Job summary
The post holder will be based within ED providing prompt screening of Mental Health needs and risk assessments to patients presenting with solely mental health related issues. The post holder will work alongside the ED triage team to identify patients where the presenting needs is solely due to their Mental health. Following a comprehensive risk assessment and screening using the UK Triage scale the post holder will determine the most appropriate care pathway. This could include admission into ED for a full mental health liaison assessment and support, or re-direction to the Assessment and Admission Avoidance Team (AAA), community mental health services, primary care or other organisations who can best meet need. The post holder will play an important role in building and enhancing the relationships between ED and mental health services and contribute to the effective triage function of the ED. The post holder will work within the principles of providing Timely care to enhance patient experience. As a senior clinical lead, the post holder will be expected to contribute to ensuring a high-quality liaison service, participate in auditing and other areas of quality assurance, as well as supporting the development of both the service and colleagues working within the team.
Previous applicants need not apply
Main duties of the job
- Provide clinical leadership to the mental health liaison team.
- To ensure that effective communication is always maintained
- To be responsible for the setting and maintain of standards of care.
- Liaise with community and inpatient teams regarding gatekeeping of patients to offer an alternative to hospital admission
- To maintain accurate records, collect statistical and research data and write clinical reports
- To be fully conversant with statutory and non-statutory services in the boroughs of Greenwich/Bexley/ Bromley and to promote effective liaison and operational links as appropriate.
- Participate in the development of Mental Health Liaison Services
- Represent the MHLT services as required.
- Participate in the evaluation of the service in conjunction
- To maintain a good public image of the MHLT services with any service user, visitor or carer by professional practice and conduct however difficult the circumstances.
- To demonstrate ongoing professional development through participation in clinical/management supervision and completion of development reviews
- To always work to actively promote the Trust's Equal Opportunities Policy and to challenge discriminatory practices and behaviour.
- To maintain high standards of professional integrity and respect for others in all dealings with service users, colleagues, and other professionals and members of the public
- Able to work within a high level of autonomy.
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We're Kind
- We're Fair
- We Listen
- We Care
Job description
Job responsibilities
Management responsibilities
- Deputise for the Operational Team Managers/ Crisis Manager when required.
- Participate in the planning and development of the mental health liaison service.
- Ensure that communication is effective between all staff involved in the care and treatment of assessed patients.
- Attend and participate in meetings acting as a spokesperson/ representative for the trust as necessary.
- Be responsible for maintaining accurate and legible written records ensuring effective dissemination of relevant information within the Trust.
- Supply data for electronic records on time.
- To identify, develop and maintain ways in which cohesion may be maintained within the differing sites of the Bromley/Greenwich/Bexley mental health services and ensuring this is addressed.
- To be responsible for actively encouraging the promotion of mental health education by undertaking or participating in seminars, lectures, and workshops as appropriate.
- To develop and maintain the range of skills appropriate to the post and to keep up to date with research, publications and issues in the mental health/crisis intervention field and own professional discipline.
- To process and analyse complex information to formulate reports identifying specialist recommendations.
- At the direction of the Acute and Crisis Manager, undertake investigation reports.
- To be responsible for ensuring the Professional Codes of Conduct are adhered to within the multidisciplinary team.
- To participate when appropriate in a speedy and effective resolution of complaints.
- To demonstrate skills in performance management.
- To support on the recruitment of mental health liaison specialist practitioners.
Leadership
- To provide day to day clinical and professional leadership to mental health liaison specialist clinicians.
- To provide supervision and guidance to clinicians with regards to their conduct and practice.
- To play a lead role in the recruitment of new staff within the team.
- To support in the delivery of robust induction programme for new staff as they commence service.
- To be innovative with networking and promoting the service across the trust and other relevant services.
- Participate with policy making and ensuring that the teamwork within a closely defined safety protocol.
- To work cohesively with operational team managers and Borough Crisis Managers to lead on high-quality, effective liaison services.
- To ensure continuous self-development both professionally and personally, through mandatory and non-mandatory training, supervision, and other appropriate means.
- To attend appropriate professional training courses/meetings by agreement with the Acute and Crisis Manager and in consultation with Training Department
Clinical
- To conduct specialist mental health triage and assessment of clients presenting with an acute mental health crisis.
- To operate a Rapid Assessment and Treatment function for patients referred for specialist mental health assessment
- To demonstrate advanced risk assessment and management skills, practicing safely and according to individual service users needs.
- To lead the decision-making process in relation to the delivery of appropriate crisis resolution treatment.
- To lead, facilitate and deliver safe and effective crisis resolution treatment following the assessment.
- To be responsible for clinical liaison between the multidisciplinary team and the care co-ordinator to ensure care is maintained within the context of the multidisciplinary team.
- To be responsible for maintaining that the multidisciplinary team, assess, plan, implement and evaluate individual care for all clients on their caseload.
- To be responsible for monitoring, and where appropriate, participate in the joint assessment and co-working of patients with other team members and other professionals and agencies.
- To ensure the multidisciplinary team assist in providing clients with high quality information related to their illness/disorder and the service.
- To maintain high quality clinical records and statistical information, ensuring that all relevant information is documented in accordance with best practice guidelines.
- To present casework and clinical issues in clinical supervision, further developing the knowledge and skills in accordance with the role of a reflective practitioner.
- To carry a caseload of complex clients and challenging behaviours, as required by the service.
Research
- Take a leading role in the implementation of evidence-based practice.
- Take responsibility for developing clinical audit capability and capacity in a defined area. The focus will be to ensure that current practice is underpinned by up-to-date research-based evidence and developing local action plans to meet trust wide and national priorities and standards.
- Lead in promoting and facilitating the development of education, training, and resources to promote local research, which will support and promote clinical effectiveness. Ensure systems are in place for the transfer and sharing of new knowledge and lessons learned from local and national research.
Communication
- To liaise closely and effectively with colleagues in primary and secondary healthcare services to ensure well co-ordinated and consistent care for people who present to ED in a mental health crisis.
- To work closely with senior emergency department leads, care co- ordinators, community health teams, RC/consultant psychiatrists, duty doctors, social workers primary care staff and inpatient services to ensure timely, good quality care.
- Provide clinical advice and support around complex issues to colleagues and relevant carers.
- Liaise where appropriate with voluntary agencies to help create seamless patient care.
- Promote the establishment and maintain effective liaison with members of the primary and secondary health care teams, non-statutory agencies, and other professional disciplines where necessary to provide a comprehensive service to clients and their families.
- Communicate effectively with service users and their families/carers in highly emotive situations.
- Be responsible for ensuring the multidisciplinary team understand the importance of maintaining a professional effective therapeutic and pro- active relationship with any service user relative and/or carer in what may be stressful and distressing circumstances.
- Be responsible for ensuring the multidisciplinary team are able to balance the need to engage the service user and carers in a treatment plan whilst ensuring the relationship remains respectful and is as far as possible negotiating within a safe, therapeutic boundary.
- Ensuring the safe and effective delivery of high-quality multidisciplinary care to clients utilising the knowledge and skills of staff, whilst recognising and working towards helping them manage their stress in this demanding area of work.
Job description
Job responsibilities
Management responsibilities
- Deputise for the Operational Team Managers/ Crisis Manager when required.
- Participate in the planning and development of the mental health liaison service.
- Ensure that communication is effective between all staff involved in the care and treatment of assessed patients.
- Attend and participate in meetings acting as a spokesperson/ representative for the trust as necessary.
- Be responsible for maintaining accurate and legible written records ensuring effective dissemination of relevant information within the Trust.
- Supply data for electronic records on time.
- To identify, develop and maintain ways in which cohesion may be maintained within the differing sites of the Bromley/Greenwich/Bexley mental health services and ensuring this is addressed.
- To be responsible for actively encouraging the promotion of mental health education by undertaking or participating in seminars, lectures, and workshops as appropriate.
- To develop and maintain the range of skills appropriate to the post and to keep up to date with research, publications and issues in the mental health/crisis intervention field and own professional discipline.
- To process and analyse complex information to formulate reports identifying specialist recommendations.
- At the direction of the Acute and Crisis Manager, undertake investigation reports.
- To be responsible for ensuring the Professional Codes of Conduct are adhered to within the multidisciplinary team.
- To participate when appropriate in a speedy and effective resolution of complaints.
- To demonstrate skills in performance management.
- To support on the recruitment of mental health liaison specialist practitioners.
Leadership
- To provide day to day clinical and professional leadership to mental health liaison specialist clinicians.
- To provide supervision and guidance to clinicians with regards to their conduct and practice.
- To play a lead role in the recruitment of new staff within the team.
- To support in the delivery of robust induction programme for new staff as they commence service.
- To be innovative with networking and promoting the service across the trust and other relevant services.
- Participate with policy making and ensuring that the teamwork within a closely defined safety protocol.
- To work cohesively with operational team managers and Borough Crisis Managers to lead on high-quality, effective liaison services.
- To ensure continuous self-development both professionally and personally, through mandatory and non-mandatory training, supervision, and other appropriate means.
- To attend appropriate professional training courses/meetings by agreement with the Acute and Crisis Manager and in consultation with Training Department
Clinical
- To conduct specialist mental health triage and assessment of clients presenting with an acute mental health crisis.
- To operate a Rapid Assessment and Treatment function for patients referred for specialist mental health assessment
- To demonstrate advanced risk assessment and management skills, practicing safely and according to individual service users needs.
- To lead the decision-making process in relation to the delivery of appropriate crisis resolution treatment.
- To lead, facilitate and deliver safe and effective crisis resolution treatment following the assessment.
- To be responsible for clinical liaison between the multidisciplinary team and the care co-ordinator to ensure care is maintained within the context of the multidisciplinary team.
- To be responsible for maintaining that the multidisciplinary team, assess, plan, implement and evaluate individual care for all clients on their caseload.
- To be responsible for monitoring, and where appropriate, participate in the joint assessment and co-working of patients with other team members and other professionals and agencies.
- To ensure the multidisciplinary team assist in providing clients with high quality information related to their illness/disorder and the service.
- To maintain high quality clinical records and statistical information, ensuring that all relevant information is documented in accordance with best practice guidelines.
- To present casework and clinical issues in clinical supervision, further developing the knowledge and skills in accordance with the role of a reflective practitioner.
- To carry a caseload of complex clients and challenging behaviours, as required by the service.
Research
- Take a leading role in the implementation of evidence-based practice.
- Take responsibility for developing clinical audit capability and capacity in a defined area. The focus will be to ensure that current practice is underpinned by up-to-date research-based evidence and developing local action plans to meet trust wide and national priorities and standards.
- Lead in promoting and facilitating the development of education, training, and resources to promote local research, which will support and promote clinical effectiveness. Ensure systems are in place for the transfer and sharing of new knowledge and lessons learned from local and national research.
Communication
- To liaise closely and effectively with colleagues in primary and secondary healthcare services to ensure well co-ordinated and consistent care for people who present to ED in a mental health crisis.
- To work closely with senior emergency department leads, care co- ordinators, community health teams, RC/consultant psychiatrists, duty doctors, social workers primary care staff and inpatient services to ensure timely, good quality care.
- Provide clinical advice and support around complex issues to colleagues and relevant carers.
- Liaise where appropriate with voluntary agencies to help create seamless patient care.
- Promote the establishment and maintain effective liaison with members of the primary and secondary health care teams, non-statutory agencies, and other professional disciplines where necessary to provide a comprehensive service to clients and their families.
- Communicate effectively with service users and their families/carers in highly emotive situations.
- Be responsible for ensuring the multidisciplinary team understand the importance of maintaining a professional effective therapeutic and pro- active relationship with any service user relative and/or carer in what may be stressful and distressing circumstances.
- Be responsible for ensuring the multidisciplinary team are able to balance the need to engage the service user and carers in a treatment plan whilst ensuring the relationship remains respectful and is as far as possible negotiating within a safe, therapeutic boundary.
- Ensuring the safe and effective delivery of high-quality multidisciplinary care to clients utilising the knowledge and skills of staff, whilst recognising and working towards helping them manage their stress in this demanding area of work.
Person Specification
Experience
Essential
- Extensive experience working as a B7 Senior Psychiatric Liaison Practitioner
- Experience provide supervision and training to others
Desirable
- Experience completing audits and evaluation of service
Qualifications
Essential
- NMC/ HCPC registration
- Evidence of post graduate training in subject relevant to role e.g. Liaison Mental Health Care, Brief Solution Focused Therapy etc
- Nursing/ Social Work/ Occupational Therapy qualification
Skills
Essential
- Enhanced assessment skills and clinical decision making skills within fast paced services
- Application of positive risk taking
- Ability to work make autonomous decisions
- Ability to work under pressure and in unpredictable situations
Person Specification
Experience
Essential
- Extensive experience working as a B7 Senior Psychiatric Liaison Practitioner
- Experience provide supervision and training to others
Desirable
- Experience completing audits and evaluation of service
Qualifications
Essential
- NMC/ HCPC registration
- Evidence of post graduate training in subject relevant to role e.g. Liaison Mental Health Care, Brief Solution Focused Therapy etc
- Nursing/ Social Work/ Occupational Therapy qualification
Skills
Essential
- Enhanced assessment skills and clinical decision making skills within fast paced services
- Application of positive risk taking
- Ability to work make autonomous decisions
- Ability to work under pressure and in unpredictable situations
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).
