Detailed job description and main responsibilities
Please refer to the attached job description and person specification for full details of responsibilities.
1. The post holder will work within the Integrated Neighbourhood Team with stakeholders including the General Practitioners, core team members, specialist services and partner professionals and agencies from within and beyond the organisation.
2. To ensure that mental health pathways are delivered within the neighbourhood teams and work closely with both neighbourhood team staff and the locality teams to ensure smooth communication and transitions within local services.
3. Undertake assessments to determine patient need and collaborate with key partners and stakeholders including local authorities and independent/private sector providers to meet the individual needs of patients and their families/carers whilst working at all times to reduce risk.
4. To ensure that adults and older people experience a timely, effective and person-centred approach to the delivery of integrated care.
5. To manage and provide clinical supervision and leadership to a defined group of Integrated staff working within locality especially mental health practitioners.
6. The post holder will support the development of skills in relation to Multi-disciplinary working, discharge planning/transfer and co-ordination of care in order to achieve a standardised approach and competency within the locality and contribute to the reduction of avoidable bed days.
7. Work within the model of the NT (Neighbourhood teams), providing clinical leadership on the matters relating to mental health interventions.
8. Clinically supervise mental health practitioners within the NT and ensure that there is excellent communication and planning for mental health interventions across the NT and ICT.
9. To promote the understanding of common mental health conditions and develop skills and knowledge in the wider neighbourhood team and with key partners.
10. Ensure systems are in place to receive and prioritise mental health referrals to the team and delegation to staff members with the level of skill and competence required to meet patient need.
11. Facilitate the assessment and care planning/interventions for patients whose needs may frequently be complex and multi-factorial in nature, collaborating with the integrated team, Advanced Practitioners/medical colleagues, social services and other stakeholders involved in the transfer of care.
12. Engage proactively with key stakeholders to identify patients who require supportive intervention and case management to prevent avoidable hospital admission and enable those individuals to remain in their own home environment.
13. Negotiate the timely transfer home for those patients whose presentation does not require them to remain within or the acute/community hospital environment.
14. Work in collaboration with the integrated neighbourhood team to provide information, prepare patients and their families/carers for changes in the patients condition and actively encourage and support decision making and choice for end-of-life care including the use of fast track and CHC processes.
15. Prioritise and manage own workload to ensure responsive care/interventions by staff with the level of skill and competence to meet patient need and provide advice and support to team members regarding the care/management plan.
16. Undertake assessments and reviews for appropriate patients; being responsible for ensuring case management plans are in place; have been delivered; and complete relevant documentation.
17. Ensure own leadership style facilitates effective communication, collaboration and motivation of staff and partners to achieve effective transfer of care.
18. To assess, receive and review data regarding patients who regularly attend/are admitted to acute care, liaise with the patients; and relatives/carers as appropriate.
19. Lead in the development of annual audit plans for the Mental Health component of the neighbourhood team.
20. Work collaboratively with the Team and professional leads to support professional and practice developments including CPFT Clinical Supervision framework.
21. Maintain confidentiality in accordance with the Data Protection Act.
22. It is a condition of employment that you are currently a registered professional and it is your responsibility to maintain your professional registration.
23. To work with the area mental health manager and peer group to develop and maintain countywide management systems to demonstrate effective delivery of mental health care.
24. To ensure the delivery of mental health services within neighbourhood teams including reviewing available resources as required.
25. Assist in the development and implementation of changes to modernisation and improve operational processes and delivery.
26. Assist in leading person-centred, performance-focused approach to managing Integrated services.
27. To be responsible for the management of and reporting on individual and team performance indicators and the development of remedial action plans as required.
28. To undertake mandatory training as required by Trust policies Service.
29. Work closely with the MDT and coordinators and Primary care networks, integrating working practices to streamline processes, share knowledge; and benefit patient experience, outcomes and flow.
Person specification
Education / Qualification
Essential criteria
1. Registered Mental Health Nurse or equivalent AHP or Social work qualification.
2. NMC or HCPC registered.
3. Educated to degree level or equivalent experience.
4. Demonstrate continuous professional development.
Desirable criteria
1. Management qualification Enhanced clinical skills qualification in relevant field.
2. Route cause analysis training.
3. Safeguarding lead.
Experience
Essential criteria
1. Proven record of experience and achievement in mental health assessment, care of adults and/or older people.
2. Evidence of effective leadership management in multi-disciplinary teams.
3. Demonstrate effective liaison with care providers, voluntary and statutory partners.
4. Knowledge of common mental health conditions affecting adults and older people.
Desirable criteria
1. Budget management.
2. Managing across sites.
3. Have lived experience of mental health challenges.
4. Experience of people management.
Skills and Abilities
Essential criteria
1. Able to demonstrate commitment to high quality care and service provision.
2. Experience of clinical supervision and leadership.
3. Excellent communication skills both verbal and in writing.
4. Able to demonstrate a clear understanding of partnership working.
5. Demonstrates an understanding of health, social care and wider role of stakeholders.
6. Demonstrates an understanding of audit methodology.
7. Demonstrates ability to analyse and take action on performance and quality data.
Knowledge & Understanding
Essential criteria
1. Accepts responsibility and professional accountability for own work and can define the responsibilities of others.
2. Recognises the limits of own authority within the role.
3. Seeks and uses professional leads/knowledge base and in partnership support staff appropriately.
4. Understands and adheres to the principles of confidentiality.
5. Standard keyboard skills and ability to communicate through IT using packages such as Word, Outlook, Excel and PowerPoint.
6. Able to utilise electronic patient records system.
7. HR systems and processes.
Physical Requirements
Essential criteria
1. Demonstrates empathy for and awareness of concerns of others.
2. Listens to and understands directly and indirectly expressed feelings.
3. Encourages others to express themselves openly.
4. Manages strong emotions and responds constructively to the source of problems.
5. Shows respect for others' feelings, views and circumstances.
6. In highly stressful situations keeps own feelings in check and takes constructive action and calms others down.
7. Has a range of mechanisms for dealing with stress. Can recognise when to use them and does so.
8. Shows a well-informed appreciation of the challenges of working with the diverse needs of this group.
Others
Essential criteria
1. Positive approach to older people.
2. Recognise people's right to privacy and dignity, treating every person with respect.
3. Willingness to embrace service model and new ways of working.
4. Ability to travel across the county - sometimes at short notice, and regularly within catchment area.
5. Satisfactory Criminal Records Disclosure.
6. Flexibility to work over seven days per week, to support the delivery of a 24-hr service if the need arises.
Here at Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) we are dedicated to providing high quality care with compassion. We deliver many of the NHS services that are provided outside of hospital and in the community such as physical, mental health and specialist services.
We are a health and social care organisation, offering a wide range of services, including:
1. Integrated physical and mental health services for adults and older people.
2. Specialist mental health and learning disability services.
3. Children and young people's mental health services.
4. Children's community services in Peterborough.
5. Social care.
6. Ground-breaking research.
We strongly encourage applications from all sections of the community, particularly from under-represented groups including disabled people and members of our ethnic minorities and LGBTQ+ communities. For further information about our positive equality, diversity and Inclusion work, please visit https://www.cpft.nhs.uk/equalityanddiversity.
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