Job summary
We are looking to recruit an experienced registered mental health nurse who is enthusiastic, compassionate and caring to join the Hammersmith and Fulham Health Based Place of Safety team as a Clinical Team Leader.
The HBPoS in H&F provides a place of safety for both detained under S135 and S136 of the Mental Health Act and patients that have been diverted from Charing X Emergency Department.
The service provides a safe place for those awaiting to be assessed by the HBPoS team, S12 approved doctors and AMHP.
The post holder will provide care, support and assessments of all clients who enter the HBPoS.
The post holder will be given clinical supervision by qualified staff and management responsibility is with the HBPoS Team Manager.
To meet with police and service user to complete assessment outside of HBPoS in the company of an unqualified clinician.
To accept S136/S135 paperwork from police/AMHP and ensure all information is accurately correct including time of arrival to the HBPoS.
Main duties of the job
You will be able to demonstrate excellent communication skills while providing first line advice, support, and information to a wide range of clients.
The post holder will provide support when someone, both known to services and unknown comes to the unit. You will need to have important assessment skills, a knowledge of the legal framework of mental health law and an understanding of mental health diagnosis, as well as an interest in psychosocial interventions.
The HBPoS team is a highly motivated, diverse, energetic and has a ready to help attitude. Our professional and multi-disciplinary staff group whose ability to intercede on behalf of patients across all levels of healthcare is nurtured and respected.
We believe in embracing the expertise of our nurses, allied health professionals and HCAS, and making a difference to the lives of our clients.
Working in this service places you on the frontline of community mental health care and will equip you with the skills you need to respond to a variety of clinical needs at short notice and provide you with potential future career development.
This post will demand that you are highly motivated, can be flexible in an ever changing environment and can communicate effectively across a multi-professional team.
About us
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health, physical healthcare and community services commissioned locally and nationally. The Trust runs Broadmoor Hospital, one of only three high secure hospitals in the country and one of the highest profile mental healthcare settings in the world.
Our medium-secure and forensic services care for patients from across the South of England. The Trust also provides mental and physical healthcare in three London boroughs - Ealing, Hammersmith & Fulham and Hounslow. The Trust employs 3,770 staff, of which 47% are from Black and Asian Minority Ethnic (BAME) background. Our turnover in 2019/20 was £314m.
In recent years there has been a trust-wide step change in culture, performance and ambition. The Trust is now rated as 'Good' overall by the CQC, and the rating for our Forensic services has improved from 'Requires improvement' to 'Outstanding'. Rigorous financial management has been central to our ability to deliver service improvements. The Trust has delivered consistent surpluses since 2009, totalling more than £77m. In parallel, we have also improved efficiencies by reducing length of stays and improving patient flow, with almost no out of area placements in recent years.
Job description
Job responsibilities
To provide basic nursing care to clients including physical assessments, monitoring food and fluid intake, risk assessments and complete HBPoS assessment tool.
To gather collateral information on clients from GP, community teams, liaise with other trusts (SPA/CATT/CMHT), family and friends if possible.
To contact S12 doctor and provide accurate and comprehensive handover of clients attendance and presentation within 1 hour of clients arrival.
To contact AMHP and advise of attendance, handover of presentation and complete necessary documentation to facilitate assessment.
To take a thorough and detailed handover from the psychiatric liaison department, ensuring all correct process on the ED diversion pathway have been followed.
Ensure all necessary polices and protocols are followed including the trusts S136 policy.
Ensure all necessary documentation is completed including risk assessments, 136 pathways, progress notes and S136 paperwork are recorded on the Trusts patient record RiO.
Ensure safe discharge/admission of client and that all follow up care of the client is arranged in a timely manner
Appropriately manage highly emotional, verbally aggressive, abusive or threatening clients and defuse such situations when appropriate, often under difficult and hostile circumstances.
Regularly assess clinical environment and report any issues highlighted
Please Refer to the Job Description and Personal Specification attached
Job description
Job responsibilities
To provide basic nursing care to clients including physical assessments, monitoring food and fluid intake, risk assessments and complete HBPoS assessment tool.
To gather collateral information on clients from GP, community teams, liaise with other trusts (SPA/CATT/CMHT), family and friends if possible.
To contact S12 doctor and provide accurate and comprehensive handover of clients attendance and presentation within 1 hour of clients arrival.
To contact AMHP and advise of attendance, handover of presentation and complete necessary documentation to facilitate assessment.
To take a thorough and detailed handover from the psychiatric liaison department, ensuring all correct process on the ED diversion pathway have been followed.
Ensure all necessary polices and protocols are followed including the trusts S136 policy.
Ensure all necessary documentation is completed including risk assessments, 136 pathways, progress notes and S136 paperwork are recorded on the Trusts patient record RiO.
Ensure safe discharge/admission of client and that all follow up care of the client is arranged in a timely manner
Appropriately manage highly emotional, verbally aggressive, abusive or threatening clients and defuse such situations when appropriate, often under difficult and hostile circumstances.
Regularly assess clinical environment and report any issues highlighted
Please Refer to the Job Description and Personal Specification attached
Person Specification
Qualifications
Essential
- Registered Mental Health Nurse
- Mentorship qualification
- Evidence of post registration further development
Desirable
- Understanding a training in Trauma Informed Care
- Training in Advance Mental Health Assessment Skills including Mental State Examination and Crisis Care Planning
- PMVA Training
Experience
Essential
- Inpatient post registration experience
- Post qualification experience in acute mental health care setting
- Experience of completing assessment and providing plans of care for patients that are in acute state of crisis
- Experience of working with patients that are acutely distressed and are at risk of becoming violent or aggressive
Desirable
- Experience of working within either a psychiatric liaison or crisis team setting
- Teaching and mentoring other members of the MDT including the use of a structured framework to improve clinical practice
Knowledge/Skills
Essential
- To understand and have experience of risk management
- Highly developed communication skills both verbally and written
- Able to contribute to and lead complex discussions around patient's pathways and development of care
- A clear understanding of the Mental Health Act Code of practice and its relationship to the Health Based Place of Safety
- Understanding the relationship between restrictive practice and violence and how best to reduce restriction in a safe and effective manner
Desirable
- An understanding of Quality Improvement including the running or contribution to Quality Improvement Projects in an Inpatient Setting
- An understanding of a variety of psychological interventions that will help support the management of patients in crisis
Person Specification
Qualifications
Essential
- Registered Mental Health Nurse
- Mentorship qualification
- Evidence of post registration further development
Desirable
- Understanding a training in Trauma Informed Care
- Training in Advance Mental Health Assessment Skills including Mental State Examination and Crisis Care Planning
- PMVA Training
Experience
Essential
- Inpatient post registration experience
- Post qualification experience in acute mental health care setting
- Experience of completing assessment and providing plans of care for patients that are in acute state of crisis
- Experience of working with patients that are acutely distressed and are at risk of becoming violent or aggressive
Desirable
- Experience of working within either a psychiatric liaison or crisis team setting
- Teaching and mentoring other members of the MDT including the use of a structured framework to improve clinical practice
Knowledge/Skills
Essential
- To understand and have experience of risk management
- Highly developed communication skills both verbally and written
- Able to contribute to and lead complex discussions around patient's pathways and development of care
- A clear understanding of the Mental Health Act Code of practice and its relationship to the Health Based Place of Safety
- Understanding the relationship between restrictive practice and violence and how best to reduce restriction in a safe and effective manner
Desirable
- An understanding of Quality Improvement including the running or contribution to Quality Improvement Projects in an Inpatient Setting
- An understanding of a variety of psychological interventions that will help support the management of patients 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.
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
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).