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Psychiatric Liaison Nurse

Employer
Central & North West London NHS Foundation Trust
Location
Harrow
Salary
£40,701 to £48,054 a year pa inc HCAS
Closing date
4 May 2024
We are seeking several dynamic and skilled psychiatric liaison nurses to join our multidisciplinary teams at Northwick Park Hospital. These posts represent an excellent opportunity to work in a rapidly developing mental health team, to develop clinical and interpersonal skills and to make a meaningful contribution to clinical care. The liaison psychiatry team provide psychiatry input to the inpatient wards and emergency department for all patients from age 18 upwards, including older adults.

We work closely with both inpatient medical/surgical specialties and mental health services. The cases we encounter reflect the whole spectrum of psychiatric conditions, from common and severe mental disorders, people with drug and alcohol use disorders, to somatoform disorders, organic behavioural disorders and people who have harmed themselves.

Successful candidates will have the opportunity to work in an assessment driven team with specialists in several disciplines. Supervision is provided on a monthly basis. Training opportunities are available. The successful candidate will be able to take on leadership roles within the service to develop in their chosen areas. Clinicians who have been in post developing their skills over a year or more have recently progressed into higher bands in multiple specialities including primary care, older adult, perinatal, CAMHS and senior management positions. The role will enhance your current skills allowing you to work towards your career goals.

Main duties of the job

You will be a key player of the multidisciplinary team, offering specialist psychiatric advice in the acute hospital setting. The Psychiatric Liaison team also runs the Mental Health Emergency Centre (MHEC) at Northwick Park Mental health Unit supported by a cohort of healthcare assistants, successful candidates will be expected to use their clinical skills in the assessment and management of patients who are going through the MHEC for short periods of ongoing assessment. The successful candidate will be expected to work some rostered shifts in the MHEC as the MHEC RMN.

You will be well supported by an established team which includes three consultant liaison psychiatrists, a clinical team manager, team leaders, psychiatric liaison nurses, an alcohol specialist nurse and an older adult specialist nurse, providing a 24/7 on-site psychiatry service in London Northwest University Healthcare NHS Trust.

The posts are available to start as soon as possible. You must have excellent clinical skills, be able to demonstrate an ability to complete comprehensive mental state examinations, thoroughly assess risk, formulate safe and effective risk management plans and document this clearly and concisely. You must have a warm and friendly disposition and have very good communication and interpersonal skills. You must also be confident and motivated, flexible and be able to show initiative in an environment which can be demanding and stressful.

About us

There's a place for you at CNWLWe're passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient's own home. Patients are at the heart of everything we do.Providing top quality care depends on our ability to employ the best people.We're always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we're hoping to find our future leaders and we'll support our staff by providing opportunities to develop your career.With a diverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more - whatever stage of your career you're at, there's always a place for you at CNWL.

Prospective applicants are encouraged to contact us to find out more about the post or arrange a visit.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Job description

Job responsibilities

The liaison psychiatry team at Northwick Park operates a 24-hour service and successful applicants will be expected to work on rotating shift patterns (day and nights shifts) for A& E or 37.5 hours a week for medical wards doing either 9-5 or 8-6 shifts Mon - Sun.
  • Provide assessment of health needs of all patients over the age 18, including those who self-harm, have learning disabilities, have substance misuse issues, have perinatal mental health issues or have mental health difficulties commonly associated with old age, including dementia.
  • To provide clinical assessment and skilled management of patients in the Mental Health Emergency Centre to facilitate short periods of ongoing assessment and discharge planning
  • Provide support and information for significant others involved in patient care, or referral to appropriate agencies.
  • Work alongside members of the Trusts Psychological team and attend meetings and ward rounds. Feedback information regarding patients as required.
  • Liaise with other disciplines working within the community to offer input, education and support regarding patient care. Give information/support to those who call the service regarding mental health issues and documenting as required.
  • Maintain confidential up to date records and provide letters, reports, statistical and audit information as required, always adhering to NMC (Nursing and Midwifery Council) guidelines.
  • To be the first line of contact for section 136 (MHA 1983) patients. Arranging for the Approved Mental Health Practitioner and section 12 approved doctor to attend A& E. Assessing patient with the duty doctor as part of the section 136 assessment process.
  • To provide practical advice, support, guidance and information to newly rostered SHOs.
  • To provide support and advice to patients, GPs and others regarding prescribed medication, treatment, and referrals to other agencies.
  • The post holder will be able to work flexible and work unsocial hours as necessary to provide assessment and support for service users.
  • To provide psychiatric liaison service to service users admitted to medical wards
  • To provide support and guidance to new members of the team, as well as students.
  • To provide clinical assessment and review of patients transferred to the MHEC.
  • To manage the day to day running of the MHEC on certain shifts including medication administration, review of complex cases and liaising with outside services to facilitate safe discharge plans.


  • Person Specification

    Training/Qualifications

    Essential

    • RMN on live register.
    • Educated to diploma level or equivalent in Psychiatric Nursing, Psychotherapy, Counselling or a related discipline
    • Experience of supporting students and Ability to teach and assess learners.
    • Evidence of an active interest in further professional development.


    Desirable

    • Other courses relevant to liaison psychiatry
    • Qualified as RGN
    • Educated to degree level.


    Previous Experience

    Essential

    • Experience (as a qualified nurse) in any combination of the following Liaison Psychiatric Nurse, acute psychiatric setting, working within a CMHT, Older adults, Home treatment teams.
    • Experience of Risk assessment/management.
    • Knowledge of counselling skills/cognitive behavioural skills/psychosocial
    • Experience interpreting research and applying it to practice.


    Desirable

    • Other relevant post registration experience.
    • ENB 870 (Understanding Research).
    • ENB 934 Care and management of persons with HIV/AIDS.
    • Substance Misuse
    • Quality Improvement


    Knowledge & Skills

    Essential

    • A comprehensive understanding of the Mental Health Act (1983)
    • A comprehensive understanding of the Mental Capacity Act and its principles
    • Able to undertake biopsychosocial assessments of all patients over the age 18 years + over in the hospital, including those who self-harm, have learning disabilities, have substance misuse issues, have perinatal mental health difficulties or have mental health difficulties commonly associated with old age, including dementia.
    • Specialist knowledge of mental health problems and their relationship to physical disorders
    • Ability to engage challenging and/or acutely distressed patients in potentially hostile and/or antagonistic situations and use de-escalation techniques effectively.
    • Sufficient clinical knowledge to be able to make autonomous decisions, based on an analysis of complex presenting problems and judgement about available options.
    • Ability to work in a stressful environment and prioritise workload and work as part of a team
    • Flexibility in one's working practice and willingness to work unsociable hours (including shift work and nights).
    • A comprehensive understanding of the risk assessment process (including deliberate self-harm).
    • Able to build constructive effective working relationships using warmth and empathy.
    • Ability to communicate clearly and effectively (written and oral).
    • Ability to carry out mental health assessments.
    • Ability to reflect on and evaluate one's own practice.
    • High self-motivation.
    • Flexibility in one's working practice and willingness to work unsociable hours (including nights).
    • Awareness of one's limitations
    • Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach that considers the needs of the whole person
    • Ability to teach and assess learners.


    Desirable

    • Efficient with all commonly used Microsoft Applications. Experience using different clinical systems
    • Experience in DBT, Motivational interviewing, Trauma informed approaches or other psychological methods related to patients in Crisis.
    • C& G 7.730 Teaching Cert (Adults).
    • Experience using different clinical systems


    Employer details

    Employer name

    Central and North West London NHS Foundation Trust

    Address

    Northwick Park

    Watford Road

    Harrow

    HA1 3UJ

    Any attachments will be accessible after you click to apply.

    333-J-HA-0578

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