B6 Registered General Nurse/Mental Health Nurse

Job responsibilities

1. JOB DETAILS

Job Title:

Senior Registered Nurse

Band:

Band 6

Locality:

Mental Health & Wellbeing services

Base:

Various

Responsible to:

Team Manager

2. JOB PURPOSE

This role sits operationally within the Mental Health and Wellbeing Services operational directorate along with mental health community and inpatient services.

The service works in close collaboration with other agencies.

The post holder is accountable to the Team Manager.

The post holder will work closely with the GP in the service and the ED-ITT Manager & EDS team.

The post holder will need to work with primary care where required to support the delivery of physical health interventions and recovery.

The post holder will also need to build excellent working relationships with professionals such as dieticians, physical and mental health nurses, doctors and registered and non-registered professionals.

The post holder is responsible for ensuring the safe monitoring of physical health for people with eating disorders and disordered eating.

The role includes a high level of autonomous working, with the post holder carrying out high-quality skilled assessments and providing onward care plans for patients using the service. This will be in close collaboration with family, friends and carers.

3. DEPARTMENTAL POSITION

4. SCOPE AND RANGE

The purpose of this role is to support and monitor those who are experiencing eating disorders to recover and lead a high-level quality of life. This will be delivered in the Nutritional Risk Monitoring Service (NRMS). The clinic will sit within the eating disorder care pathway in Plymouth. This includes physical monitoring, psychoeducation and signposting where necessary. The role would also include support to be provided for carers as well as to provide oversight to peer support workers. The job purpose is indicative of Livewell Southwests ethos to support people locally and at home.

5. MAIN DUTIES/RESPONSIBILITIES

To receive referrals from internal services

Undertake 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 other colleagues to enhance patient experience.

To provide skilled advice to referrers, patients, and carers

Following assessments provide high quality assessment reports/letters to the relevant professionals.

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.

To work within their professional registration (NMC, HCPC, BCAP) only.

5.1 Responsibility for People Management

To deputise for the Team Manager in their absence.

Provide clinical supervision and line management supervision for junior members of staff.

Have the ability to challenge staff where the standard falls below expectations.

Have the ability to foster capability and support staff to develop.

Assist in education programmes provided for junior staff.

Provide mentorship for students both formally and informally.

Participate regularly in recruitment and selection of staff.

The post holder will actively participate in line management supervision with the Team Manager of the Team.

Provide line management for junior staff.

The post holder will actively participate in clinical supervision in accordance with Livewell SW policy.

The post holder will actively participate in the Livewell SW appraisal system and provide appraisals for junior staff.

Support the Team Manager in the effective running of the team and monitoring standards through effective clinical supervision of junior staff.

5.2 Responsibility for financial and/or physical resources

To comply with Livewell Southwest policies and procedures.

Exercise a duty of care in relation to use of the organisations equipment and resources in a cost-effective manner.

To maintain equipment as issued to them by Livewell Southwest for the job role - Lone working devise, mobile phone and IT equipment.

The post holder would be responsible for the safe storage and stock control levels of medication (NMC registered).

The post holder would be expected to be an authorised signatory for the ordering and authorisation of medication. (NMC registered).

5.3 Responsibility for administration

Maintain all records used by the team securely in line with the organisations policy and local practice.

The post holder will be responsible for updating their own practice, knowledge, and skills within their sphere of practice including Livewell SW mandatory training.

To take a lead role in the co-ordination of shift ensuring appropriate allocation of work with the available skill mix utilising, prioritising, negotiation, and delegation skills.

Take a lead in clinical meetings where necessary, ensuring all patients are reviewed and decisions and plans are put into action and represent the patients views.

Liaise with other services to arrange appointments that both meet patient and service demands.

Responsible for electronic contacts and monitor the standard of work of junior staff.

Maintain confidentiality of the patients as per policy whilst sharing information when appropriate to do so.

Keep accurate and contemporaneous electronic/written patient records and comply with professional and organisational record keeping policies.

Comply with local and national policies in relation to confidentiality and information sharing protocols.

To ensure there is evidence of high-quality care standards within the team in line with CQC key lines of enquiry.

5.4 Responsibility for people who use our services

Advise referrers/family/patients, medical and other professional staff on the management of patients and contribute to care planning to meet identified needs.

Conduct risk assessments on all patients presenting to the service in line with up-to-date guidance and Livewell Southwest policy. The post holder will have highly developed risk assessment skills to manage complex presentations.

Evaluate effectiveness of care interventions with all disciplines of staff, adjusting care plans where necessary.

To provide skilled telephone advice to referrers, patients, and carers

Refer and signpost people to appropriate services as required both within and outside of the organisations area. Assist people to complete self-referrals when this is in their best interests.

Involve carers and families of people with health needs, providing support and advise as needed.

Provide education to patients and carers to enhance their knowledge therefore improving longer-term concordance.

Promote RECOVERY

Provide education to patients and carers in line with current policy and good practice guidelines.

Demonstrate the ability to analyse often large amounts of complex information from a range of other services, assimilate these and their relevance to a persons health needs.

Take a lead role in the collaboration and the planning of individual care with patient, carer, other Teams and Services. Including maintaining the safety of patients, staff, and the public in challenging, potentially violent situations.

5.5 Responsibility for implementation of policy and/or service developments

Expected to take an active role in the development of the team including the formulation of protocols.

Provide a positive role in clinical audit and evaluation to ensure high levels of clinical effectiveness.

Demonstrate a commitment to the improvement of patient care in relation to development of the service provided for all adults who come into contact with the service.

5.6 Other Responsibilities

Be required to have ability to travel to other clinical sites for attendance at meetings.

Act as a role model for all staff.

The post holder will behave in a manner that does not bring the Team or Livewell SW into disrepute.

Demonstrate the ability to manage conflicting demands on time and the ability to prioritise clinical work effectively.

Demonstrate the ability to organise work schedules as well as re-prioritising work in light of changing demand.

Please see Job Description for more details

Specific Skills

Essential

• Interpersonal skills which can support in building a therapeutic relationship with patient.
• Ability to undertake a full set of physical observations and respond accordingly.
• Leadership skills
• 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 take ownership and leadership of new projects, national initiatives and service development.
• 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.

Additional Requirements

Essential

• To participate in on- call structure.
• Ability to work flexible hours.
• Able to work alone and unsupervised
• following induction period
• Reflective, curious and creative in
• approach to patient care.
• Responsible and self-motivated, tact,
• diplomacy and self-confident.
• Able to manage difficult and
• distressing situations effectively.
• Flexible and adaptable, ability to learn
• new skills and develop role.
• Display values of being kind,
• respectful, inclusive, ambitious,
• responsible and collaborative.
• commitment to the aims and values of
• the NHS combined with high personal
• integrity.
• Committed to developing and
• improving mental health services.
• Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.

Qualifications

Essential

• One of the following:
• RMN/Dip HE/BSc Mental Health Nursing with relevant experience.
• RGN/Dip HE/BSc General Nurse with relevant experience.
• NMC Registration.
• Evidence of on-going professional development. There is a requirement to ensure that training is undertaken to ensure sufficient knowledge in both physical and mental health needs

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)

Knowledge

Essential

• Eating disorders subtypes of diagnosis, knowledge of ED care pathway, knowledge of evidence based recommended treatments,
• knowledge of initiatives within ED community, knowledge of assessment of physical risk and evidence base around this.
• Clinical Risk Assessment.
• Safeguarding Adults and Children
• Clinical Governance
• 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 eating disorders, disordered eating and mental health and their impact on one another.

Desirable

• 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.

Experience

Essential

• Proven relevant experience in working with those who have acute mental health problems and specifically eating disorders.
• Proven experience in assessing the physical health of a patient with an eating disorder and associated risk management.
• Proven experience in quality improvement and development of projects.
• Proven experience of assessment skills.
• Proven experience of supporting carers/families/triangle of care.
• Proven experience of teaching.
• Proven leadership and management skills including having supervised and line managed junior staff and students.
• Experience of working collaboratively with patients and their families/carers

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.

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).