Job summary
An exciting opportunity has arisen for a full time Band 7 - Older Adult Team Leader/ Clinical Nurse Specialist to join the Mental Health for Older Adults (MHOA) Liaison Team within our busy, multi-disciplinary Liaison Team based at St Thomas' Hospital.
The MHOA Liaison Team provides a Mon-Fri (9am-5pm) service to St Thomas' and Guys Hospitals (GSTT) offering urgent assessment and intervention to older adult patients attending the Emergency Department and those admitted to the inpatient wards. The service works closely with GSTT staff in a variety of medical settings.
You will be responsible forthe day to day clinical work, management and performance of the MHOA Liaison Team, ensuring that the service provided is in accordance with SLaM's Trust Values and objectives.
You will be expected to conduct specialist clinical assessments and support care pathways for old age patientscurrently in Guys or St Thomas' Hospital (GSTT), including the emergency department. To promote the detection of conditions such as delirium, dementia and depression, which, when undetected, may lengthen a patients stay in hospital. To ensure appropriate investigation, treatment during the admission and aftercare following discharge from hospital for patients.
Main duties of the job
You must have excellent clinical skills, be able to demonstrate an ability to complete complex, comprehensive mental state examinations, thoroughly assess risk, formulate safe and effective risk management plans and document this clearly. You will be expected to offer senior clinical advice and support to colleagues both within the liaison service and wider hospital. You should have sound experience of management of mental health emergencies, and crisis care in a variety of settings.
You will be able work autonomously, carrying out bio-psycho-social assessments and making decisions about patient pathways and treatment with awareness of when to seek advice and support from senior colleagues.
You will hold a sound working knowledge of common mental health disorders, the Mental Health Act, Mental Capacity Act and DOLs. A comprehensive knowledge of the important interface between physical and mental health is essential. A strong knowledge of prominent physical health problems within the older adult population is essential.
You will join the team at an exciting time as we are continuing to develop our service in line with the CORE 24 Model for Mental Health Liaison Services.
About us
SLaM employ around 4,800 people across South London and other sites in the UK. It is a diverse team of talented individuals, spanning a wide range of specialties and benefiting from many world-leading healthcare experts. We deliver more than 14,000 training experiences each year for our staff, providing an extensive range of learning opportunities. Staff can benefit from exceptional professional development opportunities and we will work with you to build your career in mental health. In addition, our working relationship with Kings Health Partners allows those working at the Trust to get involved in academic research.
Job description
Job responsibilities
For more detailed job description, please see attached JD.
ClinicalTo assess patients and supervise a specialist liaison service to people with mental health problems over the age of 65 who are being treated within GSTT.To provide strong and decisive clinical leadership to all staff within the team and work effectively as part of a MDT.To respond to referral and requests for advice in a professional and positive manner.To provide face to face assessments and consultations with service users, carers and clinical and non-clinical personnel within the Trust and externally.To devise and deliver treatment and management plans for patients seen within the service.To liaise with and refer on to hospital and community based mental health services, both within the Trust and externally; working closely with the Older Adult directorate in SLaM.
To make decisions regarding whether a person referred requires admission to mental health bed, requires intensive support from home treatment team, or can be discharged, referred to their GP or referred on to community mental health services or other agencies. This is largely anautonomous decision with referral to and discussion with team colleagues for a second opinion where appropriate.The post holder will be expected to work autonomously most of the time but must work collaboratively and in an integrated way with all other parts of the Trusts services.To monitor the teams performance and to ensure that data entry is accurate and that the team meets the required performance targets and KPIs set as a Lambeth Liaison Service.
ManagerialTo be responsible for ensuring that the Liaison Team works closely with the old age in-patient wards, frailty unit and Emergency Department of GSTT.To be responsible for ensuring that services provided by the Older Adult Liaison Team are of the highest standard in terms of fair access, equality of opportunity and anti-discriminatory practice.To be responsible for ensuring that procedures are in place within the Older Adult Liaison Team to support the receipt of referrals, assessments, allocation and closing of referrals that come through the system.To be responsible for ensuring that systems are in place to respond promptly, appropriately and in an open manner to complaints and enquiries about the work of the Liaison service.To ensure that clinical governance policy and procedures are implemented. To investigate serious incidents and complaints in accordance with the Trust policies.To undertake investigations into complaints and incidents, provide reports to the Clinical Service Lead as required and implement recommendations arising from these.
To be responsible for the effective staffing of the service through compilation of the e-Roster ensuring that staff with the appropriate skill and experience are on duty at all times.To ensure that arrangements are in place within the team for effective clinical assessment of all referrals, risk management and evaluation, making use of the professional skill mix within the team.To provide the Clinical Service Lead with regular feedback on the work of the Older Adult Liaison Team; represent the Older Adult Liaison Team at trust-wide operational meetings, providing feedback as required.
To work collaboratively with the Clinical Service Lead, and CMHT and HTT managers to ensure that the service meets the requirements of Core 24, PLAN standards, the MHA 2007, MCA and CPA
Job description
Job responsibilities
For more detailed job description, please see attached JD.
ClinicalTo assess patients and supervise a specialist liaison service to people with mental health problems over the age of 65 who are being treated within GSTT.To provide strong and decisive clinical leadership to all staff within the team and work effectively as part of a MDT.To respond to referral and requests for advice in a professional and positive manner.To provide face to face assessments and consultations with service users, carers and clinical and non-clinical personnel within the Trust and externally.To devise and deliver treatment and management plans for patients seen within the service.To liaise with and refer on to hospital and community based mental health services, both within the Trust and externally; working closely with the Older Adult directorate in SLaM.
To make decisions regarding whether a person referred requires admission to mental health bed, requires intensive support from home treatment team, or can be discharged, referred to their GP or referred on to community mental health services or other agencies. This is largely anautonomous decision with referral to and discussion with team colleagues for a second opinion where appropriate.The post holder will be expected to work autonomously most of the time but must work collaboratively and in an integrated way with all other parts of the Trusts services.To monitor the teams performance and to ensure that data entry is accurate and that the team meets the required performance targets and KPIs set as a Lambeth Liaison Service.
ManagerialTo be responsible for ensuring that the Liaison Team works closely with the old age in-patient wards, frailty unit and Emergency Department of GSTT.To be responsible for ensuring that services provided by the Older Adult Liaison Team are of the highest standard in terms of fair access, equality of opportunity and anti-discriminatory practice.To be responsible for ensuring that procedures are in place within the Older Adult Liaison Team to support the receipt of referrals, assessments, allocation and closing of referrals that come through the system.To be responsible for ensuring that systems are in place to respond promptly, appropriately and in an open manner to complaints and enquiries about the work of the Liaison service.To ensure that clinical governance policy and procedures are implemented. To investigate serious incidents and complaints in accordance with the Trust policies.To undertake investigations into complaints and incidents, provide reports to the Clinical Service Lead as required and implement recommendations arising from these.
To be responsible for the effective staffing of the service through compilation of the e-Roster ensuring that staff with the appropriate skill and experience are on duty at all times.To ensure that arrangements are in place within the team for effective clinical assessment of all referrals, risk management and evaluation, making use of the professional skill mix within the team.To provide the Clinical Service Lead with regular feedback on the work of the Older Adult Liaison Team; represent the Older Adult Liaison Team at trust-wide operational meetings, providing feedback as required.
To work collaboratively with the Clinical Service Lead, and CMHT and HTT managers to ensure that the service meets the requirements of Core 24, PLAN standards, the MHA 2007, MCA and CPA
Person Specification
Qualifications
Essential
- Registered Mental Health Nurse/AHP with live registration
- Evidence of recent continued professional development
- Mentorship Qualification
Desirable
- Evidence of other advanced education/ training relating to Liaison Services/ PLAN
- Management Course
Experience
Essential
- A sound understanding of how to assess and meet the needs of older adults with acute mental illness at a senior clinical level
- Experience in the management of psychiatric crises and emergencies for older adults.
- Experience of developing and facilitating specialist teaching for staff
- Experience of providing clinical supervision and appraisal and management of others
Desirable
- Experience of conducting audits, Data reviews and QIPs
- Experience of managing conflict effectively
Skills
Essential
- Ability to make decisions on whether to discharge, refer on or admit service users following a comprehensive assessment and evaluation of risk.
- Outstanding skills in building and maintaining high standards of professional links and communication channels with a variety of personnel and agencies
Desirable
- Experience with rostering
Person Specification
Qualifications
Essential
- Registered Mental Health Nurse/AHP with live registration
- Evidence of recent continued professional development
- Mentorship Qualification
Desirable
- Evidence of other advanced education/ training relating to Liaison Services/ PLAN
- Management Course
Experience
Essential
- A sound understanding of how to assess and meet the needs of older adults with acute mental illness at a senior clinical level
- Experience in the management of psychiatric crises and emergencies for older adults.
- Experience of developing and facilitating specialist teaching for staff
- Experience of providing clinical supervision and appraisal and management of others
Desirable
- Experience of conducting audits, Data reviews and QIPs
- Experience of managing conflict effectively
Skills
Essential
- Ability to make decisions on whether to discharge, refer on or admit service users following a comprehensive assessment and evaluation of risk.
- Outstanding skills in building and maintaining high standards of professional links and communication channels with a variety of personnel and agencies
Desirable
- Experience with rostering
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).
