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Community Nurse Specialist

Employer
Solent NHS Trust
Location
Portsmouth
Salary
£33,706 to £40,588 a year
Closing date
3 Oct 2022

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Profession
Nurse
Service
Child & Adolescent / CAMHS
Grade
Band 6
Contract Type
Permanent
Hours
Part Time
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We are seeking a motivated person who has a passion for working with young people with Learning Disabilities to maintain a caseload and to lead and undertake specialist evidence-based assessments, interventions for young people and their families as part of an MDT. You will be expected to undertake direct clinical work, in the form of individual, family and group, that demonstrates a high level of skill in supporting the child/young person and their family where severe, complex and often longstanding difficulties are present. Alongside our services aims which are to improve the quality of life for young people with learning disabilities and their families through helping them participate fully in education, social activities and family life and manage the difficulties associated with having or being part of a family where a child has a learning disability. In addition to minimise the intensity, frequency, duration and impact of challenging behaviour and mental health difficulties in children and young people with learning disabilities.

The successful candidate will work closely with colleagues from other services and agencies to promote joint working. To assist in training across sectors and agencies as appropriate.

You will actively participate in service evaluation, audit and outcome measurement to ensure that the locality team delivers high quality evidence-based interventions and will be expected to participate in regular clinical as well as line management supervision.

Main duties of the job

Assess patient/client, plan develop/implement/evaluate programmes of care to achieve best health outcome for patient/client/family/health needs as well as actively promote health and wellbeing

Work in partnership and communicate effectively with children who have learning disabilities and their families using augmentative communication methods as required. Some children may also present with challenging communicative behaviour or mental health diagnoses.

Evaluate clinical outcome and report variance to clinical pathway, protocols, or best practice guidelines

Contribute to effective discharge planning and/or referral process to health care provider and support agencies to meet identified health needs

Foster inquiry and critical thinking amongst colleagues to advance nursing practice and patient/client care to ensure the provision of positive patient/client outcomes and person-centred care

Accurately document assessments of patients/client's health status, diagnosis and response to nursing and other interventions and treatments

Educate and provide information to patients/clients/family to improve knowledge of illness, self-management prevention of complications and promotion of recovery

Role model safe nursing practice and report poor practice when observed

Practice in accordance with legal, ethical, culturally safe, and professional standards including the Code of practice

About us

Make a difference with us

If you are looking for somewhere you can make a real difference and are passionate about keeping people safe, well and out of hospital, a career with us may be just what you're looking for. At Solent NHS Trust, we strive to make a difference to the health and wellbeing of our communities.

We are proud to be an organisation which is focused on our people and we welcome people who share our values to come and work with us.

To deliver great care that is safe, simple and easy to access

To be a caring, flexible and supportive place to work

To deliver the best value for money

Our shared values support the development of a strong working culture. They breathe life into our organisation -- guiding and inspiring all of our actions and decisions. They enable us to be better at what we do and create a great place for our staff to work, whilst ensuring we provide the highest quality of care to our patients.

In creating our values, we spent time listening to our employees and members. Based on what people told us, we created our HEART values to reflect the deep belief that we are caring organisation at the centre of our community: Honesty, Everyone counts, Accountable, Respectful, Teamwork.

We are an accredited Real Living Wage employer.

We encourage and support our staff to be vaccinated as this remains the best line of defence against Covid-19.

Job description Job responsibilities

Clincial and Professional

Work in partnership and communicate effectively with children who have learning disabilities and their families using augmentative communication methods as required. Some children may also present with challenging communicative behaviour or mental health diagnoses.

Undertake a holistic clinical assessment utilising clinical skills, knowledge and experience that covers the complex psychological, social and health care needs of children and young people with learning disabilities.

Assess individual health needs, implement and evaluate care plans, and review interventions enabling the child with a learning disability and their family to develop strategies that will assist with managing emotions and maintaining appropriate relationships.

Work in partnership with clients and carers to enable them to make informed choices about care and treatment to promote their health and well-being.

To be responsible for providing professional consultation to other clinicians within CAMHS and other agencies/services in the city.

To organise and participate in training to the multi-disciplinary team and other agencies/services, in order to maintain high standards of clinical practice and meet the demands of the service and the families requiring it.

Use risk management tools to ensure the safety of the child, their family and others at all times.

To exercise full responsibility and autonomy for evidence based treatment, reviews and closing summaries and be accountable for professional actions and policies.

To take responsibility for the management of systemic resources available to the service; for example maintaining recording equipment/cameras employed in the assessment and treatment of families. This includes the safe use of specialist equipment and materials.

To participate in and promote a smooth transition into adult services where appropriate.

To ensure children, young people and their carers / significant others are included in the planning implementation delivery and evaluation of care.

To ensure care is delivered in a person centred manner ensuring the gender, ethnic, cultural and spiritual needs of service users inform practice.

Safeguarding

Identify when a child may be at risk & know how to refer to the local multi- agency safeguarding hub (MASH) when appropriate

Identify when a vulnerable adult may be at risk & know how to refer to the local authority adult safeguarding service

Communication

To utilise a range of communication methods including audio-visual aids and a picture symbol programme to support clients who face barriers to communication due to a cognitive impairment, hearing or sight impairment or behavioural difficulties.

To support clients with learning disabilities to understand complex and sometimes sensitive information about their health and to promote the management of their own health.

Accurately records patient information, progress and current status ensuring changes in patient/clients' condition are shared with the multi-disciplinary team in a timely manner.

Ensures patient confidentiality is always maintained.

Promotes Solent NHS as a centre of excellence for nursing practice through effective communication both internally and externally.

Knowledge, Education and Training

To participate in the planning, delivery & evaluation of multi-disciplinary & multi-agency training courses related to learning disability.

To provide clinical supervision and consultation for mental health nurses, family therapists, primary mental health workers and social workers implementing interventions related to learning disability.

Delivery of training to families including positive behaviour support

To train primary care & other relevant staff in the wider community regarding the management and referral of children and their families where there is a learning disability.

Management and Leadership

The post holder to ensure they work within professional boundaries

Staff are managed and standards of work are maintained and trust policies for the management of staff performance are adhered too.

Appraisals of staff directly managed are undertaken and that the appraisal process is maintained throughout the team.

Appropriate risk and other assessment are completed and documented in a timely manner in accordance with trust policy

Quality and Service Improvement

Identifies situations of clinical risk and takes appropriate action to ensure a safe environment for patients/clients/families and staff.

Contributes to evidence-based nursing practice in speciality areas.

Demonstrates commitment to quality improvements, risk management and resource utilisation participating in monitoring and evaluation activities including audit and research activities

Provides input into clinical standards/protocols and policies and undertakes clinical audits as required.

Evaluates the effectiveness, efficiency and safety of clinical practice contributing to service improvement initiatives.

Participates in the implementation of nursing models of care appropriate to patient/client population needs.

Contributes to and participates in Solent NHS policy development providing own expertise where relevant and feedback on proposed polices based on relevant experience and expertise where applicable.

Participates in case review and debriefing activities as required.

Participates in group/unit discussions that review current practice.

Contributes to the development of programmes of care/care packages providing specialist advice where relevant.

Promote patient and public involvement in activities designed to inform service improvement

Actively participate in clinical audit and service improvement activity to improve patient care and patient outcomes (privacy, dignity, and duty of candour).

Fully adheres to the Solent NHS trust Integrated Clinical and Safeguarding Supervision policy along with Safeguarding Children and adult policies, and information sharing protocols to ensure the health and well-being of children and adults at risk.

Familiarity with the requirements of the Mental Capacity Act and maintains MCA mandatory training.

Health and Safety, Security and Equality

Works in accordance with the relevant Health and Safety Trust policies, procedures, and guidelines.

Contribute to development of service.

Attends organisational mandatory training as required by the Trust and relevant to your role.

Actively participates in and enables others to carry out risk assessments within the working environment.

Ensures self and colleagues are trained and competent to use equipment safely.

Ensures incident reporting is expedited promptly and appropriate action plans completed.

Identifies potential health, safety and security issues and collaborates with others to promote and maintain an environment that supports infection prevention and control policies and procedures.

Supports and promotes a positive approach to diversity and equality of opportunity, to eliminate discrimination and disadvantage in service delivery and employment, and to manage, support or comply through the implementation of the Solent NHS Trust's Equal Opportunities Policy.

Promotes a culture which respects and values diversity, and support patients, visitors, and staff in exercising their rights.

Ensures care within areas of practice and adheres to the 5 principles of the Mental Capacity Act Code of Practice (2005).

Recognises and reports behaviour which undermines equality and diversity in accordance with organisational policies and current legislation.

Person Specification Qualifications Essential
  • RNLD or RN currently registered with NMC
Desirable
  • Post registration, specialist training relevant to speciality
  • Practice assessor/supervisor
Experience Essential
  • Experience of working with a wide variety of people with learning disabilities and their families or carers and with presenting problems that reflect the full range of clinical severity.
  • Experience of assessing and treating mental health and behavioural difficulties in children and young people with learning disabilities.
  • Experience of specialist learning disability and mental health assessment and treatment of people with learning disabilities. Experience of assessing and managing challenging behaviour and the needs of families/carers as a full member of a multi disciplinary team located in community, primary care or residential settings.
  • Knowledge of specialist psychological and behavioural interventions for people who have learning disabilities.
  • Experience of liaising, joint working, supporting, and consulting with other agencies. Networking abilities convening and chairi

    Any attachments will be accessible after you click to apply.

    449-TEAM3-1064
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