Job summary
37.5 hours per week.
Are you ready for a role that genuinely stretches your
clinical expertise while giving you the space to shape how community mental
health services evolve? We are looking for an experienced, forward thinking
practitioner to join us. Working across three of our specialist teams: the
Specialist Outreach Recovery Team (SORT), Insight (First Episode Psychosis),
and Community Mental Health Services. You will work with people with complex
mental health needs; you will need excellent clinical skills. You will be able to assertively support discharges, transition across teams, and work with a caseload. You will work
closely with family and carers, providing both direct support and working with
staff to ensure safe and effective care. You will support the Specialist Mental
Health Practitioner to deliver excellent care across the services.
This is an opportunity to step into a position where your
clinical leadership, creativity and professional judgement will directly
influence the quality of care we deliver across the city.
This role may not be eligible for sponsorship under the Skilled Worker route; please refer to the Direct Gov website for more information with regards to eligibility.
Please note that Livewell may close the job advertisement earlier than the specified deadline.
All staff are expected to be able and willing to work across a 7 day service.
Main duties of the job
What the role offers
You'll be part of a senior leadership team that drives high quality,
recovery focused mental health care. Your work will span direct clinical
practice, staff development, service improvement and the implementation of
evidence-based approaches.
You'll also play a key role in embedding the Community
Mental Health Framework, supporting teams to meet CQC standards, and ensuring
that our services remain safe, effective and responsive.
Please note that Livewell may close the job advertisement earlier than the specified deadline if a high number of applications are submitted. Therefore, we recommend you submit your application at the earliest opportunity.
About us
Livewell Southwest is an independent, award-winning social
enterprise delivering integrated health and social care services across
Plymouth, South Hams, and West Devon, with specialist services in parts of
Devon and Cornwall. Our teams work in community hospitals, GP practices, sports
centres, and health hubs.
As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and
collaboration. We focus on transforming services to ensure sustainability, while
empowering staff and those we serve.
We involve the people we care for, along with their families and carers, in
shaping the care they receive, striving to deliver the right care at the right
time and place. Centering our work on individual needs helps people lead
healthy, independent lives.
We prioritise employees' development, offering protected CPD time, training
pathways, leadership programs, and funding for qualifications like the Care
Certificate and Nurse Training Scholarships. Our induction and preceptorship
programs ensure a smooth transition into our organisation.
Livewell Southwest values diversity and encourages applications from all
sections of the community, including those with armed forces experience, lived experience of mental
health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the
application process, contact the Recruiting Manager listed in the job advert.
Job description
Job responsibilities
The role
works across multi-disciplinary teams who proactively provide a range of evidence-based
interventions, including therapies and recovery orientated support for those
with a diagnosis of a complex psychosis with the community. The role has been
developed as part of the evolving provision of the Community Mental Health
Framework.
This
role links directly into three services: Specialist Outreach Recovery Team,
Insight (first presentation psychosis) and Community Mental Health Services.
The
three services are made of up various mental health professionals who work with
people to support recovery. Offering various therapeutic interventions to
support individuals.
This
role exists to make sure people receive the right support at the right time by
coordinating care, strengthening communication between teams, and keeping a
clear focus on safety and continuity. The postholder will work closely with
partner agencies, families, and other professionals to ensure plans are joinedup
and responsive to changing needs.
SCOPE AND RANGE
The
services are dedicated to enhancing the quality of mental health care and
improving outcomes for adults with mental health needs in Plymouth. They work
collaboratively with colleagues across relevant departments and wards,
developing tailored plans and delivering holistic biopsychosocial assessments
and support to identify each patients mental health needs and any risks they
may pose to themselves or others.
The teams work in close
collaboration with other services including the Home Treatment Team, hospital
placements, crisis services and Adult Social Care.
The role includes a
high level of autonomous working, with the post holder carrying out high-quality
skilled mental health
assessments and providing risk formulation and care plans for patients using
the service. This will be in close collaboration with family, friends and
carers.
Care
is generally provided in peoples homes and in other community settings. The
post holder will work across various Livewell and community sites.
The post holder will
provide support and supervision to junior staff such as preceptor nurses,
community support workers and peer support workers within the team.
The post will include flexible working patterns over the 7-day week to
incorporate cover for a 24/7 service, including nights on-call.
MAIN DUTIES/RESPONSIBILITIES
The post
holder will be expected to be able to make clear clinical decisions based on
the analysis of often complex presenting difficulties; this can include being
the decision maker in terms of the onward care plan for patients experiencing
crisis mental health needs.
To receive
and triage referrals for the teams.
Undertake
holistic and comprehensive bio-psychosocial assessment of patients referred to
the service.
Utilise
a range of highly specialised clinical skills appropriate to the needs of
individual patients and the clinical/ home setting in which they are seen
Ability
to match patient need with available skills and resources.
Work
closely with peer support workers and volunteers to enhance patient experience.
Provide
a consultation-liaison service to clinicians and clinical teams referring to
the teams. This will include giving specialist advice on care, treatment and
patients management issues.
To be part
of a multi-disciplinary team approach responding to individuals requiring a
same day response or signposting due to a mental health crisis
To provide skilled telephone advice to referrers, patients, and carers
To provide skilled telephone-based support to help contain a crisis and
avoid further escalation of an issue
To offer an
urgent mental health assessments and appointments in a location most
convenient/appropriate for the patient; this may be in their home, GP surgery
or Emergency Department.
To provide MH assessment to patients deemed to be at
risk of inpatient psychiatric admission, presenting with acute mental health
disturbance of a functional nature.
Identify the
most appropriate intervention required for patient, with an emphasis on
positive risk management, and refer, as necessary.
Following
assessments provide high quality assessment reports/letters to the relevant
professionals. Monitor reports by junior staff to ensure they are of the same
standards.
Maintain
high standards of integrity when communicating with patients and others.
Demonstrate
ability to use IT systems effectively including email and clinical systems used
by the team.
Possess
a good working knowledge of mental health legislation including Mental Health
Act, Mental Capacity Act and Deprivation of Liberty safeguards and use this in
relation to advising and planning care, independently or with other
professionals.
The
post holder will provide nursing care and other interventions in the setting
most appropriate to meet the patients needs.
Emergency
judgments and clinical decision-making.
Maintain
high standards of clinical care to patients.
Formulate
care plans, implement, and evaluate them alongside patients and carers
ensuring informed consent is obtained.
Demonstrates
safe clinical skills when providing care for patients receiving specialist
treatments e.g., commencement of Clozaril in the community or supporting a
patient through ECT treatment.
To
work within their professional registration (NMC, HCPC, BCAP) only.
For full details please refer to the attached Job Description and Person Specification.
Job description
Job responsibilities
The role
works across multi-disciplinary teams who proactively provide a range of evidence-based
interventions, including therapies and recovery orientated support for those
with a diagnosis of a complex psychosis with the community. The role has been
developed as part of the evolving provision of the Community Mental Health
Framework.
This
role links directly into three services: Specialist Outreach Recovery Team,
Insight (first presentation psychosis) and Community Mental Health Services.
The
three services are made of up various mental health professionals who work with
people to support recovery. Offering various therapeutic interventions to
support individuals.
This
role exists to make sure people receive the right support at the right time by
coordinating care, strengthening communication between teams, and keeping a
clear focus on safety and continuity. The postholder will work closely with
partner agencies, families, and other professionals to ensure plans are joinedup
and responsive to changing needs.
SCOPE AND RANGE
The
services are dedicated to enhancing the quality of mental health care and
improving outcomes for adults with mental health needs in Plymouth. They work
collaboratively with colleagues across relevant departments and wards,
developing tailored plans and delivering holistic biopsychosocial assessments
and support to identify each patients mental health needs and any risks they
may pose to themselves or others.
The teams work in close
collaboration with other services including the Home Treatment Team, hospital
placements, crisis services and Adult Social Care.
The role includes a
high level of autonomous working, with the post holder carrying out high-quality
skilled mental health
assessments and providing risk formulation and care plans for patients using
the service. This will be in close collaboration with family, friends and
carers.
Care
is generally provided in peoples homes and in other community settings. The
post holder will work across various Livewell and community sites.
The post holder will
provide support and supervision to junior staff such as preceptor nurses,
community support workers and peer support workers within the team.
The post will include flexible working patterns over the 7-day week to
incorporate cover for a 24/7 service, including nights on-call.
MAIN DUTIES/RESPONSIBILITIES
The post
holder will be expected to be able to make clear clinical decisions based on
the analysis of often complex presenting difficulties; this can include being
the decision maker in terms of the onward care plan for patients experiencing
crisis mental health needs.
To receive
and triage referrals for the teams.
Undertake
holistic and comprehensive bio-psychosocial assessment of patients referred to
the service.
Utilise
a range of highly specialised clinical skills appropriate to the needs of
individual patients and the clinical/ home setting in which they are seen
Ability
to match patient need with available skills and resources.
Work
closely with peer support workers and volunteers to enhance patient experience.
Provide
a consultation-liaison service to clinicians and clinical teams referring to
the teams. This will include giving specialist advice on care, treatment and
patients management issues.
To be part
of a multi-disciplinary team approach responding to individuals requiring a
same day response or signposting due to a mental health crisis
To provide skilled telephone advice to referrers, patients, and carers
To provide skilled telephone-based support to help contain a crisis and
avoid further escalation of an issue
To offer an
urgent mental health assessments and appointments in a location most
convenient/appropriate for the patient; this may be in their home, GP surgery
or Emergency Department.
To provide MH assessment to patients deemed to be at
risk of inpatient psychiatric admission, presenting with acute mental health
disturbance of a functional nature.
Identify the
most appropriate intervention required for patient, with an emphasis on
positive risk management, and refer, as necessary.
Following
assessments provide high quality assessment reports/letters to the relevant
professionals. Monitor reports by junior staff to ensure they are of the same
standards.
Maintain
high standards of integrity when communicating with patients and others.
Demonstrate
ability to use IT systems effectively including email and clinical systems used
by the team.
Possess
a good working knowledge of mental health legislation including Mental Health
Act, Mental Capacity Act and Deprivation of Liberty safeguards and use this in
relation to advising and planning care, independently or with other
professionals.
The
post holder will provide nursing care and other interventions in the setting
most appropriate to meet the patients needs.
Emergency
judgments and clinical decision-making.
Maintain
high standards of clinical care to patients.
Formulate
care plans, implement, and evaluate them alongside patients and carers
ensuring informed consent is obtained.
Demonstrates
safe clinical skills when providing care for patients receiving specialist
treatments e.g., commencement of Clozaril in the community or supporting a
patient through ECT treatment.
To
work within their professional registration (NMC, HCPC, BCAP) only.
For full details please refer to the attached Job Description and Person Specification.
Person Specification
Knowledge
Essential
- Evidence of post registration development
- Clinical Risk Assessment.
- Safeguarding Adults and Children
- Clinical Governance
- Care program approach & person-centred framework
- Psychological models of care and treatment
- Sound working knowledge of Mental Health Act (1983), Mental Capacity Act and Deprivation of Liberty Safeguards (2005).
- Understanding of National guidelines and initiatives related to provision of mental health services
- Understanding of the provision of mental health care and recovery services in the community.
- Specialist knowledge of mental disorders and their impact on physical health.
Desirable
- Post qualification experience/training in mental health and related issues.
- Clinical Supervision training
- Evidence of completion of statutory and mandatory training
- Mentorship qualification or equivalent experience.
- Non-medical prescriber or willingness to work towards this where appropriate.
- Leadership qualifications (Occupational Therapist, Social Worker, Mental health nurse, psychological wellbeing practitioner)
- CBT skills.
- Problem solving skills.
- Solution focused therapy skills.
- Physical healthcare skills.
- Motivational interviewing skills.
- DBT skills.
- Cognitive assessment skills.
- Microsoft Outlook.
- Culturally competent assessment and intervention skills
- SystmOne, Care First or other electronic records system also eCPA
Qualifications
Essential
- One of the following:
- RMN/Dip HE/BSc Mental Health Nursing NMC Registration
- RGN/Dip HE/BSc Registered Nurse NMC Registration
- Occupational Therapy Degree HCPC Registration
- Social Work Degree HCPC Registration
- Paramedic Science Degree/BSc/Dip HE HCPC Registration Registered
- Have completed a BABCP or BPS accredited IAPT/Psychological Wellbeing Training (PWP).
- Psychological well-being practitioner. Degree/BCs in psychology and registered with British psychological Society as a Psychological wellbeing practitioner.
Desirable
- Post qualification experience/training in mental health and related issues.
- Clinical Supervision training
- Evidence of completion of statutory and mandatory training
- Mentorship qualification or equivalent experience.
- Non-medical prescriber or willingness to work towards this where appropriate.
- Leadership qualifications. (Occupational Therapist, Social Worker, Mental health nurse, psychological wellbeing practitioner)
Specific Skills
Essential
- IT skills
- Ability to prioritise workload
- Risk assessment and formulation skills, including safety planning.
- Robust and positive approach towards risk assessment
- Ability to work effectively under pressure.
- Ability to prioritise and reprioritise work to meet clinical demand.
- Ability to identify and refer on for unmet need. Working effectively with patients who may have a variety of communication difficulties.
- Triaging referrals based on clinical urgency.
- Ability to manage environmental stress.
- Ability to work in a changing team.
- Articulate with a high level of communication skills.
- Ability to deal with high levels of emotional stress.
- Ability to sustain high levels of concentration.
Desirable
- Staff appraisal skills
- Committed to developing new ideas and improving patient care.
- Physical healthcare skills.
Experience
Essential
- Significant post-registration experience of working with people with complex mental ill health within the community, including those who may abuse drugs and/or alcohol
- Significant experience as a care coordinator/ or Home Treatment/Crisis worker
- Experience of working collaboratively with patients and their families/carers
- Previous experience of working at a level relevant to the role, post registration experience in acute mental health.
- Completing complex mental health assessments in a variety of different settings in the community and signposting to relevant services
- Relapse prevention and Recovery Principles
- Experience of working with people in high levels of distress
- Extensive post-qualifying experience of practicing low intensity CBT interventions with people with a range of mental health problems in a community mental health setting
Desirable
- Experience of providing clinical supervision, mentoring, and teaching to students and other health professionals
- Experience of working in an acute inpatient unit
- Experience of working with older adults
- Experience of working with people with an offending background
- Experience of conducting basic physical health screening
- Previous experience of working in a community mental health setting.
- Evidence of developing and contributing to service development.
- Experience of change in health care.
- Collaborative working with peer support organisations
- Further post graduate training in relevant areas of professional psychology, mental health practice and/or research design and analysis.
- Experience working with a psychologist or MH professional
- Experience of managing or supervising junior staff.
- Managing a caseload of clients with a range of mental health presentation.
Person Specification
Knowledge
Essential
- Evidence of post registration development
- Clinical Risk Assessment.
- Safeguarding Adults and Children
- Clinical Governance
- Care program approach & person-centred framework
- Psychological models of care and treatment
- Sound working knowledge of Mental Health Act (1983), Mental Capacity Act and Deprivation of Liberty Safeguards (2005).
- Understanding of National guidelines and initiatives related to provision of mental health services
- Understanding of the provision of mental health care and recovery services in the community.
- Specialist knowledge of mental disorders and their impact on physical health.
Desirable
- Post qualification experience/training in mental health and related issues.
- Clinical Supervision training
- Evidence of completion of statutory and mandatory training
- Mentorship qualification or equivalent experience.
- Non-medical prescriber or willingness to work towards this where appropriate.
- Leadership qualifications (Occupational Therapist, Social Worker, Mental health nurse, psychological wellbeing practitioner)
- CBT skills.
- Problem solving skills.
- Solution focused therapy skills.
- Physical healthcare skills.
- Motivational interviewing skills.
- DBT skills.
- Cognitive assessment skills.
- Microsoft Outlook.
- Culturally competent assessment and intervention skills
- SystmOne, Care First or other electronic records system also eCPA
Qualifications
Essential
- One of the following:
- RMN/Dip HE/BSc Mental Health Nursing NMC Registration
- RGN/Dip HE/BSc Registered Nurse NMC Registration
- Occupational Therapy Degree HCPC Registration
- Social Work Degree HCPC Registration
- Paramedic Science Degree/BSc/Dip HE HCPC Registration Registered
- Have completed a BABCP or BPS accredited IAPT/Psychological Wellbeing Training (PWP).
- Psychological well-being practitioner. Degree/BCs in psychology and registered with British psychological Society as a Psychological wellbeing practitioner.
Desirable
- Post qualification experience/training in mental health and related issues.
- Clinical Supervision training
- Evidence of completion of statutory and mandatory training
- Mentorship qualification or equivalent experience.
- Non-medical prescriber or willingness to work towards this where appropriate.
- Leadership qualifications. (Occupational Therapist, Social Worker, Mental health nurse, psychological wellbeing practitioner)
Specific Skills
Essential
- IT skills
- Ability to prioritise workload
- Risk assessment and formulation skills, including safety planning.
- Robust and positive approach towards risk assessment
- Ability to work effectively under pressure.
- Ability to prioritise and reprioritise work to meet clinical demand.
- Ability to identify and refer on for unmet need. Working effectively with patients who may have a variety of communication difficulties.
- Triaging referrals based on clinical urgency.
- Ability to manage environmental stress.
- Ability to work in a changing team.
- Articulate with a high level of communication skills.
- Ability to deal with high levels of emotional stress.
- Ability to sustain high levels of concentration.
Desirable
- Staff appraisal skills
- Committed to developing new ideas and improving patient care.
- Physical healthcare skills.
Experience
Essential
- Significant post-registration experience of working with people with complex mental ill health within the community, including those who may abuse drugs and/or alcohol
- Significant experience as a care coordinator/ or Home Treatment/Crisis worker
- Experience of working collaboratively with patients and their families/carers
- Previous experience of working at a level relevant to the role, post registration experience in acute mental health.
- Completing complex mental health assessments in a variety of different settings in the community and signposting to relevant services
- Relapse prevention and Recovery Principles
- Experience of working with people in high levels of distress
- Extensive post-qualifying experience of practicing low intensity CBT interventions with people with a range of mental health problems in a community mental health setting
Desirable
- Experience of providing clinical supervision, mentoring, and teaching to students and other health professionals
- Experience of working in an acute inpatient unit
- Experience of working with older adults
- Experience of working with people with an offending background
- Experience of conducting basic physical health screening
- Previous experience of working in a community mental health setting.
- Evidence of developing and contributing to service development.
- Experience of change in health care.
- Collaborative working with peer support organisations
- Further post graduate training in relevant areas of professional psychology, mental health practice and/or research design and analysis.
- Experience working with a psychologist or MH professional
- Experience of managing or supervising junior staff.
- Managing a caseload of clients with a range of mental health presentation.
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.
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.
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).
