Job summary An exciting opportunity has arisen for a Band 7 Clinician to join a new Transfer of Care hub, coordinating care for Service Users who are in the most acute phase of a mental health crisis. The role will involve overseeing a Service User's journey from admission to discharge, ensuring that the flow throughout this critical part of their treatment is seamless and purposeful. You will join a team that aims to use system knowledge and clinical skills to optimize each patient's outcome and recovery. BNSSG Transfer of Care (TOC) hub is a fast paced and ever evolving environment. You will need to be able to work flexibly and collaboratively both within the TOC team along with internal and external stakeholders. We are looking for an enthusiastic, highly motivated and dynamic individual who will work closely with the Crisis Teams to review admission requests and ensure Service Users are receiving the right care in the most appropriate setting, for example home treatment or inpatient admission. Main duties of the job The post holder will work closely with the hospital manager to report and follow up on actions for service users who are clinically ready to be discharged back in to the community supporting system flow and effective care by ensure Service Users are receiving the appropriate care, liaising with both the community teams and inpatient wards. This will enhance patient experience by ensuring a safe and efficient discharge from hospital but also support wider flow across the organisation. The post holder will be required to attend and chair professional meetings regarding complex admissions where the pathway is not clear to ensure the right care is offered at the right time and ensure flow is achieved across our inpatient wards. The post holder will be required to escalate any high-risk cases or barriers to care in the community to the Service Manager in a timely manner. The post holder will provide a pivotal role in managing flow during an inpatient admission to reduce the number of delayed transfer of care cases. Through effective discharge planning, a multidisciplinary approach to continuity of care, a process that includes identification, assessment, goal setting, planning, implementation, coordination, and evaluation on or pre admission, to achieve a safe and timely discharge. The post holder will build working relationships with inpatient and community teams along with relevant stakeholders including acute hospital trusts and Approved Mental Health Professionals, 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. Date posted 10 February 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year (pro rata) Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number 342-BR023-0225 Job locations Callington road hospital Marmalade Lane Bristol BS4 4BJ Job description Job responsibilities Key Result Areas 1. Under the direction of the Team Manager to be responsible for developing and leading an efficient mental health service for a defined population in accordance with commissioned services. 2. To develop and support a service that delivers high quality effective health and social care interventions which lead to positive outcomes for service users and carers. 3. To lead by example, motivating and empowering others and promoting positive attitudes, mutual understanding and collaboration between all services involved in the care process. 4. To support the team manager to ensure staff within the team ensuring effective processes where this is delegated. 5. To proactively work towards continuous service improvement by positively assisting in the planning and development of services. This could include participating in the design and introduction of a new service, communicating effectively with staff about proposed changes and gaining commitment for change. 6. To support the team manager to supervise and authorise decision making on issues requiring statutory intervention including all aspects of initial investigations and necessary follow-up action. 7. To maintain an awareness of complex cases and projects for which allocated staff are responsible and ensure the team manager is appropriately informed regarding cases of particular risk or concern. This role does not include carrying a caseload. 8. To be responsible for the effective management of workload. 9. To support the team manager to manage the performance of all designated specialist practitioners and mental health workers within the team in line with the requirements of care co-ordination so as to ensure that consistent clinical and quality standards are maintained. 10. To ensure close working relationships and protocols with other internal and external services, encouraging their involvement in the planning and provision of the care plan, through effective liaison roles between Trust services and the commissioners. 11. To ensure appropriate compliance with Trust and Local Authority policies in relation to people management activities. These include recruitment and selection activity, effective sickness and attendance management and the application of standards in relation to conduct and performance at work as well as undertaking regular practice and management supervision. 12. Where indicated, to be responsible for ensuring ongoing completion of staff appraisals and that all team members have a development plan linked to the KSF. 13. To provide and ensure an effective learning environment for student placements across all professions. 14. To maintain a skill mix within the team which provides effective agreed services which can respond to statutory requirements, in line with relevant professional guidance and norms established by the Trust. 15. To support the team manager to manage the performance of the team as measured by key performance indicators defined nationally and locally, and set out in the SBU Balanced Scorecard covering both health and social care parameters. 16. To undertake investigations into complaints from service users and carers, untoward incidents and staffing matters, preparing reports as needed and working in partnership with others to meet required deadlines. 17. To be responsible for ensuring health and safety and other relevant risk assessments are undertaken, delegating responsibility as appropriate. This includes infection control. 18. To ensure appropriate systems are in place at team level to engage in integrated governance activity. 19. To engage with and contribute to relevant SBU and corporate management and governance forums. 20. To ensure the complete and accurate recording of all clinical and performance data on relevant paper and electronic systems (eg Rio, MHIS, CAST, CAD). 21. To ensure that case records and data are collected within approved policies and that data held on computer systems are accurate, so as to enable planning and monitoring of services. 22. To support the team manager to be responsible for ensuring compliance with defined quality standards such as CQC, CNST and Standards for Better Health, identifying responsibility within the team for key roles including infection control and emergency planning. 23. To support the team manager to be responsible for maintaining up to date evidence of quality and safety outcomes and providing these as required for inspection. 24. Dependant on the team location, to ensure relevant contributions are made by the team to the effective management of Trust estate and facilities. 25. Demonstrate responsibility for developing own practice in line with professional qualifications and for the development of others, both practitioners, and those in training by making use of and providing, effective feedback, coaching and appraisal. Job description Job responsibilities Key Result Areas 1. Under the direction of the Team Manager to be responsible for developing and leading an efficient mental health service for a defined population in accordance with commissioned services. 2. To develop and support a service that delivers high quality effective health and social care interventions which lead to positive outcomes for service users and carers. 3. To lead by example, motivating and empowering others and promoting positive attitudes, mutual understanding and collaboration between all services involved in the care process. 4. To support the team manager to ensure staff within the team ensuring effective processes where this is delegated. 5. To proactively work towards continuous service improvement by positively assisting in the planning and development of services. This could include participating in the design and introduction of a new service, communicating effectively with staff about proposed changes and gaining commitment for change. 6. To support the team manager to supervise and authorise decision making on issues requiring statutory intervention including all aspects of initial investigations and necessary follow-up action. 7. To maintain an awareness of complex cases and projects for which allocated staff are responsible and ensure the team manager is appropriately informed regarding cases of particular risk or concern. This role does not include carrying a caseload. 8. To be responsible for the effective management of workload. 9. To support the team manager to manage the performance of all designated specialist practitioners and mental health workers within the team in line with the requirements of care co-ordination so as to ensure that consistent clinical and quality standards are maintained. 10. To ensure close working relationships and protocols with other internal and external services, encouraging their involvement in the planning and provision of the care plan, through effective liaison roles between Trust services and the commissioners. 11. To ensure appropriate compliance with Trust and Local Authority policies in relation to people management activities. These include recruitment and selection activity, effective sickness and attendance management and the application of standards in relation to conduct and performance at work as well as undertaking regular practice and management supervision. 12. Where indicated, to be responsible for ensuring ongoing completion of staff appraisals and that all team members have a development plan linked to the KSF. 13. To provide and ensure an effective learning environment for student placements across all professions. 14. To maintain a skill mix within the team which provides effective agreed services which can respond to statutory requirements, in line with relevant professional guidance and norms established by the Trust. 15. To support the team manager to manage the performance of the team as measured by key performance indicators defined nationally and locally, and set out in the SBU Balanced Scorecard covering both health and social care parameters. 16. To undertake investigations into complaints from service users and carers, untoward incidents and staffing matters, preparing reports as needed and working in partnership with others to meet required deadlines. 17. To be responsible for ensuring health and safety and other relevant risk assessments are undertaken, delegating responsibility as appropriate. This includes infection control. 18. To ensure appropriate systems are in place at team level to engage in integrated governance activity. 19. To engage with and contribute to relevant SBU and corporate management and governance forums. 20. To ensure the complete and accurate recording of all clinical and performance data on relevant paper and electronic systems (eg Rio, MHIS, CAST, CAD). 21. To ensure that case records and data are collected within approved policies and that data held on computer systems are accurate, so as to enable planning and monitoring of services. 22. To support the team manager to be responsible for ensuring compliance with defined quality standards such as CQC, CNST and Standards for Better Health, identifying responsibility within the team for key roles including infection control and emergency planning. 23. To support the team manager to be responsible for maintaining up to date evidence of quality and safety outcomes and providing these as required for inspection. 24. Dependant on the team location, to ensure relevant contributions are made by the team to the effective management of Trust estate and facilities. 25. Demonstrate responsibility for developing own practice in line with professional qualifications and for the development of others, both practitioners, and those in training by making use of and providing, effective feedback, coaching and appraisal. Person Specification Essential Essential 2 years post graduation experience working within mental health Evidence of risk assessments experience/skills Acute front line mental health assessment experience Relevant registration (RMN/RLDN/SW/OT) Experience of supervising/ leading staff Desirable Formal qualification in delivering training Evidence of therapeutic training Inc. CBT/DBT/EMDR etc Understanding of IT systems used (RIO, connecting care or equivalent) Person Specification Essential Essential 2 years post graduation experience working within mental health Evidence of risk assessments experience/skills Acute front line mental health assessment experience Relevant registration (RMN/RLDN/SW/OT) Experience of supervising/ leading staff Desirable Formal qualification in delivering training Evidence of therapeutic training Inc. CBT/DBT/EMDR etc Understanding of IT systems used (RIO, connecting care or equivalent) 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Avon & Wiltshire Mental Health Partnership NHS Trust Address Callington road hospital Marmalade Lane Bristol BS4 4BJ Employer's website http://www.awp.nhs.uk/about-us/working-for-us/ (Opens in a new tab)