Learning and Disability Nurse (RMN/RMN/LD), Band 6
Our Kent Prisons healthcare services are underpinned using our 'health and wellbeing' model. It has evolved over the past 5 years, where it was originally implemented at the Greenwich cluster. First at HMP Belmarsh in 2017 which was a first for NHSE (London Region) and a model which other services built on, for us followed by HMP Isis 2018 and HMP Wandsworth 2019.
There are core principles, however, how these are achieved are bespoke to the local healthcare and prison team during the model implementation:
- Patient focused with health promotion at the heart of our care
- Designing services which meet the unique needs of the prison
- The right staff, right place, right time ensuring experienced professionals are on hand to lead and support patients when needed
- A no exclusions model that ensures everyone with mental health needs is managed within the step care model
- Being highly supportive of clinical and prison staff with training, support enabling the team to work smarter and as part of an effective multi-disciplinary team
The 6 prisons are located across 3 estates, Isle of Sheppey, Rochester & Maidstone, with the Sheppey prisons being with a few minutes' walk from each other and East Sutton Park approximately 7 miles from Maidstone.
Main duties of the job
Provide visible, high calibre nursing care and support to the Kent prisons healthcare teams within a multi-disciplinary framework for adults with learning disabilities and/or additional complex needs and/or learning difficulties.
The post holder will join an established nursing team and contribute to the development of good clinical practice promoting the clinical and professional development of staff to ensure they provide holistic and evidence-based care. The post holder will also provide deputy management duties within this unit and participate in the overall development of the Service.
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 across the London Boroughs of Bexley, Bromley Greenwich and into Kent and manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital in Woolwich as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are one of the largest providers of prison health services providing healthcare to prisoners across 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
Participate in the assessment and preparation of service users for the first intake and support other nurses to undertake this task.
Promote and develop communication systems which enable staff to work in a person centred way with service users.
Ensure the provision of contemporary evidence based challenging behaviour services
Actively participate in the adoption of a person-centred holistic approach to service users assessment and care planning using contemporary models of care. To involve service users with mild/moderate learning disabilities in these processes.
Demonstrate evidence based guidance on person centred/holistic assessment, care planning, intervention and evaluation for adults with severe challenging behaviour,
Ensure the principles of Valuing People and Transforming Care are embedded in practice.
Ensuring Safeguarding Vulnerable Adults policy is understood and adhered to and that issues are reported appropriately.
Demonstrate understanding the importance of developments/contemporary practice issues in relation to challenging behaviour and people learning disabilities.
Demonstrate understanding and the importance of risk assessment and management of risk with particular reference to people with mild to severe learning disabilities and challenging behaviour.
Actively involved in clinical supervision and staff support group facilitation around challenging behaviour practice and interventions.
Undertake direct specialist assessment/therapeutic work with individuals or groups, in liaison with the MDT and encourage others to do so.
Lead in co-ordinating and/or take part in the education of a range of specialist training initiatives about challenging behaviour and people with mild to moderate learning disabilities
Contribute to Clinical Governance and lead on specific projects.
Work to enhance the standards of nursing practice across the Service.
Participate in local audit and trust wide audits.
Work closely with Kent prisons MDT, other Oxleas Services and internal/external colleagues to enhance service
Promote equality and diversity initiatives
Develop and maintain effective relationships with key partners, within the forensic and prisons directorate, Local Authority, local Universities, The Home Office, Police, the voluntary sector, and non-statutory agencies.
Provide cover for the clinical charge nurses as required
The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.
The post holder will be required to undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations.
The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions, health promotion/prevention activity, and management of acute and long-term conditions using our stepped care approach.
The post holder will ensure that a single, integrated, care plans developed, and the individualised care is regularly reviewed.
The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.
The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.
The post holder will ensure that they undertake all training in evidence-based CBT approaches, to enhance consistency and quality of care delivery
The post holder will support patients to manage their health at every stage, from oral health to long term conditions.
The post holder will ensure that health promotion embedded into every aspect of the service.
Person Specification Education/Qualifications Essential
- oDegree level qualification or equivalent
- oDemonstrate other relevant forms of professional development
- oTwo years post registration experience working with people with a learning disability.
- oIs a driver holding full driving licence as expectation this post the person would travel various sites
- oExperience of working in a multidisciplinary/multi agency team.
- oExperience of supervising staff.
- oExperience of delivering training.
- oExperience of prison nursing
- oExperience and knowledge at providing assessment, formulating plan and delivering intervention
- oGood interpersonal skills - able to get on with people and communicate well under pressure.
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