Job summary
An exciting fixed term opportunity has arisen for an experienced Mental Health or Learning Disability Nurse with working knowledge and experience of locked and secure hospitals, alongside essential knowledge of our local Dynamic Support Pathway.
The fixed term offers an opportunity to work within a well-established and committed LDA- Admission Avoidance and Discharge team within the NHS Herefordshire and Worcestershire ICB. Working directly with people in crisis and navigating our local Health, Education and Social Care systems together to avoid admission, and overseeing timely discharges from specialist MH hospitals.
This role will involve chairing Care, Education and Treatment reviews (CETR) and completing Quality Assurance reviews of locked services commissioned by the ICB across MH and LDA services.
Main duties of the job
The post holder will require knowledge and experience to review the quality and effectiveness of placements, for adults, children and young people with complex Mental Health and a formal diagnosis of a Learning Disability and/ or Autism, to ensure services are meeting assessed needs.
The post holder will need to have a good knowledge and understanding of the LDA admission avoidance pathway and Mental Health Act. Experience of chairing Care, (Education) and Treatment Reviews (C(E)TR), alongside an excellent knowledge of the Dynamic Support Pathway (DSP). They will carry out complex reviews and interventions often in challenging or crisis circumstances for all age group of people, at times when individuals may be presenting with risky behaviors related to their personal situation.
NHS Herefordshire and Worcestershire Learning Disability and Autism (LDA) Admission Avoidance formally Transforming Care Programme (TCP), forms part of the systems NHS long term LDA plan to supporting autistic people and people with Learning disability to avoid admissions to inpatients services and step down from locked, CAMHS T4 and secure in- patient services as soon as it is safe to do so.
The post holder will be expected to complete Quality Assurance visits to specialist locked hospitals.
Please note that the post holder will be required to travel to services across the country to make face to face contact to with individuals they are working with.
About us
Key Working Relationships
Internal:
The post holder will maintain and develop working relationships within our integrated care system health, education and social care specialist teams, who provide case management to individuals known to the DSR the LDA admission avoidance team, as well as reviewing complex health assessment and intervention to support children, young people and adults within pathway.
External:
The post holder will work people in receipt of services their families and carers. They will work alongside people with lived experience to inform and support the delivery of the LDA admission avoidance programme. They will also work with external providers of in-patient services and community provision, NHS England specialist commissioners. A broad range of professionals and members of voluntary services that support the programme, initiating clear navigation across services aiming progress the individual to ensure they are in receipt of the right support at the right time.
Job description
Job responsibilities
Key Duties and Responsibilities
To co-work with the Care Co-Ordinator/case manager and within the health, education and social care systems, delivering a collaborative person-centred approach to progress a timely discharge and avoid admission. Utilise their professional knowledge and experience to inform their clinical and commissioning oversight of the individual to be instrumental in system navigation, to ensure the person remains at the centre of their care and treatment. To chair and attend Care (Education) and treatment reviews C(E)TRs for people in in-patient services. Chair preadmission, inpatient and post discharge C(E)TRs supporting the admission avoidance pathways that are well established and identify and escalate any gaps in the system that lead to admission or delay discharges. To ensure the person is not being cared for in a restrictive setting for longer than they are clinically assessed to be. To ensure a least restrictive setting as close to home as possible is being considered. To ensure that the Quality assurance standards are met, and service providers implement outcome recovery pathways for individuals to enable the person to develop new skills that support them to live in the community, promoting a timely discharge. To maintain reporting systems which monitor the discharge pathways with providers. Review and monitor the recommendations of C(E)TRs and/or recovery outcomes for individual commissioned on section 117 after care when appropriate. Work within the admission avoidance pathways to support those being discharged back into the community to ensure that the assessed needs are being meet within their placement with particular regard to race, religion, culture, ethnicity, disability or sexual orientation. To attend and be an active member of MDT meetings bring services together to support timely discharge. Coordinate the development of the individual specification required to inform timely discharge. Lead liaison with LA commissioners to support the development of suitable, sustainable accommodation for people returning to H & W following admission. To review and monitor the PBS and risk management plans to ensure they meet assessed needs and inform commissioning intentions appropriately for the person. Provide advice and direction as required to inpatient and community teams bringing services together to meet needs holistically. To act as a senior clinical member of the NHSICB commissioning teams and play a lead role in safeguarding vulnerable adults by leading Adult Protection Investigations where appropriate. Complete Quality Assurance visits. Manage and respond to queries from GPs, Consultants, Clinicians and patients/carers advising on placement quality and outcome.
Job description
Job responsibilities
Key Duties and Responsibilities
To co-work with the Care Co-Ordinator/case manager and within the health, education and social care systems, delivering a collaborative person-centred approach to progress a timely discharge and avoid admission. Utilise their professional knowledge and experience to inform their clinical and commissioning oversight of the individual to be instrumental in system navigation, to ensure the person remains at the centre of their care and treatment. To chair and attend Care (Education) and treatment reviews C(E)TRs for people in in-patient services. Chair preadmission, inpatient and post discharge C(E)TRs supporting the admission avoidance pathways that are well established and identify and escalate any gaps in the system that lead to admission or delay discharges. To ensure the person is not being cared for in a restrictive setting for longer than they are clinically assessed to be. To ensure a least restrictive setting as close to home as possible is being considered. To ensure that the Quality assurance standards are met, and service providers implement outcome recovery pathways for individuals to enable the person to develop new skills that support them to live in the community, promoting a timely discharge. To maintain reporting systems which monitor the discharge pathways with providers. Review and monitor the recommendations of C(E)TRs and/or recovery outcomes for individual commissioned on section 117 after care when appropriate. Work within the admission avoidance pathways to support those being discharged back into the community to ensure that the assessed needs are being meet within their placement with particular regard to race, religion, culture, ethnicity, disability or sexual orientation. To attend and be an active member of MDT meetings bring services together to support timely discharge. Coordinate the development of the individual specification required to inform timely discharge. Lead liaison with LA commissioners to support the development of suitable, sustainable accommodation for people returning to H & W following admission. To review and monitor the PBS and risk management plans to ensure they meet assessed needs and inform commissioning intentions appropriately for the person. Provide advice and direction as required to inpatient and community teams bringing services together to meet needs holistically. To act as a senior clinical member of the NHSICB commissioning teams and play a lead role in safeguarding vulnerable adults by leading Adult Protection Investigations where appropriate. Complete Quality Assurance visits. Manage and respond to queries from GPs, Consultants, Clinicians and patients/carers advising on placement quality and outcome.
Person Specification
Qualifications
Essential
- RMN/RNLD qualification.
- Demonstrable evidence of participation in Continuing Professional Development.
- Knowledge of nursing models, clinical assessments and care planning - inclusive of PBS planning and risk management.
Experience
Essential
- Significant post-qualification experience
- Experience of working with aal age group of people with a learning disability, autistic people and those with a comorbidity of a formal MH diagnosis.
- Experience of admission avoidance pathways and chairing and attending C(E)TRs.
Desirable
- Experience of Neurodevelopmental and forensic pathways.
- Post qualified experience of working within a LDA and/MH in patient services.
- Professional experience of community working with autistic people and families during periods of crisis.
Knowledge
Essential
- Clear communicator with excellent report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
- Working knowledge and experience of the MHA.
- Independent thinker with demonstrated good judgment, problem-solving and analytical skills.
- Knowledge and understanding of the LDA admission avoidance pathways.
Desirable
- Takes decisions on difficult and contentious issues where there may be a number of courses of action.
Personal qualities
Essential
- Demonstrate a strong desire to improve performance and make a difference by focusing on goals
- Able to travel independently across the country to in-patient T4, locked and secure services.
- Adaptability, flexibility and ability to cope with uncertainty and change.
- Professional calm and efficient manner.
Desirable
- Have interests outside of work that can shared to promote trusted relationships with the person in a timely way.
- Good understanding of emotional resilience, and experience of developing trusted relationships with the person in crisis.
Person Specification
Qualifications
Essential
- RMN/RNLD qualification.
- Demonstrable evidence of participation in Continuing Professional Development.
- Knowledge of nursing models, clinical assessments and care planning - inclusive of PBS planning and risk management.
Experience
Essential
- Significant post-qualification experience
- Experience of working with aal age group of people with a learning disability, autistic people and those with a comorbidity of a formal MH diagnosis.
- Experience of admission avoidance pathways and chairing and attending C(E)TRs.
Desirable
- Experience of Neurodevelopmental and forensic pathways.
- Post qualified experience of working within a LDA and/MH in patient services.
- Professional experience of community working with autistic people and families during periods of crisis.
Knowledge
Essential
- Clear communicator with excellent report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
- Working knowledge and experience of the MHA.
- Independent thinker with demonstrated good judgment, problem-solving and analytical skills.
- Knowledge and understanding of the LDA admission avoidance pathways.
Desirable
- Takes decisions on difficult and contentious issues where there may be a number of courses of action.
Personal qualities
Essential
- Demonstrate a strong desire to improve performance and make a difference by focusing on goals
- Able to travel independently across the country to in-patient T4, locked and secure services.
- Adaptability, flexibility and ability to cope with uncertainty and change.
- Professional calm and efficient manner.
Desirable
- Have interests outside of work that can shared to promote trusted relationships with the person in a timely way.
- Good understanding of emotional resilience, and experience of developing trusted relationships with the person in crisis.
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
