Band 7 Non Medical Prescriber - Bristol Community

Employer
Avon & Wiltshire Mental Health Partnership NHS Trust
Location
Bristol
Salary
£41,659 to £47,672 a year
Closing date
26 Sep 2022

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Profession
CBT Therapist / Other
Service
Rehabilitation
Grade
Band 7
Contract Type
Permanent
Hours
Full Time
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Bristol Community Rehabilitation Service includes a multi disciplinary community team and a recovery focused 10 bed accommodation service. We work with people with complex mental health needs who could benefit from intensive support and therapeutic interventions. Our service is focused on providing effective interventions to support people in achieving their recovery goals. The service has a particular focus on supporting the inpatient rehabilitation pathway including people who have been in out of area rehabilitation placements.

The team includes a wide range of skilled and highly motivated staff including Peer Workers, Recovery Navigators, Mental Health Nurses, Occupational Therapists, a Social Worker, a Consultant Psychiatrist, and Clinical Psychologists.

We are currently seeking a highly motivated and enthusiastic Non-Medical Prescriber to join our team.

Main duties of the job

You will work primarily as an independent prescriber supported by the team Consultant Psychiatrists. You will carry out specialist assessments including medication and physical health needs. You will also manage a small care coordination caseload and provide supervision to other staff in the team.

The role requires a high degree of responsibility, clinical and management skills.

About us

We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust): a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.

We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.

Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.

At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.

Job description Job responsibilities

To undertake the full range of activities required to deliver on-going comprehensive mental health assessment for service users with severe and enduring mental health needs living in the community and in the accommodation hub. This will include: The use of standardised assessment tools, i.e. the Cluster Allocation Support Tool (CAST), KGV
  • History, strengths and aspirations
  • Mental state
  • Impact of culture and diversity
  • Functional needs
  • The needs of family and carer
  • Evaluation of risk
  • Physical health
  • Complicating factors
  • The interventions and treatments required to enable positive change and increase social engagement.
  • Social care needs
  • Safeguarding and public protection
  • Capacity under the Mental Capacity Act

  • To prescribe and change medications within the scope of the non-medical prescriber role.

    To develop systems for managing physical health monitoring and interventions for service users including supporting access to annual health checks. This will include working closely with GPs to promote physical health monitoring and intervention,

    To liaise with AWP pharmacists to ensure systems for safely management of medication storage.

    Taking a lead role in the ongoing management of medication within the residential component of the Community Rehabilitation Service.

    To work within Trust Medicines and Nurse Prescribing Policies.

    Attend Non-medical prescriber forums and keep up to date with best practice.

    Attend regular prescribing supervision with the Consultant Psychiatrist for the Community Rehabilitation Service.

    Contribute to the service Clinical Governance structure around issues related to medication.

    To establish and maintain good liaison with GP practices and other mental health services in the area, including sharing prescribing information and rationale.

    Provide medication awareness training to staff within the community rehabilitation service.

    To be responsible for developing delivering and reviewing comprehensive and complex recovery focused treatment programmes using appropriate frameworks in line with evidence based practice, including strategies to manage risk for service users with complex needs and carers, bringing in other resources as required.

    To act as care coordinator for service users with the most complex needs, also providing defined interventions to individuals on other workers caseloads.

    To plan, deliver and evaluate defined, specialist therapeutic interventions as indicated in the assessment process, in line with personal recovery plans, including to service users who maybe on other caseloads. This might include:
  • Individual or group therapeutic intervention
  • Psychological treatments such as CBT, DBT approaches , family interventions
  • Psychosocial interventions
  • Motivational and coping enhancement strategies.
  • Motivational interviewing dual diagnosis
  • Medication management
  • Interventions under the Mental Health Act,

  • To deliver a range of defined activities/interventions to improve the carers ability to support the service user and to enable them in their relationship with the service user.

    To develop and maintain good partnership working with other services throughout all treatment episodes, including inpatient and recovery services, day services, voluntary sector and with nominated carers/advocates, as well as developing positive pathways between peer support workers adopting a new attitude towards mutual empathy and co-ordination with fellow workers

    In collaboration with service users and carers, to be responsible for facilitating the development of complex comprehensive crisis plans, rapid access plans, advance statements etc, involving other agencies such as primary care etc where appropriate.

    To personally build and lead others to build, hope inspiring relationships with service users, which acknowledge the personal journey of each person, and focus on strengths and aspirations to allow the creation of meaningful personal recovery plans.

    To be responsible for maintaining own workload, as well as planning the workload of others, on a day to day basis, ensuring that time is prioritised effectively, utilising of electronic resources such as diaries/scheduling.

    To be responsible for the protection of individuals from abuse and harm in line with local safeguarding policies and procedures, including working with others in the planning development and review of protection plans, ensuring the appropriate sharing of information.

    Coordinating and undertaking protective interventions which maybe required in the protection of others, as outlined in the protection plan, taking individual action where indicated.

    Personally and leading others to collaboratively and sensitively work with individuals, with a range of mental health needs to develop skills to manage their own health, in accordance with their personal recovery plan, by actively promoting and using approaches which are affirming, build on strengths, identify past positive experiences and success, and use small steps to move towards the persons goal.

    Undertake active clinical leadership and supervision within the team, covering for the manager and colleagues as required.

    To maintain the single health and social care record, ensuring both paper and electronic records are kept up to date in accordance with professional and organisational standards.

    Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.

    To participate in management, caseload and clinical supervision in accordance with trust policy.

    To provide mentoring/training for others in relevant practice areas, according to professional requirements, taking a collaborative approach to practice development and evidence-based care. Specifically this means providing a safe and effective learning environment for the mentoring and supervising of students , participating in their learning objectives and assessments

    Demonstrate responsibility for developing own practice in line with professional qualifications and for contributing to the development of others, by making use of and providing, effective feedback, supervision, coaching and appraisal.

    Monitor and maintain health, safety and security of self and others, undertaking assessments and taking appropriate action where required.

    Develop own knowledge and practice, and contribute to the development of others, making use of available feedback, supervision and appraisal to identify appropriate areas of development for this work role, taking responsibility for accessing identified learning and training opportunities.

    Lead, maintain and participate in practices which enable effective team working.

    To participate in on call rotas for the accommodation hub as required.

    To participate in local arrangements in order to ensure consistent care to service users across the local geography.

    Person Specification Education and Qualifications Essential
    • Diploma level/Degree in Mental Health Nursing, RMN,
    • Post-registration certification as 'Nurse Independent / Supplementary Prescriber' recorded with the NMC
    • Current relevant registration with the NMC
    • Evidence of professional updating and development in the nursing care of patients in an acute or community setting.
    Desirable
    • Relevant post-registration training / qualifications
    Experience and Knowledge Essential
    • Demonstrates substantial post-registration experience gained working in a range of front-line adult mental health services, undertaking assessment and delivering interventions
    • Demonstrates a developed understanding of the recovery principles, and the role of secondary mental health services in the delivery of care
    • Experience of undertaking carers' assessments
    • Demonstrates substantial experience of, and relevant professional practice qualification in mentoring/assessing students and learners
    • Demonstrates substantial experience of assessing risk and developing risk management strategies
    • Demonstrates substantial experience of supervising others, monitoring their performance appraisal and ensuring delivery of activity
    • Able to articulate a detailed understanding of the relevant legal frameworks/legislation including CPA process, Mental Health Act , Mental Capacity Act, and Safeguarding.
    • Highly developed active listening skills, which allow for reframing and testing of understanding
    Desirable
    • Experience gained in a wide variety of settings
    Skills and Abilities Essential
    • Is able to deliver from a range of possible key therapeutic interventions CBT, Psychosocial interventions, Family Interventions, DBT approaches.
    • Substantially developed IT skills including competent use of Microsoft Office, and the use of electronic record keeping systems
    • Highly developed written communication skills, with experience of compiling and sorting notes and reports, establishing statistical data and analysing information
    • Empathy for individuals who have experienced mental health problems and ability to cope with behaviour which may be challenging at times.
    • Mobile with the facility to move quickly across a geographically dispersed area with limited access to public transport.
    • Highly developed verbal communication skills, able to engage effectively with people at all levels even when a more assertive approach is needed


    Any attachments will be accessible after you click to apply.

    342-BR248-0922
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