Band 6 Clinical Nurse Specialist

Camden Assertive Outreach Team

The Camden Assertive Outreach Team provides care for service users living with severe mental illness with co-morbid drugs and alcohol complications and who are very difficult to engage thus leading to frequent readmissions to hospital.

Assertive Outreach model works flexibly and creatively using team approach to engage service users in ways and places that are acceptable to them. Staff engages more closely while allowing enough room for autonomy for service users

We are looking for motivated, energetic, ambitious registered nurses who are who are ready to take on this new challenge to work in a creative way to engage mental health service users in an assertive outreach team model. If you are that nurse then look no further.

You will work with a small team of highly skilled multi-disciplinary team professionals in a specialised mental health team to support care delivery to a small team caseload of 80-90 and you will hold a maximum of 16 cases.

You will be someone with the right values and behaviours who can help us deliver our Trust priorities:

• Early and effective intervention -
• Helping people to live well -
• Research and innovation -
• Keeping our service users, carers and staff safe -

Main duties of the job

As a Clinical Specialist Nurse you will be working alongside a multi-disciplined team of therapy staff, psychiatry and psychology and supported by a clinical manager. You will keywork a small caseload and ensure holistic assessment and care delivery through a variety of activities directly. This will include clinical and social care delivery, working in collaboration with Local Authority colleagues. You will be an expert in medications and be able to administer depot injections both on site and in people's homes. You will produce social circumstances reports for Tribunal and managers hearings for patients on section of mental health act and you will take active role in safeguarding processes.

About us

The partnership betweenBarnet, Enfield and Haringey Mental Health NHS Trust (BEH)andCamden and Islington NHS Foundation Trust (C& I)is going from strength to strength since it was originally established in 2021 forming theNorth London Mental Health Partnership.

In order to meet the needs of the new Partnership services you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Enfield and Harringay Trust and Camden and Islington Trust. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

Job description

Job responsibilities

As clinical nurse specialist in Assertive Outreach Team, you will perform duties and hold the following duties and responsibilities but note this list is not exhaustive:

• Work as part of Multidisciplinary Team within the Camden Assertive Outreach Team in the delivery of holistic care for service users
• Collaboratively complete Dialogue + assessment and care planning with service users
• Ensure Dialogue + mandatory 6 months reviews are completed to monitor outcomes
• Hold a caseload of up to 16 service users and manage their care delivery
• Complete thorough risk assessment and formulation for service users on your caseload
• Raise safeguarding concerns and act as enquiry officer for your cases and any delegated cases
• Take on the role of SAM when nominated and attend requisite training
• Ensure all incidents, near miss or actual are reported to your manager and reported through Datix.
• Take on Duty Person responsibilities as assigned and chair daily stand up meetings
• Maintain sufficient contacts with service users face to face, telephone and other media, completing diary appointments and outcoming them promptly
• Make timely and accurate case note entries
• Communicate effectively with MDT both in and outside meetings
• Undertake care act assessments
• Complete Support plans and arrange to attend funding panel in timely manner for service users requiring packages of care and review the same support plan at set dates
• Ensure all eligible service users have s117 care plan agreed and completed at point of discharge and referred to funding panel. S117 should also be reviewed annually following Dialogue + and medical reviews.
• Take lead in supporting physical health needs by assessing and addressing service users physical health needs and get involved in Wellbeing clinic
• Ensure Annual physical health tool is completed for all your caseload
• Work with partner agencies to meet service users needs
• Undertake safeguarding enquiries and act as a SAM
• Undertake MHAs if qualified as an AMHP
• Manage medications for the whole team alongside other nurses and administer depot injections safely, at the centre and in service users homes while monitoring their compliance, efficacy and side effects. Ensure documentation accurately both on the chart and on Rio.
• Ensure stock and individual medications are ordered and stored in timely manner and correctly
• Ensure there is consent or SOAD certificate on all service user medication charts
• Ensure s132 rights for any service users on CTO are presented to them whenever CTO is renewed
• Complete social circumstances report for detained in-patients and community patients on CTO who are on your caseload or when asked to cover.
• Attend Ward Rounds for in-patients and assist in arranging safe and early discharge, ensuring 72 hours follow up is completed.
• Attend Tribunal or Associate Hospital Managers hearing for your service users or when asked to cover for colleagues
• Take lead in infection prevention and control
• Support student nurses and other students by as supervisor and assessor
• Supervise and appraise Assistant Practitioners when assigned.
• May on occasions be asked to deputise on behalf of team manager
• Take on Lead or Champion Roles for specific task or areas of the service
• Attend monthly supervisions and annual appraisal
• Complete all statutory and mandatory trainings in a timely manner
• Identify learning needs and discuss with your supervisor/line manager
• Offer orientation, induction and preceptorship to new staff
• You will be an agile worker able to prioritise and reprioritise to manage demand and flow
• Identify and inform your manager/senior practitioner tasks to be completed if working from home
• To be pro active and take initiative to improve service delivery, using quality improvement methodology
• Use evidence based practice to deliver care (e.g. NICE guidelines, Royal college of psychiatry)
• A good understanding of trauma informed care and its implementation in care and support
• Keep up to date with local and national changes in care delivery and understand how they will impact in care delivery

Person Specification

Education/Qualifications

Essential

• 2 years Post registration experience
• Evidence of further post-registration relevant training /ongoing academic study relevant to area of practice
• Mentorship or recognised teaching and assessing certificate or willingness to undertake

Desirable

• Other advanced training i.e AMHP/NMP/CBT in Psychosis

Knowledge and Experience

Essential

• Demonstrable experience in a senior specialist capacity caring for people with psychosis in a community care or inpatient setting.
• Demonstrate a sound knowledge and understanding of the needs and difficulties of people with complex mental health and/or substance misuse problems and the impact on families.
• Demonstrate a clear understanding of the Mental Health legislation, its application and use in practice.
• Demonstrate an ability to liaise with other agencies, carers and the service user's wider support network

Desirable

• An awareness of research and evidence of its application in the workplace.
• Evidence of collaboration in quality Improvement initiatives

Skills/Abilities

Essential

• Excellent verbal and written communication skills
• Able to work autonomously and to deputise for senior staff in a variety of roles when required to do so
• Competent using computers and keyboards for entering personally generated data, generating and responding to emails, conducting web searches, storing data and retrieving data, producing reports etc.

Desirable

• Demonstrable experience of adaptability to change

Employer details

Employer name

Camden and Islington NHS Foundation Trust

Address

4 Greenland Road

4 Greenland Road

London

NW1 0AS

Any attachments will be accessible after you click to apply.

455-CANDI-940-A