We require an experienced or newly qualified Band 5 RMN who can bring their own professional expertise to our fast-paced team, and who are confident in managing risk in the least restrictive way with support from the team. By its nature, crisis work requires professionals who have a broad range of skills including being skilled mental health assessors with an ability to signpost service users towards the most effective treatment pathways.
The Crisis Response and Home Treatment Team in Buckinghamshire Mental Health Services is a key part of the Urgent Care Pathway meeting the demands of the Ten-Year Plan to provide Crisis Response and Home Treatment Services. Clinicians employed into the team are part of an exciting and developing service aimed at supporting our most vulnerable patients and their families in the least restrictive setting possible, by providing a variety of highly intensive interventions at home.
Service Users access a crisis response in a variety of ways, ranging from referrals from their GP and attendance at an emergency department, to when they need care in the community and are seen by the police and our street triage teams. The aim of the Urgent Care Pathway is to bring together all those access points under one team, including:
Psychiatric LiaisonOvernight Response TeamAssessment TeamsStreet Triage and Health Based Places of Safety
Main duties of the job
The post holder will be mainly based with the online ATP within the CRHTT to provide assessment, signposting and short-term treatment interventions where required, to all referred service users. ATP is an online DBT-based group programme, each group is facilitated by 2 staff and covers a wide range of topics / interventions. Services users who present in crisis and would benefit from DBT based group work are supported for 2 weeks through the ATP programme.
The post holder will work within the Recovery Model and will play a key role in developing the interventions required for the CORE Crisis Fidelity model. They will work as part of our team managing the care for a caseload of patients, liaising with other professionals and reviewing the patients care under Care Programme Approach. Additionally, they will provide support to service users in crisis when required. This will become the core business of the team. The practitioner will also work with the team in delivering our responsibilities under the Care Act 2014 with regards the assessment and care planning of Social Care needs.
The successful applicants will participate in a duty rota of early, late or long day shifts covering 7 days a week and we are committed to supporting staff to balance home and work life with flexible working options. We are a friendly and supportive team with strong leadership and direction. Our work is interesting and varied with plenty of opportunities to learn new skills both in the workplace and via our excellent Learning & Development team. The role is predominantly based in High Wycombe and will require some wider travel within the county.
Benefits of working for Oxford Health NHS Foundation Trust include:
- Excellent opportunities for career progression
- 27 days annual leave, plus bank holidays, with an increase to 33 days with continuous service
- NHS Discount across a wide range of shops, restaurants and retailers
- Staff accommodation
- Competitive pension scheme
- Lease car scheme
- Cycle to work scheme
Job description Job responsibilities To participate in facilitating the delivery of the Online Acute Treatment Programme as a crisis intervention. To triage new referrals into the team with support from senior colleagues and our consultant psychiatrist and to manage them with an appropriate level of urgency in relation to the presenting risk. To work under the direction and supervision of a senior practitioner as part of a multi-disciplinary team to, assess, plan and implement patient specific programmes of care/interventions under the Care Programme Approach, contributing to the continuous assessment of patients. To participate in all the decision making processes but not be the lone decision maker. To carry out the initial assessments, with support and supervision from senior colleagues of service users who meet the referral criteria of the Urgent care pathway / CMHT and to undertake short term treatment where appropriate. To manage, formulate and implement treatment plans, delivering care under the clinical model. To evaluate effectiveness of care / treatment plans whilst working within the framework of CPA and Risk Assessment. To have a working knowledge and understanding of the relevant legal frameworks: Mental Health Act, Mental Capacity Act, Care Act 2014, and fulfil the statutory duties of the NHS and the local authority. To report all relevant information to the referring agent and keep them informed of the service users progress. To assess, plan, set goals with the service user, carers and families; implement and evaluate care using psycho-social interventions and skills to meet individual needs. To deliver individual therapeutic activity using therapeutic interventions and skills. To work with the team to develop, maintain and review a therapeutic group program which supports our service users through their acute phase toward their recovery. To be responsible for monitoring and evaluating treatment plans, transferring service users to the CMHT, other teams within the Trust, or discharging them when appropriate. To liaise and establish good working relationships with referring agents, colleagues in Primary Care services, Social Services, Community Mental Health Teams, Assertive Outreach, In-Patient services, Criminal Justice, Voluntary Sector and other agencies as appropriate. To be an active member of the multi-disciplinary team and to attend team meetings, professionals meetings and other work led meetings as required. To work with the multi-disciplinary team in developing plans that offer supportive care in the least restrictive way. To carry out crisis interventions and offer support out of hours to service users who require step up care and working closely with colleagues in the CMHT to support clients in an acute phase. To manage patient discharge under supervision of senior clinician in a safe and timely manner, ensuring liaison with primary care colleagues: to ensure that family and carers are where appropriate advised of the patients discharge arrangements: with timely completion of documentation. Close liaison with CRHTT and CMHT to ensure appropriate support is offered to service users outside of normal working hours as required. To maintain service user confidentiality in delivery of treatment packages. To respect the needs of service users, their families and other significant persons in care planning and management, including assisting them in meeting their needs. The post holder will follow agreed practice guidelines and ensure that, where possible, clients are cared for in the least restrictive environment. The post holder must be willing to work in other areas of the Urgent Care Service, including other Trust sites where exceptional circumstances or exceptional workload requires additional support. Please note:
- New starters have a 6 month probationary period. This, together with the induction process aims to create a positive supportive working environment allowing new employees to learn key elements of their role over a reasonable timescale.
- Candidates not currently employed by the Trust who attend an interview for non-qualified Band 1-5 posts are required to undertake numeracy and literacy assessments.
- Appointment to this post is subject to the trust receiving satisfactory references covering 3 years of employment or study. Please ask your referees to respond promptly to reference requests.
- Employees are expected to undertake mandatory and statutory training related to their role.
- We positively encourage applications from all areas of the community, regardless of gender, race, faith, disability, age or sexual orientation and we encourage applications from users of mental health services. This is part of our commitment to equality and reflecting the diversity of our population.
- Oxford Health is committed to safeguarding and promoting the welfare of children and vulnerable adults, we expect all staff and volunteers to share this commitment.
Person Specification Qualifications Essential
- Required MH nurse qualification
personal qualities Essential
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