Mental Health Liaison Nurse Sandwell, fixed term 4 months
Black Country Healthcare NHS Foundation Trust
We have moved!!! Do you want to join a Psychiatric Liaison Team, in a newly opened acute medical hospital? If you're a skilled RMN, experienced in urgent care, and willing to work in a challenging and rewarding role, at an exciting time, then we want to hear from you.
We are looking for an experienced and skilled band 6 RMN to join our psychiatric Liaison Team, based at the recently opened Midland Metropolitan University Hospital, in Cape Hill, West Birmingham. The hospital opened on 6th October 2024, and provides urgent care and treatment to the Sandwell and West Birmingham locality.
This is an exciting time for us, as the psychiatric Liaison Team will be delivered by both Black Country Healthcare Foundation Trust, and Birmingham and Solihull Mental Health Foundation Trust. Both providers will be delivering a service collaboratively, as one team.
Main duties of the job
The post holder will provide a direct line of contact for referrals from the Emergency Department and in-patient wards for all patients over 18 attending the new Midland Metropolitan University Hospital. The role of the mental health liaison nurse will be to complete biopsychosocial assessments of adults aged 18 and above, requiring acute mental health care, formulating robust and holistic risk management and care plans to support discharge to appropriate community or inpatient services.
To work various shift patterns participating in a flexible, 7 days per week rota on a shift rotational basis. The service operates 24 hours a day, 7 days a week. Applicants who would be interested in working predominantly nights will be considered.
To ensure the service operates in line with national guidance for core 24 model and follows guidance from NICE for the assessment of individuals presenting at acute hospitals and the policy implementation guide for Liaison Psychiatry and psychological medicine. The guidance recommends that every patient presenting with self-harm should be offered a comprehensive bio-psychosocial assessment, risk assessment and packages of care to expedite discharge from hospital and access to more appropriate services.
About us
We are a supportive, skilled and friendly multidisciplinary team, working in a fast-paced, busy environment.
Employees, workers, and/or contractors will be expected to uphold the values of the Trust and exhibit the expected Trust behaviours aligned to the Trust's values. Individuals have a responsibility to ensure that they display the Trust values and behaviours in carrying out their job and that individuals feel able to challenge (or raise a challenge) when other colleagues' behaviours breach the spirit of Trust values.
Job responsibilities
* To undertake comprehensive biopsychosocial assessment of patients referred into the service.
* Following assessment the post holder will devise and deliver interim risk management and clinical intervention plans for patients requiring mental health input, in collaboration with the medical teams and patients, and where appropriate their carers.
* Demonstrate the ability to arrive at a formulation of risk following assessment which incorporates the principles of positive risk taking.
* Formulate a comprehensive risk management plan to address areas of identified risk and oversee this until clinical responsibility is passed to another clinician or clinical team.
* Demonstrate the necessary clinical skills to contain and manage patients exhibiting challenging behaviours.
* Accurately and comprehensively document the assessment, formulation, risk assessment and agreed management plan based on the assessed needs of the patient. Documentation should take various forms to accommodate the communication needs of the patient, carers and the wider clinical team.
* Responsible for evaluating the outcomes of prescribed care.
* Accurately record all referrals and contacts on the Trust's IT system within 24 hours.
* Complete a Care Cluster Allocation tool for each patient.
* Demonstrate up-to-date knowledge of the legislation and guidance involved in determining a person's capacity.
* Demonstrate up-to-date knowledge of the psychosocial risk factors for mental health issues in older adults.
* Demonstrate knowledge of dementia, delirium and depression/anxiety in older adults.
* Demonstrate up-to-date knowledge of mental health issues.
* Demonstrate up-to-date knowledge of the impact of aging on risk and its assessment & management, e.g. suicide and falls.
* Communicate effectively with patients with physical and psychological comorbidities, including cognitive and sensory impairment, their carers and members of the care team.
* Liaise effectively with other services involved in the patient's care including MHCOP, physical care team, social services and primary care services and to discuss and assist in the implementation of effective care programmes for older adults.
* Act upon concerns about safeguarding issues.
* Demonstrate up-to-date knowledge of The Mental Health Act and The Mental Capacity Act as they apply to patient care in the acute hospital.
* Request Mental Health Acts when clinically indicated.
* Support patients in participating in all aspects of their health care.
* Be aware of the need to avoid inappropriate admission to hospital, reduce the length of stay in hospital and support appropriate, timely discharge from acute hospital wards.
* Responsible for working with SWBT and BCHFT teams, other mental health trusts, Primary care teams, social services and other agencies to identify and introduce appropriate care pathways.
* Required to work closely with the Crisis Recovery and Home treatment teams. This includes supporting referral and assessment of patients to the Adult and Older Adult home treatment teams as required.
* To effectively and efficiently provide psychological support to patients with mental health needs who are temporarily in crisis, or who have mental health needs as a result of their physical illness or as a result of being hospitalised.
* To provide time-limited liaison reviews when needed for those patients with more complex and enduring mental health needs whilst inpatient in Sandwell General Hospital.
* Contribute to the development and quality of clinical practice of liaison work with this client group at local and national levels.
* Undertake relevant data collection, analysis and evaluation to assess the effectiveness of the post.
* Develop knowledge and networks with local community resources and cascade this into the team.
* Promote effective communication between the Acute Trust and Mental Health Service, identifying and reporting difficulties to appropriate service managers.
* To work alongside acute staff and raise awareness of the importance of good mental health and how to deal with patients who suffer with mental health illness, who also have comorbid medical conditions in order to enhance the current level of care offered.
* To reduce the number of re-attenders into Emergency Departments by signposting to more appropriate services.
* To contribute to student training programmes.
Person Specification
* Qualified RMN.
* Experience of undertaking assessments and planning care for patients in mental health crisis.
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.
Address
Midland Metropolitan University Hospital
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