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Clinical Nurse Specialist - IROC

Birmingham Women's and Children's NHS Foundation Trust
£43,742 to £50,056 Per Annum
Closing date
23 Jul 2024

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Band 7
Full Time
Intensive Residential Outreach Care (IROC) is a new and unique approach to those young people in care with the most complex psychological needs. These young people have experienced disrupted early lives, adversity, and trauma, leaving them with complex psychological difficulties, unresolved emotions and significant difficulties in addressing the challenges they face day-today. These difficulties often take the form of hurting themselves and/or hurting others, struggling to make the relationships that are needed to rebuild their lives. They enter a cycle of placement breakdowns, increased their emotional distress, triggering destructive ways of coping, leading to further ruptures in their relationships and so on. The post holder will be responsible for triangulating the quality of the service standards, patient experience and compassionate care, patient safety risk and reporting quality assurance through the Head of Nursing portfolio.

Main duties of the job

Support the clinical needs for the IROC team for young people in care with complex needs. This team sits alongside CAMHS, and is formed by a combination of specialist nursing, Occupational Therapies and Psychology.

Work with Social care managers across the region to review and monitor the demand and capacity of the service.

Act as a recovery model of care encourage colleagues to seek to maintain the highest standards of person-centred care, professionalism, and confidentiality.

Use their initiative and take responsibility for themselves and the quality of their work within the service they are helping to provide to our young people.

Provide clinical leadership within the IROC Team (case management, group work, psychoeducation, evaluation etc.).

Behave consistently with the values and beliefs of the wider Trust and promote these on a day-to-day basis within the team.

Provide a high quality and community-based service to the children and young adults within multi-disciplinary team.

About us

Birmingham Women's and Children's NHS Foundation Trust is the first of its type in the UK. Our Trust was formed in February 2017 to drive forward our commitment to provide the highest quality, world-class physical and mental health care for our women, children and families. Uniting our hospitals means more seamless care more investment to make greater advances in our specialist treatment and world-leading neo-natal and fetal work. Importantly, it also gives us a greater voice in shaping the future of family-centred care.

Birmingham Children's Hospital is a UK leading specialist paediatric centre with an international reputation in several areas.

Birmingham Women's Hospital is one of two dedicated women's hospitals in the UK, with the busiest single site maternity unit, delivering more than 8,200 babies a year offering a full range of gynaecological, maternity and neonatal care.

Forward Thinking Birmingham (FTB) Mental Health Services are a unique, innovative community and inpatient mental health partnership. Alongside partners FTB offers care pathways of mental health assessment and treatment for young people aged 0-25 years old.

Our Trust is committed to creating the best place to work. We believe in promoting and enhancing inclusion, diversity and equality and encourage applications from all areas of the community, who meet the criteria for the role, regardless of age, gender identity, disability, race, religion or sexual orientation.

Job description

Job responsibilities

Engagement with social care networks to make clinical recommendations, formulations and judgements surrounding risk.

To act as systems coach within networks where mental health professionals maybe absent or unclear

Provide alternative advice to traditional medical and psychiatric interventions in order to stabilize risk symptoms.

To contribute to the KPI and Clinical outcomes relating to children and young people within the Intensive Residential Outreach care team.

The Clinical nurse Specialist will provide advice and support to other professions and colleagues on the complex needs of children referred through the IROC service.

The CNS will provide leadership and clinical expertise to the team, enabling the team to deliver a comprehensive mental health service and improve outcomes to young people through the IROC service.

The CNS will support the development of pathways to reduce the risk of placement breakdown, tier 4 admissions and support safe discharge plans as a step down from tier 4.

The CNS will also ensure training and evidence-based guidances provided to the wider mental health teams to deliver enhanced interventions and support. The overarching goal of the service is to reduce the frequency of placement breakdown and improving knowledge and understanding within the social care and CAMHS networks around these young people.

To jointly undertake a range of structured Risk assessment, formulation, psycho education stabilization, trauma confrontation and post traumatic growth in line with young persons wishes.

To undertake a variety of interventions including solo and team-based practice, consultation formulation, face to face and remote working, psychoeducation, bespoke training general training, care planning safety planning and risk management of children in care.


Clinically specific responsibilities:

Sets and maintains high standards of quality clinical advice and support throughout the service and ensures that the values and principles of recovery remain an integral part of the care and support provided.

It is key that this remains the subject of regular evaluation which, wherever practicable is formulated in conjunction with the young person and/or their family.

Provides clinical / caseload management supervision to other team members.

Provides specialist interventions for referred people within a therapeutic framework both as an individual and with their family. Also focuses on providing advice and support for other professionals as required.

Acts as the identifiable key worker/ Systems coach for a complex caseload.

Prepares assessments, reports, and summaries, in accordance with local policies and at the request of the system.

Operates in any appropriate setting including hospital, primary care facilities, residential homes, schools, and units/colleges as well as within the home.

Provides a range of services and approaches as part of the role i.e. consultation, specialist advice and clinical supervision.

Promotes clear knowledge of mental health within young people and members of the public, both formally and informally.

Participates in regular clinical and safeguarding supervision sessions with an appropriate supervisor and gives clinical supervision.

Develops and/or takes a lead within their specialist area.


Line-manage the staff in the team.

Undertake Staff Development Reviews as required and assists in identifying training and development needs with other staff.

Proactively manages sickness and absence within the team.

Proactively manages the capability of the team and any disciplinary issues within team.

Contributes to the recruitment and selection of staff for the team and participates in inductions and orientation programmes.

Participates in Staff Development Reviews and takes responsibility for identifying ones own training and development needs.

Person Specification



  • Relevant Professional Qualification in Nursing and NMC registration (RMN, RLDN, RSCN)
  • Willing to undertake relevant Specialist experience or qualification in trauma informed therapeutic approaches


  • Non-medical prescriber qualification
  • Relevant Specialist experience or qualification in therapeutic model/Leadership

Knowledge and Experience


  • Extensive experience working within mental health services with Children and Young People
  • Experienced in the implementation of therapeutic interventions with children and young adults
  • Experience of Delivering teaching / training to staff on working with Children and Young People with psychological needs
  • Experience of providing consultation to professionals working with children and young people.
  • Extensive experience of working with children and young people who are neuro diverse.
  • Liaison with inpatient settings.
  • Experience of supervising other staff.
  • Knowledge, skills and experience of multi-agency working.
  • Experience of working within complex organisations/systems.
  • Understanding of Recovery Philosophy
  • Working knowledge of mental health care systems.
  • Extensive experience of working with Children and young people with LD and ASD diagnosis
  • Experience of Management and Clinical Leadership within services with children and young people.
  • Working in a multi-disciplinary team and leading teams through change.
  • Knowledge of how to undertake complex assessments with young people in care
  • A good knowledge of own professional guidelines
  • Good knowledge of complex trauma and trauma informed care.
  • Understanding of a range of communication styles when working with children, young people, young adults and families in distress.
  • Working knowledge of the Mental Health Act
  • Knowledge of therapeutic parenting and children's residential models of care.
  • Knowledge surrounding the understanding of children in care and their relationship with mental health
  • Knowledge of therapeutic boundaries with this population

Analytical and Judgement skills


  • Able to undertake risk assessments within the service

Professional/Managerial/Specialist Knowledge


  • Experience of Management and Clinical Leadership within services with children and young people

Personal skills/abilities and attributes


  • Able to undertake risk assessments within the service
  • Able to run groups with this client group
  • Able to demonstrate leadership skills
  • Ability to work within teams and make team working effective for all
  • Reliable and organised
  • Dynamic and creative within skill set

Employer details

Employer name

Birmingham Women's and Children's NHS Foundation Trust


Printing House Street

Printing House Street


B4 6DF

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