MAIN DUTIES AND RESPONSIBILITIES
Clinical Governance
To develop and take an active role in quality monitoring of the service, including leading research projects and audit activity with the aim of improving the service/service area. Partnership with service users and carers is integral to these activities. The Post Holder will be able to evaluate and review research and other relevant literature and be aware of the implications of the social and local policies, procedures, and information packages related to service delivery. Will have the ability to work under pressure and manage staff and services.
Management and Leadership
The Post Holder will act as a role model for RETHINK staff, which will involve providing support and guidance to RETHINK staff in order to maximize the experience of clients whilst they are staying at Fieldview. The Post Holder will work within an environment that involves taking responsibility for the use of a significant number of resources, including four crisis beds, access to in-patient services, processing of referrals, and allocation of activity to achieve rapid response to crisis referrals. Will plan and organize workloads for staff within the area to include allocation of staff, planning patient care, and groups. The Post Holder will supervise the day-to-day care of their service area, including Crisis, Police, Acute Mental Health, Home Treatment, and Specialist Care ensuring staff are designated to appropriate areas. To also be involved in the recruitment and selection of staff along with appraisals and supervision.
Education and Development
Acute Mental Health is a learning environment which accepts short-term placements, any qualified practitioners, and a wide variety of other agencies wishing to gain an insight into the Mental Health Services. There is an expectation that the Post Holder will be involved in the provision of internal training sessions and presentations to other services and students. The Post Holder may be asked to provide specific training or mentorship to students. The Acute Mental Health Team is a developing service and team members are expected to become actively involved in the change process and demonstrate commitment to changing role, i.e., in the development of specialist protocols and specialized programmes of care. Team members will provide continuous development and evaluation of patient information packages to the service. Individuals within the team will provide teaching and education to service users and carers regarding living with mental ill health and how to access service providers. This will involve working closely with other care providers, including relatives in a constructive manner using education, advice, and support. The Post Holder will be expected to organize and manage their own clinical supervision and supervise peers within Navigo agreed guidelines.
Clinical Patient Care Duties and Responsibilities
To provide high-quality care in either the home, Fieldview, or hospital setting. Clients referred to the service will usually have complex needs and problems. Families/carers will also need appropriate support and there will be regular liaison/referral to other agencies. This will require capability in the following areas:
1. To maintain accurate records, both written and computerized to a standard that reflects their level of clinical expertise. This may involve the use of specialized psychometric tools to complement the assessment and evaluation of client care.
2. The Post Holder must have experience of using psychosocial interventions in clinical practice.
3. Liaison with community-based services and resources such as education, Social Security, employment, housing, Police, and voluntary sector organizations to facilitate the delivery of the most appropriate and best possible care for the individual client, carers, and their families.
4. Discuss complex issues surrounding risk management and plan care accordingly advising others regarding management of care.
5. Discharge planning.
6. To respond to client crisis in a positive proactive manner.
7. To develop clear care pathways, including methods to reduce the risk of further crisis developing.
8. To work in a manner which is flexible according to client need.
9. To provide telephone support to any clients, carers, outside agencies, or clinicians who require information, advice, or crisis intervention. This will require the Post Holder to make immediate, effective decisions that will have implications for the outcomes of the client's mental health.
10. Be able to assess complex mental health conditions, then to develop and implement care packages in a variety of settings.
11. If required (or at their request) undertake Mental Health Act Training (AMHPs) and if qualified take part in the rota.
12. To assess adolescents out of hours and refer to appropriate services.
13. To assess if required in the Police Station.
14. To be part of the on-call rota. To cover 7 days a week, 24 hours a day on a rota.
Scope and Practice
The Post Holder will be expected to take responsibility for a number of tasks including:
1. Process referrals prioritizing, risk management, risk assessment of clients who are in crisis and may be displaying high-risk behaviours.
2. The Post Holder will be the first line contact for all mental health at all times to the general Trust and primary care (in times of crisis).
3. The Post Holder will be responsible for defining the level of acute mental health crisis and the use of resources. This includes the decision to admit a person to either the acute in-patient beds or Fieldview beds, processing of general practitioner referrals, and urgent CMHT referrals.
4. The Post Holder will have to have an understanding of the relevant policies and their application to related face-to-face physical aggression and associated actions, e.g., COSHH, Infection Control, exposure to body fluids. Exposure to both verbal and physical aggression.
5. The Post Holder will be expected to professionally contribute and/or lead and manage serious untoward incidents, challenging behaviours, ensuring all parties are debriefed and supported.
6. The Post Holder will be expected to be involved in and implement new and revised policies within their own sphere of work.
7. Will offer clinical supervision to staff from own discipline.
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