Band 6 Mental Health Liaison Nurse - Bath
An exciting opportunity has arisen for a substantive position within the Mental Health Liaison Team in BANES. We are looking to recruit a registered practitioner (RMN, OT or Social Worker) who has an interest in working with individuals who have presented to the Royal United Hospital (RUH).
We are looking for an individual who is interested in working with adults (18+) with a primary focus on those service users who present following an episode of self-injury to the Emergency Department. However, the team offers learning opportunities to work alongside service users experiencing medically unexplained symptoms, functional disorders, and severe and enduring mental illnesses while admitted for physical health treatment at the Royal United Hospital.
The Adults of Working Age (AOWA) team covers a 7-day working week, 365 days a year - with a pattern of shifts 8 am to 4 pm, 10 am to 6 pm, 12 to 8 pm, and 4 pm to midnight. However, flexibility would be considered to ensure promotion of your own work/life balance.
You will be joining an established and experienced band 6 nurse team, who we invite and encourage you to spend time with to see how exciting this job can be as no two days are ever the same!
The team is looking for a like-minded individual who is enthusiastic and self-motivated, with an eagerness to learn, or those who already have excellent biopsychosocial assessment and risk management skills.
Main duties of the job
Mental Health Liaison practitioners are accountable for the provision of a responsive, needs-led mental health assessment and short-term intervention service to adults presenting to the RUH with mental health problems. Promotion of a positive attitude and a supportive culture is key in relation to psychiatric illness across the general hospital.
You will be integral to improved patient journey and outcomes for those individuals referred to the team and should be willing to work in a flexible, but exciting way to provide exemplary care to patients, as well as support for the acute hospital. Continued awareness of the effect and impact physical health conditions have upon the mental health of service users is crucial, and development of good working relationships with both the RUH and community teams is necessary. This may include ad-hoc & structured training to general colleagues, if this is of interest; however, the team also provides teaching and develops learning opportunities for nursing and medical students.
Demonstration of a high level of clinical decision-making, risk management & documentation is required, and the successful applicant will have the team's continued support to develop their skills and learning to provide this. However, this role does require assessment, implementation, and evaluation of programmes of care, without direct supervision.
About us
We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust); a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.
We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.
Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.
At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities, and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives, and knowledge to AWP, as diversity makes us stronger.
Job responsibilities
Liaison and consultation
* Be responsible for the full assessment of care needs of patients presenting with a range of undifferentiated mental health and psychological problems. As a result of this assessment, you will be responsible for the development, implementation, and evaluation of programmes of care, without supervision.
* Provide a comprehensive consultation-liaison service to clinical teams, assisting them to formulate appropriate plans of care and make decisions in cases where patients may be exhibiting complex needs and/or challenging behaviours.
* Initiate and participate in the teaching and educational programmes of all grades of nursing and non-nursing staff. You will also provide teaching and develop learning opportunities for pre and post-registration nursing students.
* When appropriate, maintain a caseload of patients, providing a broad range of treatments and clinical interventions, as appropriate to the individual's needs.
* Be responsible for participating in specific clinical projects and undertake all the necessary work to complete these, including facilitating meetings, liaising and/or negotiating with other staff.
* Participate fully in appropriate quality assurance initiatives, with the emphasis on developing patient/service user-focused services.
* Promote a positive attitude and encourage a supportive culture in relation to mental health and psychiatric illness across the general hospital.
Clinical practice
* Utilise a range of clinical skills appropriate to the individual patient's needs and the clinical setting in which they are being cared for.
* Undertake specialist psychosocial assessments with patients presenting following an episode of self-harm. Highly developed risk assessment and management skills are required in order to undertake this function effectively.
* Prompt referral on to secondary mental health services, social services and voluntary groups, as appropriate.
* Flexible, needs-based follow-up of individuals who require assessment following an earlier attendance after an episode of self-harm.
* Concise, effective liaison and feedback to clinical staff within the general hospital regarding advice on appropriate management strategies for individuals referred.
* Utilise a range of follow-up options and sources of help and support for patients, as appropriate.
* Effective liaison and communication with patients, relatives, carers, primary health care, and secondary mental health services.
* Role model clinical excellence and high standards of nursing practice to other staff.
* Demonstrate and apply a sound understanding of the legal and ethical issues in caring for people with mental health problems. In particular, demonstrate a sound understanding of the application of the Mental Health Act (1983) and The Mental Capacity Act, and their use within the non-mental health (acute hospital) setting.
Communication
* Demonstrate the ability to receive and give complex clinical details clearly and effectively.
* Demonstrate the ability to communicate clearly and sensitively in situations that may be hostile and/or contentious.
* Demonstrate a high level of interpersonal skills, self-awareness, and empathy in all communications.
* Demonstrate the ability to negotiate and problem-solve in contentious and/or potentially antagonistic situations.
Management
* Following negotiation, take responsibility for agreed clinical and managerial projects associated with the provision of the mental health liaison service.
* In the absence of the clinical team leader, take responsibility for the overall management of the service, to the agreed local and professional standards.
* Ensure the promotion of the health and safety, well-being, and interests of patients, staff, and visitors that come into contact with the service and its environs.
* At all times practice within the boundaries of the NMC Code of Professional Conduct.
* Supervise, monitor, and appraise the performance of registered and unregistered staff within the sphere of responsibility.
* The post-holder will be designated to regularly take charge of the clinical service in the absence of the person who has continuing responsibility.
* You may also be required to undertake a range of management duties in the absence of, or at the request of, the designated team leader.
Audit and evaluation
* Demonstrate a commitment to developing audit and evaluation skills.
* Participate in appropriate audit projects, including data collection, as a means of contributing to the ongoing evaluation and audit of the mental health liaison service.
Education
* Actively participate in the identification of own learning and education needs and demonstrate achievement against personal development plans (PDPs).
* Participate in the mentoring and education of a range of students placed with the team.
* Act as a mentor and preceptor, when appropriate.
* Participate in the planning, development, and delivery of multi-professional education programmes and training sessions for a range of clinical and managerial staff.
* Provide clinical supervision to colleagues and students, as required.
Clinical governance
* Promote and encourage user and carer feedback regarding the service.
* Participate in and undertake appraisal and clinical supervision.
* Adhere to relevant trust health and safety and clinical policies as appropriate.
This post is open to newly qualified social workers. In line with AWP trust policy, all newly qualified social workers (NQSW) will be recruited initially at Band 5 level, regardless of advertised role banding. All NQSWs are expected to successfully complete their ASYE within 2 years of employment, unless there are exceptional circumstances in which case it may be extended for a further 2 years.
If you have been appointed to an advertised Band 6 role, this will be an automatic progression, following confirmation of your successful ASYE completion. If you have been appointed to a Band 5 post, you will then be eligible to apply for a subsequent Band 6 vacancy upon successful ASYE completion.
Person Specification
Skills, Knowledge, Experience, Qualifications
* Effective communication and empathy, forming rapport, when interacting with service users, families, and other healthcare professionals and when undertaking assessments with distressed individuals in crisis.
* The ability to evaluate the severity of a person's mental health condition, assess potential harm to themselves or others, identify protective factors, and make informed decisions and interventions risk assessment and collaborate with other healthcare professionals to plan a safe discharge.
* Knowledge of key areas of liaison, psychosocial assessment, and the psychological effects of physical illness.
* Have experience of working therapeutically with individuals following self-harm.
* Diploma level/degree in relevant health/social care profession, eg RMN, OT, Social worker.
* Knowledge of various therapeutic approaches in the care and treatment of individuals with drug and alcohol problems.
* Experience of working in a mental health liaison setting/general hospital.
* Teaching & assessing qualification.
* Knowledge/experience of those experiencing social factors, eg homelessness, financial difficulties, and adverse life events.
* Knowledge/experience working with Police, probation, or safeguarding.
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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