Job summary
The South Gloucestershire Recovery Outreach Service & Engagement (ROSE) Team is seeking an experienced and motivated Band 6 Specialist ROSE Practitioner - Care Coordinator to join a dynamic, psychologically informed service dedicated to supporting adults with complex mental health needs.
As part of the South Gloucestershire Recovery Team, you will work with individuals who are hard to engage, have high hospital admission rates, and experience severe and enduring mental illness. With a capped caseload of 15, you will have the opportunity to deliver flexible, creative, and person-centred interventions that improve service users' quality of life.
You will join a friendly, experienced, and supportive team committed to recovery-focused, holistic care and led by a Senior Practitioner.
Main duties of the job
Deliver assertive outreach and enhanced engagement interventions to individuals with complex mental health needs.
Undertake comprehensive mental health assessments using tools such as the Cluster Allocation Support Tool (CAST), Recovery Star, and KGV.
Act as a care Keyworker for complex cases and deliver defined therapeutic interventions, including:
CBT, DBT-informed work, and other psychological therapies.
Psychosocial and motivational strategies.
Medication management and physical health support.
Interventions under the Mental Health Act.
Build and maintain effective therapeutic relationships, promoting recovery and social inclusion.
Work collaboratively with families, carers, and multidisciplinary partners, including primary care, inpatient teams, and voluntary services.
Support the development of Personal well being plans, crisis and contingency plans with service users and stakeholders.
Lead, supervise, and mentor other staff and students in the team, contributing to service development and best practice.
Maintain accurate, timely electronic health records and ensure performance and safeguarding standards are met.
About us
We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust):a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.
We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.
Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.
AWP is committed to support and create a positive research and evidence-based environment and culture, which can have a beneficial impact on everyone who works for the organisation and the care we provide to those who use our services.
At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.
Job description
Job responsibilities
To undertake the full range of activities required to deliver ongoing comprehensive mental health assessment for service users with severe and enduring mental health needs living in the community and in a range of settings. This will include:
The use of standardised assessment tools, i.e., Personal Wellbeing Plans, Safety Assessments.
History, strengths and aspirations.
Mental state.
Impact of culture and diversity.
Functional needs.
The needs of family and carer.
Evaluation of risk.
Physical health.
Complicating factors.
The interventions and treatments required to enable positive change.
Social care needs.
Safeguarding and public protection.
Capacity under the Mental Capacity Act.
To be responsible for developing delivering and reviewing comprehensive and complex treatment programmes using appropriate frameworks in line with evidence based practice, including strategies to manage risk for service users with complex needs and carers, bringing in other resources as required.
To act as care coordinator for service users with the most complex needs, also providing defined interventions to individuals on other workers caseloads.
To plan, deliver and evaluate defined, specialist therapeutic interventions as indicated in the assessment process, in line with personal recovery plans, including to service users who maybe on other caseloads. This might include:
Individual or group therapeutic intervention.
Psychological treatments such as CBT, DBT approaches, family interventions.
Psychosocial interventions.
Motivational and coping enhancement strategies.
Medication management.
Interventions under the Mental Health Act.
To deliver a range of defined activities/interventions to improve the carers ability to support the service user and to enable them in their relationship with the service user.
To develop and maintain good partnership working with other services throughout all treatment episodes, including regular liaison within Primary Health Care Team, inpatient and intensive services, day services, voluntary sector and with nominated carers/advocates.
In collaboration with service users and carers, to be responsible for facilitating the development of complex comprehensive crisis plans, rapid access plans, advance statements etc, involving other agencies such as primary care etc where appropriate.
To personally build and lead others to build, hope inspiring relationships with service users, which acknowledge the personal journey of each person, and focus on strengths and aspirations to allow the creation of meaningful personal recovery plans.
To be responsible for maintaining own workload, as well as planning the workload of others, on a day-to-day basis, ensuring that time is prioritised effectively, utilising of electronic resources such as diaries/scheduling.
To be responsible for the protection of individuals from abuse and harm in line with local safeguarding policies and procedures, including working with others in the planning development and review of protection plans, ensuring the appropriate sharing of information.
Coordinating and undertaking protective interventions which may be required in the protection of others, as outlined in the protection plan, taking individual action where indicated.
Personally and leading others to collaboratively and sensitively work with individuals, with a range of mental health needs to develop skills to manage their own health, in accordance with their personal recovery plan, by actively promoting and using approaches which are affirming, build on strengths, identify past positive experiences and success, and use small steps to move towards the persons goal.
Undertake active clinical leadership and supervision within the team, covering for the manager and colleagues as required.
To maintain the single health and social care record, ensuring both paper and electronic records are kept up to date in accordance with professional and organisational standards.
Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.
To participate in management, caseload and clinical supervision in accordance with trust policy.
To provide mentoring/training for others in relevant practice areas, according to professional requirements, taking a collaborative approach to practice development and evidence-based care. Specifically this means providing a safe and effective learning environment for the mentoring and supervising of students, participating in their learning objectives and assessments.
Demonstrate responsibility for developing own practice in line with professional qualifications and for contributing to the development of others, by making use of and providing, effective feedback, supervision, coaching and appraisal.
Monitor and maintain health, safety and security of self and others, undertaking assessments and taking appropriate action where required.
Develop own knowledge and practice, and contribute to the development of others, making use of available feedback, supervision and appraisal to identify appropriate areas of development for this work role, taking responsibility for accessing identified learning and training opportunities.
Lead, maintain and participate in practices which enable effective team working.
To participate in local arrangements in order to ensure consistent care to service users across the local geography.
Job description
Job responsibilities
To undertake the full range of activities required to deliver ongoing comprehensive mental health assessment for service users with severe and enduring mental health needs living in the community and in a range of settings. This will include:
The use of standardised assessment tools, i.e., Personal Wellbeing Plans, Safety Assessments.
History, strengths and aspirations.
Mental state.
Impact of culture and diversity.
Functional needs.
The needs of family and carer.
Evaluation of risk.
Physical health.
Complicating factors.
The interventions and treatments required to enable positive change.
Social care needs.
Safeguarding and public protection.
Capacity under the Mental Capacity Act.
To be responsible for developing delivering and reviewing comprehensive and complex treatment programmes using appropriate frameworks in line with evidence based practice, including strategies to manage risk for service users with complex needs and carers, bringing in other resources as required.
To act as care coordinator for service users with the most complex needs, also providing defined interventions to individuals on other workers caseloads.
To plan, deliver and evaluate defined, specialist therapeutic interventions as indicated in the assessment process, in line with personal recovery plans, including to service users who maybe on other caseloads. This might include:
Individual or group therapeutic intervention.
Psychological treatments such as CBT, DBT approaches, family interventions.
Psychosocial interventions.
Motivational and coping enhancement strategies.
Medication management.
Interventions under the Mental Health Act.
To deliver a range of defined activities/interventions to improve the carers ability to support the service user and to enable them in their relationship with the service user.
To develop and maintain good partnership working with other services throughout all treatment episodes, including regular liaison within Primary Health Care Team, inpatient and intensive services, day services, voluntary sector and with nominated carers/advocates.
In collaboration with service users and carers, to be responsible for facilitating the development of complex comprehensive crisis plans, rapid access plans, advance statements etc, involving other agencies such as primary care etc where appropriate.
To personally build and lead others to build, hope inspiring relationships with service users, which acknowledge the personal journey of each person, and focus on strengths and aspirations to allow the creation of meaningful personal recovery plans.
To be responsible for maintaining own workload, as well as planning the workload of others, on a day-to-day basis, ensuring that time is prioritised effectively, utilising of electronic resources such as diaries/scheduling.
To be responsible for the protection of individuals from abuse and harm in line with local safeguarding policies and procedures, including working with others in the planning development and review of protection plans, ensuring the appropriate sharing of information.
Coordinating and undertaking protective interventions which may be required in the protection of others, as outlined in the protection plan, taking individual action where indicated.
Personally and leading others to collaboratively and sensitively work with individuals, with a range of mental health needs to develop skills to manage their own health, in accordance with their personal recovery plan, by actively promoting and using approaches which are affirming, build on strengths, identify past positive experiences and success, and use small steps to move towards the persons goal.
Undertake active clinical leadership and supervision within the team, covering for the manager and colleagues as required.
To maintain the single health and social care record, ensuring both paper and electronic records are kept up to date in accordance with professional and organisational standards.
Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.
To participate in management, caseload and clinical supervision in accordance with trust policy.
To provide mentoring/training for others in relevant practice areas, according to professional requirements, taking a collaborative approach to practice development and evidence-based care. Specifically this means providing a safe and effective learning environment for the mentoring and supervising of students, participating in their learning objectives and assessments.
Demonstrate responsibility for developing own practice in line with professional qualifications and for contributing to the development of others, by making use of and providing, effective feedback, supervision, coaching and appraisal.
Monitor and maintain health, safety and security of self and others, undertaking assessments and taking appropriate action where required.
Develop own knowledge and practice, and contribute to the development of others, making use of available feedback, supervision and appraisal to identify appropriate areas of development for this work role, taking responsibility for accessing identified learning and training opportunities.
Lead, maintain and participate in practices which enable effective team working.
To participate in local arrangements in order to ensure consistent care to service users across the local geography.
Person Specification
Application form and Interview
Essential
- Experience of work within a community mental health team
- Experience of working with Assertive outreach clients
Desirable
- Working within an assertive outreach team
- Additional training in Psychosis and Bipolar
- Experience with Social care tasks, including care act and capacity Ax
Person Specification
Application form and Interview
Essential
- Experience of work within a community mental health team
- Experience of working with Assertive outreach clients
Desirable
- Working within an assertive outreach team
- Additional training in Psychosis and Bipolar
- Experience with Social care tasks, including care act and capacity Ax
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).
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