Job responsibilities
1. To undertake the full range of activities required to deliver an ongoing comprehensive mental health service.
2. To facilitate the delivery of Personalised Care and Support Planning in line with the Your Team, Your Conversation-Your Plan Policy and guidance.
To work to the Principles of your team - your conversation - your plan:- Coproduce a Personal Wellbeing Plan in collaboration with service users, focused on Human Rights and Equalities, Transparent and positive approach to working with risk. Proportionate. Trauma informed.
To provide care and support in line with the three quality pillars: - Building relationships with people. Spending time reflecting on what might be helpful. Communicating well with all people involved, friends, family and carers.
Your Team to facilitate a team around the person approach; working collaboratively with peoples social networks and with a range of agencies.
Your Conversation to have regular personalised support conversations with people you are working with. To take dialog outcome measures within the conversations and to use these strength-based conversations to co-create advance plans to keep people well and safe in the future.
Your Plan to use Support Conversations to co-create and refresh the Personal Wellbeing Plan.
3. To record risk incidents and to collaboratively create and update Safety Assessments and Safety Plans
4. To provide personalised interventions to support people with Mental Health difficulties
5. To sometimes act as a Keyworker for people to whom you are delivering interventions. A keyworker is someone who is the key point of contact for people and their families and other teams and services. Although it is everyones responsibility, Keyworkers take a lead role in making sure that everyone who is working with the person understands the plan and is working together as a team. Keyworkers take a lead responsibility for having Support Conversations and making sure that the Personal Wellbeing Plan makes sense.
6. To plan, deliver and evaluate defined, non-profession specific specialist therapeutic interventions. This might include:
Individual or group therapeutic intervention using occupational therapy principles, models and evidence base.
Psychological treatments such as CBT, DBT approaches , family interventions
Psychosocial interventions
Motivational and coping enhancement strategies.
Medication management (supporting medication concordance using occupational solutions and assistive technology)
7. To plan, deliver and evaluate Nursing Interventions as a member of a Multi- Disciplinary Team.
Be aware of and demonstrate skills in the Must-do actions for mental health nurses and demonstrate the valuable personal qualities of a mental health nurse as outlined in the NHSE Mental-Health-Nurses-Handbook.
Demonstrate effective leadership qualities, as reinforced in the NMC Code, that all nurses demonstrating leadership behaviours regardless of whether they occupy formal leadership positions.
Actively initiate collaborative assessments, goal setting and planning to enable decision making when working with service users and their families, using appropriate communication skills and strength based approaches.
Identify service user needs through effective assessment and use the information obtained to plan individualised nursing care using a range of contemporary assessment and improvement tools.
To influence developments that improve the persons experience, whilst advocating on behalf of service users.
Uphold and fulfil the nursing interventions seen as most effective and helpful for mental health service-users such as 1:1 support/time to focus and explain the clinical, social, practical options for treatment and best available evidence, as well as knowing/advising when to use medication.
Demonstrate high-level knowledge of biopsychosocial approaches/interventions.
Collaboratively undertake safety assessments and crisis and contingency planning to create personal safety plans, recognising situations that may increase risk, ensuring prompt action is taken to safeguard those who are vulnerable.
Proactively respond to signs of deterioration or distress in mental, physical, cognitive and behavioural health.
Recognise the need for liaison with and/or referral to external organisations and/or local authorities for consideration of unmet care or physical health needs.
Be aware and adhere to physical health monitoring requirements.
Organise or deliver a range of psychosocially-informed interventions in accordance with NICE guidelines, in line with post nursing registration training, competence and confidence.
Use evidence-based practice, health promotion and motivational techniques to support service users to undertake activities of healthy daily living including personal care, sexual health, sleep hygiene, skin integrity, mobility and adaptation, incontinence, bladder and bowel health.
Understand and apply principles of safe and effective administration and optimisation of medicines in accordance with local and national policies.
Support and supervise newly qualified practitioners, Nursing students, Nursing Associates, or support worker colleagues in the delivery of nursing care, promoting reflection and providing constructive feedback.
Work in line with the Community Mental Health Framework to guide MDT approaches to care, supporting the service user journey, proactively identifying and overcoming barriers to care delivery, at times of increased need, between care settings, and at point of discharge.
8. To work as a member of a Multi-Disciplinary Team, assisting it to function well. Providing profession specific leadership, input and understanding, respecting and utilising the input of other professionals to enhance the overall quality of support provided.
9. To deliver a range of defined activities/interventions to support Carers.
10. 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.
11. 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.
12. 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.
13. Undertake active clinical leadership and supervision within the team, covering for the manager and colleagues as required.
14. 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.
15. Report and record within agreed timeframes, all activity relating to information reporting and performance requirements.
16. To participate in management, caseload and clinical supervision in accordance with trust policy.
17. 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 assessment and supervision of students , participating in their learning objectives and assessments
18. 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.
19. Monitor and maintain health, safety and security of self and others, undertaking assessments and taking appropriate action where required.
20. 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.
21. Lead, maintain and participate in practices which enable effective team working.
22. To participate in on call rotas as required.
23. To participate in local arrangements in order to ensure consistent care to people across the local geography.
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