Job summary
The Trust Home Treatment Teams provide 24hr, 7 day a week, crisis assessment and intensive home treatment to patients with the aim of preventing in- patient admission where possible or if admission is required facilitating earlier discharge.
The post holder will work as an experienced mental health professional (Nurse, OT or Social Worker) who acting within their own professional boundaries will provide care for presenting service users from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care.
Main duties of the job
Advanced Practitioners co-ordinate multidisciplinary working, maintaining excellent communication and working relationships with all team members, and other services within the Trust, to ensure effective interface and continuity of care between disciplines and services. They are expected to pro-actively manage the caseload ensuring that the service maintains a robust throughput of patients.
Advanced Practitioners undertake assessments and home visits whilst exhibiting the ability to balance both clinical demands and managerial responsibilities. They will be available shift to shift to consult and take a lead in the treatment of more complex and/or high risk cases demonstrating safe clinical decision-making and expert care, including assessment diagnostic skills and effective interventions . The post holder will be able to demonstrate critical thinking in the clinical decision making process. They will work with the multi-professional team to meet the needs of the service users and provide clinical professional supervision and leadership to the team
The post holder will provide management support as delegated by the Clinical Services lead, including supervision of staff, team training and service development initiatives. It is expected that the postholder be responsible for organising the roster ensuing safe staffing at all times. They will also be expected to deputise for the Clinical Service Lead in their absence.
About us
Lambeth Clinical Commissioning Group and Lambeth Council want people of Lambeth to have a fully integrated and coordinated mental health system which focuses on people's strengths and supports their whole health and wellbeing. They have commissioned the Lambeth Living Well Network (LWN) Alliance to lead, co-ordinate and, in large part, deliver support and services for those experiencing mental health issues in Lambeth. The LWN Alliance is responsible for the large majority of the adult mental health services in Lambeth, including the existing Living Well Network as well as all inpatient and community care.
The LWN Alliance functions as a virtual organisation, bringing together Certitude, Lambeth Clinical Commissioning Group, Lambeth Council South London & Maudsley NHS FT and Thames Reach. The expertise and perspectives of its member organisations to deliver the mandate as set by Lambeth CCG and Council. The objectives of the LWN Alliance are to:
- Improve access to support - including easier early access and a rapid crisis response;
- Integrate and coordinate care and support for people and their networks across Lambeth;
- Reduce the inequalities experienced by people experiencing mental health problems;
- Manage demand and resources effectively; and
- Drive culture change - including leadership and asset-based working.
Job description
Job responsibilities
- To ensure thorough risk assessment of all service users is line with policy standards
- To ensure that the team assess, diagnose, plan, implement and evaluate effective interventions for service users presenting with mental health diagnoses and any co morbid conditions, and to be available to advise on the most complex and high risk cases
- To ensure the team assesses capacity and provides safe treatment and care to those who may lack capacity.
- Rapidly and continuously evaluates the patients changing condition and response to therapeutic interventions and modifies the plan of care for optimal patient outcome.
- Attend high risk or crisis situations to provide management advice and clinical intervention
- To operate within the legal requirements of the Mental Health Act and be able to exercise independent judgement in the assessment and diagnosis of mental health conditions.
- To assist the team to effectively prioritise demands on its resources shift by shift, including rapid response to emergencies.
- Assess and escalate the need to refer service users presenting with complex long term conditions (e.g. diabetes, asthma,) to appropriate secondary and primary care services as recommended by national and local guidance.
- Maintain relevant clinical and pharmaceutical knowledge, critically appraise and apply information in practice
- To ensure the team promotes and delivers evidence based care for service users with mental health conditions
- To ensure the team supports service users to adopt recovery strategies that promote their wellbeing, healthy lifestyle, independence and self care.
- To ensure the team promotes the involvement of families/carers in patient care reflecting their diversity, equality and rights to ensure patients needs are met.
- To ensure the team meets the needs of carers, including the offer of specific carer assessment and support
- Participates in planning, development, and implementation of public and community health programmes alongside the Clinical Service Lead.
- To ensure that infection control measures are applied within the teams practice according to local and national policies.
- To ensure safe staffing levels and oversee appropriate lone working practices
- Communicates the patients health status using appropriate terminology, format, and technology
- Use expert communication skills to provide accurate information to service users and their families and carers in a sensitive and professional manner.
- Use and demonstrate sensitive communication strategies to ensure that service users are fully informed and consent to care/ treatment.
- Act as an advocate for service users.
- Establish effective communication and actively promote health education that may include providing alternative materials to support service users and carers in making decisions regarding their care and treatment
- Liaise and communicate effectively with multidisciplinary and primary care teams across health and social care boundaries, ensuring management of throughput
- Responsible for the safe and effective discharge of patients and smooth transition of care from HTT to other services.
- Ensure the team communicates effectively as a whole, including use of productive handovers, MDT meetings and team members use of the electronic patient record.
- Maintain accurate and contemporaneous records of health assessment, implementation and evaluation of management and therapeutic interventions.
- Ensure effective liaison with all parts of the service including daily communication with those responsible for gatekeeping, bed management and accurate data collection.
- On a day to day basis acts as the go to senior person on the shift.
- To professionally maintain accurate records and ensure that standards of record keeping are maintained by those supervised by the post holder.
- Ensures that through the supervisory structure high standards are maintained for clinical activity including making sure robust risk assessments are undertaken and documented along with sound care planning.
- To assist in the monitoring of safe practice and take a lead on fact--finding investigations in the team.
- To take a lead on all Safeguarding issues within the team on a shift by shift basis
- Provides the highest standard of professional and expert clinical leadership that influences advanced level of practice in mental health and demonstrates positive role modelling of this role within their profession.
- Support staff development within their clinical and professional competencies.
- Encourage other staff to self assess their knowledge and skills of mental health practice, and challenge actions that are not in the interest of service users or the public.
- Evaluate and review with the Clinical Service Lead service provision and innovations, and take a lead on clinical audits across the service.
- To contribute to the consultation and engagement of service users in planning and developing services.
- Contribute to the development, implementation and evaluation of evidence based policies, procedures and guidelines relevant to the care of people with mental health conditions.
- Encourage staff members to utilise resources to attain and maintain high levels of care.
- To participate in clinical governance initiatives as agreed by the directorate clinical governance committee
- Promote a culture of learning and continuous service improvement amongst the team
- To work in accordance with the professional Code of Conduct and ensure that standards of practice are upheld
- To receive regular clinical supervision from the Clinical Service Lead
- Maintain and develop own professional knowledge and competence by keeping informed of advances and research pertaining to mental health care.
- To be responsible for the clinical supervision of team colleagues
- Initiate training and assessment of competencies to appropriate members of staff.
- Develop structured programmes of education for staff
- Work effectively with both the Consultant Psychiatrist and the Clinical Service Lead to ensure that the team has sufficiently skilled staff to meet the current or future workforce requirements for the service.
- Will work with the MDT to develop outcome measures that demonstrate improvements in the delivery of healthcare programmes
- Act as a role model in the observance and delivery of equality and diversity in practice
- Initiate and participate in areas of clinical research, audit, benchmarking and trials in order to improve effectiveness of care, and feedback results to the team
- Adhere to Trust policies and procedures.
- Maintain a safe environment for all staff and visitors, taking reasonable care to avoid injury. Co-operate with the Trust to meet statutory requirements.
- Provide statements regarding untoward incidents, as requested by line manager.
- Ensure all staff attend Trust mandatory training annually
- Maintain registration and professional competencies and comply with professional Code of Professional Conduct and related documents.
Job description
Job responsibilities
- To ensure thorough risk assessment of all service users is line with policy standards
- To ensure that the team assess, diagnose, plan, implement and evaluate effective interventions for service users presenting with mental health diagnoses and any co morbid conditions, and to be available to advise on the most complex and high risk cases
- To ensure the team assesses capacity and provides safe treatment and care to those who may lack capacity.
- Rapidly and continuously evaluates the patients changing condition and response to therapeutic interventions and modifies the plan of care for optimal patient outcome.
- Attend high risk or crisis situations to provide management advice and clinical intervention
- To operate within the legal requirements of the Mental Health Act and be able to exercise independent judgement in the assessment and diagnosis of mental health conditions.
- To assist the team to effectively prioritise demands on its resources shift by shift, including rapid response to emergencies.
- Assess and escalate the need to refer service users presenting with complex long term conditions (e.g. diabetes, asthma,) to appropriate secondary and primary care services as recommended by national and local guidance.
- Maintain relevant clinical and pharmaceutical knowledge, critically appraise and apply information in practice
- To ensure the team promotes and delivers evidence based care for service users with mental health conditions
- To ensure the team supports service users to adopt recovery strategies that promote their wellbeing, healthy lifestyle, independence and self care.
- To ensure the team promotes the involvement of families/carers in patient care reflecting their diversity, equality and rights to ensure patients needs are met.
- To ensure the team meets the needs of carers, including the offer of specific carer assessment and support
- Participates in planning, development, and implementation of public and community health programmes alongside the Clinical Service Lead.
- To ensure that infection control measures are applied within the teams practice according to local and national policies.
- To ensure safe staffing levels and oversee appropriate lone working practices
- Communicates the patients health status using appropriate terminology, format, and technology
- Use expert communication skills to provide accurate information to service users and their families and carers in a sensitive and professional manner.
- Use and demonstrate sensitive communication strategies to ensure that service users are fully informed and consent to care/ treatment.
- Act as an advocate for service users.
- Establish effective communication and actively promote health education that may include providing alternative materials to support service users and carers in making decisions regarding their care and treatment
- Liaise and communicate effectively with multidisciplinary and primary care teams across health and social care boundaries, ensuring management of throughput
- Responsible for the safe and effective discharge of patients and smooth transition of care from HTT to other services.
- Ensure the team communicates effectively as a whole, including use of productive handovers, MDT meetings and team members use of the electronic patient record.
- Maintain accurate and contemporaneous records of health assessment, implementation and evaluation of management and therapeutic interventions.
- Ensure effective liaison with all parts of the service including daily communication with those responsible for gatekeeping, bed management and accurate data collection.
- On a day to day basis acts as the go to senior person on the shift.
- To professionally maintain accurate records and ensure that standards of record keeping are maintained by those supervised by the post holder.
- Ensures that through the supervisory structure high standards are maintained for clinical activity including making sure robust risk assessments are undertaken and documented along with sound care planning.
- To assist in the monitoring of safe practice and take a lead on fact--finding investigations in the team.
- To take a lead on all Safeguarding issues within the team on a shift by shift basis
- Provides the highest standard of professional and expert clinical leadership that influences advanced level of practice in mental health and demonstrates positive role modelling of this role within their profession.
- Support staff development within their clinical and professional competencies.
- Encourage other staff to self assess their knowledge and skills of mental health practice, and challenge actions that are not in the interest of service users or the public.
- Evaluate and review with the Clinical Service Lead service provision and innovations, and take a lead on clinical audits across the service.
- To contribute to the consultation and engagement of service users in planning and developing services.
- Contribute to the development, implementation and evaluation of evidence based policies, procedures and guidelines relevant to the care of people with mental health conditions.
- Encourage staff members to utilise resources to attain and maintain high levels of care.
- To participate in clinical governance initiatives as agreed by the directorate clinical governance committee
- Promote a culture of learning and continuous service improvement amongst the team
- To work in accordance with the professional Code of Conduct and ensure that standards of practice are upheld
- To receive regular clinical supervision from the Clinical Service Lead
- Maintain and develop own professional knowledge and competence by keeping informed of advances and research pertaining to mental health care.
- To be responsible for the clinical supervision of team colleagues
- Initiate training and assessment of competencies to appropriate members of staff.
- Develop structured programmes of education for staff
- Work effectively with both the Consultant Psychiatrist and the Clinical Service Lead to ensure that the team has sufficiently skilled staff to meet the current or future workforce requirements for the service.
- Will work with the MDT to develop outcome measures that demonstrate improvements in the delivery of healthcare programmes
- Act as a role model in the observance and delivery of equality and diversity in practice
- Initiate and participate in areas of clinical research, audit, benchmarking and trials in order to improve effectiveness of care, and feedback results to the team
- Adhere to Trust policies and procedures.
- Maintain a safe environment for all staff and visitors, taking reasonable care to avoid injury. Co-operate with the Trust to meet statutory requirements.
- Provide statements regarding untoward incidents, as requested by line manager.
- Ensure all staff attend Trust mandatory training annually
- Maintain registration and professional competencies and comply with professional Code of Professional Conduct and related documents.
Person Specification
Education
Essential
- Recognised Professional Qualification in Nursing (RMN), Social Work (Dip SW/CQSW) or Occupational Therapy
- Post registration qualification in specialty
- Recognised leadership qualification or equivalent experience
Skills & Abilities
Essential
- Proven leadership skills through experience of leading a team
- Ability to analyse complex issues/problems, gather relevant information and exercise sound judgement in reaching the most appropriate conclusions.
- Strong commitment to improving patient services with a clear focus on achieving performance goals
- Organisational and people management skills Proven ability to effectively manage change
- Good time management skills, with the ability to meet deadlines and work effectively under pressure
- Competence in provision of clinical supervision Sound IT skills (incl email and office packages)
Knowledge & Experience
Essential
- Substantial relevant post registration experience
- Comprehensive experience at local leadership level within specialty
- Sound knowledge and understanding of current issues in specialty
- Experience and knowledge of quality, standard setting and audit
- Experience in managing complaints and quality assurance
Person Specification
Education
Essential
- Recognised Professional Qualification in Nursing (RMN), Social Work (Dip SW/CQSW) or Occupational Therapy
- Post registration qualification in specialty
- Recognised leadership qualification or equivalent experience
Skills & Abilities
Essential
- Proven leadership skills through experience of leading a team
- Ability to analyse complex issues/problems, gather relevant information and exercise sound judgement in reaching the most appropriate conclusions.
- Strong commitment to improving patient services with a clear focus on achieving performance goals
- Organisational and people management skills Proven ability to effectively manage change
- Good time management skills, with the ability to meet deadlines and work effectively under pressure
- Competence in provision of clinical supervision Sound IT skills (incl email and office packages)
Knowledge & Experience
Essential
- Substantial relevant post registration experience
- Comprehensive experience at local leadership level within specialty
- Sound knowledge and understanding of current issues in specialty
- Experience and knowledge of quality, standard setting and audit
- Experience in managing complaints and quality assurance
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).
