Undertake quality comprehensive mental health and social care needs assessment, including safety assessment for service users. Be responsible for a specific caseload of service users using the Personal Wellbeing Plan acting as Key Worker. Establish with the service user and carer (where appropriate) an agreed plan, which includes evidence based interventions to address assessed needs, how outcomes will be measured and agreed timescale for input. To arrange such services as are appropriate to the plan using the Your Team Your Conversation Your Plan approach. Regularly evaluate the plan with the service user and alter as required. Undertake specialist assessments, eg cognitive testing and Continuing Health Care referrals, as required. Record Keeping & Administration Keep contemporaneous, chronological and accurate mental health records in accordance with Trust policy, professional guidelines and local team procedures. Collect and input information and appropriate statistics for providing overall information about clinical activity. Use time effectively and make appropriate use of resources. Attend team meetings and participate in clinical discussion, presenting complex cases when appropriate. Clinical Liaison Provide effective communication both within AWP and with Primary Care, Social Services and a range of other voluntary and statutory organisations. Sensitively and appropriately communicate with colleagues, service users, carers and relatives. Operate within the Multi Agency Policy on Safeguarding Adults and participate in the investigation process as appropriate. Continuing Professional Development and Practice Maintain and develop professional knowledge skills and expertise, to ensure that practice reflects best practice and remain current and evidence based. Act in accordance within the guidelines from the NMC. Work to the policies and procedures of the Trust. Ensure knowledge of and work to any local team policies and procedures. Maintain up to date knowledge of relevant medicines, related medication management issues and act in accordance with NMC guidelines. Take responsibility for post-registration education and practice requirements for continued professional development needs. Ensure the provision and fully participate in the clinical and management supervision and appraisal process. Actively participate in the Trusts policy of appraisal and staff development. Maintain up to date knowledge and skills of appropriate IT systems. Teaching, Education and Audit Contribute to the provision of an appropriate learning environment for pre and post registered students and new team members and act as a mentor for nursing students. Provide formal feedback from training sessions attended. Identify, initiate and support the development of improvements in the service, including clinical audit. Management Provide supervision for other staff members both qualified and unqualified as required by the Team Manager/Senior Practitioner. Lead on agreed service development initiatives or represent the team. Other Duties The post holder may be required to perform duties other than those given in the job description for the post. The particular duties and responsibilities attached to posts may vary from time to time without changing the general character of the duties or the level of responsibilities entailed. Such variations are a common occurrence and would not of themselves justify the re-evaluation of a post. In cases, however, where a permanent and substantial change in the duties and responsibilities of a post occurs, consistent with a higher level of responsibility, then the post would be eligible for re-evaluation. Communications and Working Relationships Services Users and Carers. Health and social care teams. Primary care. Third sector/voluntary agencies. Community groups and local authority provision. Other statutory agencies. Most challenging part of this role To support the care of individuals within a defined caseload, to develop increasing skill and confidence with a wide range of health, social care and wellbeing needs, setting priorities and working in community based settings. To contribute to the development of a culture where the personal and positive aspirations of service users are the primary focus of the plan, while developing and maintaining individual skills in delivering a range of therapeutic interventions. This must be achieved whilst respecting the dimensions of personal choice, diversity and culture and the benefits which these bring to the therapeutic relationship. Policies and Procedures Trust employees are expected to follow Trust policies, procedures and guidance as well as professional standards and guidelines. Copies of Trust policies can be accessed via the staff intranet (Ourspace) or from your manager. In particular, attention is drawn to the Trusts arrangements in relation to safeguarding children and vulnerable adults as well as infection prevention and control. All employees are expected to be familiar with the Trusts approach to risk management, take a risk management approach to their own work and take responsibility for the management of the risks they own. Confidentiality Much of the work is of a confidential nature. This means that no discussion should take place about the care, needs, or activities of any service user, except in the clear interest of that service user or other members of staff. Staff are reminded that personal information concerning colleagues is also confidential. Equality and Diversity Avon and Wiltshire Mental Health Partnership NHS Trust is committed to the fair treatment of all people, regardless of their gender, gender re-assignment, race, colour, ethnicity, ethnic or national origin, citizenship, religion, beliefs, disability, mental health needs, age, domestic circumstances, social class, sexual orientation, ex-offender status, political allegiance or trades union membership. The Trust requires all of its employees to treat all of its stakeholders including colleagues, service users, carers and their visitors with dignity and respect. Smoking Smoking by Trust Staff is not permitted whilst on duty whether that be on Trust premises or grounds or out in the community. Staff must also be mindful of public perception and must therefore not smoke whilst travelling in Trust identified vehicles or when in uniform or can otherwise be identified as Avon and Wiltshire Mental Health Partnership NHS Trust staff. Review These duties are intended to be a guide to the post and should not be considered exhaustive. It is subject to review, depending on the needs of the department. The post holder will be encouraged to participate in any such review. The Trust is committed to regular performance appraisal (including setting objectives for review annually) and agreement of personal development plans for all staff to enhance their ability to fulfil the requirements of their post.