Job summary Our Community Learning Disability Team are looking for an experienced Learning Disability nurse. The successful candidate will be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs. This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs. To be highly skilled at managing challenging behaviour of client and their family members at times of distress and crisis. This post is open to qualified Learning Disability practitioners with substantial NHS Band 5 experience. This is a permanent part time post (30 hours) to be worked across Monday to Friday. Main duties of the job The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early ageing conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from children's to adult services. About us Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs. At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society. Date posted 27 February 2025 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year pa pro rata Contract Permanent Working pattern Part-time, Flexible working Reference number 302-25-7014747CM Job locations Leigh Town Hall Market Street Leigh WN7 1DY Job description Job responsibilities Key results from the job holder To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs. This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs. The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early aging conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from childrens to adult services. To support primary care to manage appropriate cases within the primary care setting in collaboration with the Locality Hub services and to support appropriate referral to secondary services, under the direction of the Senior Management team. To effectively support the all age service model for children, young people and adults with Learning Disabilities. To provide formal, on-going clinical supervision and caseload management supervision to junior and less experienced community learning disability staff and students, as directed. To maintain effective case management of a clinical caseload within the Community Learning Disability Team in line with recommendations To carry out all relevant forms of care without direct supervision and may be required to demonstrate procedures to and supervise and teach qualified and / or unqualified staff and pre-registration Nursing Students To accept responsibility for own professional practice as an accountable practitioner. To undertake Breakaway/Physical Intervention Techniques (Restrictive Physical Intervention) according to the Community Learning Disability Service Policy. To participate in the service Referral and Initial Assessment Process and Procedure To participate as an effective member of the MDT, undertaking referrals, direct liaison with Primary Care and Locality Hub to ensure identified needs of service users and their carers are met in a timely manner and in the most appropriate setting. Facilitate and maintain effective liaison with parents, other health professionals, social workers, primary care teams and any other relevant services to ensure intervention is consistent and co-ordinated, providing person centred care. To have responsibility and be professionally accountable for all aspects of assessment, implementation, evaluation for client specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to client care. Identify unmet health needs and undertake interventions/signpost to relevant services. Delegate as necessary to unqualified staff and refer onwards as per individual client need. To promote client self-care and independence towards an individuals maximum optimal potential. To develop and deliver specific individualised focused training to staff / carers (paid/unpaid) / families and services that have a significant role in the delivery of care for the individual To participate in and assist in the co-ordination of supporting clients within a working week according to individual clients needs. Maintain clear, comprehensive and contemporaneous clinical records on all patients in response to personally generated clinical observations, in accordance with professional standards and Trust policies. To be highly skilled at managing challenging behaviour of client and their family members at times of distress and crisis. To undertake safe practice by the assessment/implementation/evaluation of effective client Risk Assessment/Management. Planning and Organisational Duties To support the Learning Disability Senior Management Team in delivering the teams core functions To ensure safe practice by clarifying level of authority in role and seeking appropriate supervision and direction To adhere/practice as per the Community Learning Disability Service and Trust Policies Procedures, Protocols and provide comments on possible developments that involve the Community Learning Disability Team. To report financial and physical resource needs to the Senior Management Team. To be responsible for personal input of data to Systm1 (client activity) as per Service and Trust Policy. To ensure written communications are meaningful, relevant and timely in line withService, Trust and Professional Guidelines and Practices. To accept responsibility for own professional practice as an accountable practitioner within Clinical Audit activity/research and development as agreed within the Service/ Trust. To demonstrate commitment to personal/professional development within Trust Clinical Governance Framework. To reflect on and evaluate on personal professional practice and client outcomeexperiences. To receive Clinical supervision, Care Management & appraisal from your SeniorManager Communications and Key Working Relationships To plan and co-ordinate and lead client focused Multi-agency Meetings as required To be a full and active member of the multi-professional team including Nursing, Speech and Language Therapists, Occupational Therapists, Assistant Practitioners, Nursing Associates, Support Workers, Apprentices and Admin. To work in partnership with Social Care, Council Services Secondary Care, Third Sector and Primary Care in the delivery of an integrated service that facilitates the wellbeing of service users. Prepare and present clinical reports as required. Responsibility for Finance To be responsible for ensuring the effective selection and use of all treatment resources available both in the community. To operate efficiently and minimise waste of resources across all spheres of work. To advise the Team Leader on ordering, monitoring and maintaining equipment used in carrying out physiotherapy duties, and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through, teaching, training and supervision of practice. Responsibility for Human Resources To participate in the staff appraisal scheme and Personal Development Review (PDR) as both appraiser and appraisee. Responsibility for Health & Safety Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Responsibility for Teaching Deliver Service/organisational training to qualified/non-qualified staff as required. Assist in the facilitation of a supportive learning environment which enables the Team, Pre-registration students and the Nurse to develop. Act as preceptor/mentor and support other trained staff / nursing and therapy students accessing the wider service. Participate within the Induction Programme for new starters to the Team. Develop, review and update clinical assessments using research based evidence for use within recall clinic and as part of assessment process for all individuals identified in service. Update personal skills and attend study days relevant to own practice. Promote the Trust as a learning organisation. Job description Job responsibilities Key results from the job holder To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs. This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs. The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early aging conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from childrens to adult services. To support primary care to manage appropriate cases within the primary care setting in collaboration with the Locality Hub services and to support appropriate referral to secondary services, under the direction of the Senior Management team. To effectively support the all age service model for children, young people and adults with Learning Disabilities. To provide formal, on-going clinical supervision and caseload management supervision to junior and less experienced community learning disability staff and students, as directed. To maintain effective case management of a clinical caseload within the Community Learning Disability Team in line with recommendations To carry out all relevant forms of care without direct supervision and may be required to demonstrate procedures to and supervise and teach qualified and / or unqualified staff and pre-registration Nursing Students To accept responsibility for own professional practice as an accountable practitioner. To undertake Breakaway/Physical Intervention Techniques (Restrictive Physical Intervention) according to the Community Learning Disability Service Policy. To participate in the service Referral and Initial Assessment Process and Procedure To participate as an effective member of the MDT, undertaking referrals, direct liaison with Primary Care and Locality Hub to ensure identified needs of service users and their carers are met in a timely manner and in the most appropriate setting. Facilitate and maintain effective liaison with parents, other health professionals, social workers, primary care teams and any other relevant services to ensure intervention is consistent and co-ordinated, providing person centred care. To have responsibility and be professionally accountable for all aspects of assessment, implementation, evaluation for client specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to client care. Identify unmet health needs and undertake interventions/signpost to relevant services. Delegate as necessary to unqualified staff and refer onwards as per individual client need. To promote client self-care and independence towards an individuals maximum optimal potential. To develop and deliver specific individualised focused training to staff / carers (paid/unpaid) / families and services that have a significant role in the delivery of care for the individual To participate in and assist in the co-ordination of supporting clients within a working week according to individual clients needs. Maintain clear, comprehensive and contemporaneous clinical records on all patients in response to personally generated clinical observations, in accordance with professional standards and Trust policies. To be highly skilled at managing challenging behaviour of client and their family members at times of distress and crisis. To undertake safe practice by the assessment/implementation/evaluation of effective client Risk Assessment/Management. Planning and Organisational Duties To support the Learning Disability Senior Management Team in delivering the teams core functions To ensure safe practice by clarifying level of authority in role and seeking appropriate supervision and direction To adhere/practice as per the Community Learning Disability Service and Trust Policies Procedures, Protocols and provide comments on possible developments that involve the Community Learning Disability Team. To report financial and physical resource needs to the Senior Management Team. To be responsible for personal input of data to Systm1 (client activity) as per Service and Trust Policy. To ensure written communications are meaningful, relevant and timely in line withService, Trust and Professional Guidelines and Practices. To accept responsibility for own professional practice as an accountable practitioner within Clinical Audit activity/research and development as agreed within the Service/ Trust. To demonstrate commitment to personal/professional development within Trust Clinical Governance Framework. To reflect on and evaluate on personal professional practice and client outcomeexperiences. To receive Clinical supervision, Care Management & appraisal from your SeniorManager Communications and Key Working Relationships To plan and co-ordinate and lead client focused Multi-agency Meetings as required To be a full and active member of the multi-professional team including Nursing, Speech and Language Therapists, Occupational Therapists, Assistant Practitioners, Nursing Associates, Support Workers, Apprentices and Admin. To work in partnership with Social Care, Council Services Secondary Care, Third Sector and Primary Care in the delivery of an integrated service that facilitates the wellbeing of service users. Prepare and present clinical reports as required. Responsibility for Finance To be responsible for ensuring the effective selection and use of all treatment resources available both in the community. To operate efficiently and minimise waste of resources across all spheres of work. To advise the Team Leader on ordering, monitoring and maintaining equipment used in carrying out physiotherapy duties, and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through, teaching, training and supervision of practice. Responsibility for Human Resources To participate in the staff appraisal scheme and Personal Development Review (PDR) as both appraiser and appraisee. Responsibility for Health & Safety Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Responsibility for Teaching Deliver Service/organisational training to qualified/non-qualified staff as required. Assist in the facilitation of a supportive learning environment which enables the Team, Pre-registration students and the Nurse to develop. Act as preceptor/mentor and support other trained staff / nursing and therapy students accessing the wider service. Participate within the Induction Programme for new starters to the Team. Develop, review and update clinical assessments using research based evidence for use within recall clinic and as part of assessment process for all individuals identified in service. Update personal skills and attend study days relevant to own practice. Promote the Trust as a learning organisation. Person Specification Qualifications Essential Registered Nurse Learning Disability (Part 5 or Part 14 NMC Register) or BSc (Hons) Learning Disability Nursing and Social Work Mentorship qualifications or willing to undertake training Desirable BSc (Hons) Community Specialist Learning Disability Nursing or relevant Degree. Specialist Practitioner (Learning Disability) Health needs assessment for people with learning disabilities Mental capacity act training Experience Essential Significant post registration experience of working with children / adults with a Learning Disability Experience of working within a Multi-disciplinary Service / Team Experience and understanding of ordinary life models Demonstrate the ability to undertake ongoing theoretical / practical professional development according to Service needs. Ability to work in partnership with other agencies and positively influence others service delivery Experience of undertaking specialist assessments in relation to unmet health needs, mental health. Desirable Experience of project management / service improvement Experience of liaison with primary and secondary care to meet the health needs of people with learning disabilities Experience of implementing reasonable adjustments Experience of working in a Community team Skills Essential Assessment, planning, information analysis, intervention, evaluation of package of care. To be able to communicate effectively with patients who have expressive and receptive communication difficulties due to their learning disability. Self-motivated and good time management skills. An ability to organise and prioritise workload to ensure safe practice Implement policies and proposed changes to practice for own area Ability to organise & delegate to qualified/unqualified staff, Pre/Post Registration Nursing Students & in day to day practice. Ability to deliver training to staff, carers & wider services. To prepare and have presentation skills. To be able to communicate with families and carers, where highly sensitive information is provided and received. Ability to ensure safe practice, by clarifying level of role within organisation & seeking appropriate supervision & direction as required. Knowledge Essential oKnowledge of the safeguarding process oKnowledge of Learning Disability Team's role and function oAwareness of current professional nursing issues and Regional, National Health Policy oKnowledge of Transforming Care Agenda and how this relates to the Learning Disabled population oKnowledge of implementing de-escalation techniques. oSpecialist knowledge across range of procedures underpinned by theory Desirable Knowledge of current local and national guidance with regards to health needs assessment of people with learning disabilities. Additional Essential oBe able to travel independently around the borough oThe ability to work flexibly in accordance with client and service needs oAwareness and experience of break away & De-escalation Techniques oAdministration of Clinical Nursing Procedures e.g. blood pressure, etc. oAssessment of individual client Risk Assessment and adherence to Risk Management Guidelines oExposure to verbal and physical aggression oSpeak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation Person Specification Qualifications Essential Registered Nurse Learning Disability (Part 5 or Part 14 NMC Register) or BSc (Hons) Learning Disability Nursing and Social Work Mentorship qualifications or willing to undertake training Desirable BSc (Hons) Community Specialist Learning Disability Nursing or relevant Degree. Specialist Practitioner (Learning Disability) Health needs assessment for people with learning disabilities Mental capacity act training Experience Essential Significant post registration experience of working with children / adults with a Learning Disability Experience of working within a Multi-disciplinary Service / Team Experience and understanding of ordinary life models Demonstrate the ability to undertake ongoing theoretical / practical professional development according to Service needs. Ability to work in partnership with other agencies and positively influence others service delivery Experience of undertaking specialist assessments in relation to unmet health needs, mental health. Desirable Experience of project management / service improvement Experience of liaison with primary and secondary care to meet the health needs of people with learning disabilities Experience of implementing reasonable adjustments Experience of working in a Community team Skills Essential Assessment, planning, information analysis, intervention, evaluation of package of care. To be able to communicate effectively with patients who have expressive and receptive communication difficulties due to their learning disability. Self-motivated and good time management skills. An ability to organise and prioritise workload to ensure safe practice Implement policies and proposed changes to practice for own area Ability to organise & delegate to qualified/unqualified staff, Pre/Post Registration Nursing Students & in day to day practice. Ability to deliver training to staff, carers & wider services. To prepare and have presentation skills. To be able to communicate with families and carers, where highly sensitive information is provided and received. Ability to ensure safe practice, by clarifying level of role within organisation & seeking appropriate supervision & direction as required. Knowledge Essential oKnowledge of the safeguarding process oKnowledge of Learning Disability Team's role and function oAwareness of current professional nursing issues and Regional, National Health Policy oKnowledge of Transforming Care Agenda and how this relates to the Learning Disabled population oKnowledge of implementing de-escalation techniques. oSpecialist knowledge across range of procedures underpinned by theory Desirable Knowledge of current local and national guidance with regards to health needs assessment of people with learning disabilities. Additional Essential oBe able to travel independently around the borough oThe ability to work flexibly in accordance with client and service needs oAwareness and experience of break away & De-escalation Techniques oAdministration of Clinical Nursing Procedures e.g. blood pressure, etc. oAssessment of individual client Risk Assessment and adherence to Risk Management Guidelines oExposure to verbal and physical aggression oSpeak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation 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 Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust Address Leigh Town Hall Market Street Leigh WN7 1DY Employer's website http://www.wwl.nhs.uk/ (Opens in a new tab)