Clinical Nurse Specialist in Mental Health

Guy's and St Thomas' NHS Foundation Trust

This job is now closed

Job summary

A new vacancy has arisen for a Clinical nurse specialist in mental health to join an established mental health liaison service within the Heart, Lung and Critical Care (HLCC) clinical group of Guy's and St Thomas' NHS Foundation Trust (GSTT). The current post has arisen to enhance the team's capacity to respond to the acute mental health needs of inpatients at the hospitals.

This role will primarily be based at the Royal Brompton Hospital (RBH) with some cover on the Harefield Hospital (HH) site as needed. There is a shuttle bus provided between the RBH and HH sites.

The setting the post holder will work in is a specialist heart and lung hospital which is well known for its innovation, research and forward thinking approach.

Main duties of the job

To work collaboratively with staff on the RBH and HH sites to provide a responsive mental health assessment, advice and treatment service
To recommend and set up discharge plans and enable users to access appropriate on-going care or treatment from community services
To make clinical note entries in the electronic medical records that are comprehensive, clear and concise in line with GSTT guidance
To develop and provide a rolling education programme to RBH and HH staff
To promote mental health awareness and develop links with other non-mental health services within the RBH and HH sites
To work collaboratively with carers and families to provide support, advice and information
To provide a proactive approach with patients that find it difficult to engage
To complete regular audits

About us

The post holder will be part of a team that consists of:

1.0 WTE Lead Nurse for Mental Health within HLCC for the RBH and HH sites (cross-site)
0.8 WTE Consultant Liaison Psychiatrist (cross-site)
2.0 WTE Clinical Nurse Specialist in Mental Health at RBH (with cover at HH as required) - of which 1.0 WTE is this advertised post
1.0 WTE Clinical Nurse Specialist in Mental Health at HH (with cover at RBH as required)
0.2 WTE Administrator (based at HH)

The team works widely across all directorates at RBH and HH. Clinical supervision is provided by the Lead Nurse in Mental Health and/or the Consultant psychiatrist.

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment, and research.

Date posted

04 March 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,488 to £57,802 a year p.a. inclusive of HCA

Contract

Permanent

Working pattern

Full-time

Reference number

196-NM11353

Job locations

royal brompton hospital

london

SW36NP

Job description

Job responsibilities

Communication

The post holder will be operationally accountable to the Lead Nurse in Mental Health within HLCC for the RBH and HH sites and the Consultant Liaison Psychiatrist for day-to-day operational and managerial issues.
To provide advice, support, and consultation regarding the psychological and mental health management of patients and their carers, to healthcare professionals on the postholders primary site, and at the other site during times of cover.
The post-holder will prioritise and organise their work effectively and efficiently, including the management of new referrals, an on-going case load and discharges.
To contribute as a member of a multi-disciplinary team to the overall mental health, psychological and medical care of patients of RBH and HH.
To work collaboratively with all members of multidisciplinary care teams at RBH and HH, providing support and advice where appropriate and attending MDT meetings.
To demonstrate excellent communication skills and to be able to promote cohesive relationships, look objectively at problems, and problem solve effectively.
To complete comprehensive mental state examinations including risk assessment and risk management plans in collaboration with relevant healthcare professionals.
To be responsible for recommending evidence based psychological and psychiatric interventions and planning and reviewing all interventions and care plans.
To always involve patients, carers and families in the treatment, management, and the formulation of care plans.
To provide mental health care appropriate to the clients physical health needs and make appropriate referrals when necessary to the patients local primary care services and/or psychiatric/psychology services.
To ensure that patient safety is always prioritised and that all staff who are responsible for the patients care are aware of any significant risks.
To advise, explain and alert RBH and HH staff to the need to provide increased levels of observation for patients who have been identified as posing an increased risk to themselves or others.
To promote and work within all relevant guidelines for good clinical practice recommended by professional bodies.
To foster, create and maintain comprehensive and meaningful networks and relationships with the key people, wards and departments in RBH and HH,ensuring a timely response to the needs of patients with mental health problems in the hospital setting.
To be directly accountable for your own professional practice and to operate in line with the professional code of conduct in relation to practice and the delivery of care and treatment.
To be responsible for maintaining full registration with the NMC and meeting revalidation requirements. Revalidation sign-off to be through mental health senior nursing staff.
To monitor and ensure maintenance of high standards of care including a strong advocacy role for vulnerable patients experiencing mental health problems.
To liaise with all appropriate agencies concerning the care and current or future management plans for patients and provide written reports or documentation as requested.
To ensure that when detected, safeguarding issues are always raised and communicated to the local leads at RBH and HH.
To ensure that the discharge of patients with mental health problems are managed safely and in accordance with local service policies and guidelines.
To maintain accurate records of referrals and patient contact activity on electronic patient record systems. This will then be used to monitor activity and performance and the effectiveness of the service.
To always maintain accurate, legible, and up to date clinical records ensuring that confidentiality and data protection responsibilities are assured.

Educational Responsibilities

To attend mandatory and statutory training as required.
To be a source of knowledge and advice for staff at RBH and HH on current mental health legislation (Mental Health Act, Mental Capacity Act, Deprivation of Liberties, etc) and developments in mental health.
To help identify specific mental health related training needs for RBH and HH staff and contribute to training programmes required to meet these needs.
To contribute to training workshops for RBH and HH staff on evidence-based interventions for the management of psychiatric emergencies.
Any other teaching commitments that may be required or requested by the Lead Nurse or Therapy/Service Leads at RBH and HH.

Continuing Professional Development

The post-holder will be expected to undertake an annual appraisal and maintain an up-to-date Personal Development Plan (PDP).
The post-holder will be expected to attend regular supervision and be able to critically reflect on their work responsibilities and performance. The postholder may also be expected to provide reflective supervision for other designated staff e.g. palliative care.
The post-holder will be expected to maintain an expert level of competence by identifying training needs and attending relevant training courses and conferences.
The post-holder will be able to apply for all relevant and appropriate training courses with opportunities to apply for funding for relevant courses and conferences through the appropriate channels.

Service Development Responsibilities

To work collaboratively in developing and co-ordinating links with other professionals and agencies.
To contribute to the future planning and development of the service.
To contribute to the development of relevant local policy and practice, and advise on the implementation of national guidance and policy.

Research, Audit and Evaluation Responsibilities

The post-holder will be expected to facilitate and take an active part in clinical/service audits within the service.
The post-holder will then be expected to implement any findings that will promote best practice and enhance service delivery.
The post-holder will be expected to regularly attend Directorate and or divisional clinical governance meetings.

Other duties

The post-holder will work in accordance with local, Trust and national policies, protocols, and guidelines.
To abide by the Trusts Core behaviours for staff and all other Trust policies, codes and practices including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety.
To undertake any other duties commensurate with the grade as requested.
To work with colleagues within the wider Guys and St Thomas NHS Foundation Trust.

Job description

Job responsibilities

Communication

The post holder will be operationally accountable to the Lead Nurse in Mental Health within HLCC for the RBH and HH sites and the Consultant Liaison Psychiatrist for day-to-day operational and managerial issues.
To provide advice, support, and consultation regarding the psychological and mental health management of patients and their carers, to healthcare professionals on the postholders primary site, and at the other site during times of cover.
The post-holder will prioritise and organise their work effectively and efficiently, including the management of new referrals, an on-going case load and discharges.
To contribute as a member of a multi-disciplinary team to the overall mental health, psychological and medical care of patients of RBH and HH.
To work collaboratively with all members of multidisciplinary care teams at RBH and HH, providing support and advice where appropriate and attending MDT meetings.
To demonstrate excellent communication skills and to be able to promote cohesive relationships, look objectively at problems, and problem solve effectively.
To complete comprehensive mental state examinations including risk assessment and risk management plans in collaboration with relevant healthcare professionals.
To be responsible for recommending evidence based psychological and psychiatric interventions and planning and reviewing all interventions and care plans.
To always involve patients, carers and families in the treatment, management, and the formulation of care plans.
To provide mental health care appropriate to the clients physical health needs and make appropriate referrals when necessary to the patients local primary care services and/or psychiatric/psychology services.
To ensure that patient safety is always prioritised and that all staff who are responsible for the patients care are aware of any significant risks.
To advise, explain and alert RBH and HH staff to the need to provide increased levels of observation for patients who have been identified as posing an increased risk to themselves or others.
To promote and work within all relevant guidelines for good clinical practice recommended by professional bodies.
To foster, create and maintain comprehensive and meaningful networks and relationships with the key people, wards and departments in RBH and HH,ensuring a timely response to the needs of patients with mental health problems in the hospital setting.
To be directly accountable for your own professional practice and to operate in line with the professional code of conduct in relation to practice and the delivery of care and treatment.
To be responsible for maintaining full registration with the NMC and meeting revalidation requirements. Revalidation sign-off to be through mental health senior nursing staff.
To monitor and ensure maintenance of high standards of care including a strong advocacy role for vulnerable patients experiencing mental health problems.
To liaise with all appropriate agencies concerning the care and current or future management plans for patients and provide written reports or documentation as requested.
To ensure that when detected, safeguarding issues are always raised and communicated to the local leads at RBH and HH.
To ensure that the discharge of patients with mental health problems are managed safely and in accordance with local service policies and guidelines.
To maintain accurate records of referrals and patient contact activity on electronic patient record systems. This will then be used to monitor activity and performance and the effectiveness of the service.
To always maintain accurate, legible, and up to date clinical records ensuring that confidentiality and data protection responsibilities are assured.

Educational Responsibilities

To attend mandatory and statutory training as required.
To be a source of knowledge and advice for staff at RBH and HH on current mental health legislation (Mental Health Act, Mental Capacity Act, Deprivation of Liberties, etc) and developments in mental health.
To help identify specific mental health related training needs for RBH and HH staff and contribute to training programmes required to meet these needs.
To contribute to training workshops for RBH and HH staff on evidence-based interventions for the management of psychiatric emergencies.
Any other teaching commitments that may be required or requested by the Lead Nurse or Therapy/Service Leads at RBH and HH.

Continuing Professional Development

The post-holder will be expected to undertake an annual appraisal and maintain an up-to-date Personal Development Plan (PDP).
The post-holder will be expected to attend regular supervision and be able to critically reflect on their work responsibilities and performance. The postholder may also be expected to provide reflective supervision for other designated staff e.g. palliative care.
The post-holder will be expected to maintain an expert level of competence by identifying training needs and attending relevant training courses and conferences.
The post-holder will be able to apply for all relevant and appropriate training courses with opportunities to apply for funding for relevant courses and conferences through the appropriate channels.

Service Development Responsibilities

To work collaboratively in developing and co-ordinating links with other professionals and agencies.
To contribute to the future planning and development of the service.
To contribute to the development of relevant local policy and practice, and advise on the implementation of national guidance and policy.

Research, Audit and Evaluation Responsibilities

The post-holder will be expected to facilitate and take an active part in clinical/service audits within the service.
The post-holder will then be expected to implement any findings that will promote best practice and enhance service delivery.
The post-holder will be expected to regularly attend Directorate and or divisional clinical governance meetings.

Other duties

The post-holder will work in accordance with local, Trust and national policies, protocols, and guidelines.
To abide by the Trusts Core behaviours for staff and all other Trust policies, codes and practices including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety.
To undertake any other duties commensurate with the grade as requested.
To work with colleagues within the wider Guys and St Thomas NHS Foundation Trust.

Person Specification

Qualifications/ Education

Essential

Registered nurse
BSc (Hons) degree or equivalent in mental health nursing
Previous experience of providing mental health care in physical healthcare settings
Courses relevant to specialism
Teaching and mentoring experience
All staff are expected to take responsibility for their own continual personal development as per NMC guidelines

Desirable

Has attained or is working towards a Master's degree in professional nursing practice or equivalent experience
Leadership and management/ qualification or ability to demonstrate equivalent experience
Prescribing qualification

Previous Experience

Essential

Extensive post registration experience at least 3 years at Senior Staff Nurse level
Relevant current clinical experience in the specialism
Experience of staff management
Experience in change management
Experience of automous working

Skills/Knowledge/ Ability

Essential

Proven experience in supervision of trained staff
Proven enthusiasm towards teaching\sharing knowledge
Evidence of applying current research to practice
Able to prioritise and meet deadlines
Able to use own initiative
Proven oral and written communication skills
Demonstrate the ability to compile complex written information
Word processing skills and IT skills
Competence in use of Microsoft office including Excel and PowerPoint
Demonstrates the ability to adapt to NHS and organisation service developments and new nursing theories for use in the clinical area and clinical expertise
Able to demonstrate a working knowledge in standard setting and quality management
Experience in conducting audits
Able to manage difficult / complex situations effectively

Person Specification

Qualifications/ Education

Essential

Registered nurse
BSc (Hons) degree or equivalent in mental health nursing
Previous experience of providing mental health care in physical healthcare settings
Courses relevant to specialism
Teaching and mentoring experience
All staff are expected to take responsibility for their own continual personal development as per NMC guidelines

Desirable

Has attained or is working towards a Master's degree in professional nursing practice or equivalent experience
Leadership and management/ qualification or ability to demonstrate equivalent experience
Prescribing qualification

Previous Experience

Essential

Extensive post registration experience at least 3 years at Senior Staff Nurse level
Relevant current clinical experience in the specialism
Experience of staff management
Experience in change management
Experience of automous working

Skills/Knowledge/ Ability

Essential

Proven experience in supervision of trained staff
Proven enthusiasm towards teaching\sharing knowledge
Evidence of applying current research to practice
Able to prioritise and meet deadlines
Able to use own initiative
Proven oral and written communication skills
Demonstrate the ability to compile complex written information
Word processing skills and IT skills
Competence in use of Microsoft office including Excel and PowerPoint
Demonstrates the ability to adapt to NHS and organisation service developments and new nursing theories for use in the clinical area and clinical expertise
Able to demonstrate a working knowledge in standard setting and quality management
Experience in conducting audits
Able to manage difficult / complex situations effectively

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.

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).