Care Coordinator

Central & North West London NHS Foundation Trust
£37,152 to £43,994 a year pa inc HCAS
Closing date
17 Aug 2022

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CBT Therapist / Other
Band 6
Contract Type
Full Time
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The post holder will work as a member of a Brent Older People and Healthy Aging Service, delivering community mental health assessment and intervention. The post will have a main focus on initial assessment, intervention, review and care coordination dependent on the needs of their caseload.

Community Mental Health Team focus - The post holder will be responsible for the assessment and management of a defined caseload of service users living in the community who are experiencing functional mental illness. A small percentage of their caseload may present with additional challenges of cognitive impairment or have a range of complex mental health needs, including dementia.

The post holder will undertake holistic community assessments of service users referred to the locality teams utilising the Assessment, Risk Assessment tools, Mental State examination, care programme approach and lead professional care frameworks.

The post holder will offer a variety of therapeutic interventions including supportive therapy, medicine management and problem solving techniques. They may participate in the duty system for the team along with other members of the MDT and attend all relevant clinical reviews.

Main duties of the job


The successful applicant may have contact with patients or service users and we will therefore be seeking proof of vaccination or medical exemption during the recruitment process.As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings
  • To manage and have Care-coordinator / Lead professional responsibility for a defined clinical caseload of service users with complex mental health problems (functional and organic) living in the community. This will include service users subject to the Care Programme Approach and under Lead Professional care.
  • To undertake holistic assessments of service users utilizing the integrated notes system, which will incorporate the Single Assessment Process, Risk Assessment and Mental State examinations.
  • Supervising and administering medication as necessary, ensuring the policy for carriage and administration of drugs is strictly adhered to. (RMN/RGN's only)
  • Monitoring compliance and observing effects and side effects of medication, regularly updating knowledge on medication.
  • Ensure that all views of Service Users are effectively sought, channelled and acted upon, including the efficient actioning of complaints in accordance with the Trust policy.

  • About us

    Brent OPHA CMHT is an exciting place to work, as Brent is a diverse locality. The team has a very supportive and compassionate culture for staff. Staff development is encouraged and supported in their individualised personal development plan. Regular supervision is offered and appraisals.

    The team supports flexible working and has a learning environment, as quality improvement projects are supported.

    Job description Job responsibilities

  • To maintain effective communication links with team members and relevant external agencies ensuring that service users receive high quality, co-ordinated packages of care.
  • To be aware of how your verbal and non-verbal communication can be interpreted by others and ensure a polite approach is maintained at all times.
  • Help promote team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust in order to achieve effective communication.

  • To analyse complex written information, that will require periods of prolonged concentration e.g. producing or interpreting confidential service user reports.
  • To have a high level of interpersonal and communication skills to deal with a range of highly sensitive and emotive situations e.g. dealing with crisis situations or high expressed emotion from service users and their carers.
  • To develop and promote effective communication and liaison with GPs, other primary care professionals, Social Services and voluntary organisations.
  • Be confident in summarizing and communicating the needs of an assessed Service User in Multi-disciplinary forums in order to access appropriate support and/or treatment.


  • To undertake holistic assessments of service users utilising the single assessment process, risk assessment tools and mental state examination in order to provide a high standard of care to service users in the community.
  • To clinically manage a defined caseload of service users with complex mental health problems in a community setting including service users subject to the Care Programme Approach.
  • To deliver appropriate therapeutic interventions to service users utilising a range of evidence-based therapies e.g. bereavement counselling, medicine management, anxiety management, relaxation techniques and problem solving techniques.
  • To respond to urgent and unplanned clinical events involving service users known to the CMHT and on own clinical caseload, utilising analytical and problem solving skills to ensure the situation is managed safely and effectively.
  • To have an in-depth understanding of mental health pathology to manage service users with complex mental health problems.
  • To formulate individualised Care Plans with service users and their carers that aims to address their psychological, physical, spiritual & social needs.
  • To act as Care Co-ordinator to service users on the Care Programme Approach to ensure the appropriate delivery of care is received by this vulnerable client group, whom have complex needs.
  • To monitor service users and advise both them and their carers on anti-dementia and psychotropic medications, observing efficacy and monitoring any adverse reactions. To report and act on any adverse reaction observed in conjunction with the General Practitioner or Consultant Psychiatrist, as appropriate.
  • To administer depot medication to service users and monitor any adverse reactions or side effects or changes in mental state.
  • To regularly advise other professionals on medication management issues e.g. side effects, recommended medication dosages, changing medication. (In consultation with the Consultant Psychiatrist or General Practitioner, as appropriate).
  • To regularly attend and participate in clinical reviews.
  • To utilise clinical supervision and reflective practice in the management of own clinical caseload.
  • To participate and contribute to regular reviews of own performance through Appraisal and Development Review Process in conjunction with your supervisor and manager. To agree and implement a service and personal development plan.
  • To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Capacity Act, Mental Health Act, Human Rights Act, Freedom of Information Act, Data Protection Act.

  • Person Specification Education & Qualifications Essential
    • Registered under NMC
    • Evidence of continued professional development
    • In post-registration qualifications
    • A post registration qualification in Older People
    Experience Essential
    • Substantial experience working post registration
    • Experience of working as member of a Multi -disciplinary team
    • Experience of working with older adults
    • Experience of managing/supervision of staff.
    • Experience of working in a community setting
    Knowledge Essential
    • Knowledge of CPA, Risk Assessment and Risk Management Processes
    • Knowledge and understanding of the needs and rights of service users and their carers.
    • Knowledge of ethical/legal requirements within mental health care.
    • Knowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the community
    Skills and Abilities Essential
    • Effective communication skills both verbally and through written reports.
    • Effective leadership skills
    • Ability to take responsibility for managing a caseload
    • Ability to manage complex decision-making situations.
    • Ability to organize and prioritise own workload
    • Ability to supervise junior staff and students
    • Teaching and assessing skills
    • Ability to reflect and critically appraise own performance
    • Ability to work effectively in stressful and emotionally charged situation
    • Able to manage personal stress.
    • Previous experience of audit and research.
    Other Requirements Essential
    • IT skills i.e. Microsoft word, Email, Internet
    • Motivated and able to motivate others.
    • Assertive and enthusiastic.
    • Car driver, full UK driving license.

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