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CAMHS Urgent Care Lead

South London & Maudsley NHS Foundation Trust
£54,223 to £60,316 a year per annum inclusive of HCAs
Closing date
15 Aug 2022

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CBT Therapist / Other
Child & Adolescent / CAMHS
Band 8A
Contract Type
Full Time
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The post holder will manage the development and delivery of a portfolio of change and improvement projects, with particularly focus on the CAMHS Urgent and Emergency Care pathway, in order to deliver sustainable services and cost improvement programmes. This will include both operational improvement initiatives, and input into the Trust's overall Right Care programme, as well as the Trust's wider crisis improvement strategy. The post holder will also act a single point of escalation and provide clinical and operational leadership for CYP identified as at risk of a complex discharge from the Emergency Department, requiring frequent communication with SLaM CAMHS senior leadership and SLaM executive leadership, as well as system partners from social care and acute trusts.

Experience of service management and the delivery of CAMHS Urgent and Emergency Care mental health services, as well as the organisation, planning and delivery of change and improvement, are essential to this role. The post holder will also need strong engagement skills to ensure positive commitment from colleagues across the CAMHS directorate and wider trust, and excellent structure and energy to support achieving the required improvement in a timely and measurable way. Project Management skills will be required as well as a good understanding of cost improvement programmes and achieving financial improvement.

Main duties of the job

  • Embedding sustainable changes in operational and clinical pathways within the CAMHS Urgent and Emergency Care pathway by influencing and supporting clinical teams to define and adopt best practice pathways.
  • Using data and analysis to support pathway definition and measurement. Where applicable working in partnership with other clinical services to achieve seamless care for children and young people.
  • Coordinating the development and delivery of projects to address the CAMHS Directorate's financial sustainability objectives, around the productivity opportunities of new ways of working and administrative process improvement.
  • Supporting the development of additional capacity, through both investment and efficiency, to address additional demands for CAMHS Urgent and Emergency care mental health services
  • Supporting the delivery of the Trust's Right Care Programme with focus on the crisis pathway, including liaison with external stakeholders; liaising with Senior Management and Trust Executive
  • To support services in identifying and managing internal and external/organisational delays to discharge, in order to contribute to the reduction in length of stay and improve patient flow in the emergency department.
  • To actively pursue actions relation to patients who are delayed discharges in the Emergency Department, working work collaboratively with all CAMHS Emergency Department Liaison teams, CAMHS Emergency Care teams, and the wider system that sits around the child or young person.

About us

South London and Maudsley NHS Foundation Trust (SLaM) provide the widest range of NHS mental health services in the UK as well as substance misuse services for people who are addicted to drugs and alcohol. We work closely with the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London and are part of King's Health Partners Academic Health Sciences Centre. There are very few organisations in the world that have such wide-ranging capabilities working with mental illness. Our scope is unique because it is built on three major foundations: care and treatment, science and research, and training.

SLaM employ around 5000 staff and serve a local population of 1.1 million people. We have more than 230 services including inpatient wards, outpatient and community services. Currently, provide inpatient care for approximately 5,300 people each year and treat more than 45,000 patients in the community in Croydon, Lambeth, Lewisham and Southwark; as well as substance misuse services for residents of Bexley, Bromley and Greenwich.

Job description Job responsibilities

Key Responsibilities:

It is recognised that initially, the post-holder will be required to develop and implement the governance and infrastructure required to successfully undertake the responsibilities of the post. As such, the post-holder will ensure that the necessary frameworks and systems are in place that facilitate the successful undertaking of the role.
  • Management Responsibilities
    • Support the development of operational improvement and transformation within the CAMHS Urgent and Emergency Care pathway, encouraging operational colleagues to challenge the status quo
    • Use tested and credible tools and techniques, including lean processes, to evaluate and analyse highly complex and contentious issues, which adversely affect current service performance in clinical and administrative processes. Assist with problem-solving to find and understand root causes of underperformance
    • Work to support the implementation of improved pathways of care or administrative processes that bring about higher quality and less waste
    • Devise and develop appropriate information sharing systems to facilitate effective working practices for new end to end processes
    • Support CAMHS Emergency Department Liaison and CAMHS Emergency Care services to understand data capture and associated reporting, including robust benefits realisation for each project
    • Support the development of business cases if required
    • Organise workshops within the CAMHS Urgent and Emergency Care pathway as appropriate to present complex information to staff and senior leaders and engage them in the process of change
    • Support drafting quality impact assessments of service transformation and change
    • Establish and mange effective governance arrangements for the CAMHS Crisis improvement programme
    • Ensure that programme outputs are of a high quality and on time and within budget
    • Proactively monitor programme progress, issues and risks, taking corrective and mitigating action where necessary
    • To provide effective and visible leadership that will support CAMHS Emergency Department Liaison and CAMHS Emergency Care services with specific focus on patient flow, leading to safe, timely and effective discharges from the emergency department
    • To act a single point of escalation and provide clinical and operational leadership for CYP identified as at risk of a complex discharge from the Emergency Department, requiring frequent communication with SLaM CAMHS senior leadership and SLaM executive leadership, as well as system partners from social care and acute trusts
    • To have a high level of autonomy and to work in a self-directed way within the parameters of the job role
    • To monitor, review and report on emergency department breaches
    • To ensure monthly supervision and annual appraisal for the CAMHS Urgent Care Administrator
    • To participate in the CAMHS on-call manager rota, as required

    • Support the development and delivery of the Rightcare Programme, building on progress already delivered. This will involve working in partnership with the designated leads and colleagues within the CAMHS team and the broader SLaM team
    • Work with colleagues to ensure that a co-production and engagement approach is part of all improvement and transformation pieces of work
    • Liaise with a wide range of colleagues to facilitate CAMHS Urgent and Emergency Care pathway improvement and transformation work to take account of the work at place, borough and system
    • To provide demonstrable assurance that the improvement strategies implemented contribute to reduction in the length of stay for children and young people in the emergency department
    • To measure outcomes to demonstrate achievements against agreed national standards regarding patient flow in the emergency department

    • Use highly developed influencing skills to enthuse, motivate, and involve individuals and teams across the CAMHS Urgent and Emergency Care pathway to deliver swift and high-quality improvement projects
    • Deploy expert communication and negotiation and influencing skills to build and maintain excellent working relationships with a broad range of internal and external stakeholders on a range of service improvements, driving and challenging each key working relationship to innovate and achieve reform in accordance with agreed objectives
    • Deal with complex and conflicting subjects/problems including management of potentially difficult situations with staff and stakeholders where there is resistance to change, ensure optimum engagement from staff, colleagues and stakeholders in order to deliver continuous change and secure appropriate buy in
    • To specifically lead and support CAMHS Emergency Department Liaison and CAMHS Emergency Care services in improving patient flow through the emergency department, minimising breaches, leading on subsequent investigations and change processes
    • To have in-depth clinical and operational knowledge of all aspects of care throughout the patient emergency department journey and utilise this holistic knowledge and expertise to assist CAMHS Emergency Department Liaison and CAMHS Emergency Care services
    • To be a visible leader and be accessible to clinical staff, as well as senior internal and external stakeholders

    Person Specification Qualifications Essential
    • Recognised Professional Qualification in Social Work (DipSW/ CQSW), Mental Health Nursing (RMN), Psychology, Occupational Therapy or any allied medical profession.
    • Educated to Masters level or related experience.
    • Project management qualification or equivalent experience
    • Management course.
    Experience Essential
    • Senior management experience of implementing and supporting clinical colleagues with patient flow strategies.
    • Experience of leading and managing change to deliver organisational goals.
    • Experience of working within the NHS, or a related public or voluntary sector organisation
    • Direct experience of working in a CAMHS setting.
    • Experience of working in an emergency department or crisis care setting
    Knowledge / Skills Essential
    • Specialist clinical and operational knowledge relevant to the care setting and organisation
    • Working knowledge of all relevant legislation associated with health and social care
    • Able to analyse complex data, reports and interpret statistical (including financial) data and draw conclusions
    • Ability to support, manage and advise the team through difficult and challenging situations.
    • Appreciation of the complexities of the role and how to balance responsibilities

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