An opportunity has arisen in the North Wiltshire Intensive Service (NWIS) for an enthusiastic and experienced nurse or other suitably registered person to work as a Band 6 Specialist Intensive Practitioner. The successful applicant will be working at Green Lane Hospital within beautiful rural Wiltshire. The multidisciplinary team is friendly, supportive and well established. Staff share a caseload of people who need intensive support.
Key roles include, leading shifts as a shift coordinator, reviewing and accepting referrals, completing thorough core assessments, risk management and care plans, with the intention to treat people at home in the community if possible, or for gatekeeping if a hospital admission is indicated whilst ensuring we use the least restrictive practice at every opportunity. The service also supports people leaving hospital prior to referring or signposting or to other AWP or voluntary and third sector agencies. The successful applicant will also contribute to ensuring the safety of our service user's, carers and others by taking part in a variety of multidisciplinary meetings. There will also be an opportunity to contribute to the innovative DBT individual and group work that the team have been leading on.
Main duties of the job
Accepting and reviewing referrals, completion of assessments within the community and general hospital settings for home treatment or gatekeeping for hospital admission. Implementation of Risk Management and Care Plans for the effective home treatment of Service Users utilising least restrictive practice at every opportunity. Medication management and concordance within community. Other duties and responsibilities including inline with job description.
There will be a comprehensive induction to the role and a supported period of supernumerary to aid with transition.
North Wiltshire Intensive Service (NWIS)
NWIS is a 24hr a day service and the successful applicant will be able to work a mixture of shifts that can enrich one's home life/work balance. Enhancements are paid for unsocial hours.
Excellent communication and organisational skills as well as an ability to work with a diverse staff group and autonomously are essential to this role, along with the clinical knowledge and skills such as an in-depth knowledge of safeguarding when working at the level of a Band 6 member of staff. Further information is available in the job description.
There will be a comprehensive induction to the role and the successful applicant will have a supernumerary period to aid with the transition. Regular meaningful supervision and opportunities to enhance and learn new skills is available and encouraged.
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
In a wide range of situations and locations to undertake the full range of activities required to deliver comprehensive mental health assessment, in an emergency for service users, who may be distressed and in crisis. This will include:
The use of standardised assessment tools i.e. Cluster Allocation Support Tool (CAST), KGVHistory, strengths and aspirationsMental stateImpact of culture and diversityFunctional needsThe needs of family and carerEvaluation of riskPhysical healthComplicating factorsIdentifying and ensuring specialist involvement where required.The interventions and treatments required to enable positive change.Social CareSafeguarding and public protectionCapacity under the Mental Capacity Act
To be responsible for developing delivering and reviewing comprehensive and complex treatment programmes using appropriate frameworks in line with evidencebased practice, including strategies to manage risk for service users with complex needs and carers, bringing in other resources as required.
To provide defined interventions to individuals on other team caseload. Team Manager, Senior Practitioner, Band 6 Specialist Intensive Practitioners, Band 5 Intensive, Practitioner, Band 4 Intensive Recovery Co-ordinators, medical staff and administrators.
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 interventionsPsychosocial interventionsMotivational and coping enhancement strategies.Medication managementInterventions 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 regular liaison within Primary Health Care Team, inpatient and intensive services, day services, voluntary sector and with nominated carers/advocates.
In collaboration with service users and carers, to be responsible for facilitating the development of 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 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.
Coordinating and undertaking protective interventions which maybe required in the protection of others, as outline 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 experience 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.
To adhere to professional codes of conduct ensuring required skills andcompetencies required are maintained.
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 as required.
To participate in local arrangements where required to manage unexpected staff absences.
Person Specification Qualifications Essential
- Diploma level/Degree in relevant health/social care profession, eg RMN, OT, Social Worker
- Demonstrates substantial post-registration experience gained working in a range of frontline adult mental health services, undertaking assessment and delivering intervention
- Demonstrates a developed understanding of the recovery principles, and the role of secondary mental health services in the delivery of care
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