Senior CRISS Practitioner

Leeds & York Partnership NHS Foundation Trust
£32,306 to £39,027 a year per annum
Closing date
15 Aug 2022

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Band 6
Contract Type
Full Time
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Crisis resolution and Intensive Support Service is a dynamic and flexible service which offers a true alternative to inpatient admission over 24 hours meeting the acute needs of working age adults across the city.

The service is seeking to recruit 3 dynamic and positive Registered Nurse - Learning Disability (RNLD) senior practitioners on a permanent basis at band 6 level to join the service to support urgent mental health assessments and to specifically support service users, with a learning disability, presenting in a crisis out of hours (defined as predominantly Nights, Weekends and Bank Holidays).

The out of Hours/crisis support aims to ensure that specialist help is available when and where it is needed. This specific role is targeted at the adult population from Leeds who are diagnosed with a learning disability or an associated diagnosis who are at crisis point or approaching crisis point.

In this role you will have the opportunity to develop the service and provide leadership to the wider team whilst working clinically, you will actively participate and provide management and clinical supervision to other members of the team. You will be supported in your professional development to reach your potential in this exciting role.

Main duties of the job

To act as a resource for the service in providing specialist learning disability knowledge. This would include establishing a learning disability strategy, in managing crisis presentations or providing support to co-carers.
  • Responding to policy development, adding a learning disability perspective into practices and procedures, advising on learning disability related complaints and critical incidents and ensuring any learning points are disseminated.
  • To promote both physical and psychological well being by providing support and advice, relieve pressures upon acute services caused by individuals with a diagnosis of a learning disability or associated disorders. Reduce the need for admissions and/or out of area transfers of Leeds residents, thus lessening inconvenience for the patients, their carers and relatives
  • To deliver training and / or coaching, both formal and informal, to all relevant staff and staff working within care services so that their knowledge of learning disability is enhanced in such a way that people with learning disability receive the best possible experience, interventions, and appropriate clinical outcomes.
  • Liaise with specialist teams to support wider pathways
  • To support urgent mental health assessments where applicable

About us

We are a high quality, high performing NHS foundation trust. We are the main provider of specialist mental health and learning disability services in Leeds. We also provide specialist inpatient services in York as well as some highly specialised services across the country.We employ around 3,000 staff and every year we have contact with over 25,000 service users. Our vision is to provide outstanding mental health and learning disability services as an employer of choice. Our ambition is to support our service users and carers, our staff and the communities we serve to live healthy and fulfilling lives. We need people like you to help us achieve our goals; to live our lives free from stigma and discrimination; and to improve the lives of people with a learning disability and mental ill health. We perform well againstlocal and national targetsand inour most recent CQC inspection, 85% of our services were rated good or outstanding.As a teaching trust with strong links to local universities, we are a centre of excellence for teaching, research and development.

Job description Job responsibilities

Communication/Relationship Skills
  • The post holder is expected to demonstrate articulate and effective written and verbal communication skills, with a wide range of people.
  • Promotes effective team working to provide high quality care through effective communication and liaison.
  • Ensure effective communication with the team and more senior team members during the planning, implementation and evaluations of care
  • Liaise with other agencies, providers, service users/carers during the planning implementation and evaluations of care as appropriate to the role
  • Maintains effective communication and liaison systems which ensures the accurate and timely distribution and receipt of information (on a shift by shift basis) and is able to delegate responsibilities and duties where necessary.
  • Attend local team and clinical meetings as required/ requested. Attend care group meetings as required/ designated representing the team, give feedback as appropriate.
  • Participate in managerial supervision and participate in performance review/appraisal with an identified supervisor
  • To adhere to all professional and Trust policies including the reporting of Trust incidents, complaints procedure and information governance.

Reporting and Recording
  • Develop and follow integrated care plans.
  • The post holder will maintain and produce detailed contemporaneous and accurate records and reports, in accordance with agreed procedures.
  • Assist with data collection and the daily completion of statistical information
  • The post holder on occasions may be involved in project work or contribute ideas/participate in sub groups to provide feedback on specific topics that they currently have experience with in their scope of professional practice.

Knowledge, training and experience
  • Registered Professional Qualification Registered Nurse Learning Disability (RNLD) (Mental Health Nursing , Occupational Therapy , Social Work)
  • Understanding of and ability to effectively implement the Mental Health Act and DoLS as relevant to clinical area
  • Knowledge / experience of joint working with Local Authority for example social care and Leeds Community Health.
  • Experience of working effectively as part of a multi-disciplinary team
  • Demonstrate knowledge in person centred approaches and awareness of legislation that affects delivery of health care in mental health.
  • Experience in assessing, formulating, planning, implementing and evaluating care to meet service user needs.
  • Knowledge and experience with managing complex risk.
  • Demonstrates importance of sound evidence based health interventions when delivering/initiating direct care work
  • Ability to work in partnership with families / carers
  • Demonstrates experience in assessing and formulating treatment plans.
  • Demonstrates knowledge of sound evidence based health interventions when delivering/initiating direct care work
  • Knowledge of CPA framework and the various care pathways leading to recovery
  • Has a good working knowledge of psychological approaches in mental health
  • Has an understanding of the relevant skills required and a commitment to developing skills in psychological thinking and interventions (appropriate to skill level and in line with the serviced integrated care pathways)
  • Will engage in the supervision, learning and development of junior staff, students, other professionals, carers and service users, and volunteers
  • Actively participate in the Trust and team structures and systems to enable professional development and growth of individuals and the team
  • Values the importance of partnership working and the contributions this brings to clinical care/services
  • Demonstrate knowledge of clinical governance and the ability to implement this in practice within the relevant service area / setting
  • Has experience of working with diverse populations and values the work associated to promoting diversity and social inclusion.
  • Ensure that own continuing professional development is undertaken, including maintaining an updated knowledge of current legislation in relation to care delivery
  • Act calmly & supportively with people who experience and express extreme emotions and thoughts, in a sometimes-challenging manner.
  • Exercise advanced skills in de-escalation of distress, and anger.
  • Demonstrate appropriate control and leadership in situations where people may be frightened, aggressive and/or violent.
  • Nurture, train, develop and guide junior staff, such that they achieve required standards of practice.

Analysis, Problem Solving and Judgmental Skills
  • Ability to assess and plan to meet complex needs and manage complex situations/risks
  • To provide advice and support to junior staff as required
  • The post holder has a responsibility to seek advice from a clinical lead / health care professional on clinical decisions when required, and to work within their scope of practice
  • Manages and makes judgements regarding clinical work on a day to day basis, and is able to effectively coordinate a shift as appropriate
  • Be informed of staffing issues re sickness, absence, staff shortages and where necessary offering support and coordination of staff movement from one area to another to maintain adequate staffing levels.
  • Develop and Document Crisis Plans for individual clients and their family and carers, ensuring that the service user, and where appropriate carer, has an up to date copy of their plan.

Planning and Organisational Skills
  • To use professional judgement and exercise professional accountability in all aspects of clinical practice.

Will plan the delivery of care (including coordination of a community team on a regular basis) and delegate appropriately, ensuring junior staff have defined tasks that contribute to theclinical care of the service users
  • Post holder will be involved in the risk assessment of individuals (in conjunction with other members of the team, service users and their carers). They will ensure appropriate plans of action are in place to manage identified risks.
  • Will cover and support team members during times of annual leave or unexpected leave of absences.
  • To work flexibly ensuring the services are delivered safely and timely.

Physical Skills
  • IT literacy skills and the ability to work with electronic care records.
  • To be able to perform moving and handling interventions in line with Trust policy.
  • To be able to perform breakaway techniques as per Trust requirements on compulsory training.
  • The post holder should be able to work flexible shift patterns (including long days) as appropriate to the service.
  • Holds a current drivers licence and has access to a car.

Service User/Client Care
  • To provide assessment, planning and delivery of evidence based care / interventions based upon the individual needs of the service user
  • To maintain a commitment to person centred care and to promote the use of the recovery model where appropriate, engaging service users in all aspects of their care.
  • Undertake direct clinical treatment interventions as required by the service user in differing settings, and support / supervise the delivery of care by junior staff
  • To safely administer medication in accordance with NMC Code and policy / procedures
  • Collaborate with outside agencies to ensure care packages are in line with all agencies policies and procedures and current legislations.
  • To promote social inclusion and diversity for clients by coordinating/facilitating and supporting access to a variety of community based opportunities
  • To promote the physical health and wellbeing of service users by supporting relevant health promotion and prevention.
  • To give phone support to private sector units were appropriate
  • To coordinate any LD bed management referrals out of hours
  • Enhance communication between all parties especially assisting the patient and other agencies staff to more effectively communicate between each other.
  • Provide advice to hospital staff on how they could more effectively support the individual.
  • Sourcing and sharing information that will enable staff to support an individual in a person centred way.
  • To propose reasonable adjustments to care and treatment plans.
  • To signpost all parties to the most appropriate source of information or services.
  • To source easy read information to assist staff communications with individuals
  • Observing for signs that may indicate that an individual is not getting appropriate support or medical interventions.
  • Car driver essential
  • To support the clinical triage role in SPA as required

Person Specification Experience Essential
  • Post Registration experience of working with adults of all ages with acute mental health problems and LD diagnosis.
Skills Essential
  • Assessment and problems solving skills particularly in the area of LD crisis presentations
Experience Essential
  • Can demonstrate experience of formulating crisis plans/care plans for people in an acute mental health crisis with an LD diagnosis.
Skills Essential

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