An exciting opportunity has arisen to join the North Devon Community rehabilitation team as a band 6 senior mental health practitioner. The team, which has a base in the North Devon wellbeing hub, is a small, dynamic and developing service. The service is focused on people with severe and enduring mental illness, with diagnoses such as schizophrenia, schizo-affective disorder and bipolar disorder.
The successful applicant will have a defined caseload and will care coordinate these people, offering intensive, evidence-based and recovery-focused interventions. The post holder will be required to carry out training specific to their role including Family Intervention training, Motivational Interviewing and use their subsequent knowledge and skills to improve the quality of life and the therapeutic outcomes for those in their care. The post holder will undertake and continuously re-evaluate complex bio-psycho-social assessments and develop a working formulation which will lead to the development of personalised care packages in line with evidence-based practice.
Main duties of the job
We are looking for an experienced mental health practitioner who has worked in a community setting previously, and who will have the skills to re-motivate and engage clients within a community setting. The successful applicant will provide a range of rehabilitation interventions with a client-centered focus as well as support and specialised interventions for families and carers.
The community team operates in close liaison with the inpatient team on Ocean view ward, which is the 8 bedded inpatient rehabilitation ward for people with complex psychosis, some of whom will also be under the community team. The ward and community team offer a cohesive recovery-based service, which includes joint working and collaborative care planning and risk assessment. The successful applicant will contribute to the team's engagement with a wide range of stakeholders including staff, service users, their carers and other statutory and voluntary sector agencies.
The post holder will also contribute to clinical governance arrangements in order to ensure the quality of the service provided; this will include ensuring performance targets are met to provide high-quality care. This includes involvement in the development of local systems and processes that ensure the implementation of Trust policies.
Clinical and managerial supervision will be provided as well as the support of an experienced and highly skilled multidisciplinary team, and there will be further future training opportunities on offer.
About us
We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high-quality services that are safe & focused on people's recovery.
We are committed to developing a culture of co-production, involving patients, families & carers in everything we do.
Our values
We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trust's core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.
We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part-time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.
Job responsibilities
Duties and Responsibilities
Communication and Working Relationship Skills
* Contribute to the team's engagement with a wide range of stakeholders including staff, service users, their carers and other statutory and voluntary sector agencies.
Job description
Job responsibilities
Duties and Responsibilities
Communication and Working Relationship Skills
* Impart highly complex and sensitive information to:
o Patients and families/carers regarding assessment, care planning, treatment and review
o Multi-disciplinary teams to ensure the provision of consistent well-coordinated care
o Primary care teams regarding client care
o External agencies also involved in the provision of care e.g.: voluntary and private sector, police, social services, housing, employment etc.
o Service user/carer groups
* Liaise with a wide range of other professionals and agencies.
* Contribute to the safe and effective day-to-day operations of the service including the handling of clinical inquiries.
* Provide and receive information some of which may be contentious, sensitive and highly complex to and from individuals and their families/carers, where there may be barriers to understanding.
* Provide a high standard of written and verbal communication that is clear and in line with professional documentation standards.
* Participate in and chair clinical meetings, this will include CPA and non-CPA reviews, professional meetings, and clinical risk meetings.
* Demonstrate the ability to communicate in a way that is empathic and reassuring whilst employing negotiating techniques to gain co-operation from highly complex individuals. Communicate information in a way that makes it relevant and understandable for service users and carers, working in line with practice standards and operational policies.
* Facilitate fair access to social care services and promote social inclusion regardless of age, ethnicity, gender, sexual orientation or disability.
* To maintain effective verbal and written communication with the clinical team and to keep staff informed of changes to prescribing intervention or treatment provided to service-users.
* To work in partnership with medical staff and service-users in the development and implementation of clinical management plans related to an individual's treatment and prescribing needs.
* To establish and maintain good liaison with GP practices and other services in the area, including sharing prescribing information and rationale.
* To liaise and work jointly with partnership agencies, service user and carer groups, with both the statutory and non-statutory sectors as appropriate.
* To develop joint working relationships with other services where needed.
Analytical and Judgemental Skills
* Undertake and continuously re-evaluate complex bio-psycho-social assessments and develop a working formulation and diagnosis which will lead to the development of personalised care packages in line with evidence-based and payment by results.
* Undertake recovery-focused care planning with individuals, their carers and their families which ensure that personalised recovery goals are identified and met.
* Undertake complex risk assessments and develop a formulation of risk which will lead to the development of risk management plans which have taken into consideration a range of possible options.
* Ensure the continuous re-evaluation of individuals' needs and clinical risk situations and use clinical judgement to formulate the most appropriate clinical plan.
Planning and Organisational Skills
* Organise and facilitate complex meetings, these will include: CPA and non-CPA professional and risk meetings.
* Responsible for managing their own workload to ensure the needs of the individuals who use our services are met taking the wider needs of the team into consideration.
* Ensure that interventions are planned in an integrated and co-ordinated manner particularly where dependent on other external agencies.
* Plan and organise individuals' packages of care and ensure that reviews are held within the required time frames, for example Section 117, Funding Panels and CPA.
* Plan own workload and the workload of junior colleagues to ensure that care is provided in the most high-quality and cost-efficient manner, prioritise and make adjustments as appropriate.
* To be aware of the current legislation and prescribing developments that may impact on the delivery of services to service users.
* Have a good knowledge, and apply current Trust Policies and associated Standard Operating Procedures.
* Ensure that interventions are planned in an integrated and co-ordinated manner particularly where dependent on other external agencies.
Responsibility for Patient/Client Care, Treatment and Therapy
* Ensure that caseload is well managed and that care and treatment is provided in line with practice standards and recovery co-ordination (CPA and non-CPA).
* Develop and deliver care packages including assessing, planning, intervention and evaluation.
* Ensure that all interventions have clear outcomes and that these are taken into consideration when sourcing the resources to best meet the individuals' needs. This will include enabling individuals to take up Direct Payments and offering the person as much choice and control of resources as appropriate.
* Ensure that all social care packages are reviewed within the relevant timescales and focus on integration within existing community resources where possible.
* Deliver services using a recovery and strengths approach where the needs of the individual and their carers are held as central and their involvement is proactively encouraged.
* Deliver care in line with evidence-based practice and employ engagement and therapeutic skills that are appropriate to the clinical situation presented.
* Responsibility for triaging individuals and signposting to the most appropriate services.
* Provide specialist advice to referrers/other multi-disciplinary staff in relation to the care of individuals.
* Enable communication and engagement of individuals and their carers to ensure that they have a voice about the services they receive and how these are developed. This may include engagement of advocacy services.
* Ensure that appropriate action is taken to safeguarding adults and children. This will include providing and receiving highly complex and sensitive information in relation to safeguarding adult and children work, co-ordinating and chairing safeguarding meetings and implementing relevant care plans.
* Ensure that assessment and treatment plans are holistic, outcome-focused and take into account the physical health and social needs of the individual, including input of significant others.
* Ensure the monitoring and review of mental health medication taking into consideration interactions with physical health needs.
* Ensuring timely and accurate documentation of all clinical activity in line with professional guidance and best practice.
* Practice in a way that actively minimises dependency and promotes recovery.
* Comply with the relevant Professional body Code of Conduct/ Royal Pharmaceutical Society Code of Ethics, relevant legislation, procedures and policies. To attend and contribute effectively to relevant professional forums.
Responsibility for Policy and Service Development Implementation
* Participate in programmes of audit and research within the team as agreed by the Directorate and implement the findings.
* Contribute to clinical governance arrangements in order to ensure the quality of the service provided, this will include ensuring performance targets are met to provide high-quality care.
* Involvement in the development of local systems and processes that ensure the implementation of Trust policies.
* Facilitate the multi-disciplinary team's knowledge of mental health and rehabilitation.
* Take appropriate action to encourage the professional development and positive therapeutic commitments on the part of health/social services and other agencies towards service users.
Responsibility for Finance, Equipment and Other Resources
* Prepare and oversee care panel applications ensuring that wider financial implications are taken into consideration.
* Ensure care is provided in the most cost-effective and high-quality manner and identify unmet needs.
* Responsible for the safe use of any equipment.
* Responsibility for handling of monies and individuals' valuables.
* To contribute to financial governance through knowledge and appropriate resource management of allocated prescribing budget for service, in collaboration with clinical lead and medical colleagues.
Responsibility for Human Resources, e.g. Supervision, Training, HR Advice and Management
* Provision of day-to-day and clinical supervision as allocated by line manager (this will include participation in the PDR process).
* Demonstrate and role model excellent clinical leadership skills.
* Supervise the caseload and care provision of junior colleagues.
* Mentor students in line with professional requirements.
* Ensure that core training is maintained and that the training and development opportunities in line with the Directorates Workforce Plan are participated in to meet professional requirements.
* Ensure participation in the teams compliance with CQC standards through the participation in provider compliance assessment tools.
* To provide advice and training to the team on issues related to mental health and rehabilitation.
Responsibility for Information Resources and Administrative Duties
* Ensure information resources are used to maintain a knowledge of Trust, Directorate and Team priorities and safety initiatives.
* Maintain up-to-date clinical record in a timely and accurate manner.
* Ensure information is shared with key stakeholders and other agencies in a secure manner.
* Ensure up-to-date relevant information is available to the team in relation to your registered speciality (mental health nursing, social work, occupational therapy).
* Work within operational policies and service specifications.
* Work cooperatively with staff colleagues ensuring a no hands-off approach.
* Undertake any other reasonable management request.
Person Specification
Qualifications
* A professional mental health qualification eg RMN, Social Work Degree or equivalent, BSc/Diploma in OT, SROT, Chartered Clinical Psychologist, on the appropriate professional body register and hold current registration with no restrictions.
* Evidence of relevant continuing professional development.
* Postgraduate qualification relevant to specialism.
* Training to level 3 in Safeguarding children and young people: roles and competencies for Health Care staff.
* Evidence of leadership/management training within a core service.
Experience
* Extensive post-registration experience working at band 5 in mental health.
* Substantial experience of managing/leading a busy caseload of clients with a range of mental health conditions within a community setting and without supervision.
* Working within a community mental health setting in either the statutory or voluntary sector.
* Experience of clinically supervising junior and unqualified staff and mentoring students.
* Experience of working in a multi-disciplinary and multi-agency environment.
* Participation in user involvement in services.
* Experience in deputising for more senior staff.
* An understanding of the NSF and Mental Health Act/ Mental Health Capacity Act requirements.
* CPA Process.
* Awareness of community structures and social care management responsibilities.
* Understanding of recovery principles in Mental Health.
* Excellent communication skills including the ability to engage with clients experiencing a wide range of mental health problems.
* Able to produce well-written reports.
* Ability to think and work independently/autonomously and with complex case load.
* Able to own problems and get involved in the solutions.
* Ability to manage risk.
* Able to plan creatively to maximise effectiveness of care plans.
* Able to work independently and as part of a team.
* Ability to manage own time and that of the teams.
* Ability to be mobile across a geographical area.
* Excellent clinical assessment skills.
* Ability to manage change in a positive manner.
* Evidence of following through specific pieces of work or projects as delegated by ward managers or others.
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.
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