advice for service users.
  • To support the Nurse Consultant co-ordinate the Trust Restrictive Practices Committee.

About us

Our Trust headquarters is located at Denmark Hill less than 5 minutes from the train station (zone 2). We also provide services and operate across other locations, such as London boroughs of Croydon, Lambeth, Lewisham and Southwark; and substance misuse services for residents of Bexley, Lambeth, Greenwich and Wandsworth.

Some of our benefits are highlighted here:
  • Generous pay, pensions and leave, we offer a comprehensive pay, pensions and leave package which is dependent on the role and length of service.
  • Work life balance, flexible working and supporting a range of flexible options, such as: part-time working and job sharing.
  • Career development, There are plenty of opportunities to progress your career and we support your development through a number of programmes such as mentoring, coaching, positive people management, collective leadership and other talent programmes
  • Car lease, our staff benefit from competitive deals to lease cars
  • Accommodation, our staff benefit from keyworker housing which is available on selected sites
  • NHS discounts, with discounts up to 10% from a variety of well-known retail brands through Health Service Discounts website.

Other benefits include:
  • Counselling services
  • Wellbeing events
  • Long service awards
  • Season ticket loan
  • Staff restaurants

Job description Job responsibilities

  • 50% of the Lead Nurse time will be committed to working with service users and carers, providing expert nursing intervention and advice.
  • To act as a role model demonstrating professional skill, knowledge and competency.
  • To work directly with multi-professional teams to assist in the management of risk, complex case reviews and the immediate crisis management.
  • To develop the range and diversity of therapeutic interventions available to reduce restrictive practice ensuring appropriate changes take place and to lead the change process to enhance service user care.
  • Provide clinical supervision and mentoring for staff through formal clinical supervision, supervised clinical practice, case conferences and skills modelling.
  • To empower service users and carers to influence the quality and direction of service development with effective engagement and support.
  • Establish and maintain standards, guidelines and protocols that reduce restrictive practices and enhance service user safety and promote implementation across in-patient services.
  • To support and promote ethical decision-making.
  • To establish and develop proactive and positive relationships with professional leads across all in-patient services.
  • Use the clinical governance framework and resources to guide practice.
  • To assess, monitor and report clinical risk related to restrictive practices.
  • Provide support to multi-professional staff, service users and carers through critical incidents.
  • Participate in supervision and reflection of own clinical practice.
  • To develop and implement best practice in the area of post incident review and de-brief.

  • Focus on skills development such as, clinical risk, medication management, the use of psychosocial interventions, the prevention and management of challenging and aggressive behaviour, development of person centred care, recovery and personalisation.
  • To work with Clinical Service Leads and Matrons in supporting clinical and social care staff in the development of their clinical and practice skills.
  • To contribute to the Trust wide development and delivery of in-house training and development programmes, conferences and workshops relating to the reduction of restrictive practices.

  • To lead practice development initiatives across in-patient service to develop direct care and connect practice development to the wider systems of care and policy drivers.
  • To support clinical services to enhance the safety and wellbeing of service users who have restrictive interventions applied, including physical health monitoring.
  • Lead and co-ordinate the audit of practice development initiatives related to restrictive practices, escalating areas of concern and developing plans to address areas of deficit.
  • Disseminating national policy to the Trust through Trust wide forums.
  • Act as a resource and facilitator for dissemination on expert practice.
  • Compile reports of activity on a regular basis.
  • Support the ongoing delivery and implementation of the Trust strategy.

  • Obtain appropriate supervision monthly and peer support for clinical practice.
  • To fully participate in the Trusts performance review and personal development planning process on an annual basis.
  • Adhere to Nursing and Midwifery Code, the scope of professional practice and other associated guidance.
  • Undertake training, attend conferences and study days in line with the development of the post, and as agreed with line manager.
  • Maintain an individual professional portfolio of practice at an advanced level, ensuring at least 50% of workload remains directly related to clinical care and practice development.
  • To undertake any other duties at the request of the Chief Nurse which are commensurate with the role, including project work, internal job rotation and absence cover.


Service Users and CarersSenior Nurses and Nurse ConsultantsDeputy Chief NursesChief NurseService Director and Deputy Service DirectorClinical DirectorQuality LeadProfessional leadsEducation and Development department

Person Specification Qualifications Essential
  • Registered Mental Health Nurse
  • Evidence of Masters Level education or equivalent experience
Experience Essential
  • Substantial evidence of recent, relevant clinical practice
  • Evidence of implementing innovative practice
  • Evidence of inter-professional collaboration
Knowledge skills and competencies Essential
  • Able to demonstrate expert advice within the field of Mental Health and restrictive practices
  • Evidence of ability to drive change forwards through excellence and innovation
Personal Qualities Essential
  • Able to communicate highly complex, sensitive or contentious information
  • Ability and experience to deal professionally with people under severe strain or distress, including people who use services, carers and members of the general public

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