We have an exciting opportunity within our Older Adult Community hub, in Knowsley for an Advanced Clinician (Registered Nurse- mental health). The older adult community hub is often known as the Later Life and Memory service (LLaMS).
We are a community mental health team who support the mental and physical health and wellbeing of people living with dementia in the community, with the overarching aim to deliver holistic and patient centred care. Our aim is to support people living with dementia, families and carers to plan for future healthcare needs, improve their quality of life and helping them to live safely in their own home as long as possible.
Opportunities for continuing professional development such as Master's modules are encouraged.
Main duties of the job
The Advanced clinician will take high level responsibility for the triage and clinical assessments of highly complex health and wellbeing needs of people living with dementia. The Advanced clinician will provide high level care as specified below for a client group and work across professional disciplines, coordinating activities as required.
The Advanced clinicians (Mental health) utilise a comprehensive assessment to identify, diagnose and treat mental health conditions within the care home setting.
The advanced clinicians (Mental health) provide proactive advice to staff on any service users mental health, undertake assessments, antipsychotic reviews, respond to crisis situations, review/prescribe medication, assist in care planning and risk assessments, liaise with medical staff and social care staff, provide support for care home staff to manage complex mental health needs.
Support management in quality improvements, preparing for CQC and QRV reviews, audits and provide clinical supervision to colleagues and team.
The role will also involve carrying a caseload and completing home visits to assess and review mental health needs.
To work alongside management, team medics and community nurses, STRs and OTs to develop person centred and individualised care plans.
Liaise where needed with Care home liaison, admiral nurses, district nurses and community matrons who sit internally with Merseycare and also external agencies, such as GPs, social services and so on.
About us
Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.
We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.
At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.
Flexible working requests will be considered for all roles.
Job responsibilities
Clinical:
To be responsible for the specialist assessment of complex care needs and the development, implementation and evaluation of programmes of care using a high degree of autonomy and act as a named practitioner.
To triage patients with highly complex needs.
To undertake highly complex clinical assessments of patients/service users within sphere of advanced practice.
To determine a clinical diagnosis and make high level decisions regarding appropriate treatment/care plans.
Implement highly complex care/interventions according to clinical need.
Evaluate highly complex care/interventions based on evidence from clinical outcomes and best practice.
To provide advanced clinical advice, support, training to patients/service users, families, carers and professional colleagues to improve their journey and their health and wellbeing.
To be professionally accountable for all aspects of own work including the management of patients in your care.
Registered practitioners who are non-medical prescribers are accountable for their prescribing activities by ensuring they are aware of their Professional accountability and any restrictions or special considerations in their prescribing practice.
To develop and maintain the high level clinical skills required to work as an advanced practitioner.
Where the administration of drugs is a requirement, this should be undertaken in line with trust policies and procedures and in following the NMC Guidelines for administration of Medicines Act 1992 and Misuse of Drugs Act 1991.
Learning and development:
To maintain own professional/personal development (CPD) by keeping abreast of any new trends and developments, and incorporate them as appropriate into your work.
Ensure all mandatory training is accessed and kept up to date.
To be an active member of relevant training programmes attending and delivering presentations at staff meetings/tutorials and by attending relevant professional short courses and being a reflective practitioner.
To participate in the supervision scheme as supervisee and supervisor when appropriate.
To develop and deliver relevant evidence based training to patients, families, carers, Health and Wellbeing and local authority colleagues and third sector providers.
To provide specific training as required to the patient, family, carers and other members of the multidisciplinary team on the clinical and therapeutic management of an individual to support their health and wellbeing.
Clinical governance/research audit:
Registered Practitioners are required to evidence maintenance of their registration with the relevant regulatory body and work to their Code of Professional Conduct.
To benchmark current service delivery against local and national clinical guidelines and standards of care.
To lead on current best practice, based on the benchmarking outcomes.
To translate local and national guidelines and train Health and Wellbeing staff to ensure they have the skills and knowledge required to deliver effective services.
To measure and evaluate own work and current practices through the use of evidence based projects, audit, research, statistical information and outcome measures and lead others in doing so.
To network with practitioner colleagues within the trust and across the North West and Nationally, to learn together and share good practice.
To interpret and implement quality assurance practices within own work situation.
To identify and minimise clinical and non-clinical risk to minimise risk of harm to patients, staff & visitors.
Contributes to the formulation and implementation of clinical policies and procedures as appropriate.
Communication:
To communicate complex patient and service related information effectively to Health and Wellbeing and local authority colleagues and third sector agencies.
Use complex communication skills and knowledge when working with patients, their families and other provider agencies.
Demonstrates professional sensitivity and empathy during the emotional demand of high exposure to distressing circumstances where there may be difficulties in accepting or understanding.
To involve the patient and the family/carers in all relevant discussions about their management and decisions that are made about treatment techniques and facilitating patient involvement in the planning development, delivery and evaluation of the service.
To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
To maintain accurate comprehensive and up-to-date documentation, in line with legal and departmental requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.
To collect appropriate data and statistics for the use in the review of the service delivery.
To use appropriate information technology skills for communication when required.
Person Specification
Qualifications
* Current professional Registration
* Evidence of study at Masters Level or equivalent experience.
Knowledge/Experience/Skills
* Experience in related specialist role.
* Experience of effective partnership working.
* Experience of introducing service developments and innovation.
* Evidence in leadership and management including change management.
* Experience of research and evidence based practice within specialist field.
* Excellent communication and negotiation skills.
* High level knowledge of specialist area.
* Understanding of local and national policy governing practice and development.
Values
* Accountability
* High professional standards
* Responsive to service users
* Engaging leadership style
* Transparency and honesty
* Discreet
* Change oriented
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.
£46,148 to £52,809 a year per annum pro rata
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