Community Learning Disabilities Nurse

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

This job is now closed

Job summary

To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs. This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs.

To be highly skilled at managing challenging behaviour of client and their family members at times of distress and crisis.

This is a permanent part time post (30 hours) to be worked across Monday to Friday.

Main duties of the job

The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early ageing conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from children's to adult services.

About us

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.

At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.

Date posted

26 April 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year pa pro rata

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

302-24-6235677CM

Job locations

Pemberton PCRC

Sherwood Drive

Wigan

WN5 9QX

Job description

Job responsibilities

Key results from the job holder

To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs. This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs.
The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early aging conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from childrens to adult services.
To support primary care to manage appropriate cases within the primary care setting in collaboration with the Locality Hub services and to support appropriate referral to secondary services, under the direction of the Senior Management team.
To effectively support the all age service model for children, young people and adults with Learning Disabilities.
To provide formal, on-going clinical supervision and caseload management supervision to junior and less experienced community learning disability staff and students, as directed.
To maintain effective case management of a clinical caseload within the Community Learning Disability Team in line with recommendations
To carry out all relevant forms of care without direct supervision and may be required to demonstrate procedures to and supervise and teach qualified and / or unqualified staff and pre-registration Nursing Students
To accept responsibility for own professional practice as an accountable practitioner.
To undertake Breakaway/Physical Intervention Techniques (Restrictive Physical Intervention) according to the Community Learning Disability Service Policy.
To participate in the service Referral and Initial Assessment Process and Procedure
To participate as an effective member of the MDT, undertaking referrals, direct liaison with Primary Care and Locality Hub to ensure identified needs of service users and their carers are met in a timely manner and in the most appropriate setting.
Facilitate and maintain effective liaison with parents, other health professionals, social workers, primary care teams and any other relevant services to ensure intervention is consistent and co-ordinated, providing person centred care.
To have responsibility and be professionally accountable for all aspects of assessment, implementation, evaluation for client specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to client care. Identify unmet health needs and undertake interventions/signpost to relevant services. Delegate as necessary to unqualified staff and refer onwards as per individual client need.
To promote client self-care and independence towards an individuals maximum optimal potential.
To develop and deliver specific individualised focused training to staff / carers (paid/unpaid) / families and services that have a significant role in the delivery of care for the individual
To participate in and assist in the co-ordination of supporting clients within a working week according to individual clients needs.
Maintain clear, comprehensive and contemporaneous clinical records on all patients in response to personally generated clinical observations, in accordance with professional standards and Trust policies.
To be highly skilled at managing challenging behaviour of client and their family members at times of distress and crisis.
To undertake safe practice by the assessment/implementation/evaluation of effective client Risk Assessment/Management.

Planning and Organisational Duties

To support the Learning Disability Senior Management Team in delivering the teams core functions
To ensure safe practice by clarifying level of authority in role and seeking appropriate supervision and direction
To adhere/practice as per the Community Learning Disability Service and Trust Policies Procedures, Protocols and provide comments on possible developments that involve the Community Learning Disability Team.
To report financial and physical resource needs to the Senior Management Team.
To be responsible for personal input of data to Systm1 (client activity) as per Service and Trust Policy.
To ensure written communications are meaningful, relevant and timely in line withService, Trust and Professional Guidelines and Practices.
To accept responsibility for own professional practice as an accountable practitioner within Clinical Audit activity/research and development as agreed within the Service/ Trust.
To demonstrate commitment to personal/professional development within Trust Clinical Governance Framework.
To reflect on and evaluate on personal professional practice and client outcomeexperiences.
To receive Clinical supervision, Care Management & appraisal from your SeniorManager

Communications and Key Working Relationships

To plan and co-ordinate and lead client focused Multi-agency Meetings as required
To be a full and active member of the multi-professional team including Nursing, Speech and Language Therapists, Occupational Therapists, Assistant Practitioners, Nursing Associates, Support Workers, Apprentices and Admin. To work in partnership with Social Care, Council Services Secondary Care, Third Sector and Primary Care in the delivery of an integrated service that facilitates the wellbeing of service users.
Prepare and present clinical reports as required.

Responsibility for Finance

To be responsible for ensuring the effective selection and use of all treatment resources available both in the community.
To operate efficiently and minimise waste of resources across all spheres of work.
To advise the Team Leader on ordering, monitoring and maintaining equipment used in carrying out physiotherapy duties, and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through, teaching, training and supervision of practice.

Responsibility for Human Resources

To participate in the staff appraisal scheme and Personal Development Review (PDR) as both appraiser and appraisee.

Responsibility for Health & Safety

Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Responsibility for Teaching

Deliver Service/organisational training to qualified/non-qualified staff as required.
Assist in the facilitation of a supportive learning environment which enables the Team, Pre-registration students and the Nurse to develop.
Act as preceptor/mentor and support other trained staff / nursing and therapy students accessing the wider service.
Participate within the Induction Programme for new starters to the Team.
Develop, review and update clinical assessments using research based evidence for use within recall clinic and as part of assessment process for all individuals identified in service.
Update personal skills and attend study days relevant to own practice.
Promote the Trust as a learning organisation.

Job description

Job responsibilities

Key results from the job holder

To be a full and active member of a multidisciplinary all age service which focuses upon the health care needs of children, young people and adults who have a learning disability and unmet health needs. This may include challenging behaviour, forensic needs, autism, mental health needs, terminal illness, communication needs, sexual health and health promotion needs.
The nurse will have a specific focus on providing specialised nursing assessments, planning intervention and evaluation of programmes of care for those individuals who require specialist support to access health services, those individuals who may be at risk of developing early aging conditions, those children, young people and adults who present with significant behavioural challenges and high dependency needs to themselves, their families and carers and services, and young people between the ages of 14 to 25 who are transitioning from childrens to adult services.
To support primary care to manage appropriate cases within the primary care setting in collaboration with the Locality Hub services and to support appropriate referral to secondary services, under the direction of the Senior Management team.
To effectively support the all age service model for children, young people and adults with Learning Disabilities.
To provide formal, on-going clinical supervision and caseload management supervision to junior and less experienced community learning disability staff and students, as directed.
To maintain effective case management of a clinical caseload within the Community Learning Disability Team in line with recommendations
To carry out all relevant forms of care without direct supervision and may be required to demonstrate procedures to and supervise and teach qualified and / or unqualified staff and pre-registration Nursing Students
To accept responsibility for own professional practice as an accountable practitioner.
To undertake Breakaway/Physical Intervention Techniques (Restrictive Physical Intervention) according to the Community Learning Disability Service Policy.
To participate in the service Referral and Initial Assessment Process and Procedure
To participate as an effective member of the MDT, undertaking referrals, direct liaison with Primary Care and Locality Hub to ensure identified needs of service users and their carers are met in a timely manner and in the most appropriate setting.
Facilitate and maintain effective liaison with parents, other health professionals, social workers, primary care teams and any other relevant services to ensure intervention is consistent and co-ordinated, providing person centred care.
To have responsibility and be professionally accountable for all aspects of assessment, implementation, evaluation for client specialist caseload, this would include requirement to undertake analysis of complex facts/situations directly related to client care. Identify unmet health needs and undertake interventions/signpost to relevant services. Delegate as necessary to unqualified staff and refer onwards as per individual client need.
To promote client self-care and independence towards an individuals maximum optimal potential.
To develop and deliver specific individualised focused training to staff / carers (paid/unpaid) / families and services that have a significant role in the delivery of care for the individual
To participate in and assist in the co-ordination of supporting clients within a working week according to individual clients needs.
Maintain clear, comprehensive and contemporaneous clinical records on all patients in response to personally generated clinical observations, in accordance with professional standards and Trust policies.
To be highly skilled at managing challenging behaviour of client and their family members at times of distress and crisis.
To undertake safe practice by the assessment/implementation/evaluation of effective client Risk Assessment/Management.

Planning and Organisational Duties

To support the Learning Disability Senior Management Team in delivering the teams core functions
To ensure safe practice by clarifying level of authority in role and seeking appropriate supervision and direction
To adhere/practice as per the Community Learning Disability Service and Trust Policies Procedures, Protocols and provide comments on possible developments that involve the Community Learning Disability Team.
To report financial and physical resource needs to the Senior Management Team.
To be responsible for personal input of data to Systm1 (client activity) as per Service and Trust Policy.
To ensure written communications are meaningful, relevant and timely in line withService, Trust and Professional Guidelines and Practices.
To accept responsibility for own professional practice as an accountable practitioner within Clinical Audit activity/research and development as agreed within the Service/ Trust.
To demonstrate commitment to personal/professional development within Trust Clinical Governance Framework.
To reflect on and evaluate on personal professional practice and client outcomeexperiences.
To receive Clinical supervision, Care Management & appraisal from your SeniorManager

Communications and Key Working Relationships

To plan and co-ordinate and lead client focused Multi-agency Meetings as required
To be a full and active member of the multi-professional team including Nursing, Speech and Language Therapists, Occupational Therapists, Assistant Practitioners, Nursing Associates, Support Workers, Apprentices and Admin. To work in partnership with Social Care, Council Services Secondary Care, Third Sector and Primary Care in the delivery of an integrated service that facilitates the wellbeing of service users.
Prepare and present clinical reports as required.

Responsibility for Finance

To be responsible for ensuring the effective selection and use of all treatment resources available both in the community.
To operate efficiently and minimise waste of resources across all spheres of work.
To advise the Team Leader on ordering, monitoring and maintaining equipment used in carrying out physiotherapy duties, and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through, teaching, training and supervision of practice.

Responsibility for Human Resources

To participate in the staff appraisal scheme and Personal Development Review (PDR) as both appraiser and appraisee.

Responsibility for Health & Safety

Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

Responsibility for Teaching

Deliver Service/organisational training to qualified/non-qualified staff as required.
Assist in the facilitation of a supportive learning environment which enables the Team, Pre-registration students and the Nurse to develop.
Act as preceptor/mentor and support other trained staff / nursing and therapy students accessing the wider service.
Participate within the Induction Programme for new starters to the Team.
Develop, review and update clinical assessments using research based evidence for use within recall clinic and as part of assessment process for all individuals identified in service.
Update personal skills and attend study days relevant to own practice.
Promote the Trust as a learning organisation.

Person Specification

Experience

Essential

Experience of undertaking specialist assessments in relation to: unmet health needs, mental health.
Experience of working within Multi-disciplinary Service / Team
Experience of working with adults and Children with a Learning Disability.
Significant post-registration experience

Desirable

Experience of implementing reasonable adjustments
Knowledge of current local and national guidance with regards to health needs assessment and behaviour assessments of people with learning disabilities.
Experience of implementing reasonable adjustments
Experience of project management / service improvement

Qualifications

Essential

Registered Nurse Learning Disability (Part 5 or Part 14 NMC Register) or BSc (Hons) Learning Disability Nursing and Social Work
Mentorship qualifications or willing to undertake training

Desirable

BSc (Hons) Community Specialist Learning Disability Nursing or relevant Degree.

Skills

Essential

Assessment, planning, information analysis, intervention, evaluation of package of care.
To be able to communicate effectively with patients who have expressive and receptive communication difficulties due to their learning disability.
Self-motivated
Good time management skills and ability to manage day to day practice
Implement policies and proposed changes to practice for own area
Ability to ensure safe practice
Ability to organise qualified/unqualified staff - Pre/Post Registration Nursing Students & day to day practice.
Ability to delegate to junior members of staff
Ability to deliver training to staff, carers & Services.
Flexible in approach - over 24 hours.
Ability to concentrate within an unpredictable working pattern
Ability to adapt, interpret & manage, frequent highly complex situations within an often unpredictable working environment.
Ability to manage patients (and families) who present with, early ageing conditions, terminal illness, other unmet health needs and behaviours that challenge.
To be able to communicate with families and carers, where highly sensitive information is provided and received.
Willingness to participate in and undertake physical intervention training
Ability to ensure safe practice, by clarifying level of role within organisation & seeking appropriate supervision & direction as required.
Ability to maintain judgement under pressure.
Presentation skills.
Ability to organise and prioritise workload
Demonstrate the ability to undertake ongoing theoretical / practical professional development according to Service needs.
Ability to work in partnership with other agencies and positively influence others service delivery
To be able to communicate with individuals who have expressive and receptive communication difficulties due to their learning disability/cognition and who additionally present with severe challenging behaviour within an environment, which has frequent conflict/hostility.
Ability to work within a Learning Disability Multi-disciplinary/Inter-agency Team.
The ability to work flexibly in accordance with client and service needs
Day to day supervision / co-ordination of staff, facilitating professional / clinical supervision.
Use of De-escalation Techniques
Use of Breakaway Techniques
Promoting / enabling Personal Skills / Direct Care Development
Administration of Clinical Nursing Procedures e.g. blood pressure, etc.
To be able to communicate with families/carers where highly sensitive contentious information is provided and received within an environment, which may have conflict/hostility.

Knowledge

Essential

Understanding of policies for children and young people
Awareness of current professional nursing issues and Regional, National Health Policy
Knowledge of the safeguarding processes
Knowledge of Learning Disability Team's role and function
Insight into Learning Disability National Strategy
Knowledge of wider health care agenda and how this relates to the Learning Disabled population
Knowledge of implementing de-escalation techniques.
Specialist knowledge across range of procedures underpinned by theory

Desirable

Awareness of current professional nursing issues and Regional, National Health Policy

Additional

Essential

Be able to travel independently around the borough
Intensive assessment / treatment / other unmet health care needs
Teaching / training of staff / carers / families / independent organisations
Assessment of individual client Risk Assessment and adheres to Risk Management Guidelines
Involvement with clients, families, formal carers / Services in difficult circumstances - emotional, financial, social relationships etc.
Intensive involvement with assessment / treatment / support with adults who present with communication needs
Assessment / intervention within local hospital settings - Acute / Mental Health wards
Assessment / intervention within Regional Medium Secure Units
Assessment / interventions within home environments / Day Centres / Colleges, etc.
Exposure to verbal and physical aggression
Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation

Person Specification

Experience

Essential

Experience of undertaking specialist assessments in relation to: unmet health needs, mental health.
Experience of working within Multi-disciplinary Service / Team
Experience of working with adults and Children with a Learning Disability.
Significant post-registration experience

Desirable

Experience of implementing reasonable adjustments
Knowledge of current local and national guidance with regards to health needs assessment and behaviour assessments of people with learning disabilities.
Experience of implementing reasonable adjustments
Experience of project management / service improvement

Qualifications

Essential

Registered Nurse Learning Disability (Part 5 or Part 14 NMC Register) or BSc (Hons) Learning Disability Nursing and Social Work
Mentorship qualifications or willing to undertake training

Desirable

BSc (Hons) Community Specialist Learning Disability Nursing or relevant Degree.

Skills

Essential

Assessment, planning, information analysis, intervention, evaluation of package of care.
To be able to communicate effectively with patients who have expressive and receptive communication difficulties due to their learning disability.
Self-motivated
Good time management skills and ability to manage day to day practice
Implement policies and proposed changes to practice for own area
Ability to ensure safe practice
Ability to organise qualified/unqualified staff - Pre/Post Registration Nursing Students & day to day practice.
Ability to delegate to junior members of staff
Ability to deliver training to staff, carers & Services.
Flexible in approach - over 24 hours.
Ability to concentrate within an unpredictable working pattern
Ability to adapt, interpret & manage, frequent highly complex situations within an often unpredictable working environment.
Ability to manage patients (and families) who present with, early ageing conditions, terminal illness, other unmet health needs and behaviours that challenge.
To be able to communicate with families and carers, where highly sensitive information is provided and received.
Willingness to participate in and undertake physical intervention training
Ability to ensure safe practice, by clarifying level of role within organisation & seeking appropriate supervision & direction as required.
Ability to maintain judgement under pressure.
Presentation skills.
Ability to organise and prioritise workload
Demonstrate the ability to undertake ongoing theoretical / practical professional development according to Service needs.
Ability to work in partnership with other agencies and positively influence others service delivery
To be able to communicate with individuals who have expressive and receptive communication difficulties due to their learning disability/cognition and who additionally present with severe challenging behaviour within an environment, which has frequent conflict/hostility.
Ability to work within a Learning Disability Multi-disciplinary/Inter-agency Team.
The ability to work flexibly in accordance with client and service needs
Day to day supervision / co-ordination of staff, facilitating professional / clinical supervision.
Use of De-escalation Techniques
Use of Breakaway Techniques
Promoting / enabling Personal Skills / Direct Care Development
Administration of Clinical Nursing Procedures e.g. blood pressure, etc.
To be able to communicate with families/carers where highly sensitive contentious information is provided and received within an environment, which may have conflict/hostility.

Knowledge

Essential

Understanding of policies for children and young people
Awareness of current professional nursing issues and Regional, National Health Policy
Knowledge of the safeguarding processes
Knowledge of Learning Disability Team's role and function
Insight into Learning Disability National Strategy
Knowledge of wider health care agenda and how this relates to the Learning Disabled population
Knowledge of implementing de-escalation techniques.
Specialist knowledge across range of procedures underpinned by theory

Desirable

Awareness of current professional nursing issues and Regional, National Health Policy

Additional

Essential

Be able to travel independently around the borough
Intensive assessment / treatment / other unmet health care needs
Teaching / training of staff / carers / families / independent organisations
Assessment of individual client Risk Assessment and adheres to Risk Management Guidelines
Involvement with clients, families, formal carers / Services in difficult circumstances - emotional, financial, social relationships etc.
Intensive involvement with assessment / treatment / support with adults who present with communication needs
Assessment / intervention within local hospital settings - Acute / Mental Health wards
Assessment / intervention within Regional Medium Secure Units
Assessment / interventions within home environments / Day Centres / Colleges, etc.
Exposure to verbal and physical aggression
Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation

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).