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Advanced Practitioner

Tees Esk & Wear Valleys NHS Foundation Trust
York, Scarborough, Harrogate
£40,057 to £45,839 a year pro rata, per annum
Closing date
27 Sep 2022

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Learning Disability
Band 7
Contract Type
Full Time
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To support the NY&Y Community Mental Health Transformation and improve the care of people with complex emotional needs, three challenging yet exciting and dynamic positions for Advanced Practitioners have arisen in North Yorkshire.

Three positions are available, each embedded and operating 'at place':
  • 1x full-time position for Harrogate & Rural District 'place',
  • 1x full-time position for Scarborough, Whitby & Ryedale 'place'

All positions will be clinically supervised by the Personality and Relational Specialist Clinicians. We require people with drive and compassion to work predominantly in a co-working capacity to increase access to psychologically informed care across local community systems within a new integrated 'place-based' service delivery model. This will involve supporting the development and implementation of high-quality evidence-based interventions and support for people with complex emotional needs, who present with severe and multiple disadvantages, including substance misuse.

It is an essential requirement of this post to have demonstrable experience of working with people with complex emotional needs and knowledge of Trauma Informed Care and Structured Clinical Management (SCM). It would be desirable to be trained in Dialectical Behaviour Therapy (DBT), Mentalization Based Therapy (MBT) Motivational Interviewing (MI) or Multi-systemic Therapy (MST).

Candidates are encouraged to contact manager to discuss this post and expectations prior to interview.

Main duties of the job

To promote psychologically informed care across systems for people presenting with complex emotional needs, supporting services to increase access to high quality specialist interventions. Post holders deliver & support local mental health teams, hospital staff, voluntary, community & social enterprise providers and PCN's in the provision of interventions, including supervision, case consultation and liaison. This post will increase the resilience of the 'place-based' system and improve the care and support of people who lead chaotic lives, presenting with multiple challenges to several services.

You will co-work with other providers to enable early intervention and least restrictive practice, embedding care within the person's community. You will develop & deliver group interventions to system partners and provide supervision/consultation to secondary care staff delivering Structured Clinical Management to service users.

You will provide support to the local 'place' and develop and strengthen links across the whole system. You will offer consultation and support the assessment and engagement of individuals who present with substance misuse, high risk behaviours, and experience difficulties emotionally and interpersonally. You will increase the community's knowledge and skills by providing training across services, including VCSE.

You will promote positive attitudes towards service users with complex needs, to maintain responsive and non-stigmatising services.

About us

We are geographically one of the largest NHS Foundation Trusts in the country with an annual income of £423m and a workforce of over 7,500 staff operating from around 160 sites. Tees, Esk and Wear Valleys NHS Foundation Trust provides mental health and learning disability services for the people of County Durham and Darlington, Teesside, North Yorkshire, York and Selby, serving a population of around 2 million people. We also provide additional specialist services to other parts of Northern England.

We deliver our services by working in partnership with 8 local authorities and clinical commissioning groups, a wide range of voluntary organisations, as well as service users, their carers and the public. The services are spread over a wide geographical area of around 3,600 square miles, which includes coastal, rural and industrial areas.

We want you to be part of Our Journey to Change. This is our vision for where we want to be in five years' time - it explains why we do what we do, the kind of organisation we want to be and the three big goals we're committing to over the next five years.

It's the result of our biggest ever listening exercise and importantly it's been co-created with staff, patients, carers and partners.

What do we want to achieve?

We want people to lead their best possible lives.

Job description Job responsibilities

**Please read the supplementary Role & Remit attachment for these new positions and the Advanced Practitioner Job Description**

These posts have been created to support our services across North Yorkshire and York to deliver the vision and objectives of the Community Mental Health Transformation Programme.

System Responsibilities as part of the Community Mental Health Transformation Programme:
  • Increase the resilience of others to work effectively with this client group through provision of education and training to improve knowledge and understanding
  • To develop and enhance relationships within the local mental health system, including with Peer Support Workers, First Contact Mental Health Practitioners, GPs and other Practice-based staff, Secondary Healthcare Providers, Service users, Local Authority staff and Voluntary and Third Sector organisations. Connecting colleagues and service users to enhance care.
  • Deliver training in working with relational complexity, SCM awareness, Knowledge and Understanding Framework (KUF), Trauma Informed Care and the management of risk to wider teams, PCNs and external agencies (e.g. housing providers)
  • To provide focussed indirect support to people presenting with highly complex needs in a leadership role through the FOCUS and High Intensity User Group (HIUG) networks helping them receive the most appropriate care that they need with in the community they live.
  • We require individuals capable of working across the interface of social, community, mental and physical health services, providing liaison and support to acute hospital liaison services in the Acute Hospital to target those that present with alcohol or substance misuse issues and relational difficulties.
  • Co-working alongside other agencies to identify practical barriers to engagement with services, whilst providing psychoeducation or stabilisation and grounding for individuals to allow them to access or engage the most appropriate services to support their needs.
  • We require individuals who can contribute to increasing awareness on a local level including, citizens, agencies, and communities, of the presentation and prevalence of emotional dysregulation, risk to self and others and complexities such as co-morbid substance misuse issues in local populations; using this insight and intelligence to inform future investment decisions as part of community mental health transformation and the NHS Long-Term Plan.
  • We would encourage people interested in providing proactive outreach for people struggling to engage with support and services, identifying and proactively engaging with vulnerable and hard to reach groups, including offering home visits where necessary and linking with peer support workers and VSCE (voluntary community and social enterprise) partners (such as North Yorkshire Horizons and Changing Lives) to increase opportunities for engagement.
  • We hope to recruit individuals with an ability to provide specialist advice to, or obtain advice for, community-based partners on appropriate interventions and on-going person-centred care and management.
  • We want to work with people who are able to develop and deliver early intervention support, including consultation, psychoeducation, self-help materials and links to service user groups within the wider community system, including the delivery of appropriate SCM/problem solving psychoeducational/intervention groups with VCSE services (Horizons, Changing Lives etc)
  • We are looking for people who are motivated to embrace and promote positive working environments/relationships within MDT settings across the wider community system, assisting with the design, development and delivery of local opportunities for closer partnership working (including Wellbeing/Social Hubs), ensuring continuity of care and a robust place-based approach to the physical health management and psychological wellbeing for people over the age of 18 who present with complex emotional needs and additional complexities at a local population level.
  • We are looking for people who can be flexible; able to work within a variety of environments and settings. Your daily work will be largely undertaken within community settings, including primary care, emerging community hubs and Community Mental Health Teams, with access to robust clinical supervision from the Personality & Relational clinicians and support structures as defined by NHSE and the CCGs.

Person Specification Education and Qualifications Essential
  • RMN or equivalent mental health core qualification & post grad training to an accredited level in one of the trusts governed psychological therapies. OR HCPC registration as a practitioner psychologist OR Hold a professional qualification and registration with the appropriate regulatory body as an Occupational MSC in specific therapeutic treatment modality e.g. systemic practice Leadership Qualification 8 JE Ref NM297 August 2021 Therapist, Registered Social Worker or Registered Nurse on Parts 1, 3, 5 or 13 of the Nursing and Midwifery Council Register.
  • Evidence of recent CPD
  • Willingness to achieve Nurse Prescriber/practice placement facilitator qualification or the willingness to work towards the award.
  • MSC in specific therapeutic treatment modality e.g. systemic practice
  • Leadership Qualification
Experience Essential
  • Relevant experience within a Mental Health Service specialty.
  • Experience of working in a community setting.
  • Clinical supervisory experience and willingness to provide clinical supervision.
Knowledge, Skills and Abilities Essential
  • Extensive knowledge of patients who display high risk behaviours.
  • Demonstrate understanding of inter-agency relationships.
  • Excellent written communication skills which are clearly demonstrated.
  • Psychological intervention/counselling.

Any attachments will be accessible after you click to apply.

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