Central and North West London NHS Foundation Trust

Home Treatment Nurse

Information:

This job is now closed

Job summary

The post holder would work as part of the Community Mental Health Team to offer intensive support and treatment to patients in the community in the acute phase of a mental health crisis as an alternative to inpatient care. The Home Treatment Team acts as gate keepers to all older adults admissions and supports early discharges from hospital.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Main duties of the job

To triage referrals and allocate work to junior staff as appropriate.

To provide a comprehensive mental health assessment for complex patients in the acute phase of a mental health crisis.

To assess current risks and identify how the risk and patients mental health needs would best be met.

To formulate, implement and review individualised Recovery Care Plans with patients and their carers that aims to address their psychological, physical & social needs.

To build and maintain therapeutic relationships with patients and carers and involve them in drawing up care plans.

To work with patients care co-ordinator/ lead professional as appropriate to ensure continuity of care.

To provide information and advice to carers to support them through the crisis period.

To administer , supervise and monitor prescribed medication advising patients and carers on storage, administration and possible side effects.

To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act, Human Rights Act, Freedom of Information Act, Data Protection Act.

To attend MDT meetings, Ward Rounds, Discharge CPA's and Mental Health Act Assessments

About us

The postholder will work as part of the multi-disciplinary OA CMHT team, which includes psychiatry, psychology, nursing, social work, and occupational therapy. The Westminster OA CMHT welcomes referrals for anyone with mental health problems in whom advancing age is likely to be a factor, anyone with significant physical health problems and mental health difficulties or those with dementia or memory problems complicated by behavioural or psychological symptoms.

The team faces the challenges of meeting the needs of a diverse inner London population within one of the largest NHS Foundation Trusts in London. We can offer you: - A trust committed to staff personal development including a robust supervision and appraisal process. - An opportunity to work for one of the top 10 NHS employers. - A large and varied in-house training programme and access to external university courses. - We value and give you the opportunity to input into service development. - We encourage staff input and ideas in relation to moving services forward, improving care pathways and meeting the client group's needs.

Details

Date posted

05 July 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,471 to £50,364 a year p.a. inc HCAS (entitled to weekend supplement)

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

333-J-WE-0600

Job locations

Westminster Older Adult Community Mental Health Team

3rd floor, 190 Vauxhall Bridge Road

London

SW1V 1DX


Job description

Job responsibilities

Clinical

To triage referrals and allocate work to junior staff as appropriate.

To provide a comprehensive mental health assessment for complex patients in the acute phase of a mental health crisis.

To assess current risks and identify how the risk and patients mental health needs would best be met.

To formulate, implement and review individualised Recovery Care Plans with patients and their carers that aims to address their psychological, physical & social needs.

To build and maintain therapeutic relationships with patients and carers and involve them in drawing up care plans.

To work with patients care co-ordinator/ lead professional as appropriate to ensure continuity of care.

To provide information and advice to carers to support them through the crisis period.

To administer , supervise and monitor prescribed medication advising patients and carers on storage, administration and possible side effects.

To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act,Human Rights Act, Freedom of Information Act, Data Protection Act.

To attend MDT meetings, Ward Rounds, Discharge CPAs and Mental Health Act Assessments.

Communication

To communicate effectively and work collaboratively with all professionals and services to ensure delivery of a co-ordinated multidisciplinary service.

To communicate complex and emotionally sensitive information to patients and their carers regarding diagnosis, plans of care and interactions with outside agencies.

To communicate effectively with patients and carers, using a wide range of verbal and non-verbal skills including negotiation and persuasion to maximise motivation and engagement.

To participate in all relevant team, staff, departmental and organisational meetings.

To maintain accurate, comprehensive and up-to-date electronic documentation, in line with legal and Trust requirements, and communicate assessment and treatment outcomes to the appropriate disciplines in the form of reports and letters.

Management

To assist the Team Manager/ Team Leader in recruitment and retention as required.

To assist the Team Manager in developing the strategic and operational management of the Home Treatment service as required.

To take a role in the assessment of performance and continuing development of junior staff and support workers contributing to appraisals and personal development plans.

To undertake the measurement and evaluation of your work through the use of Evidence Based Practice projects, audit and outcome measures.

To be actively involved in the collection of appropriate data and statistics for the team.

To comply with the organisational and departmental policies and procedures and to be involved in the reviewing, updating and implementation of these as appropriate.

To appropriately delegate work to junior staff and supervise as appropriate.

To fully participate in on-call rotas and shift systems to ensure service delivery.

To support the Team Leader and deputise in their absence, as required

To act as a Sign Off Mentor/Fieldwork Educator for student Nurses/OTs on fieldwork placement within the CMHT and offer learning opportunities for students from other disciplines.

To effectively manage own time in relation to clinical and non-clinical activities.

Continuing Professional Development

To maintain own clinical professional development (CPD) by keeping abreast of any new trends and developments, and incorporate them as necessary into your work.

To be an active member of the in-service training programme by the attendance and delivering of presentations and training sessions at staff meetings, tutorials, training sessions in-house and by attending external courses and using reflective practice.

To participate in the Trust appraisal system as an appraisee and set personal objectives for continuing professional development.

To participate in regular professional and managerial supervision and critically reflect on own performance.

To support and take part in research and keep abreast of current nursing trends and research applicable to the clinical field.

To attend courses, workshops, meetings etc. as necessary to achieve a high level of clinical proficiency.

Rider Clause

This is an outline of the post holders duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Department.

Job Flexibility

The postholder will be required to work flexibly, providing assistance as and when necessary, which may involve them in a developing role.

Working Relationships

The working relationship between all members of staff should be mutually supportive, with staff deputising and covering for each other when appropriate. Please refer to the codes of conduct that are expected which can be found on Trustnet.

Health and Safety

Central and North West London NHS Foundation Trust has a Health and Safety Policy applicable to all employees. Employees must be aware of the responsibility placed on them under the Employment Rights Act 1996, to ensure that agreed safety procedures are carried out, and to maintain a safe environment for employees, patients and visitors.

Safeguarding

Central & North West London NHS Foundation Trust is committed to safeguarding children and adults, so all staff are expected to work in accordance with Trust and partner agency policies and procedures and seek advice and training where appropriate.

Improving Working Lives

Central and North West London NHS Foundation Trust is committed to the principles of Improving Working Lives and all managers are encouraged to follow Improving Working Lives practices. Consideration will be given to all requests for flexible working in line with Trust policy.

Staff Involvement

Central and North West London NHS Foundation Trust is committed to involve staff at all levels in the development of the organisation.

Managers should ensure that staff are encouraged and involved in organisational and service developments including business planning and they are able to influence discussions, which affect them and their working conditions.

All managers should engender a culture of openness and inclusion so that staff feel free to contribute and voice concerns. They should develop and implement communication systems that ensure staff are well informed and have an opportunity to feedback their views.

Smoking

Central and North West London NHS Foundation Trust acknowledges its responsibility to provide a safe, smoke free environment to its employees, patients and visitors. In expressing its commitment to the prevention of smoking related diseases, the Trust has a Non Smoking Policy and all Trust buildings and vehicles are designated as smoke free areas.

Alcohol

Employees are expected to be aware of and understand that Central and North West London NHS Foundation Trust has a policy on alcohol and the consumption of alcohol. Alcohol is not permitted whilst on duty.

Confidentiality

Employees should be aware that the Trust produces confidential information relating to patients, staff and commercial information. All employees have a responsibility for ensuring the security of information and to comply with the Data Protection Acts, Access to Health Records and Computer Misuse Act and Trust policies. Disclosure of personal, medical, commercial information, systems passwords or other confidential information to any unauthorised person or persons will be considered as gross misconduct and lead to disciplinary action which may include dismissal.

Equal Opportunities

All employees of Central and North West London NHS Foundation Trust are expected to be aware of and adhere to, the provision of the Trusts Equality, Diversity and Human Rights Policy (Employment), Equality, Diversity and Human Rights Policy (Service Delivery), Disability Policy (Employment) and Disability Policy (Service Delivery), and to carry out their associated duties and responsibilities under these policies. As a Two Ticks employer, the Trust guarantees to interview all disabled applicants who meet the minimum essential criteria for a vacant post.

Grievances, Disputes, Disciplinary and Other Industrial Relations Procedures

Central and North West London NHS Foundation Trust has grievance, disputes, disciplinary and other industrial relations procedures. Employees are required to make themselves aware of these procedures, copies of which are available on the Trustnet, from your manager and the Human Resource Directorate.

Personal Development

The postholder is expected to co-operate in activities which line management believes will contribute to personal and/or to team growth. This includes attending supervisory sessions and training modules, both at their work base and other selected venues of instruction.

Conflict of Interest

Employees are expected to declare any private interest or practice, which might conflict with their NHS employment, and be perceived to result in actual or potential financial or personal gain.

Working Time Regulations

The Working Time Regulations 1998 require that you should not work more than an average of 48 hours each week i.e. no more that 816 hours in a 17-week period. To work more than 48 hours you must have management authorisation and you will be required to sign an opt out agreement.

The Trust policy has a limit of 60 hours per week and all staff must ensure a 24-hour rest period is taken in every 7 days.

Conditions of Employment

The Trust will screen all staff who will be working with children or vulnerable adults and police checks will be carried out on all staff appointed to posts, which have access to children or vulnerable adults.

This will also apply if role develops to include access to children or vulnerable adults.

Job description

Job responsibilities

Clinical

To triage referrals and allocate work to junior staff as appropriate.

To provide a comprehensive mental health assessment for complex patients in the acute phase of a mental health crisis.

To assess current risks and identify how the risk and patients mental health needs would best be met.

To formulate, implement and review individualised Recovery Care Plans with patients and their carers that aims to address their psychological, physical & social needs.

To build and maintain therapeutic relationships with patients and carers and involve them in drawing up care plans.

To work with patients care co-ordinator/ lead professional as appropriate to ensure continuity of care.

To provide information and advice to carers to support them through the crisis period.

To administer , supervise and monitor prescribed medication advising patients and carers on storage, administration and possible side effects.

To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act,Human Rights Act, Freedom of Information Act, Data Protection Act.

To attend MDT meetings, Ward Rounds, Discharge CPAs and Mental Health Act Assessments.

Communication

To communicate effectively and work collaboratively with all professionals and services to ensure delivery of a co-ordinated multidisciplinary service.

To communicate complex and emotionally sensitive information to patients and their carers regarding diagnosis, plans of care and interactions with outside agencies.

To communicate effectively with patients and carers, using a wide range of verbal and non-verbal skills including negotiation and persuasion to maximise motivation and engagement.

To participate in all relevant team, staff, departmental and organisational meetings.

To maintain accurate, comprehensive and up-to-date electronic documentation, in line with legal and Trust requirements, and communicate assessment and treatment outcomes to the appropriate disciplines in the form of reports and letters.

Management

To assist the Team Manager/ Team Leader in recruitment and retention as required.

To assist the Team Manager in developing the strategic and operational management of the Home Treatment service as required.

To take a role in the assessment of performance and continuing development of junior staff and support workers contributing to appraisals and personal development plans.

To undertake the measurement and evaluation of your work through the use of Evidence Based Practice projects, audit and outcome measures.

To be actively involved in the collection of appropriate data and statistics for the team.

To comply with the organisational and departmental policies and procedures and to be involved in the reviewing, updating and implementation of these as appropriate.

To appropriately delegate work to junior staff and supervise as appropriate.

To fully participate in on-call rotas and shift systems to ensure service delivery.

To support the Team Leader and deputise in their absence, as required

To act as a Sign Off Mentor/Fieldwork Educator for student Nurses/OTs on fieldwork placement within the CMHT and offer learning opportunities for students from other disciplines.

To effectively manage own time in relation to clinical and non-clinical activities.

Continuing Professional Development

To maintain own clinical professional development (CPD) by keeping abreast of any new trends and developments, and incorporate them as necessary into your work.

To be an active member of the in-service training programme by the attendance and delivering of presentations and training sessions at staff meetings, tutorials, training sessions in-house and by attending external courses and using reflective practice.

To participate in the Trust appraisal system as an appraisee and set personal objectives for continuing professional development.

To participate in regular professional and managerial supervision and critically reflect on own performance.

To support and take part in research and keep abreast of current nursing trends and research applicable to the clinical field.

To attend courses, workshops, meetings etc. as necessary to achieve a high level of clinical proficiency.

Rider Clause

This is an outline of the post holders duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Department.

Job Flexibility

The postholder will be required to work flexibly, providing assistance as and when necessary, which may involve them in a developing role.

Working Relationships

The working relationship between all members of staff should be mutually supportive, with staff deputising and covering for each other when appropriate. Please refer to the codes of conduct that are expected which can be found on Trustnet.

Health and Safety

Central and North West London NHS Foundation Trust has a Health and Safety Policy applicable to all employees. Employees must be aware of the responsibility placed on them under the Employment Rights Act 1996, to ensure that agreed safety procedures are carried out, and to maintain a safe environment for employees, patients and visitors.

Safeguarding

Central & North West London NHS Foundation Trust is committed to safeguarding children and adults, so all staff are expected to work in accordance with Trust and partner agency policies and procedures and seek advice and training where appropriate.

Improving Working Lives

Central and North West London NHS Foundation Trust is committed to the principles of Improving Working Lives and all managers are encouraged to follow Improving Working Lives practices. Consideration will be given to all requests for flexible working in line with Trust policy.

Staff Involvement

Central and North West London NHS Foundation Trust is committed to involve staff at all levels in the development of the organisation.

Managers should ensure that staff are encouraged and involved in organisational and service developments including business planning and they are able to influence discussions, which affect them and their working conditions.

All managers should engender a culture of openness and inclusion so that staff feel free to contribute and voice concerns. They should develop and implement communication systems that ensure staff are well informed and have an opportunity to feedback their views.

Smoking

Central and North West London NHS Foundation Trust acknowledges its responsibility to provide a safe, smoke free environment to its employees, patients and visitors. In expressing its commitment to the prevention of smoking related diseases, the Trust has a Non Smoking Policy and all Trust buildings and vehicles are designated as smoke free areas.

Alcohol

Employees are expected to be aware of and understand that Central and North West London NHS Foundation Trust has a policy on alcohol and the consumption of alcohol. Alcohol is not permitted whilst on duty.

Confidentiality

Employees should be aware that the Trust produces confidential information relating to patients, staff and commercial information. All employees have a responsibility for ensuring the security of information and to comply with the Data Protection Acts, Access to Health Records and Computer Misuse Act and Trust policies. Disclosure of personal, medical, commercial information, systems passwords or other confidential information to any unauthorised person or persons will be considered as gross misconduct and lead to disciplinary action which may include dismissal.

Equal Opportunities

All employees of Central and North West London NHS Foundation Trust are expected to be aware of and adhere to, the provision of the Trusts Equality, Diversity and Human Rights Policy (Employment), Equality, Diversity and Human Rights Policy (Service Delivery), Disability Policy (Employment) and Disability Policy (Service Delivery), and to carry out their associated duties and responsibilities under these policies. As a Two Ticks employer, the Trust guarantees to interview all disabled applicants who meet the minimum essential criteria for a vacant post.

Grievances, Disputes, Disciplinary and Other Industrial Relations Procedures

Central and North West London NHS Foundation Trust has grievance, disputes, disciplinary and other industrial relations procedures. Employees are required to make themselves aware of these procedures, copies of which are available on the Trustnet, from your manager and the Human Resource Directorate.

Personal Development

The postholder is expected to co-operate in activities which line management believes will contribute to personal and/or to team growth. This includes attending supervisory sessions and training modules, both at their work base and other selected venues of instruction.

Conflict of Interest

Employees are expected to declare any private interest or practice, which might conflict with their NHS employment, and be perceived to result in actual or potential financial or personal gain.

Working Time Regulations

The Working Time Regulations 1998 require that you should not work more than an average of 48 hours each week i.e. no more that 816 hours in a 17-week period. To work more than 48 hours you must have management authorisation and you will be required to sign an opt out agreement.

The Trust policy has a limit of 60 hours per week and all staff must ensure a 24-hour rest period is taken in every 7 days.

Conditions of Employment

The Trust will screen all staff who will be working with children or vulnerable adults and police checks will be carried out on all staff appointed to posts, which have access to children or vulnerable adults.

This will also apply if role develops to include access to children or vulnerable adults.

Person Specification

Education & Qualifications

Essential

  • RMN/Diploma/Degree
  • Evidence of continued professional development In post-registration qualifications

Desirable

  • A post registration qualification in Older People
  • ENB 998

Experience

Essential

  • Post-registration experience in a range of clinical areas
  • Experience of working as member of a Multi -disciplinary team

Desirable

  • Experience of managing/supervision of staff.
  • Experience of working in a community setting
  • Experience of working with dementia
  • Experience of working with older adults

Knowledge

Essential

  • Knowledge of CPA, Risk Assessment and Risk Management Processes
  • Knowledge and understanding of the needs and rights of service users and their carers.
  • Knowledge of ethical/legal requirements within mental health nursing.
  • Knowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the community

Skills and Abilities

Essential

  • Effective communication skills both verbally and through written report.
  • Ability to assess complex risk and produce care plans to manage this / Ability to manage complex decision making situations.
  • Ability to take responsibility for managing a caseload / Ability to organize and prioritise own workload.
  • Effective leadership skills / Ability to supervise junior staff and students / Teaching and assessing skills.
  • Ability to reflect and critically appraise own performance.
  • Ability to work effectively in stressful and emotionally charged situation. / Able to manage personal stress.
  • Previous experience of audit and research.

Other Requirements

Essential

  • IT skills i.e. Microsoft word, Email, Internet
Person Specification

Education & Qualifications

Essential

  • RMN/Diploma/Degree
  • Evidence of continued professional development In post-registration qualifications

Desirable

  • A post registration qualification in Older People
  • ENB 998

Experience

Essential

  • Post-registration experience in a range of clinical areas
  • Experience of working as member of a Multi -disciplinary team

Desirable

  • Experience of managing/supervision of staff.
  • Experience of working in a community setting
  • Experience of working with dementia
  • Experience of working with older adults

Knowledge

Essential

  • Knowledge of CPA, Risk Assessment and Risk Management Processes
  • Knowledge and understanding of the needs and rights of service users and their carers.
  • Knowledge of ethical/legal requirements within mental health nursing.
  • Knowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the community

Skills and Abilities

Essential

  • Effective communication skills both verbally and through written report.
  • Ability to assess complex risk and produce care plans to manage this / Ability to manage complex decision making situations.
  • Ability to take responsibility for managing a caseload / Ability to organize and prioritise own workload.
  • Effective leadership skills / Ability to supervise junior staff and students / Teaching and assessing skills.
  • Ability to reflect and critically appraise own performance.
  • Ability to work effectively in stressful and emotionally charged situation. / Able to manage personal stress.
  • Previous experience of audit and research.

Other Requirements

Essential

  • IT skills i.e. Microsoft word, Email, Internet

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).

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.

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).

Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

Westminster Older Adult Community Mental Health Team

3rd floor, 190 Vauxhall Bridge Road

London

SW1V 1DX


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

Westminster Older Adult Community Mental Health Team

3rd floor, 190 Vauxhall Bridge Road

London

SW1V 1DX


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Westminster CMHT manager

Anna Ribas Gonzalez

anna.ribasgonzalez@nhs.net

07596889224

Details

Date posted

05 July 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,471 to £50,364 a year p.a. inc HCAS (entitled to weekend supplement)

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

333-J-WE-0600

Job locations

Westminster Older Adult Community Mental Health Team

3rd floor, 190 Vauxhall Bridge Road

London

SW1V 1DX


Supporting documents

Privacy notice

Central and North West London NHS Foundation Trust's privacy notice (opens in a new tab)