The Enhanced Support Team is multidisciplinary and provides support to those people with learning disabilities who are experiencing behaviour or mental health crises. Their role is to reduce the need for admission to hospital and, where hospital admission is required, to work alongside hospital staff to support timely and appropriate discharge back into the community. This service is offered 7 days a week. The successful candidate will have the opportunity to liaise with mainstream mental health services and other stakeholders including health and justice teams and police to support the service users in achieving their optimum level of independence.
The successful candidate will need to be able to network and develop close working relationships with commissioners and other providers to ensure that our service users are given the most appropriate support and equal access to the services they require. It is also expected that the post holder will support meaningful service user, carer, and staff involvement by modelling the trust values in their interactions and relationships both internally and externally to the organisation.
As this service provides support across South Essex, it is essential to have access to a car in order to travel across the geographic area. It is also essential to have experience of working with people with a learning disability.
Main duties of the job
The Enhanced Support Team provides intensive support to adults with learning disabilities who are presenting with challenging behaviour and/or mental health disorders in the community to reduce the need for admission to hospital. The team acts as a gateway to the inpatient assessment and treatment service and works in close liaison with inpatient services to facilitate appropriate admission and timely discharge. The team provides an 8am-8pm service Monday to Friday and 9am - 5pm weekends and bank holidays. They will work with the service user in a variety of settings.
The post holder will work in close collaboration with other professionals, including the wider MDT to assess service user needs, devise care plans, and evaluate outcomes that promote service user empowerment.
The post holder will:
* Work as a practitioner with an interest in challenging behaviour and mental health wellbeing for people with learning disabilities.
* Support the Advanced Clinician in the development of the EST service.
* Support the smooth running and coordination of the service and monitoring service activity.
* Be responsible for maintaining clinical standards under the direction of the Advanced Clinician.
* Work in liaison with service users, carers, and other professionals ensuring the delivery of a needs-led service.
Job responsibilities
The Enhanced Support Team works 7 days a week to support people with learning disabilities during episodes of mental health or behaviour crises to reduce the need for admission to hospital. This will include the following:
1. The post holder will have the clinical skills relevant to the delivery of care in the service area or demonstrate an aptitude to develop these skills.
2. The post holder will ensure compliance with their relevant clinical body's codes of conduct and practice, relevant legislation, policies, and procedures.
3. The post holder will take responsibility for the formulation of appropriate care plans for those service users presenting with challenging behaviour or mental health crises.
4. The post holder will be able to assess service users thoroughly, plan care rigorously, audit, and evaluate interventions based on evidence and locally agreed protocols and policies.
5. The post holder will act in a consultative role to external agencies in relation to clinical interventions, risk assessments, and management plans.
6. The post holder will ensure they are fully conversant with all aspects regarding the service user care and treatment.
7. The post holder will offer professional support to junior members of the Enhanced Support Team in accordance with professional responsibility.
8. The post holder will provide interventions in a person-centred way that promotes and facilitates the positive health and wellbeing of people with learning disabilities.
9. The post holder will maintain close liaison with all departments involved in a service user's care and report on progress and effectiveness to the MDT.
10. The post holder will participate in reviews within the community and inpatient settings and will prepare reports on service users as required.
11. The post holder will be aware of all policy documents and legal requirements pertinent to the post and ensure that these are followed.
12. The post holder will demonstrate and serve as an example for clinical activities to appropriate grades of staff.
13. The post holder will lead specific groups and sessions with clear objectives.
14. The post holder will ensure that the statutory requirements of the Mental Capacity Act and Mental Health Act are observed and applied.
15. The post holder will provide specialist education and training regarding learning disability for those people working within local health care/social care/residential care/third sector settings.
16. The post holder will carry out clinical procedures when required in accordance with trust policy and their own competency.
17. The post holder will act as a practice assessor and practice supervisor to students.
18. The post holder will provide induction and training of others.
19. The post holder will undertake clinical risk assessments and develop these with comprehensive multi-agency contingency planning.
20. The post holder will provide clinical advice for service users who present with challenging needs.
21. The post holder will carry out joint assessments with other MDT members.
22. The post holder will support in the development of evidence-based quality practice.
23. The post holder will take part in research in the field of challenging needs and keep up to date.
24. The post holder will provide training in response to specific service user needs.
25. The post holder will administer medication, where appropriate, in accordance with professional, legal, and local requirements.
26. The post holder will support service user needs-led meetings as part of holistic care planning.
27. The post holder will communicate clinical formulations, hypotheses, current problems, and contributing factors to service users, families, advocates, care providers, and other stakeholders.
28. The post holder will play an active role in representing the EST in the ongoing development of the service and relevant care pathways.
29. The post holder will support in developing working partnerships with inpatient services and primary, secondary, and tertiary care.
30. The post holder will provide clinical supervision for junior staff.
31. The post holder will monitor delegated tasks to unqualified staff as part of direct and indirect supervision.
32. The post holder will contribute to the orientation and induction programmes for new staff and also to their training and development.
33. The post holder will promote the inclusion of people with learning disabilities into mainstream services ensuring that they have access to and are included in service development and improvement planning.
34. The post holder will be able to analyse risk assessment information and transpose using unambiguous everyday language into a risk management plan.
35. The post holder will be able to apply rational judgement and maintain sound clinical decision-making skills within areas of responsibility in crisis situations.
Person Specification
Education and qualifications
Essential
* Must have a relevant nursing degree
* Must have training in a specialist related field
* Must have evidence of leadership skills
* Must hold a valid UK driving licence and have access to a car for work purposes
Desirable
* Experience of working in a community setting
* 2 years post qualification experience
* Masters degree or equivalent level of learning
Knowledge
Essential
* Knowledge of assessments and a variety of models and approaches
* Knowledge of MHA
* Knowledge of MCA
Desirable
* Ability to analyse professional and ethical issues
* Knowledge of LeDeR
* Knowledge of research methods
Skills and experience
Essential
* Experience of applying a variety of specialist treatment interventions
* Experience of working with people with complex learning disabilities and mental health disorders
* Experience of managing multiple and complex tasks
* Ability to hold difficult conversations
Desirable
* Experience of teaching and training junior staff
* Membership of special interest group
* Ability to read and interpret information quickly and effectively
Employer details
Employer name
Essex Partnership University NHS Foundation Trust
Address
Enhanced Support Team
1 Heath Close
Billericay
CM12 9NW
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