Job summary Would you like to work within an innovative forward-thinking Primary Care Network (PCN)? We are looking for a Mental Health Practitioner, to join our PCN as a Band 6 equivalent (dependant on experience). You will be a qualified Nurse or Allied Health Professional, with the relevant professional registration (NMC or HCPC). You will be employed directly by the PCN. You will have a proactive approach to innovation and be passionate about providing a high-quality holistic approach to the care. This is a fantastic opportunity for you to develop your career and skills, whilst working with a highly innovative and transformative team. You will have an essential role in assessing and overseeing the care of those in need. Your expertise will be vital in providing clinical assistance and advice to the GPs and other members of the primary care team in managing the mental wellbeing of the practice population. We will recognise & value your clinical expertise, post-qualification training and high level of specialist experience, with a genuine commitment to your career development and continued learning. We will enable you to use your clinical skills and encourage you to develop your ideas to shape our mental health services. You will be well supported within the PCN, within the emerging West Independent Care Area (ICA), which has a strong collaborative ethos, and across Cornwall as appropriate. Main duties of the job You will be based and embedded within our network practices working as an integral part of our clinical teams, alongside other professionals including fellow mental health practitioners and social prescribers, as part of the wider primary care Multidisciplinary Team (MDT). You will work with primary care GPs to manage the mental health needs of their population at the point of contact. This includes those with lower-level support requirements that can be met within primary care. Our mental health team manages a significant proportion of patients presenting with mental health issues to the PCN practice surgeries. We are working towards a self-triage system for the mental health and social prescribing team. You will manage patients presenting with a range of clinical priorities, formulate diagnoses and new treatment plans or review and adapt pre-existing ones. This is a collaborative role with practice clinicians, secondary care, talking therapies and third sector organisations. About us The PCN patient population is circa 40k spreading across a large area of mid-west Cornwall from our glorious coastline to our heritage moorland and mines. There are two member practices: Carn to Coast Health Centres and Godolphin Health. Our PCN is innovative and embraces 'Modern General Practice', being one of the early adopters in SW England of the Artificial Intelligence powered triage system KLINIK. A system designed to support clinician triage, patient navigation and improve both the patient and staff experience. Our mental health team support the practice duty teams in managing on-the-day demand as well as supporting those patients who can be effectively and appropriately managed within primary care with clinically required follow-up. We offer an excellent package with a generous holiday allowance and access to the NHS Pension Scheme. We have a supportive team of clinicians and administration staff, both PCN practices are training practices, and we fervently support personal professional development. Salary and hours to be agreed, depending upon experience and qualifications. PLEASE NOTE PROVISIONAL INTERVIEW DATE: Afternoon 14th November Date posted 09 October 2024 Pay scheme Other Salary Depending on experience In region of AfC Band 6 depending on experience Contract Permanent Working pattern Full-time, Part-time Reference number A4893-24-0004 Job locations Pool Health Centre Station Road Pool Cornwall TR15 3DU Godolphin Health School Road Praze Camborne Cornwall TR14 0LB Job description Job responsibilities JOB SUMMARY: Provide clinical expertise and support to GPs and practice clinicians to manage patients with mental health problems in primary care. From urgent presentations to longer term management, including the review of pre-existing mental health plans and medication to the formulation of diagnosis, treatment planning and prescribing. You will work in collaboration with a range of practice clinicians, fellow mental health practitioners, social prescribers, community health and wellbeing workers, secondary care, talking therapies and third sector organisations. The post holder will always work to promote the safety and the wellbeing of these patients and their families/carers. Support to undertake non-medical prescribing is available. The role may evolve to include education and training of clinical and non-clinical staff and trainees. MAIN DUTIES AND RESPONSIBILITIES: The duties and responsibilities of the post holder are detailed below, although the precise accountabilities of any job may be expected to change over time. Job holders would be contacted over any proposed changes before implementation. Triage and assessment of patients presenting with mental health problems Proactive follow-up of adult patients with serious mental illness both in terms of mental and physical health Annual medication reviews for those on longer term antidepressants and antipsychotics Non-medical prescriber or opportunities to undertake prescribing course or other education programmes Active signposting to third sector organisations/ engage with in-house social prescribing team Attend fortnightly mental health meetings with local CMHT and IAPT. Help where appropriate to co-ordinate support for the more vulnerable groups of patients experiencing mental health problems e.g. the homeless, substance misuse, learning difficulties Consultations to be undertaken with patients both in surgery, over the telephone, video or home visits. Capable of working independently and proactively Active management of flexible caseload with awareness of dependency Protection of Children and Vulnerable Adults. To promote and safeguard the welfare of children, young people and vulnerable adults. Develop links and foster a culture of partnership between the practice and CPFT Adult Mental Health Services Promote and follow treatment protocols and care pathways leading to increased integration of service users within the primary care setting Takes professional responsibility with high-level decision making and clinical reasoning skills to assess, diagnose and triage of patients Manages and contributes to service delivery and the development of the practice Accountable for decisions and actions supported by a professional culture of peer networking/review and engagement in evidence-based practice Streamlines pathway of care by providing a responsive service so that patients receive timely access to care Ensures care is proactive, preventive in focus and population based, with an emphasis on early intervention Energetic individual capable of working effectively within MDT Provides care which is tailored to the individual needs. This would include, appraising the impact of individuals' clinical status on their general health, well-being, employment status Supports patients to set their own goals and be confident in their approach to self-management Communicates effectively and appropriately with patients and carers complex and sensitive information regarding diagnosis, pathology and prognosis. Provides learning opportunities for the whole multi professional team within primary care. Works with MDT to develop more effective and streamlined clinical pathways and services Exercises professional judgement, making, justifying and taking responsibility for decisions in unpredictable situations, including in the context of incomplete/contradictory information Manages interactions in complex situations, including with individuals with particular psychosocial and mental health needs and with colleagues across the primary care team, sectors and settings To follow the operational systems and procedures required by the organisation. To represent the organisation in a positive and professional manner at all times. Leadership Operate as a full member of the primary care team, including contributing to leadership, service evaluation/improvement and research activity Manage and co-ordinate the care that individual patients receive, including through liaising with other members of the MDT and with patients' carers Contribute to the use of healthcare technologies to optimise the integration of service delivery (across teams, sectors and settings) and patients access and continuity of care Contribute to the development of primary care teams, including through contributing to others' learning Engagement with Patients, Internal and External Stakeholders Initiate, develop and maintain excellent third party relationships Job description Job responsibilities JOB SUMMARY: Provide clinical expertise and support to GPs and practice clinicians to manage patients with mental health problems in primary care. From urgent presentations to longer term management, including the review of pre-existing mental health plans and medication to the formulation of diagnosis, treatment planning and prescribing. You will work in collaboration with a range of practice clinicians, fellow mental health practitioners, social prescribers, community health and wellbeing workers, secondary care, talking therapies and third sector organisations. The post holder will always work to promote the safety and the wellbeing of these patients and their families/carers. Support to undertake non-medical prescribing is available. The role may evolve to include education and training of clinical and non-clinical staff and trainees. MAIN DUTIES AND RESPONSIBILITIES: The duties and responsibilities of the post holder are detailed below, although the precise accountabilities of any job may be expected to change over time. Job holders would be contacted over any proposed changes before implementation. Triage and assessment of patients presenting with mental health problems Proactive follow-up of adult patients with serious mental illness both in terms of mental and physical health Annual medication reviews for those on longer term antidepressants and antipsychotics Non-medical prescriber or opportunities to undertake prescribing course or other education programmes Active signposting to third sector organisations/ engage with in-house social prescribing team Attend fortnightly mental health meetings with local CMHT and IAPT. Help where appropriate to co-ordinate support for the more vulnerable groups of patients experiencing mental health problems e.g. the homeless, substance misuse, learning difficulties Consultations to be undertaken with patients both in surgery, over the telephone, video or home visits. Capable of working independently and proactively Active management of flexible caseload with awareness of dependency Protection of Children and Vulnerable Adults. To promote and safeguard the welfare of children, young people and vulnerable adults. Develop links and foster a culture of partnership between the practice and CPFT Adult Mental Health Services Promote and follow treatment protocols and care pathways leading to increased integration of service users within the primary care setting Takes professional responsibility with high-level decision making and clinical reasoning skills to assess, diagnose and triage of patients Manages and contributes to service delivery and the development of the practice Accountable for decisions and actions supported by a professional culture of peer networking/review and engagement in evidence-based practice Streamlines pathway of care by providing a responsive service so that patients receive timely access to care Ensures care is proactive, preventive in focus and population based, with an emphasis on early intervention Energetic individual capable of working effectively within MDT Provides care which is tailored to the individual needs. This would include, appraising the impact of individuals' clinical status on their general health, well-being, employment status Supports patients to set their own goals and be confident in their approach to self-management Communicates effectively and appropriately with patients and carers complex and sensitive information regarding diagnosis, pathology and prognosis. Provides learning opportunities for the whole multi professional team within primary care. Works with MDT to develop more effective and streamlined clinical pathways and services Exercises professional judgement, making, justifying and taking responsibility for decisions in unpredictable situations, including in the context of incomplete/contradictory information Manages interactions in complex situations, including with individuals with particular psychosocial and mental health needs and with colleagues across the primary care team, sectors and settings To follow the operational systems and procedures required by the organisation. To represent the organisation in a positive and professional manner at all times. Leadership Operate as a full member of the primary care team, including contributing to leadership, service evaluation/improvement and research activity Manage and co-ordinate the care that individual patients receive, including through liaising with other members of the MDT and with patients' carers Contribute to the use of healthcare technologies to optimise the integration of service delivery (across teams, sectors and settings) and patients access and continuity of care Contribute to the development of primary care teams, including through contributing to others' learning Engagement with Patients, Internal and External Stakeholders Initiate, develop and maintain excellent third party relationships Person Specification Skills & Abilities Essential Excellent communication skills, ability to relate and communicate with patients and staff at all levels and from different professions. Ability to adapt communication style appropriately and dependant on situation. Excellent negotiation and conflict resolution skills Develop own skills and knowledge and provide information to others to help their development Desirable Understands and demonstrates the characteristics of a role model to members in the team and/or service Establish and maintain communication with individuals, families, carers and groups about difficult or complex matters overcoming any differences in communication Qualifications Essential Registered Nurse with current registration [mental health/LD/Adult], appropriate to the job role Evidence of continuous professional development Desirable Non-medical Prescriber Completion of Mentorship Course/ENB equivalent Experience Essential Significant post qualifying experience in the relevant care group Experience of working alongside people with complex health problems in the designated care group Experience of managing a caseload Experience of providing a range of clinical interventions to people in the designated care group with a variety of health problems Experience of working consultatively with professionals Experience of conducting clinical assessments including risk assessments Experience of partnership working within and across various statutory and non-statutory teams and agencies Understanding of clinical governance Desirable Previous experience of working in the community Contribute to the implementation of services. Lived experience of mental health issues Person Specification Skills & Abilities Essential Excellent communication skills, ability to relate and communicate with patients and staff at all levels and from different professions. Ability to adapt communication style appropriately and dependant on situation. Excellent negotiation and conflict resolution skills Develop own skills and knowledge and provide information to others to help their development Desirable Understands and demonstrates the characteristics of a role model to members in the team and/or service Establish and maintain communication with individuals, families, carers and groups about difficult or complex matters overcoming any differences in communication Qualifications Essential Registered Nurse with current registration [mental health/LD/Adult], appropriate to the job role Evidence of continuous professional development Desirable Non-medical Prescriber Completion of Mentorship Course/ENB equivalent Experience Essential Significant post qualifying experience in the relevant care group Experience of working alongside people with complex health problems in the designated care group Experience of managing a caseload Experience of providing a range of clinical interventions to people in the designated care group with a variety of health problems Experience of working consultatively with professionals Experience of conducting clinical assessments including risk assessments Experience of partnership working within and across various statutory and non-statutory teams and agencies Understanding of clinical governance Desirable Previous experience of working in the community Contribute to the implementation of services. Lived experience of mental health issues 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. 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. 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 North Kerrier West Primary Care Network Address Pool Health Centre Station Road Pool Cornwall TR15 3DU Employer's website https://www.carntocoast.co.uk/info.aspx?p10 (Opens in a new tab)