Discharge, Flow & S117 Review Practitioner

Livewell Southwest

Information:

This job is now closed

Job summary

22.5 hours per week. An opportunity has arisen for an experienced and committed mental health, learning disability or social care professional to be part of the IPP team to work as a practitioner alongside the mental health in-patient teams to ensure that people who have needs related to mental health, learning disabilities and autistic spectrum disorder and who require a discharge plan, are not delayed in hospital, and that S117 care packages are robustly reviewed.

The post will have a base at Glenbourne, however will work from home and across the city. The successful candidates will have experience in ensuring a high standard of assessment of needs and a proven track record in developing outcome based objectives with service users. They must be motivated, able to liaise and negotiate with a wide range of stakeholders and work collaboratively with Multidisciplinary teams, Care Coordinators and Lead Professionals in Mental Health and Learning Disability teams city wide. They should have a good working knowledge of the mental Health Act 1983, the Care Act 2014 and safeguarding adults, Children and Young people. We are looking for someone with a desire to work alongside service users and carers to promote recovery, encourage independence and foster hope. There are many opportunities for personal development within this role.

Main duties of the job

This post will be part of a team, managed by the IPP/117 Manager, who will deliver the key objectives of Livewell Southwest. That is, that wherever possible Plymouth residents who have needs related to mental health, learning disabilities and autistic spectrum disorder, for whom commissioning responsibilities sit with PCC or Devon ICB and who are entitled to section117 aftercare or have a funded individual person placement, live in their own homes and are not in Out of Area (OOA) hospitals and placements, a significant distance from their local area.

Work as a clinical practitioner alongside the mental health in-patient teams to ensure that people who have needs related to mental health, learning disabilities and autistic spectrum disorder and who require a discharge plan , receive the right package of care, at the right time in their own home or an appropriate setting. The package of care should not be overly restricted, should take into account the person or their representatives choice and wishes, be of a good quality and cost effect.

That S117 Care packages are robustly reviewed within an agreed timeframe, to an agreed framework, to make sure they are good quality, are meeting peoples needs and are value for money.

To ensure that service users who are entitled to 117 after-care, receive the support and treatment that they need for as long as they need it.

About us

Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.

As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.

We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.

Valuing our employees making an investment in their development a priority. We offer:

Protected CPD time for registered staff

Various development pathways and ongoing regular training packages for all staff

Leadership & mentoring programmes

Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training

A Robust Preceptorship

A bespoke induction programme

Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.

Date posted

15 September 2023

Pay scheme

Agenda for change

Band

Band 5

Salary

£28,407 to £34,581 a year pa, pro-rata

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

B9832-2023-NM-8601-2

Job locations

Glenbourne Unit Admin

Morlaix Drive

Plymouth

PL6 5AF


Job description

Job responsibilities

5. MAIN DUTIES/RESPONSIBILITIES

o To work under the direction of the Discharge Flow and S117 lead; however, will carry out Discharge planning with in-patient teams and S117 reviews without direct supervision, use own initiative to resolve, manage and escalate difficult and unexpected situations as they occur.

o Work as a clinical practitioner alongside the mental health in-patient teams to ensure that people who have needs related to mental health, learning disabilities and autistic spectrum disorder and who require a discharge plan, receive the right package of care, at the right time in their own home or an appropriate setting. The package of care should not be overly restricted, should take into account the person or their representatives choice and wishes, be of a good quality and cost effect.

o Responsible for raising any concerns including safeguarding to their Line manager and care and support teams.

o To provide information and advice to service users and their carers to ensure they are able to live as independently as possible.

o To carry out efficiently and effectively, using an agreed framework, 117 reviews, liaising with Adult Social Care, Care Coordinators, Multi-disciplinary teams and Lead Professionals.

o Establish and maintain links with named nurses and care coordinators, ensuring that they are fully involved in all assessment and review.

o To act collaboratively with all services within Livewell Southwest and other agencies regarding all aspects of discharge planning and S117 aftercare.

o To actively participate in multi-disciplinary team meetings, where there is a discharge plan with the potential for delay.

o To actively participate in multi-disciplinary reviews, including S117 aftercare.

o To review services provided for the care and support of service users are of a good quality using an agreed framework.

o To undertake holistic assessment of needs, advise on delivery of care and promote person centered planning, be involved in challenging practice which is risk averse and encourages dependence and problem solve.

o To ensure that care and support is evidence/outcomes based.

o To attend and participate in clinical meetings.

o To undertake only those tasks which you are instructed and trained to do and are competent to fulfill.

o To Work within the legal framework of the Mental Health Act 1983 and the Care Act 2014 and understand the responsibilities therein.

o To maintain confidentiality in respect of the service users at all times.

o Can expect to work with service users and carers who are vulnerable to risk and experience difficulties.

o Can expect to experience conflicting demands related to the changing needs of service users.

o Can expect that the tasks, roles and responsibilities can be mentally demanding on a daily basis due to the requirement to work to deadlines.

o Can expect that working with service users who present with challenging and risky behaviors, due to their individual circumstances i.e. severe and enduring mental health issues, learning disabilities and/or physical health needs, may place emotional demands.

o To be able to effectively communicate and negotiate around a wide range of sensitive and complex issues, with a wide range of stakeholders.

o Develop effective relationships based on a non-judgmental approach which, allows for support and advice on a wide range of lifestyle choices and support needs.

o Know how to report accidents and untoward incidents and to do so promptly.

o To obtain knowledge of the organizations policies, procedures and practices and carry out duties in accordance with them. To have an enhanced knowledge of policies pertinent to your area of work.

o Be aware of Legal issues and have an understanding of the Mental Health Act/ Mental Capacity Act.

o To be willing to participate actively in appropriate, in-service training programmes which the manager believes are of benefit to the individual. To assume co-responsibility for maintaining skills and knowledge.

o To lead on delivering training, advice and guidance for others.

o Provide mentorship for students.

o To keep accurate records, input accurate data eg that a review is due or overdue.

o To participate in continuing role/personal development using the appraisal system.

o To participate in line management and supervision.

o To participate in audit and service improvement

o To behave in a manner which does not bring the organisation into disrepute, whilst on or off duty. To comply with all conditions within contract.

o To adhere to the organisations dress code.

Communicates and develops relationships with service users and their carers, social workers Care coordinators, multidisciplinary teams, providers, third sector agencies.

The physical demands of the role relate to period sitting and using a PC and or laptop and driving within Plymouth city and its environs to patient homes. The demands of the role also relate to mental and emotional effects of supporting people with complex needs.

The post holder is required to comply with all relevant policies and procedures pertinent to their post. Current versions can be found on the intranet or via your manager. Listed below are those Livewell Southwest currently places particular emphasis on. Failure to follow correct policies and procedures may result in disciplinary action.

In accordance with the Risk Management Strategy, employees will participate, whenever required, with the risk management process. They will support line managers by attending mandatory and statutory training, completing incident/accident forms for every adverse event or near miss that occurs, report all defects and complaints, and communicate any dangerous situation to individuals potentially at risk.

You must co-operate with those in authority and others in meeting the statutory requirements and in following policies and procedures. A copy of the Health and Safety Policy is available from the intranet or from the Risk Management Department.

You are reminded that in accordance with the Health and Safety at Work Act 1974 you have a duty to take reasonable care to avoid injury to yourself and to others affected by your work activities.

You will be notified where your post carries a requirement for immunisation.

You may be required to be able to undertake physical intervention training and participate in physical intervention as part of a physical intervention team and Basic Life Support (BLS).

Livewell Southwest is determined to eradicate healthcare-acquired infection and puts a great deal of emphasis on the responsibility of all staff to ensure their own personal and others compliance with Infection Control (including Hand Washing) Policies. All staff must comply with infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager (if no action or explanation received, then it is the individuals responsibility to escalate their concerns to the Director of Operations or Chief Executives Office).

All employees have a duty to safeguard and promote the welfare of children and adults and are required to act in such a way that at all times safeguards their health and wellbeing. Familiarisation with and adherence to national and local safeguarding adults and children policies is an essential requirement upon all employees. Livewell Southwest has specific safeguarding policies and in addition, employees also have a responsibility to practice and work within the multi-agency policy developed by the Safeguarding Adults Board and the Safeguarding Children Board. Staff are also required to participate in related mandatory/statutory training.

For clinical posts at bands 5 and 6, there is an expectation that engagement in research will be part of this role. Therefore, an awareness of the value and relevance of research is expected and the post holder should either support existing research within their specialty area as appropriate or identify opportunities to raise awareness of research possibilities. For clinical posts at band 7 and above, the post holder will be required to actively participate in complex audits using research methodology, or participate as required in clinical trials or equipment testing, and will demonstrate high level involvement in local ongoing research projects.

All staff are expected to take responsibility for the reduction of carbon emissions within their area of the organisation. In particular this may relate to reducing energy consumption, making low carbon travel choices, consideration of goods and services being purchased, and waste reduction.

This Job Description is not exhaustive and may change as the post develops, but such change will not take place without consultation between the post holder and their manager. Job descriptions should be reviewed at least annually at the appraisal meeting.

The Working Time Regulations apply to all employees of Livewell Southwest. In particular, Livewell Southwest will not permit staff in all employments to work in excess of 48 hours in any one week except where there are exceptional service needs where an absolute limit of averaging over a reference period of 17 weeks would apply.

Livewell Southwest has adopted NO SMOKING and NO ALCOHOL policies for staff, which applies to all posts. Details of the policy are available on request and will be included in the statement of main terms and conditions of service of staff appointed.

Job description

Job responsibilities

5. MAIN DUTIES/RESPONSIBILITIES

o To work under the direction of the Discharge Flow and S117 lead; however, will carry out Discharge planning with in-patient teams and S117 reviews without direct supervision, use own initiative to resolve, manage and escalate difficult and unexpected situations as they occur.

o Work as a clinical practitioner alongside the mental health in-patient teams to ensure that people who have needs related to mental health, learning disabilities and autistic spectrum disorder and who require a discharge plan, receive the right package of care, at the right time in their own home or an appropriate setting. The package of care should not be overly restricted, should take into account the person or their representatives choice and wishes, be of a good quality and cost effect.

o Responsible for raising any concerns including safeguarding to their Line manager and care and support teams.

o To provide information and advice to service users and their carers to ensure they are able to live as independently as possible.

o To carry out efficiently and effectively, using an agreed framework, 117 reviews, liaising with Adult Social Care, Care Coordinators, Multi-disciplinary teams and Lead Professionals.

o Establish and maintain links with named nurses and care coordinators, ensuring that they are fully involved in all assessment and review.

o To act collaboratively with all services within Livewell Southwest and other agencies regarding all aspects of discharge planning and S117 aftercare.

o To actively participate in multi-disciplinary team meetings, where there is a discharge plan with the potential for delay.

o To actively participate in multi-disciplinary reviews, including S117 aftercare.

o To review services provided for the care and support of service users are of a good quality using an agreed framework.

o To undertake holistic assessment of needs, advise on delivery of care and promote person centered planning, be involved in challenging practice which is risk averse and encourages dependence and problem solve.

o To ensure that care and support is evidence/outcomes based.

o To attend and participate in clinical meetings.

o To undertake only those tasks which you are instructed and trained to do and are competent to fulfill.

o To Work within the legal framework of the Mental Health Act 1983 and the Care Act 2014 and understand the responsibilities therein.

o To maintain confidentiality in respect of the service users at all times.

o Can expect to work with service users and carers who are vulnerable to risk and experience difficulties.

o Can expect to experience conflicting demands related to the changing needs of service users.

o Can expect that the tasks, roles and responsibilities can be mentally demanding on a daily basis due to the requirement to work to deadlines.

o Can expect that working with service users who present with challenging and risky behaviors, due to their individual circumstances i.e. severe and enduring mental health issues, learning disabilities and/or physical health needs, may place emotional demands.

o To be able to effectively communicate and negotiate around a wide range of sensitive and complex issues, with a wide range of stakeholders.

o Develop effective relationships based on a non-judgmental approach which, allows for support and advice on a wide range of lifestyle choices and support needs.

o Know how to report accidents and untoward incidents and to do so promptly.

o To obtain knowledge of the organizations policies, procedures and practices and carry out duties in accordance with them. To have an enhanced knowledge of policies pertinent to your area of work.

o Be aware of Legal issues and have an understanding of the Mental Health Act/ Mental Capacity Act.

o To be willing to participate actively in appropriate, in-service training programmes which the manager believes are of benefit to the individual. To assume co-responsibility for maintaining skills and knowledge.

o To lead on delivering training, advice and guidance for others.

o Provide mentorship for students.

o To keep accurate records, input accurate data eg that a review is due or overdue.

o To participate in continuing role/personal development using the appraisal system.

o To participate in line management and supervision.

o To participate in audit and service improvement

o To behave in a manner which does not bring the organisation into disrepute, whilst on or off duty. To comply with all conditions within contract.

o To adhere to the organisations dress code.

Communicates and develops relationships with service users and their carers, social workers Care coordinators, multidisciplinary teams, providers, third sector agencies.

The physical demands of the role relate to period sitting and using a PC and or laptop and driving within Plymouth city and its environs to patient homes. The demands of the role also relate to mental and emotional effects of supporting people with complex needs.

The post holder is required to comply with all relevant policies and procedures pertinent to their post. Current versions can be found on the intranet or via your manager. Listed below are those Livewell Southwest currently places particular emphasis on. Failure to follow correct policies and procedures may result in disciplinary action.

In accordance with the Risk Management Strategy, employees will participate, whenever required, with the risk management process. They will support line managers by attending mandatory and statutory training, completing incident/accident forms for every adverse event or near miss that occurs, report all defects and complaints, and communicate any dangerous situation to individuals potentially at risk.

You must co-operate with those in authority and others in meeting the statutory requirements and in following policies and procedures. A copy of the Health and Safety Policy is available from the intranet or from the Risk Management Department.

You are reminded that in accordance with the Health and Safety at Work Act 1974 you have a duty to take reasonable care to avoid injury to yourself and to others affected by your work activities.

You will be notified where your post carries a requirement for immunisation.

You may be required to be able to undertake physical intervention training and participate in physical intervention as part of a physical intervention team and Basic Life Support (BLS).

Livewell Southwest is determined to eradicate healthcare-acquired infection and puts a great deal of emphasis on the responsibility of all staff to ensure their own personal and others compliance with Infection Control (including Hand Washing) Policies. All staff must comply with infection control policies and guidance, attend relevant updates and report issues of concern to their immediate line manager (if no action or explanation received, then it is the individuals responsibility to escalate their concerns to the Director of Operations or Chief Executives Office).

All employees have a duty to safeguard and promote the welfare of children and adults and are required to act in such a way that at all times safeguards their health and wellbeing. Familiarisation with and adherence to national and local safeguarding adults and children policies is an essential requirement upon all employees. Livewell Southwest has specific safeguarding policies and in addition, employees also have a responsibility to practice and work within the multi-agency policy developed by the Safeguarding Adults Board and the Safeguarding Children Board. Staff are also required to participate in related mandatory/statutory training.

For clinical posts at bands 5 and 6, there is an expectation that engagement in research will be part of this role. Therefore, an awareness of the value and relevance of research is expected and the post holder should either support existing research within their specialty area as appropriate or identify opportunities to raise awareness of research possibilities. For clinical posts at band 7 and above, the post holder will be required to actively participate in complex audits using research methodology, or participate as required in clinical trials or equipment testing, and will demonstrate high level involvement in local ongoing research projects.

All staff are expected to take responsibility for the reduction of carbon emissions within their area of the organisation. In particular this may relate to reducing energy consumption, making low carbon travel choices, consideration of goods and services being purchased, and waste reduction.

This Job Description is not exhaustive and may change as the post develops, but such change will not take place without consultation between the post holder and their manager. Job descriptions should be reviewed at least annually at the appraisal meeting.

The Working Time Regulations apply to all employees of Livewell Southwest. In particular, Livewell Southwest will not permit staff in all employments to work in excess of 48 hours in any one week except where there are exceptional service needs where an absolute limit of averaging over a reference period of 17 weeks would apply.

Livewell Southwest has adopted NO SMOKING and NO ALCOHOL policies for staff, which applies to all posts. Details of the policy are available on request and will be included in the statement of main terms and conditions of service of staff appointed.

Person Specification

Experience

Essential

  • 2 years experience of working in mental health/learning disability /social care settings.
  • Proven experience of excellent needs led assessment.
  • Proven experience of comprehensive reviews of care.
  • Working as a band 5 mental health nurse or CCW
  • Proven experience of facilitating safe and effective discharge
  • Working in a range of settings with service users with mental health issues and learning disability.
  • Experience of working with service users with physical health needs.
  • Experience of working with complex cases in a community, residential and hospital setting

Desirable

  • Reviewing 117 after-care.
  • Repatriation to the local area.
  • Successful in transition work for service users from hospital to community

Qualifications

Essential

  • numeracy and literacy skills
  • Relevant Professional qualification ie RMN, RNLD, Occupational Therapist, or equivalent experience

Desirable

  • GCSE A-C grade in maths and English or equivalent.
  • Full Driving licence

Knowledge and Skills

Essential

  • Recovery or personalisation principles and practice.
  • Care Act 2014.
  • Mental health Act 1983 and specifically 117 aftercare.
  • Mental Capacity Act 2005.
  • Safeguarding for adults, children and young people.
  • Advocacy.
  • Working to address a range of needs including mental and physical health, disability and personal crisis.
  • Processes, policies and procedures related to S117 aftercare and Out of Area treatment.
  • Reasonable skills in the using PC based applications ie Microsoft word and excel.
  • Proven communication skills with a range of stakeholders.
  • Working within health and social care IT Systems.
  • Proven negotiation skills
  • Able to successfully manage conflict
  • Ability to develop data capture systems.
  • Analytical, creative, problem solving skills
  • teamwork

Desirable

  • Relevant ASC and health policies and procedures.
  • Awareness of the effects of providing regular, unpaid care to a relative, friend or neighbour.
  • Familiar with SystmOne, RIO and Care First.
Person Specification

Experience

Essential

  • 2 years experience of working in mental health/learning disability /social care settings.
  • Proven experience of excellent needs led assessment.
  • Proven experience of comprehensive reviews of care.
  • Working as a band 5 mental health nurse or CCW
  • Proven experience of facilitating safe and effective discharge
  • Working in a range of settings with service users with mental health issues and learning disability.
  • Experience of working with service users with physical health needs.
  • Experience of working with complex cases in a community, residential and hospital setting

Desirable

  • Reviewing 117 after-care.
  • Repatriation to the local area.
  • Successful in transition work for service users from hospital to community

Qualifications

Essential

  • numeracy and literacy skills
  • Relevant Professional qualification ie RMN, RNLD, Occupational Therapist, or equivalent experience

Desirable

  • GCSE A-C grade in maths and English or equivalent.
  • Full Driving licence

Knowledge and Skills

Essential

  • Recovery or personalisation principles and practice.
  • Care Act 2014.
  • Mental health Act 1983 and specifically 117 aftercare.
  • Mental Capacity Act 2005.
  • Safeguarding for adults, children and young people.
  • Advocacy.
  • Working to address a range of needs including mental and physical health, disability and personal crisis.
  • Processes, policies and procedures related to S117 aftercare and Out of Area treatment.
  • Reasonable skills in the using PC based applications ie Microsoft word and excel.
  • Proven communication skills with a range of stakeholders.
  • Working within health and social care IT Systems.
  • Proven negotiation skills
  • Able to successfully manage conflict
  • Ability to develop data capture systems.
  • Analytical, creative, problem solving skills
  • teamwork

Desirable

  • Relevant ASC and health policies and procedures.
  • Awareness of the effects of providing regular, unpaid care to a relative, friend or neighbour.
  • Familiar with SystmOne, RIO and Care First.

Certificate of Sponsorship

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).

Additional information

Certificate of Sponsorship

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).

Employer details

Employer name

Livewell Southwest

Address

Glenbourne Unit Admin

Morlaix Drive

Plymouth

PL6 5AF


Employer's website

https://www.livewellsouthwest.co.uk/ (Opens in a new tab)


Employer details

Employer name

Livewell Southwest

Address

Glenbourne Unit Admin

Morlaix Drive

Plymouth

PL6 5AF


Employer's website

https://www.livewellsouthwest.co.uk/ (Opens in a new tab)


For questions about the job, contact:

IPP Manager

jane quigley

janequigley@nhs.net

1752435588

Date posted

15 September 2023

Pay scheme

Agenda for change

Band

Band 5

Salary

£28,407 to £34,581 a year pa, pro-rata

Contract

Permanent

Working pattern

Part-time, Job share, Flexible working

Reference number

B9832-2023-NM-8601-2

Job locations

Glenbourne Unit Admin

Morlaix Drive

Plymouth

PL6 5AF


Supporting documents

Privacy notice

Livewell Southwest's privacy notice (opens in a new tab)