Job summary An exciting new opportunity has arisen for a dynamic, motivated individual to join the Review and Resettlement Team. The Review and Resettlement Team works with patients placed in out-of-area speciality placement. They also work with people who are Autistic people to support them in accessing mental health services and prevent inappropriate admission to in patients' hospital This role allows you to maintain a good work-life balance. It includes your choice of work base at any of our KMPT locations across KentDartford, Maidstone, or Canterburywith the opportunity to work from home partly. You will have good experience in supporting patients with complex mental health and those who are Autistic. You will work closely with other services to support Patients settling back in the community when repatriated to Kent. The Role will be required to travel across the country and the county. You have good knowledge of local services that will support the patients with integrating back into the community. You must possess excellent communication skills, demonstrate a flexible approach to your work, be self-motivated, innovative, professional, and a team player. Main duties of the job The post holder will support the complex Care Coordinator with complex caseloads of patients with complex mental health illnesses and who are Autistic. The roles will support the discharge planning process for patients and provide support to the Area funded by the Mental OATS panel. The post holder will work as a Review and Resettlement Team member and be actively involved in the discharge planning process of all patients to improve the patient journey and minimise patient delays. The post holder will work under the supervision of the complex care coordinator to collaborate with other professionals to reduce inappropriate admission for Autistic people. The post holder will be responsible for supporting the Complex care Coordinator with complex discharges, supporting the patients to settle in their new environment for a minimum period of 3 months and facilitating the transition to back CMHT and up to 1 year for Autistic people. About us Come and work with us in the Garden of England where we combine exceptional professional development opportunities with a tremendous quality of life. We are Kent and Medway NHS and Social Care Partnership Trust (KMPT), providing mental health, learning disability and specialist services, serving 1.8 million people in Kent and Medway, as well as specialist services for adults in Sussex and Surrey. We are rated Good overall by the CQC. Each year we care for over 2,000 people in our hospitals and 54,000 people in the community. We are proud to employ over 3,800 people from 66 nationalities, and to serve an increasingly diverse range of communities across rural and urban areas. You will be joining friendly, passionate colleagues, rich in their diversity, who are committed to providing excellent care to our service users and their loved ones. The nature of our work attracts kindness and compassion as standard and everyone from our cleaners and porters to the chief executive and chairman are recognised as playing a vital role in providing an exemplary service. Our strategy Our mission is what we set out to do every day We deliver brilliant care through brilliant people Our vision is where we want to be in the future To provide outstanding care and to work in partnership to deliver this in the right place, for every service user, every time. Date posted 10 January 2025 Pay scheme Agenda for change Band Band 3 Salary £24,071 to £25,674 a year per annum Contract Fixed term Duration 12 months Working pattern Full-time Reference number 380-WK0231 Job locations The Heathside Centre Avalon House Coxheath, Maidstone ME17 4TX Job description Job responsibilities To work with complex care coordinator in providing support to Autistic people to reduce inappropriate admission to inpatients To support the discharge process for patients accessing specialist treatment out KMPT services. To support patients to integrate back in the community when discharged from specialist Out area hospitals by facilitating access and engagement in a range of leisure and other community-based activities, working across boundaries of care and organisations, including Secondary Care, Primary Care and Third Sector. Support with transitioning patients back to CMHT To act in the best interest of service users within appropriate, transparent boundaries as part of a recovery-orientated mental health service. To be aware of any Advance Directives made by service users in respect of their care and treatment T o assist in delivering a high standard of support to service users and their carers, promoting their equality, dignity and mental wellbeing at all times To facilitate service user and carer input into the development of best practice. To establish and maintain working relationships with people who have difficulty in communicating. To establish and maintain working relationships with people who lack trust and motivation. To provide advice and information to those who enquire about mental and physical health needs and related services. To regularly work with people who are experiencing or have experience often sad or upsetting personal and/or social situations. To establish, sustain and at the appropriate time, disengage from profes sional relationships with service users working at the service users pace with support from the multi-disciplinary team (MDT). To provide, or assist service users to access, information on health promotion to include a healthy diet; smoking cessation; preventing substance misuse and the importance of physical exercise. To advise service users to access suitable support with housing/accommodation; financial support; tax credits. To enable service users to make use of appropriate public and other forms of transport links such as purchase of tickets and ability to plan their own journeys. To provide regular and practical support to service users and their carers (as appropriate) in developing and managing independence and maintaining dignity and self-respect working in conjunction with other members of the CMHT MDT such as Occupational Therapists. To provide support with daily living to individuals that might involve practical help, emotional/psychological support, assistance with any difficulties that may arise. To empower service users to speak up for themselves and act as their own advocates. To create an atmosphere where clients feel comfortable to talk about themselves and their emotions. To help the service user identify and prioritise their personal goals for recovery. To encourage self-management of mental health problems by providing information and reinforcing existing coping strategies. To assist in monitoring the persons progress, level of functioning and mental state and alerting appropriate people involved in their care. To enable service users to develop their Personal Support Plan for non-CPA and to attend relevant care planning meetings. To enable service user involvement and active participation with the care and treatment as part of their Personal Support Plan. To highlight any unmet needs to a qualified member of staff so that these can be identified and improved on. To enable service users as they transition to CMHT, working closely with other STR Workers to aid a smooth transfer of care from one part of the service to another To work closely with the trained professional involved in the Service Users care CMHT and RRT. To be responsible for providing the link between the service user and their key worker as part of their Personal Support Plan. Job description Job responsibilities To work with complex care coordinator in providing support to Autistic people to reduce inappropriate admission to inpatients To support the discharge process for patients accessing specialist treatment out KMPT services. To support patients to integrate back in the community when discharged from specialist Out area hospitals by facilitating access and engagement in a range of leisure and other community-based activities, working across boundaries of care and organisations, including Secondary Care, Primary Care and Third Sector. Support with transitioning patients back to CMHT To act in the best interest of service users within appropriate, transparent boundaries as part of a recovery-orientated mental health service. To be aware of any Advance Directives made by service users in respect of their care and treatment T o assist in delivering a high standard of support to service users and their carers, promoting their equality, dignity and mental wellbeing at all times To facilitate service user and carer input into the development of best practice. To establish and maintain working relationships with people who have difficulty in communicating. To establish and maintain working relationships with people who lack trust and motivation. To provide advice and information to those who enquire about mental and physical health needs and related services. To regularly work with people who are experiencing or have experience often sad or upsetting personal and/or social situations. To establish, sustain and at the appropriate time, disengage from profes sional relationships with service users working at the service users pace with support from the multi-disciplinary team (MDT). To provide, or assist service users to access, information on health promotion to include a healthy diet; smoking cessation; preventing substance misuse and the importance of physical exercise. To advise service users to access suitable support with housing/accommodation; financial support; tax credits. To enable service users to make use of appropriate public and other forms of transport links such as purchase of tickets and ability to plan their own journeys. To provide regular and practical support to service users and their carers (as appropriate) in developing and managing independence and maintaining dignity and self-respect working in conjunction with other members of the CMHT MDT such as Occupational Therapists. To provide support with daily living to individuals that might involve practical help, emotional/psychological support, assistance with any difficulties that may arise. To empower service users to speak up for themselves and act as their own advocates. To create an atmosphere where clients feel comfortable to talk about themselves and their emotions. To help the service user identify and prioritise their personal goals for recovery. To encourage self-management of mental health problems by providing information and reinforcing existing coping strategies. To assist in monitoring the persons progress, level of functioning and mental state and alerting appropriate people involved in their care. To enable service users to develop their Personal Support Plan for non-CPA and to attend relevant care planning meetings. To enable service user involvement and active participation with the care and treatment as part of their Personal Support Plan. To highlight any unmet needs to a qualified member of staff so that these can be identified and improved on. To enable service users as they transition to CMHT, working closely with other STR Workers to aid a smooth transfer of care from one part of the service to another To work closely with the trained professional involved in the Service Users care CMHT and RRT. To be responsible for providing the link between the service user and their key worker as part of their Personal Support Plan. Person Specification Qualifications Essential NVQ 3 or Equivalent qualification Maths and English GCSEs C Grade and above- or equivalent Desirable Further training/ education in health and social care. Expereince Essential At least 3 years Experience of working in mental health services Experience of working within a multi-disciplinary team and liaising with other partnership agencies Experience of working with complex mental health needs Experience of working with Autistic people Desirable Experience working in the Discharge Team Experience of working with patients in the community and services Experience working with patients with a forensic history Knowledge and Skill Essential Knowledge of mental health conditions Knowledge of Mental Health Act and MCA Ability to record and maintain written notes Knowledge of safeguarding procedures Desirable Knowledge of different types benefits. Knowledge of Discharge process and Services to support discharge Person Specification Qualifications Essential NVQ 3 or Equivalent qualification Maths and English GCSEs C Grade and above- or equivalent Desirable Further training/ education in health and social care. Expereince Essential At least 3 years Experience of working in mental health services Experience of working within a multi-disciplinary team and liaising with other partnership agencies Experience of working with complex mental health needs Experience of working with Autistic people Desirable Experience working in the Discharge Team Experience of working with patients in the community and services Experience working with patients with a forensic history Knowledge and Skill Essential Knowledge of mental health conditions Knowledge of Mental Health Act and MCA Ability to record and maintain written notes Knowledge of safeguarding procedures Desirable Knowledge of different types benefits. Knowledge of Discharge process and Services to support discharge 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. Employer details Employer name Kent & Medway NHS & Social Care Partnership Trust Address The Heathside Centre Avalon House Coxheath, Maidstone ME17 4TX Employer's website https://www.kmpt.nhs.uk (Opens in a new tab)