As a highly specialised nurse practitioner, the post holder will demonstrate their capabilities in line with the multi-professional framework for advanced clinical practice as well as supporting the consultant nurse on the strategic, operational, and clinical direction for the development of nursing practice within Bexley Children and Adolescent Mental Health Services. The post holder will support the development of extending boundaries and in collaboration with the nurse consultant take a lead on creating frameworks for the enhancement of nursing within Bexley CAMHS, developing and maintaining links with the wider nursing CYP workforce in order to improve physical and mental health outcomes for all CYPs.

The post holder will work clinically within the Blossom Team, providing highly specialised clinical support to colleagues and vulnerable young people accessing mental health services across Bexley.

Main duties of the job

• Highly specialised clinical practice within the service, 75% of this time dedicated to providing clinical and consultancy support related to the Blossom Team. The remaining 25% of the time allocated to clinical supervision and the development of the nursing profession within Bexley CAMHS through professional leadership.
• To work in partnership with the consultant nurse and Team manager for CAMHS to continually develop excellence in CAMHS nurses and nursing practice in line with National recommendations & targets, Oxleas Trust Nursing Strategy & CYP clinical governance.
• Facilitating education, training and development of internal staff and a range of external agencies, statutory and non-statutory in management and treatment of children and young people accessing crisis services.
• Support the development of research into various aspects of service provision and service evaluation.
• A key member of the senior clinical and management team within Bexley, representing the nursing discipline in both managerial and clinical decision making (participatingin key senior tasks) and a key member of the Blossom seniors.
• To actively develop key relationships internal and external to the service.
• To promote nurse led research and audit, ensuring this is in line with service requirements.To promote publication in professional nursing publications.
• To support psychiatric colleagues within the CAMHS pathway in medication reviews

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. 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 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.

We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, 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
• We Listen
• We Care

Job description

Job responsibilities

Safeguarding:

• To support the implementation of the safeguarding children policy and ensuring excellent safeguarding practice within the service area of CAMHS and work closely with the Safeguarding Lead.
• To ensure CAMHS clinicians within their service access safeguarding consultation, 2- 3 sessions yearly.
• To ensure all teams are compliant with safeguarding quality metrics.
• To offer safeguarding supervision to CAMHS clinicians within their service (CP, CIN, LAC).
• To ensure that service management teams are clear on all safeguarding monitoring/ recording and requirements and to create adequate systems to mitigate any risks in processes of compliance.

Clinical:

• Contribute and actively support on the systemic development and delivery of the highest quality specialist assessment and intervention services within Blossom Team in conjunction with the Consultant Psychiatrist, Consultant Psychologist and Team Manager.
• Demonstrate critical understanding of the broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incomplete information.
• To manage a clinical caseload as CCO/ nurse prescriber, with complex and severe mental health difficulties and LDND, delivering highly specialised, evidenced based interventions and evaluation of care provided.
• Lead best practice by the development of treatment and care plans based on working in partnership with individuals, families and carers using a range of comprehensive assessment and treatment methods to respond directly to referrals for non-medical consultant opinion or specialist assessment, providing specialist advice and opinion to fellow professionals, partner agencies and voluntary services.
• Undertake specialist interventions for a range of service users referred to the service
• Make complex decisions acting on professional judgement about when to seek help, demonstrating own critical reflection on own practice, self- awareness, emotional intelligence, and openness to change in challenging circumstance in the absence of clear boundaries.
• Work as an autonomous practitioner taking key responsibility and accountability for effective care delivery, being responsible and accountable for decision making, actions and omissions.
• Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnosis which are in the interest of service users and their family in the absence of precedents and protocols.
• Provide clear direction and leadership for practitioners with regard to legal, ethical and moral dimensions of care.
• Demonstrate the ability to take therapeutic risks in the interest of improved service user care, advocating the development of delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies and networks.
• To contribute to overall service delivery and development as required.

Teaching, training, and supervision

• To actively support the nurse consultant and team manager in ensuring changes take place and support the change processes that will ultimately develop professional practice and enhance service-user care specifically within Oxleas CAMHS Bexley.
• Take a lead role in the demonstrable measurement of the clinical effectiveness of any change process within Bexley CAMHS.
• Critically assess and address own and supervisees learning needs.
• Advocate for and contribute to a culture of organizational learning to inspire future and existing staff.
• Support Bexley CAMHS to build capacity and capability through work based and interprofessional learning, and the application of learning to practice.
• Act as a role model, educator, supervisor, coach, and mentor, seeking to instill and develop the confidence of nursing students and other students.
• To be the lead person for organizing nursing student education at Bexley CAMHS.
• To actively contribute to the development of directorate wide and lead on local service specific development, implementation, and evaluation of training/ preceptorship programmes for nursing staff, including trainees, and to make recommendations for further development.
• To participate in formal and informal delivery of education and training for nursing and other staff as required.
• Contribute to the develop and implement in local service area robust models of nursing care, and redefine nursing roles and develop practice skills within this area.
• To provide supervision and support to nursing staff within Oxleas CAMHS and to maintain robust clinical and professional supervision structures.
• Provide expert advice/consultation and support to a range of stakeholders working across agencies, disciplines and organisational boundaries at local, regional and national levels.
• To ensure active participation in gathering, synthesizing and disseminating clinical information obtained from national and international sources into clinical practice alongside the consultant nurse.
• To provide clinical placements for nursing students in line with the CYP Directorate offer.
• To co-ordinate and directly provide where needed the CAMHS nursing offer for Greenwich University nursing students.
• To develop skills in the area of professional undergraduate teaching, training and supervision and to provide supervision to other MDT staffs psychological work, as appropriate.
• To maintain own professional development through supervision, appropriate training and participationin other development opportunities as agreed with service and professional management.

Management responsibilities

• Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence within colleagues.
• Proactively initiate and develop effective relationships, fostering clarity of roles within teams, to encourage productive working.
• Demonstrate receptiveness to challenge and preparedness to constructively challenge others escalating concerns that affect individuals, families, carers, communities and colleagues safety and wellbeing where necessary.
• To be involved, as appropriate, in the shortlisting and interviewing nurses and other CAMHS clinicians.
• To take the lead on ensuring nursing competencies across the local service area are up to date and recorded for the Directorate reporting directly to the nurse consultant for assurance.
• Contributes to the development of clearly articulated strategic objectives for nursing within Oxleas CAMHS relating to service development and an annual action plan designed to meet these goals that clearly dovetail with the strategic objectives of the directorate
• Work autonomously within professional guidelines and exercise responsibility for systematic governance of clinical practice, ensuring systems are in place and working effectively for the clinical and professional supervision and support of other nurses within Oxleas CAMHS. This will include professional appraisal and the identification of CPD needs within the discipline area of responsibility in line with directorate and trust policies and priorities.
• Lead and actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements. Developing clinical audit and effectiveness for nursing practice within Bexley CAMHS, utilising research knowledge and skills to monitor the effectiveness of current practices to provide informed judgements about their quality and appropriateness.

Research and evaluation

• To initiate and/or oversee nurse led research and audit ensuring this is in line with CYP directorate requirements.
• Critically engagein research activity, adhering to good research practice guidance, so that evidenced based strategies are developed and applied to enhance quality, safety, productivity and value for money.
• Critically appraise and synthesise the outcome of relevant research, evaluation and audits using the results to underpin own practice and to inform that of others.
• To promote the development of research skills within CAMHS nurses based in local area of responsibility and provide supervision in this area as required.
• Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressedin a safe and pragmatic way.
• To keep abreast of national and international research findings, and to promote the dissemination and application of these within CAMHS.
• Actively identify potential need for further research to strengthen evidence for best practice.
• Disseminate practice research findings and quality improvement projects through appropriate channels
• To develop and maintain academic links with local Higher Education institutes to promote research opportunities within CAMHS.
• Commitment to contribute to publishing research and audit projects in nursing journals.

Person Specification

Qualifications

Essential

• NMC registration
• Excellent working knowledge of mental health presentations in children - Non-medical nurse prescriber (V300)
• Extensive experience of working within areas relevant to designated team.
• Postgraduate qualification at Masters Level (level 7 (postgraduate diploma or master's degree)) or equivalent experience.
• Knowledge of a range of NHS, other statutory agencies and voluntary sector providers
• Demonstrable use of evidenced based research in clinical work.

Desirable

• Evidence of experience in therapeutic interventions relevant to specialty, i.e., nurse Prescribing, CBT, DBT, PSI, EFT, NLP and Family Interventions, Group work

Experience

Essential

• Extensive experience of working within areas relevant to designated team and experience of working therapeutically with children and young people.
• Experience of research and development into pr
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