Job summary
The Clinical Nurse Specialist in Mental Health is now an established position (one each site) at the Royal Brompton and Harefield hospitals. This post will add a third CNS to the team. The post-holder is a member of the Psychiatric Liaison Team (consultant psychiatrist, lead nurse and CNS at each site) the service works widely across the heart lung and critical care clinical group. Clinical supervision is provided by the lead nurse in mental health and/or the consultant psychiatrist
The post-holder will work as part of a multidisciplinary team (Clinical Psychology, Psychiatry, Clinical nurse specialists) at a primary base of this three-hospital site and will deliver comprehensive psychiatric assessment including risk assessment and risk management plans to patients who are referred to the CNS at each hospital site.
Main base will be Royal Brompton hospital with working required across GSTT and Harefield hospital (shuttle bus available between Harefield and Royal Brompton)
Closing date: 17th September 2024
Interview date: 1st October 2024
Main duties of the job
An important part of the post-holder's responsibilities will include being a source of mental health knowledge and expertise and providing support to staff in their day to day management of patients who present with acute psychological and mental health problems.
Liaison with health professionals on the Royal Brompton , Harefield and GSTT sites and with external mental health services will be a key part of the role with the safe discharge or transfer of patients to their local mental health services being paramount.
About us
Guy's & St Thomas NHS Foundation Trust
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
Job description
Job responsibilities
Communication
- The post holder will be operationally accountable to the Lead Nurse in mental health at the Royal Brompton and Harefield Hospitals (RBHH) and the Consultant Liaison Psychiatrist for day-to-day operational and managerial issues.
- To foster, create and maintain comprehensive and meaningful networks and relationships with the key people and the key wards and departments in the RBHHensuring a timely response to the needs of patients with mental health problems in the hospital setting.
- The post-holder will be able to demonstrate excellent communication skills and be able to promote cohesive relationships, look objectively at problems and be able to problem solve effectively.
- To be directly accountable for your own professional practice and to operate in line with the professional code of conduct in relation to practice and the delivery of care and treatment.
- To be responsible for maintaining full registration with the NMC and meeting revalidation requirements. Revalidation sign-off to be through mental health senior nursing staff
- To promote and work within all relevant guidelines for good clinical practice recommended by professional bodies.
- The post-holder will prioritise and organise their work effectively and efficiently, including the management of new referrals, an on-going case load and discharges.
- Patient/customer care (both direct and indirect)
- To contribute as a member of a multi-disciplinary team to the overall mental health, psychological and medical care of patients within the HLCC clinical group.
- To work collaboratively with all members of the Multidisciplinary care team at both the Royal Brompton, GSTT and Harefield sites at times of service cover providing support and advice where appropriate and attending MDT meetings.
- To provide advice, support and consultation regarding the psychological and mental health management of patients and their carers, to healthcare professionals on the postholders primary site, and at the other site during times of cover.
- To liaise with colleagues particularly the Consultant Psychiatrists and the Rehabilitation and Therapies Teams (including Social Services, Palliative Care and Chaplaincy) and the Psychological Medicine Team
- To be responsible for completing comprehensive mental state examinations including risk assessment and risk management plans in collaboration with relevant healthcare professionals.
- To be responsible for recommending evidence based psychological and psychiatric interventions and planning and reviewing all interventions and care plans.
- To ensure that patient safety is always prioritised and that all staff who are responsible for the patients care are aware of any significant risks.
- To advise, explain and alert staff to the need to provide increased levels of observation for patients who have been identified as posing an increased risk to themselves or others.
- To always involve patients, carers and families in the treatment, management and the formulation of care plans.
- To monitor and ensure maintenance of high standards of care including a strong advocacy role for vulnerable patients experiencing mental health problems.
- To provide mental health care appropriate to the client's physical health needs and make appropriate referrals when necessary to the patients local primary care services and/or psychiatric/psychology services.
- To liaise with all appropriate agencies concerning the care and current or future management plans for patients and provide written reports or documentation as requested.
- To ensure that when detected, safeguarding issues are always raised and communicated to the local leads.
- To ensure that the discharge of patients with mental health problems are managed safely and in accordance with local service policies and guidelines.
- To maintain accurate records of referrals and patient contact activity on the Royal Brompton, GSTT and Harefield Electronic Patient Record systems. This will then be used to monitor activity and performance and the effectiveness of the service.
- To always maintain accurate, legible and up to date clinical records ensuring that confidentiality and data protection responsibilities are assured
For further details / informal visits contact:
g.tunnell@rbht.nhs.uk
Job description
Job responsibilities
Communication
- The post holder will be operationally accountable to the Lead Nurse in mental health at the Royal Brompton and Harefield Hospitals (RBHH) and the Consultant Liaison Psychiatrist for day-to-day operational and managerial issues.
- To foster, create and maintain comprehensive and meaningful networks and relationships with the key people and the key wards and departments in the RBHHensuring a timely response to the needs of patients with mental health problems in the hospital setting.
- The post-holder will be able to demonstrate excellent communication skills and be able to promote cohesive relationships, look objectively at problems and be able to problem solve effectively.
- To be directly accountable for your own professional practice and to operate in line with the professional code of conduct in relation to practice and the delivery of care and treatment.
- To be responsible for maintaining full registration with the NMC and meeting revalidation requirements. Revalidation sign-off to be through mental health senior nursing staff
- To promote and work within all relevant guidelines for good clinical practice recommended by professional bodies.
- The post-holder will prioritise and organise their work effectively and efficiently, including the management of new referrals, an on-going case load and discharges.
- Patient/customer care (both direct and indirect)
- To contribute as a member of a multi-disciplinary team to the overall mental health, psychological and medical care of patients within the HLCC clinical group.
- To work collaboratively with all members of the Multidisciplinary care team at both the Royal Brompton, GSTT and Harefield sites at times of service cover providing support and advice where appropriate and attending MDT meetings.
- To provide advice, support and consultation regarding the psychological and mental health management of patients and their carers, to healthcare professionals on the postholders primary site, and at the other site during times of cover.
- To liaise with colleagues particularly the Consultant Psychiatrists and the Rehabilitation and Therapies Teams (including Social Services, Palliative Care and Chaplaincy) and the Psychological Medicine Team
- To be responsible for completing comprehensive mental state examinations including risk assessment and risk management plans in collaboration with relevant healthcare professionals.
- To be responsible for recommending evidence based psychological and psychiatric interventions and planning and reviewing all interventions and care plans.
- To ensure that patient safety is always prioritised and that all staff who are responsible for the patients care are aware of any significant risks.
- To advise, explain and alert staff to the need to provide increased levels of observation for patients who have been identified as posing an increased risk to themselves or others.
- To always involve patients, carers and families in the treatment, management and the formulation of care plans.
- To monitor and ensure maintenance of high standards of care including a strong advocacy role for vulnerable patients experiencing mental health problems.
- To provide mental health care appropriate to the client's physical health needs and make appropriate referrals when necessary to the patients local primary care services and/or psychiatric/psychology services.
- To liaise with all appropriate agencies concerning the care and current or future management plans for patients and provide written reports or documentation as requested.
- To ensure that when detected, safeguarding issues are always raised and communicated to the local leads.
- To ensure that the discharge of patients with mental health problems are managed safely and in accordance with local service policies and guidelines.
- To maintain accurate records of referrals and patient contact activity on the Royal Brompton, GSTT and Harefield Electronic Patient Record systems. This will then be used to monitor activity and performance and the effectiveness of the service.
- To always maintain accurate, legible and up to date clinical records ensuring that confidentiality and data protection responsibilities are assured
For further details / informal visits contact:
g.tunnell@rbht.nhs.uk
Person Specification
Skills
Essential
- Knowledge and experience of delivering teaching sessions
- Proven enthusiasm towards teaching\sharing knowledge
- Able to prioritise and meet deadlines
- Relevant current clinical experience in the specialism
- Proven oral and written communication skills
- Demonstrate the ability to compile complex written information
- Able to demonstrate a working knowledge in standard setting and quality management
- Able to manage difficult / complex situations effectively
Experience
Essential
- Extensive post registration experience at Senior Staff Nurse level
- Experience in change management
- Experience of automous working
Desirable
- PREVIOUS BAND 7 EXPERIENCE
Qualifications
Essential
- Registered nurse
- BSc (Hons) degree or equivalent in mental health nursing
- Previous experience of providing mental health care in physical healthcare settings
Person Specification
Skills
Essential
- Knowledge and experience of delivering teaching sessions
- Proven enthusiasm towards teaching\sharing knowledge
- Able to prioritise and meet deadlines
- Relevant current clinical experience in the specialism
- Proven oral and written communication skills
- Demonstrate the ability to compile complex written information
- Able to demonstrate a working knowledge in standard setting and quality management
- Able to manage difficult / complex situations effectively
Experience
Essential
- Extensive post registration experience at Senior Staff Nurse level
- Experience in change management
- Experience of automous working
Desirable
- PREVIOUS BAND 7 EXPERIENCE
Qualifications
Essential
- Registered nurse
- BSc (Hons) degree or equivalent in mental health nursing
- Previous experience of providing mental health care in physical healthcare settings
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).
