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Clinical Team Leader - First Response

Central & North West London NHS Foundation Trust
£46,836 to £52,849 a year p.a inc HCAS
Closing date
28 Jan 2023

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CBT Therapist / Other
Band 7
Contract Type
Full Time
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The role of the Team Leader for the First response team is that of being a team leader for the Brent FRT as well as providing rapid mental health assessments for patients in emergency departments and in the community.

This role will provide clinical assessment, initial treatment care planning and leadership to a group of First Responders. The team will provide face-to-face assessments working closely with other mental health services and agencies; such as the police, ambulance and local authority to provide clinical assessment, formulation and short-term active care planning for people presenting in mental health crisis. They will respond to people referred wherever they are including at home, in the community, other services areas including primary and secondary care services and other statutory and non-statutory partners. They will ensuring people using service get the right care, at the right time, in the right place to ensure people's care move on to the correct next stage for that person.

The post involves working with clients of the Mental Health Crisis Service in a range of settings. These include primary care settings, other community settings, and other health service sites, as required. Lone working in the community is a major element of this job as is potential exposure to verbal and physical aggression.

Main duties of the job

The main duties of the Team Leader for the Brent First Response Team are:

To provide rapid mental health assessment's for patients in the community and in emergency departments.

To act as the gatekeeper's for all patients that have been put forth for admission.

To seek alternates to admission through the use of community support services both statutory and voluntary.

To provide effective leadership, supervision and appraisals to all members of the FRT.

To assist in data collation and reporting in regards to the activities of the FRT.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

About us

At CNWL we are committed to supporting our staff in their professional development through the use of personal development plans, ongoing training and developmental courses.

We also seek to support our staff through with their health and wellbeing and offer a variety of supports around this.

We seek to encourage staff to develop themselves within the Trust and to progress their career.

We have links with local Universities and offer many personal and professional development courses.

Job description Job responsibilities

  • Provide quality supervision and management of the borough team of First Responders, offering support, reflective practice, advice and clinical oversight and input. Show clinical leadership to aid in team development, and enabling positive risk taking
  • Work closely with the Head of Urgent Care Service to ensure smooth running of the First Response team in the borough, building relationships with other clinical teams such as HTT, wards, liaison psychiatry and community services to enable collaborative working across the system
  • Coordinate shifts for First Responders to ensure a 24/7 service
  • Provide evidence base clinical needs and risk assessment, making autonomous clinical decisions about the most appropriate urgent and acute offer to meet assessed need
  • Take decision allocate to the Home Treatment Caseloads or decisions to admit (DTAs) and share these recommendations through collaborative working and
  • Be able to stand by autonomous decision making in a high paced area, enabling positive risk taking and accountability which other services may challenge
  • Undertake clinical risk assessments, based on latest clinical research evidence and compliant with local policies and
  • Ensure that individual episodes of care are delivered in a timely, effective and integrated
  • Promote an engagement, recovery and relapse prevention model and medication concordance and adherence including assertive outreach model that empowers people, carers and relatives to be at the forefront of decision making and ownership of their packages of care and treatment.
  • Enable people and carers to manage disability, loss and
  • Champion peoples rights, including: dignity, equality, diversity, choice and respect.
  • When undertaking all of the above ensure good documentation is provided and entered within the appropriate systems of record
  • Prepared to work as part of a team of First Responders, feeding into the central Urgent Care Service hub, providing support and empowerment across the
  • Ability to understand and adapt to system-wide needs, working flexibility across geographies covered by CNWL as required, particularly out of hours.
  • Contributing to handover and communication with colleagues
    • This post will for part of the First Response Hub, the post holder would be expected to be able to cover all areas of the hub function and be part group of staff rotating into the different
    • This is not an exhaustive list of duties and responsibilities, and the post holder may be required to undertake other duties, which fall within the grade of the job, in discussion with the
    • This job description will be reviewed regularly for staff and people who use services benefits in the light of changing service requirements and any such changes will be discussed with the post holder.

  • To ensure that good working relationships are maintained within the multi- disciplinary team, and with external agencies, through effective and clear communication.
  • To maintain an environment in which there is equal opportunity and anti- discriminatory
  • To ensure the safe and effective delivery of care to service users, utilising the knowledge and skills of staff, whilst recognising and working towards helping them manage their stress in this demanding area of
  • To promote a positive image of the service to its users, their carers, family and partners, and through liaison with all other
  • Participate as an active member of the team, accountable for your practice, and work in partnership with other health care professionals, service users and others in the delivery of
  • To become fully conversant with statutory and non-statutory services in Brent, and promote effective liaison and operational links as
  • To screen and prioritise referrals to the
  • To undertake initial assessments of service users accepted by the team, and take a lead role in the development and implementation and evaluation of their individual treatment
  • To ensure effective gate keeping of admissions, and throughput and discharge from the in-patient
  • To take a lead in problem solving and finding solutions, where conflict exists in relation to decision making around appropriate care for a service user.
  • To demonstrate risk assessment and management skills, practising safely and according to individual service users
  • To liaise effectively with referrers and CMHTs, promoting good working relationships and continuity of clinical
  • To recognise the role of advocacy and promote concepts of empowerment.
  • To provide support, information and education to family members, carers and other
  • To demonstrate clinical knowledge of a range of therapeutic interventions to use with individuals experiencing acute mental health
  • Be able to use informational technological systems effectively to maintain contemporaneous, up to date and accurate clinical record and other reporting and information

  • Training Research and audit
  • To be responsible for implementing a framework for supervision within the team.
  • To deliver management and clinical supervision to members of the
  • To be able to demonstrate collective leadership and inclusion with the team
  • To be available to receive clinical and managerial
  • To contribute to the planning of induction programmes for all staff and to identify the individual educational need of
  • Ensure that the mandatory training requirements of all staff are met so that professional and legal requirements are
  • Ensure that an active in-house clinical education programme exists which ensures that staff are able to carry out their role to an expected high standard and allows them to develop skills and competencies in interventions whose efficiency is supported by research
  • Provide education and training within the team and the Trust in relation to your sphere of specialist knowledge and skills
  • To participate in relevant academic meetings and teaching
  • To facilitate the learning environment for pre and post registration students.
  • To be prepared to undertake further

  • Policy and/or Service Development
  • To assist in setting and monitoring standards of clinical practice within the team and make changes where
  • To assist in formulating policy and to take a lead role in the development of the
  • To take a lead in implementing team / directorate or CNWL policy and procedure.
  • To develop an effective working knowledge of the Mental Health Act 1983 and the Mental Health Act 1995 and work within these legal
  • To ensure the implementation of professional and Trust-wide clinical policies and and procedures.
  • To participate in the evaluation of the service in conjunction with the Management

  • Management of Resources
  • To delegate for the team managers as required, and deputise for them in their absence as
  • To work closely with the patient flow manager and ensure all procedure prior to admissions are completed and facilitate early
  • To have line management responsibility for team members within the team.
  • To be responsible for facilitation of supported discharge from the in-patient unit, links with stakeholders key to achieving the team operational aims, the day-to-day running of the
  • To be an authorised signatory, able to authorise bank and travel expenses for staff.
  • To take a lead role for ensuring adequate staffing resources are available to provide the
  • To take a lead in the recruitment, selection and retention of
  • To ensure compliance with legal requirements concerning the prescribing, storage, transporting and administration of
  • To be aware of professional accountability and pay due regard to relevant professional codes of conduct and
  • To be responsible for the maintenance of accurate service user records throughout the multi-disciplinary
  • Ensure that the environment is safe and laid down in the Health and Safety Act (1974) and the Trust Health and Safet

  • Research and Development
  • Able to demonstrate knowledge on research methods and methodology
  • Able to analyse and producing information and statistical data whenever required
  • To collect statistical and research data and compile reports as
  • To use knowledge of the principles and practice of research to create an environment of research awareness and evidence based
  • To encourage and participate in research projects relevant to the team and its

  • Person Specification Qualifications Essential
    • Social work/Mental Health Nurse Qualification / NMC Registration.
    • Evidence of continuing professional development
    • Teaching (clinical practice) qualification / certificate or equivalent experience
    • Educated to degree level in relevant subject or equivalent level qualification or significant experience of working at a similar level in specialist area
    Experience Essential
    • Mental health care/treatment relevant to service.
    • Working with people presenting in mental health crisis.
    • Significant years' experience for initial assessment and treatment including triage case formulation
    • Experience of facilitating clinical decision making and the application of professional judgement in clinical situations
    • Multi-agency working/working across service interfaces.
    • Substantial years proven team management experience
    • Previous site management / bed management experience
    • Awareness of professional responsibilities
    • Understanding of the Public Sector
    • Experience of monitoring budgets and business planning processes
    Skills Essential
    • Ability to effectively prioritise an

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