Nurse Practitioner

Employer
Oxleas NHS Foundation Trust
Location
Sidcup
Salary
£38,762 to £45,765 a year pa inc
Closing date
6 May 2023

View more

Profession
Nurse
Service
Community
Grade
Band 6
Contract Type
Permanent
Hours
Full Time
Nurse Practitioner, Band 6 Permanent - Full Time - 37.5 hours per week

Bexley Home Treatment team have an exciting opportunity for a band 6 RMN to join our well-established team which provides a 24-hour crisis resolution and home treatment to the residents in the Borough of Bexley. Come and join a successful and dynamic service which has recently been Accredited by the Royal College of Psychiatry, in providing an effective alternative to inpatient treatment for people in mental health crisis, 365 days a year.

The Home Treatment Team is an essential component of the Crisis Care Concordat 2014 and forms part of comprehensive borough-based crisis services, alongside the Mental Health Liaison, and Crisis Caf. The team is multi-disciplinary and employs several nursing, medical, social work and support staff who work closely to provide a viable alternative to hospital admission with a focus on a social systems approach. This involves intensive clinical work over short periods of time to prevent the need for admission or facilitate safe early discharge.
  • To provide 72 Hour follow-up for individuals who have self-harmed pre-admission and while on the inpatient patient when they have been discharged
  • Assessment of urgent referrals from Primary Care Plus (PCP)
  • Responding to calls via the Trust's Crisis line

The postholder may be expected to transfer to another CRHTT temporarily or permanently where there is a clear clinical need to do so.

Main duties of the job

To carry out effective biopsychosocial assessments of individuals in crisis referred to the team from community mental health teams, GPs and other sources.

To gatekeep all referrals to inpatient services to assess their suitability for home treatment as an alternative to admission

To carry out effective risk assessment and management, seeking advice from multi-disciplinary colleagues and other teams where needed

To assess patients on the inpatient wards for early discharge and home treatment

To provide a range of agreed clinical interventions to service users and their relatives at home aimed at increasing the individual's psychological stability

To develop effective crisis plans with individuals which will improve their future resilience

To provide phone advice to people in crisis as part of the Trust's Urgent Advice Line

To assess the welfare of people discharged from inpatient wards within the past 72 hours, involving other teams and agencies as required within the parameters of the 72HourS Follow-Up protocol

To carry out assessments of mental capacity as required to do so.

To liaise collaboratively with hospital and community based mental health services, both within Oxleas and elsewhere, also with emergency services and non-statutory bodies.

To maintain comprehensive and timely clinical records in accordance with Trust standards

To work extended hours within a shift system over seven days per week .

All other nursing responsibilities.

About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes. We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people. Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
  • We're Kind
  • We're Fair
  • We Listen
  • We Care


Job description Job responsibilities

To carry out effective biopsychosocial assessments of individuals in crisis referred to the team from community mental health teams, GPs and other sources.

To gatekeep all referrals to inpatient services to test their suitability for home treatment as an alternative to admission

To carry out effective risk assessment and management, seeking advice from multi-disciplinary colleagues and other teams where needed

To assess patients on the inpatient wards for early discharge and home treatment

To provide a range of agreed clinical interventions to service users and their relatives at home aimed at increasing the individuals psychological stability

To develop effective crisis plans with individuals which will improve their future resilience

To provide phone advice to people in crisis as part of the Trusts Urgent Advice Line

To assess the welfare of people discharged from inpatient wards within the past 72 hours, involving other teams and agencies as required within the parameters of the 72HourS Follow-Up protocol

To carry out assessments of mental capacity as required to do so.

To liaise collaboratively with hospital and community based mental health services, both within Oxleas and elsewhere, also with emergency services and non-statutory bodies.

To maintain comprehensive and timely clinical records in accordance with Trust standards

To work extended hours within a shift system over seven days per week .

Other nursing tasks and responsibilities

To hold continuing accountability for the nursing care and management of all patients under the care of the CHTT on a shift basis.

To carry out assessments of mental capacity.

To work collaboratively with carers

As shift co-ordinator to co-ordinate referrals to the team and all other team activities on a shift basis.

To be accountable for ones own practice and that of junior colleagues for whom one has supervisory responsibility.

To identify clinical need, prioritising and deploying resources, within budgetary parameters.

To promote and utilise evidence-based care.

To be an effective communicator, observer & listener.

To maintain patient confidentiality at all times.

To ensure that all organisational, policies, procedures and guidelines are adhered to as well as contributing to the development of local ones.

To ensure good teamwork and working relationships with patients, carers, relatives, other professionals and the public.

To provide supervision, mentorship & leadership for junior staff and students within the team.

To ensure that clinical supervision is used to reflect upon and modify own and others practice.

To ensure that own practice and that of junior staff remains within legal, ethical and professional parameters and is open to scrutiny from peers.

To hold a valid Professional registration in respective discipline i.e., NMC/SWE/HCPC

Person Specification Training and Qualifications Essential
  • Registered Mental Nurse Diploma or degree
  • Teaching / Assessment / Mentorship qualification
  • Evidence of ongoing professional development relevant to area of practice
Experience Essential
  • Experience of working within a multidisciplinary team
  • At least 2 years post registration experience in acute mental health setting
  • Experience in carrying out mental health assessment
  • Experience of participating in clinical audit
skills Essential
  • Thorough knowledge of mental illness and therapeutic interventions
  • Competence in the assessment of risk
  • Competence in assessing MSE


Any attachments will be accessible after you click to apply.

277-5109416-AAC

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