Clinical Nurse Specialist Day Programme

Central & North West London NHS Foundation Trust
£40,448 to £47,965 a year per annum including HCAS
Closing date
3 Feb 2023

View more

Band 6
Contract Type
Full Time
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Day Programme: Clinical Nurse Specialist

This is a unique opportunity for a nurse to further their practice and experience within a specialist setting, primarily working within our Day Programme Service

This is a wonderful opportunity to develop care co-ordination and nursing leadership skills as part of the management teams.

You will need to be a motivated, empathic, skilled and a dedicated individual who can work autonomously as well as part of the wider team. Excellent communication skills in all domains are a must with an ability to work flexibly and dynamically within the various teams in the service as needed.

You will be well supported in your role by a friendly, skilled MDT as well as receive regular line management and good clinical supervision in various forms.

Main duties of the job

  • Providing support to clients diagnosed with Eating Disorders via meal support, supervision, key work
  • Develop and facilitate specialist therapeutic groups as part of the programme.
  • Ensuring patient safety and care is maintained at a high standard
  • Develop specialist risk assessment skills in a community day programme setting
  • Providing supervision to junior staff and students
  • Completion of audits.
  • Deputising for day programme manager if required.

About us

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.

Job description Job responsibilities

Clinical Roles
  • Ensure nursing practice is in accordance with the NMC Code of Professional Conduct and Mental Health Legislation, which incorporates and respects differences in respect of gender, sexuality, ethnicity, religion, culture and disability.
  • To ensure that planning of care occurs within the framework of CPA, that relevant local and national guidelines are adhered to and support band 5 nursing staff to ensure relevant documentation is completed.
  • To communicate with families and carers engaging with them to support patient care.
  • To act as group facilitator/co-facilitator as required, including supervision of meals in dining room, as well as inpatient and day patient groups.
  • Participate in the maintenance of general and specific patient observations, accurately recording of all relevant information and report any concerns. This includes ensuring ECGs and Venepuncture practises are completed as per patient care plan
  • Participate in the insertion of Nasogastric tubes and administration of prescribed diet as per patient care plan and in line with policy and protocol.
  • Participate in supporting patients to eat in the dining room and role modelling supportive interventions to fellow staff.
  • Always act in a manner as to promote and safeguard the interests and
  • well-being of patients, visitors and colleagues.
  • Support patients to have leave of the ward providing escort if required and ensuring this does not compromise patient or ward safety.
  • Participate in social, occupational and psychological activities with patients, and in so doing maximise therapeutic opportunities for patients.
  • To ensure medications are administered as per patients medication chart and participate in the safe storage of medications including stock rotation and pharmacy audits.
  • Participate in rotational duties and working in alternative care settings as required.
    • To deputise and provide senior nurse cover as part of the management team on the ward as required.
    • To assist and support in the establishment of an efficient working environment, making the most effective and efficient use of staff, supplies and services.
    • To utilise all available resources to the maximum benefit of the service, being aware of resource implications specific to the Ward/Department.
    • To ensure that agreed Trust policies and procedures are followed.
    • To report any maintenance requirements through the Trust processes, reporting any difficulties to the nurse in charge.
    • To support the investigation and handling of complaints- undertake in any disciplinary investigations, or staff performance data collection, in collaboration with the management team on the ward.
    • To ensure that all relevant Managers are aware of any difficulties, omissions in care or complaints, and to ensure that these are dealt with according to Trust Policy.
    • To take a lead role, or assist in the recruitment and selection of new staff.
    • To ensure that the best quality, evidence-based service is delivered to Inpatients within the available resources.
    • To work as part of the management team in organising care across the service, within the resources available.
    • To form a positive, therapeutic relationships with people who are experiencing acute crisis or distress in the context of partnership and trust. Using excellent communication skills
    • To acquaint the Ward Manager and Matron with professional concerns and promote professional practice at all times.
    • To ensure that information of a confidential nature is not divulged to any unauthorised person and is stored in line with the provisions of the Data Protection Act.
    • To ensure that information of a confidential nature is not divulged to any unauthorised person and is stored in line with the provisions of the Data Protection Act.
    • To ensure patient records are kept confidential including documentation of weights and vital signs.
    • To maintain, as required, ongoing records of clinical activities using trust approved mediums.
    • To undertake audit as required to develop nursing practice within the services.
    • To participate in clinical research as directed by the Clinical Governance Team for the Service.
    • To keep abreast of best practice in the field of Eating Disorders and share these within the Teams.
    • To be involved in the setting of nursing care standards for the inpatient service, including the development, implementation and evaluation of care pathways.
    • To contribute to activities which continue to build on a culture of shared learning and evidence-based practice.
    • To keep up to date with current developments (i.e. attending conferences/ workshops, reading journals) regarding eating disorders, mental health and related issues where appropriate, incorporating these into your work and the further development of better services in the unit.
    • To engage in regular clinical supervision of own work.
    • To be aware of own professional development needs and work towards meeting these.
    • To ensure up-to-date NMC registration.
    • To participate in the training of students on placement, and to act as student link for local education providers, and to act as a mentor to students on placement.

    Person Specification Qualifications Essential
    • Current NMC Registration
    • Mentorship, Preceptorship or Equivalent Student Support Training
    • RMN
    • oEvidence of regular updating in nursing clinical practice since qualification.
    • oMotivational Enhancement Therapy (MET) Training
    • oDegree or Post Graduate qualification relevant to the post
    Experience Essential
    • Post graduate experience.
    • Experience in Eating Disorders within a ward setting
    • Experience of supervising or working with student nurses
    • Experience of completing a nursing assessment and formulating a safe care plan
    • Experience of managing a case load of patients and care co ordination within a ward or community setting
    • Experience of working therapeutically with patients presenting with an eating disorder and significant psychiatric/ medical co- morbidities
    • Experience in skilfully delegating duties to others taking into account skill, ability and safety of ward.
    • Experience and skills in Nursing assessment and treatment plan for patients with mental health needs.
    • Involvement in audit and research
    • Evidence of skills & experience transferable to Eating Disorders
    • Experience of completing a specialist assessment for patients with a range of eating disorders within a community setting
    • Experience in undertaking audits.
    Skills and Knowledge Essential
    • Able to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person
    • Good working knowledge of Care Programme Approach, Mental Health Act, supervised discharge and other current legislation
    • Excellent Risk assessment and general Mental Health Assessments skills
    • Experience and skills in Nursing assessment and treatment plan for patients with mental health needs.
    • Knowledge of eating disorders and current treatment
    • Good physical care skills and knowledge in mental health and specific to eating disorders
    • Knowledge of evidenced based treatment for eating disorders
    • To undertake full psycho-social, physical, mental health assessments and risk assessments
    • Trained in venapuncture to participate in vena puncture and ECG procedures or willingness to be trained to participate in these physical care skills.
    • To foster good working relationships across a multi-disciplinary team.
    • Knowledge of boundary issues in mental health
    • Ability to work independently and to manage stressful workload and use time effectively
    • Ability to utilize reflective practice in supervision
    • Understanding of family/carer issues.
    • Knowledge of recent issues in nursing and Mental Health Care.
    • Knowledge of Eating Disorders Treatment and Research
    • Experience in undertaking audits.

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