Job summary Up to 37.5 hours per week. Join Our Community Learning Disability Team in Plymouth Are you a dedicated Community Nurse passionate about making a difference in the lives of people with learning disabilities? If youre interested in mental health and forensics, we invite you to join our supportive team in Plymouth Who We Are Our Community Learning Disability Team is committed to improving the quality of life and independence of individuals with learning disabilities. We believe everyone deserves the opportunity to lead fulfilling lives, and we strive to provide exceptional care in a friendly, collaborative environment. The post is a senior clinical post with accountability for clinical effectiveness and service development/coordination as a response to health needs of those with complex learning disability. The role includes working with individuals to understand their health needs and to plan appropriately for these. The role will cover holistic care which includes both physical and mental health aspects. Case management and coordination of support, assessing and reviewing the needs in a person centred approach. Liaising with other agencies and providers to ensure reasonable adjustments are in place. This role may not be eligible for sponsorship under the Skilled Worker route, please refer to the Direct Gov website for more information with regards to eligibility. Main duties of the job As part of the multidisciplinary team you will be responsible for assessing, planning and managing risk of individual's care needs including physical, mental health and behaviour that challenges services. Case management and care coordination for those that are fully health funded. Liaising with commissioners in conference regarding the identified health needs and how they are being addressed. Speaking up for individuals with a learning disability and ensuring reasonable adjustments are made by generic services to allow the service user to have equitable health care by the most appropriate service. Liaising with other agencies, providers and families in partnership with the individual and to keep in mind the safeguarding process. Ensuring consideration of capacity, restrictive practice in line with best interest and court of protection processes. To be an autonomous practitioner and be able to prioritise workloads to meet the demands of the service and the wider Livewell SW objectives. Please note that Livewell may close the job advertisement earlier than the specified deadline if a high number of applications are submitted. Therefore, we recommend you submit your application at the earliest opportunity. All Livewell staff are expected to be able and willing to work across a 7 day service. About us Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs. As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other. We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well. Valuing our employees making an investment in their development a priority. We offer: Protected CPD time for registered staff Various development pathways and ongoing regular training packages for all staff Leadership & mentoring programmes Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training A Robust Preceptorship A bespoke induction programme Existing members of the NHS Pension Scheme can continue their membership when they join the organisation. Date posted 01 November 2024 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year pa, pro-rata Contract Permanent Working pattern Full-time, Part-time, Job share, Flexible working Reference number B9832-2024-NM-9551 Job locations Westbourne Unit Beacon Park Road Plymouth PL22PQ Job description Job responsibilities Clinical Responsibilities 1. Participating in the undertaking of health needs reviews and health assessments to identify needs and plan care accordingly. 2. To identify, plan and manage risk of an individuals care needs, relating to physical health, behavioural and or mental health. 3. To be responsible for assessing, planning and making recommendations for future care in partnership with patient, carer and multi-professional agencies including case conferences for reviewing the packages of care and care co-coordinating as appropriate. 4. To liaise with Primary and Secondary care agencies to ensure better health outcomes for individuals. 5. To work within the Mental Capacity Act and evidence best interest decision making. 6. To maintain effective and appropriate communication networks with members of the multi-disciplinary team, the independent sector homes and all stakeholder agencies and organisations to ensure that the individual care needs can be met. 7. To contribute to multi-disciplinary team specialist assessments. 8. Ability to work as an autonomous practitioner, planning, prioritising and organising workload according to the needs of the service. 9. To provide any relevant information and explanation to clients and carers at a level commensurate with their ability to understand using total communication. 10. To provide evidence-based advice and guidance to care staff on the management of health needs to patients and signpost to other services. 11. To act as a supervisor and/or assessor for students demonstrating high standards of practice and professional conduct. 12. To undertake health promotion/education whenever possible to all adults with LD and also to contribute to planned health promotion activities. 13. To work with all other agencies with regards to the safe guarding process. Managerial Responsibilities 1. Line Management responsibilities for staff band 5 and below 2. To be responsible for coordinating reviews as per guidelines 3. Prioritise caseload to meet competing demands 4. To be aware of and abide by the LWSW policies, standards and Clinical Governance initiatives. 5. Present confidentiality and be aware of the Data Protection Act, access to health records and consent for assessment process. 6. Involvement in continual audit and review of services to determine quality. 7. Maintain safe record-keeping and confidential practice, in line with LWSW and professional guidance and be aware of the Data Protection Act, access to health records and consent for assessment process. 8. To ensure electronic record keeping policy is adhered to. Professional Responsibilities 1. To maintain a high professional standard of conduct at all times in accordance with NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/ professional bodies register. 2. To maintain own re-validation portfolio. 3. Assume responsibility for own professional development and personal knowledge. Undertake and contribute to research where appropriate. 4. Monitor own performance against agreed objectives through the process of appraisal and personal development plans and professional body regulations. 5. Maintain professional expertise by arranging and attending meetings, study days and mandatory training and service training. 6. Plan and participate in the supervision and provision of experience for all nurse learners and other personnel as appropriate. 7. Participate in regular line management, caseload management and clinical supervision. 8. To deliver appropriate training and subsequent support to other staff, students and outside agencies when required. 5. Communications and relationships The post holder will be required to work within the MDT function of the CLDT and may need to be part of wider MDT groups relating to client need. The post holder will liaise between other health, social and educational services in assessing, planning and reviewing client care needs/service provision. The post holder will also work with other voluntary and secondary care providers. Job description Job responsibilities Clinical Responsibilities 1. Participating in the undertaking of health needs reviews and health assessments to identify needs and plan care accordingly. 2. To identify, plan and manage risk of an individuals care needs, relating to physical health, behavioural and or mental health. 3. To be responsible for assessing, planning and making recommendations for future care in partnership with patient, carer and multi-professional agencies including case conferences for reviewing the packages of care and care co-coordinating as appropriate. 4. To liaise with Primary and Secondary care agencies to ensure better health outcomes for individuals. 5. To work within the Mental Capacity Act and evidence best interest decision making. 6. To maintain effective and appropriate communication networks with members of the multi-disciplinary team, the independent sector homes and all stakeholder agencies and organisations to ensure that the individual care needs can be met. 7. To contribute to multi-disciplinary team specialist assessments. 8. Ability to work as an autonomous practitioner, planning, prioritising and organising workload according to the needs of the service. 9. To provide any relevant information and explanation to clients and carers at a level commensurate with their ability to understand using total communication. 10. To provide evidence-based advice and guidance to care staff on the management of health needs to patients and signpost to other services. 11. To act as a supervisor and/or assessor for students demonstrating high standards of practice and professional conduct. 12. To undertake health promotion/education whenever possible to all adults with LD and also to contribute to planned health promotion activities. 13. To work with all other agencies with regards to the safe guarding process. Managerial Responsibilities 1. Line Management responsibilities for staff band 5 and below 2. To be responsible for coordinating reviews as per guidelines 3. Prioritise caseload to meet competing demands 4. To be aware of and abide by the LWSW policies, standards and Clinical Governance initiatives. 5. Present confidentiality and be aware of the Data Protection Act, access to health records and consent for assessment process. 6. Involvement in continual audit and review of services to determine quality. 7. Maintain safe record-keeping and confidential practice, in line with LWSW and professional guidance and be aware of the Data Protection Act, access to health records and consent for assessment process. 8. To ensure electronic record keeping policy is adhered to. Professional Responsibilities 1. To maintain a high professional standard of conduct at all times in accordance with NMC/ professional bodies code of professional conduct. Maintain an active status on NMC/ professional bodies register. 2. To maintain own re-validation portfolio. 3. Assume responsibility for own professional development and personal knowledge. Undertake and contribute to research where appropriate. 4. Monitor own performance against agreed objectives through the process of appraisal and personal development plans and professional body regulations. 5. Maintain professional expertise by arranging and attending meetings, study days and mandatory training and service training. 6. Plan and participate in the supervision and provision of experience for all nurse learners and other personnel as appropriate. 7. Participate in regular line management, caseload management and clinical supervision. 8. To deliver appropriate training and subsequent support to other staff, students and outside agencies when required. 5. Communications and relationships The post holder will be required to work within the MDT function of the CLDT and may need to be part of wider MDT groups relating to client need. The post holder will liaise between other health, social and educational services in assessing, planning and reviewing client care needs/service provision. The post holder will also work with other voluntary and secondary care providers. Person Specification Qualifications Essential DipHE Nursing and or Degree Professional Registration. 3 years Post registration experience. Evidence of continuing professional development. Evidence of managing a caseload of complex individuals. Desirable Mentorship Certificate. Leadership qualification/knowledge Knowledge Essential Knowledge of Continuing Health Care (CHC) processes Knowledge of the Mental Health Act. Able to demonstrate understanding and competency in assessment, care planning and review. Good knowledge and understanding of the Mental Capacity Act, Deprivation of Liberty and reasonable adjustments. A good understanding of the safeguarding adult process and relevant issues. Able to problem solve and be creative in care planning Experience Essential Working in multidisciplinary teams and across health and social care. Managing a complex caseload of individuals who pose a risk to themselves and society. Experience of working across organisational and inter-agency boundaries. Experience of working with people with learning disabilities / mental health issues whose behaviour poses a risk. Desirable Experience in mentoring students. Working in close contact with the ICB and local commissioners Additional Requirements Essential Full driving license is required as the post holder will be travelling out of area. The ability to be away from home overnight is an integral part of the role. Able to problem solve and be creative in care planning. Specific Skills Essential Excellent communication skills Excellent interpersonal skills Ability to prioritise against tight deadlines. Good negotiation skills Excellent organisational skills and team working. Able to present relevant information in a concise format. Able to write in plain, easy and understandable style Capacity to work with clinicians and staff at all levels to develop a shared vision of outcomes for individuals. Ability to take positive risks and work proactively and with clients who display behaviours of concern. Person Specification Qualifications Essential DipHE Nursing and or Degree Professional Registration. 3 years Post registration experience. Evidence of continuing professional development. Evidence of managing a caseload of complex individuals. Desirable Mentorship Certificate. Leadership qualification/knowledge Knowledge Essential Knowledge of Continuing Health Care (CHC) processes Knowledge of the Mental Health Act. Able to demonstrate understanding and competency in assessment, care planning and review. Good knowledge and understanding of the Mental Capacity Act, Deprivation of Liberty and reasonable adjustments. A good understanding of the safeguarding adult process and relevant issues. Able to problem solve and be creative in care planning Experience Essential Working in multidisciplinary teams and across health and social care. Managing a complex caseload of individuals who pose a risk to themselves and society. Experience of working across organisational and inter-agency boundaries. Experience of working with people with learning disabilities / mental health issues whose behaviour poses a risk. Desirable Experience in mentoring students. Working in close contact with the ICB and local commissioners Additional Requirements Essential Full driving license is required as the post holder will be travelling out of area. The ability to be away from home overnight is an integral part of the role. Able to problem solve and be creative in care planning. Specific Skills Essential Excellent communication skills Excellent interpersonal skills Ability to prioritise against tight deadlines. Good negotiation skills Excellent organisational skills and team working. Able to present relevant information in a concise format. Able to write in plain, easy and understandable style Capacity to work with clinicians and staff at all levels to develop a shared vision of outcomes for individuals. Ability to take positive risks and work proactively and with clients who display behaviours of concern. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Livewell Southwest Address Westbourne Unit Beacon Park Road Plymouth PL22PQ Employer's website https://www.livewellsouthwest.co.uk/ (Opens in a new tab)