The Primary Care Learning Disability Liaison Nurse role exists to ensure that the needs of the person with a Learning Disability are met when they require access to a mainstream health service. This involves communicating with and working in partnership with a range of clinicians and services working to change systems and educating where appropriate. It also involves close communication and involvement with family, carers and others during the admission period.
As part of the Specialist Health Community Learning Disability Team, the post holder will be expected to complete 3 x 8 month rotations to experience all of the nursing functions Continuing Health Care, Intensive Assessment and Treatment and Primary Care Liaison.
The post holder will be expected to undertake assessments and formulations, develop care plans and undertake relevant interventions and evaluate care plans and interventions accordingly.
The post holder will work in a person-centred way, working closely with people with learning disabilities, their families and carers as part of their day to day work and with wider stakeholders as appropriate.
There is an emphasis to work using a strengths-based approach across our service, ensuring that people with a learning disability are supported to have their physical and mental health needs identified and addressed (avoiding inappropriate admissions to hospital wherever possible and maximising health outcomes).
Main duties of the job
* Promote services in line with current local and national policy & guidance for people with Learning Disabilities, which promotes the rights and inclusion of this client group.
* Undertake all aspects of practice as an autonomous practitioner and report to the Band 6 accordingly, including professional and legal accountability for own work within an agreed policy framework.
* To act as a point of contact for family, carers and other professionals during the service users care pathway.
* Facilitate open and easy access to hospital and other mainstream health services for people with learning disabilities.
* Develop effective and collaborative working with healthcare and multi-agency colleagues.
* To assist in identifying and meeting the training needs and providing specialist and nursing advice when appropriate / required.
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 coproduction, 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 Trusts 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
Job Purpose
As part of the Specialist Health Community Learning Disability Team, the post holder will be expected to complete 3 x 8 month rotations to experience all of the nursing functions Continuing Health Care, Intensive Assessment and Treatment and Primary Care Liaison.
The post holder will be expected to undertake assessments and formulations, develop care plans and undertake relevant interventions and evaluate care plans and interventions accordingly.
The post holder will work in a person-centred way, working closely with people with learning disabilities, their families and carers as part of their day to day work and with wider stakeholders as appropriate.
There is an emphasis to work using a strengths-based approach across our service, ensuring that people with a learning disability are supported to have their physical and mental health needs identified and addressed (avoiding inappropriate admissions to hospital wherever possible and maximising health outcomes).
Duties and Responsibilities
* Promote services in line with current local and national policy & guidance for people with Learning Disabilities, which promotes the rights and inclusion of this client group.
* Undertake all aspects of practice as an autonomous practitioner and report to the Band 6 accordingly, including professional and legal accountability for own work within an agreed policy framework.
* To act as a point of contact for family, carers and other professionals during the service users care pathway.
* Facilitate open and easy access to hospital and other mainstream health services for people with learning disabilities.
* Develop effective and collaborative working with healthcare and multi-agency colleagues.
* To assist in identifying and meeting the training needs and providing specialist and nursing advice when appropriate / required.
Communication and Working Relationship Skills
* Operational accountability rests with the Senior Operational Manager.
* Communicates sensitive, confidential information concerning patients/clients requiring empathy, persuasion and reassurance. Some may have special needs.
* Making use of special communication techniques such as total communication.
* Form effective working relationships across health and social care organisations as required.
* To act with diplomacy making decisions as situations develop, ensuring appropriate feedback to partner organisations.
* To contribute to the development of relevant accessible information for service users and their families/carers when required, to support care and treatment.
Analytical and Judgemental Skills
* Undertake risk assessments and determine the appropriate course of action, which has taken into consideration a range of possible options. Where necessary, ensure that consultation with senior colleagues is undertaken.
* Use clinical judgement to consider complex facts or situations, requiring analysis, interpretation and comparison of a range of options when determining the type of care required for someone with complex health needs / behaviours of concern. Undertake and continuously re-evaluate assessments. Where necessary, ensure that consultation with senior colleagues is undertaken.
* Have an awareness of your own clinical competencies, knowledge base and experience, and ensure that you practice within this and seek support as required.
* The post holder is expected to work within the policy frameworks of both their employing authority and the authority hosting them (where appropriate). Where there is a conflict, management guidance should be sought.
Planning and Organisational Skills
* The post holder is expected to plan and organise their own diary and daily working schedule. They are responsible for ensuring their own administration returns such as Data Capture Sheets, travel etc. are completed on time, are accurate and are submitted through the correct channels.
* The post holder will ensure all Core Mandatory & Statutory Training, as identified by Devon Partnership NHS Trust is up-to-date.
* Plans provision of care for patients, e.g. clinics, health education, ensuring reviews are held within the required time frames.
* Organise relevant meetings as required e.g. core group meetings, professional and risk meetings.
* Responsible for managing own workload of non-complex clients, to ensure the needs of the individuals who use our services are met, taking the wider needs of the team into consideration.
* Plan the workload of junior colleagues where appropriate / required.
* Responsibility for Patient/Client Care, Treatment and Therapy
* Assesses, plans, implements and evaluates clinical care of patients/clients; gives specialist advice to clients/carers.
* They are responsible for ensuring accurate recording of advice and any intervention and the monitoring of any interventions.
* To provide support and advice regarding mental capacity, consent & best interest to the service user, their family / carer, and the professionals involved in decision making about their care.
* To identify reasonable adjustments with people with learning disabilities and communicate with relevant service to support with the implementation of the adjustments as appropriate.
* To act as an advocate for people with learning disabilities when required.
* Responsibility for Policy and Service Development Implementation
* Post holder will follow policies and makes comments on proposals for change.
* Assist areas in recognising potential barriers to access to care and other communication issues in relation to individuals with learning disabilities, and provide advice and support as required.
* To promote active participation of service users and their families / carers in the healthcare process, working within the Public and Patient Involvement agenda / Trust Together strategy.
* To work in partnership with people with learning disabilities, self-advocacy groups, PALS and carers groups in the development, implementation and maintenance of service provision where appropriate.
* To assess the impact of local and national initiatives and provide feedback on Trust initiatives relating to skills competency of its workforce.
Responsibility for Finance, Equipment and Other Resources
* The post holder has a personal duty of care in relation to equipment and resources.
Responsibility for Human Resources, e.g. Supervision, Training, HR Advice and Management
* It is expected that the post holder will offer supervision and support to Band 4, Band 3 staff and to student nurses on placements. The post holder will offer training to non-specialists in their own area where appropriate.
Responsibility for Information Resources and Administrative Duties
* To utilise information systems as instructed (including paper based and electronic system). To gather, record and maintain information on individual clients and general work activity. To ensure all returns are completed in a timely manner.
* To maintain confidentiality of information regarding patients and relatives at all times.
* Ensure information resources are used to maintain 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.
Responsibility for Research and Development
* Undertake surveys or audits, as necessary to own work.
* Occasional participation in R&D activity/ clinical trials.
Freedom to Act
* Works within clearly defined occupational policies, work is managed, rather than supervised.
* Works within codes of practice and professional guidelines.
Any Other Specific Tasks Required
* The ability to access all areas of Devon in a timely manner is essential. Some out of area work may be required from time to time.
Review of this Job Description
This job description is intended as an outline indicator of general areas of activity and will be amended in the light of changing service needs. This job description is to be reviewed in conjunction with the post holder on an annual basis.
General Information
Equality & Diversity Devon Partnership Trust is an inclusive employer and is committed to recruiting and supporting a diverse workforce, reflecting the population we serve and the communities we work within. Applications are encouraged and welcomed from all people, regardless of any protected characteristics as governed by the Equality Act 2010. The Trust expects all staff to behave in a way which recognises, respects and celebrates this diversity and challenges any form of discrimination.
Part time, job share and flexible working applications will be considered and supported when operationally possible and reasonable adjustments will be made wherever possible.
Person Specification
Qualifications
* RNLD or Equivalent RN Qualification Professional, clinical knowledge acquired through training to degree/diploma level.
* Experience of working with people who have a learning disability.
Experience
* Understanding of managing own workload.
* Understanding of Assessment, Planning, Intervention and Evaluation of Nursing Care.
* Understanding of dealing with violence & aggression.
* Understanding of mainstream health and social care services.
Knowledge
* An understanding of Mental Health Act/ MH Capacity Act.
* Working Knowledge of equality and diversity.
* Good knowledge of Learning Disability Services.
* Understanding of recovery principles in Learning Disability Services.
* Understanding of professional and current issues in learning disabilities nursing.
* Understanding of the health needs of people with learning disability and the health inequalities of people with a learning disability.
* Working knowledge of Clinical Governance.
* Knowledge of safeguarding adult services, Mental Health Act and Mental Capacity Act including DOLS; Continuing Health Care Framework.
Planning & Organisational Skills
* Able to work across professional team and organisational boundaries.
* Able to analyse situations and assist in the planning of interventions to meet identified needs.
* Ability to delegate and prioritise workload of band 3 & 4 where applicable.
* Ability to manage various demands within the workplace.
* Effective time management.
Communication and Working Relationship Skills
* Good verbal and written communication skills.
* Basic computer skills.
* Able to provide and receive complex sensitive information in relation to staff, service users, families and carers.
* Openness Shares information and good practice appropriately.
* Mutual respect Treats others with courtesy and respect at all times.
* Accountability Takes responsibility for own actions and promotes good team working.
* Ability to work as part of a multidisciplinary team.
* An awareness of diversity and equality.
* Understanding of total communication.
Physical Skills
* Ability to be mobile across a geographical area.
Analytical & Judgement Skills
* Able to problem solve and assist others in this process.
* Ability to assess and manage risk effectively.
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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