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Community Mental Health Nurse

Surrey & Borders Partnership NHS Foundation Trust
£33,921 to £40,872 a year Includes 5% Fringe HCAS
Closing date
26 Sep 2022

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Child & Adolescent / CAMHS
Band 6
Contract Type
Full Time
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Do you want to make a real difference? Then come and join our award-winning team!

We are seeking an enthusiastic mental health nurse to become part of our award-winning service. This is an exciting opportunity to work in and contribute to the effectiveness of the Early Intervention in Psychosis Service (EIIP). EIIP has good outcomes for its clients, and staff find it a very rewarding job based on positive outcomes and working closely with clients and their families.

We are seeking to recruit an enthusiastic, motivated, and dynamic person. You will be a team player who is creative and innovative in your approach, along with a range of experience to join our multi-disciplinary team.

There will be opportunities to develop your skills in Bio-Psychosocial Interventions as well as further PDP opportunities.

The team is based at Unither House, Chertsey with a satellite base at Aldershot Centre for Health in Aldershot. You will be an allocated a geographical patch to work within and this post will be covering the North West Surrey area (e.g., Staines, Woking, Chertsey) with some flexibility to work across the patch as required.

You must have a full and valid driving licence and access to a vehicle for work purposes.

Main duties of the job

The Early Intervention in Psychosis Service provides early detection, assessment and intervention for 14-65 year olds who are experiencing a first episode of psychosis.

The aim of the service is to reduce the impact of the emerging illness on the individual and their families. The service is based on an outreach model with the interventions being delivered alongside individuals in the community. NICE recommend care plans that include individual CBT, family interventions, physical health monitoring, occupational/vocational support as well as medication are offered.

The post-holder will have continuous overall responsibility for the management and care coordination of an identified group of people who use our services. They will be responsible for the assessment of their needs, the development, implementation and evaluation of a programme of care involving the person who uses our services and their carers/relatives in accordance with the Trust's Care Programme Approach Policy.

In addition to carrying a defined caseload of people, the post-holder will be expected to provide an holistic, clinical and autonomous nursing service offering support and interventions to other people who use the services of the Team as appropriate – within the context of a ‘team approach’ philosophy. The service is based on an outreach model with the interventions being delivered alongside individuals in the community.

About us

Surrey and Borders Partnership NHS Foundation Trust is the leading provider of health and social care services for people of all ages with mental ill-health and learning disabilities in Surrey and North East Hampshire.

We actively seek to engage people who use our services and our communities in improving the mental wellbeing of the local population. We work closely with other NHS and voluntary sector organisations who provide services and support people who use services and carers.

Surrey is a beautiful county lying just 30 minutes away from Central London and from the South Coast.

Our historic market towns and bustling districts are enveloped in wonderful countryside, and our excellent road and rail networks bring the rest of the country withing easy reach.

For international travel, both Gatwick and Heathrow airports are nearby.

Job description Job responsibilities

Main Duties and Responsibilities

The post-holder will:

1) Act as a positive role model for colleagues and others in relation to professional and personal conduct and practice.

2) Ensure implementation of agreed standards of nursing care.

3) Ensure that each person has a defined individual care programme to meet their needs.

4) Ensure that the agenda of social inclusion is reflected in interventions offered and implemented

5) Assess and provide appropriate nursing interventions in collaboration with the people who use our services. This may be for a maximum of 3 years and will include any period of treatment for psychosis from other services.

6) Ensure that proper regard is given to the dignity, choices, self-esteem and well-being of people who use our services and their carers.

7) To use a variety of methods/settings to engage with individuals using, where possible, community resources.

8) Discharge professional responsibilities under the Mental Health Act 1983 and other relevant legislation.

9) Comply with the Nursing and Midwifery Council and ensure the guidelines on accountability and administration of medicines as well as other guidelines are adhered to.

Key Clinical Duties and Responsibilities

The post-holder will:

1) Provide health and social care to a defined group of people who use our services based on the Early Intervention in Psychosis recovery model according to agreed care pathways utilising appropriate assessment tools.

2) Act as a Care Co-ordinator to a defined caseload of approx. 20 people, depending on the level of complexity of their needs.

3) Undertake a comprehensive assessment of people who may exhibit prodromal symptoms of a severe mental illness that may require ARMS/EIIP services or sign-posting to appropriate services.

4) Be responsible for assessing, planning, implementing and evaluating nursing care using evidence based tools, in respect of people who are experiencing a severe and enduring mental illness.

5) Provide a screening service for agencies referring to the EIIP team.

6) Work autonomously, according to Codes of Practice, with ‘Freedom to Act’ for delivery of optimum care to people who use our services.

7) Ensure that care plans are reviewed and updated to take account of the most recent information regarding the person’s needs and that care plans reflect the views of the person, and, where appropriate, carers/relatives.

8) Undertake risk assessment and risk management for people on the caseload and to communicate the assessment and management plan to other team members and involved professionals.

9) Utilise the relevant IT systems as appropriate

10) Ensure information is collected to conform to the Trust and Social Care data quality requirements

11) Carry out agreed nursing procedures including injection administration and other clinical treatments in accordance with agreed Trust policies.

12) Ensure the safe delivery of medications to people who use our services both in the clinical area and domestic environment according to Trust and national guidelines and policies.

13) Be responsible for ensuring that accurate, legible nursing reports in respect of people’s care are maintained in accordance with CPA policy and good record keeping standards.

14) Provide bio-psychosocial approaches to the person’s care delivery within the context of the Recovery model and philosophy.

15) Formulate and implement plans in relation to bio-psychosocial interventions offered to the person and their families/carers.

16) Be responsible for implementing the requirements of clinical and social governance.

17) Effectively communicate information to other members of the MDT pertaining to the assessment, care plans and risk issues including signs of deterioration in the mental and physical condition of the person who uses our services.

18) Organise and co-ordinate CPA review meetings in accordance with Trust guidelines - due to the complex nature of people’s needs within the EIIP service this would be undertaken up to every 6 months approximately.

19) Attend in-patient case conferences and discharge planning meetings.

20) Act as support and specialist advisor to other services and agencies.

21) Work collaboratively with people who use our services, relatives and carers to enable the person’s engagement and concordance to treatment and therapeutic interventions.

22) Work in partnership with Children and Adolescent Mental Health Services (CAMHS) to ensure the appropriate young people have access to specialist adolescent services.

23) Work in partnership with the Home Treatment Teams (HTT) to facilitate home treatment, hospital admission and discharge when required of people who use our services.

24) Facilitate the transfer of people between services

25) Provide supervision and appraisal for junior staff and mentorship of students and colleagues from other clinical areas wishing to gain experience in an EIIP setting.

26) Ensure that EIIP interventions compliment and strengthen the person’s ability to manage his/her own illness, symptoms, crises and life styles.

27) Participate in the activities of the EIIP service and attend relevant clinical and business meetings including zoning meetings.

28) Have a working knowledge of current appropriate legislation including the Children’s Act, Carers Act and Mental Health Act.

29) Arrange and participate in reviews to meet the needs of the people who use our services with statutory and organisational requirements e.g. S.117 reviews, CPA, professional meetings etc.

Person Specification Qualifications Essential
  • Registered Mental Health Nurse (RMN) with the NMC
  • ENB 998 or equivalent
  • Current registration with the NMC
  • PSI Course or equivalent / working towards advanced training i.e. Masters degree or equivalent.
  • Trained in Family Interventions
Experience Essential
  • At least 9-12 months post qualification experience
  • Demonstrate experience of working on promoting peoples involvement and recovery.
  • Working knowledge of adult and child protection.
  • Knowledge and experience of professional models of practice and ability to provide a holistic, autonomous and clinical nursing service.
  • Knowledge and application of Care Programme Approach, Risk Assessment and risk management.
  • Evidence of continuing professional development including specialist short courses, mandatory training and self study
  • Ability to demonstrate knowledge of the evidence base for Early Intervention in Psychosis
  • Monitoring of oral medication
  • Giving intramuscular injections
  • Ordering, checking and storing of medication
  • Management of infection control and clinical waste
  • Taking and recording blood pressure and other relevant physical health checks
  • Experience of supervision of junior staff and students
  • Experience of working with people with psychosis
  • Venepuncture (phlebotomy) skills

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