Community Forensic Psychiatric Nurse - Milton Keynes

Oxford Health NHS Trust

The closing date is 13 May 2024

Job summary

We are seeking to recruit a forward thinking and dynamic Community Psychiatric Nurse (CPN) to join our service as part of the Specialist Community Forensic Team (SCFT). The SCFT have been implementing a new model to support services users with complex mental health challenges and forensic histories

The team is supportive, flexible and there is a strong focus on staff development . The post offers flexible working from the office and home and this pattern can be discussed in more detail. Please note that you will be required to travel between sites to meet the needs of the service across Buckinghamshire and therefore must have no restrictions on your ability to reach multiple sites.

Main duties of the job

The post holder will work as part of a multi-disciplinary team in the provision of care, therapeutic interventions, and treatment to Thames Valley Forensic Services users, ensuring the highest standards of care are provided.

The post holder will cover Buckinghamshire and Milton Keynes as part of the Thames Valley Specialist Community Forensic Team (SCFT) and ensure that services to users and carers are delivered and developed according to Trust and Social and Health care departmental policies.

About us

Oxford Health NHS Foundation Trust provides physical, mental health and social care for people of all ages across Oxfordshire, Buckinghamshire, Swindon, Wiltshire, Bath and North East Somerset.

Our services are delivered at community bases, hospitals, clinics and people's homes, delivering care as close to home as possible

Our vision is that no matter who you are or where you are, you will tell us that you receive:"Outstanding care delivered by an outstanding team"

Our values are:"Caring, safe and excellent"

At Oxford Health we offer a wide range of benefits designed to support your career and wellbeing. These include:

  • Excellent opportunities for career progression
  • Access to tailored individual and Trust wide learning and development
  • 27 days annual leave, plus bank holidays, rising to 33 days with continuous service
  • NHS Discount across a wide range of shops, restaurants and retailers
  • Competitive pension scheme
  • Lease car scheme
  • Cycle to work scheme
  • Employee Assistance Programme
  • Mental Health First Aiders
  • Staff accommodation (please note waiting lists may apply)
  • Staff networking and support groups hosted by our Equality, Diversity & Inclusion team

Date posted

18 April 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum/pro-rata (+£1,446 RSU Allowance) per annum/pro-rata

Contract

Permanent

Working pattern

Part-time

Reference number

267-SS6220544

Job locations

Marlborough House

Milton Keynes/Buckinghamshire

MK65NG


Job description

Job responsibilities

Clinical

  • Physical Health Skills Knowledge of common physical health conditions and their management, and an ability to monitor physical health conditions and wellbeing
  • Knowledge of medications and their effects, including side effects and the management of side effects, including maintaining the safe custody and control of medication and administering and monitoring medication prescribed to service users.
  • Discuss medication with service user and carers and offer information and advice.
  • Work with patients who exhibit negative symptoms such as poor motivation
  • Assisting patients to meet their activities of daily living and helping them to attain their optimum functional level
  • Demonstrate a high level of personal skill and expertise in the delivery of care through individual and group work
  • To liaise closely with the Forensic Pathway in-patient wards to support transition of care to the community.
  • Have a comprehensive knowledge of existing resources available in the community and demonstrate effective use of these resources.
  • Play a vital role in crisis intervention and be a link figure to the multi-disciplinary team operating in the Forensic Service.
  • To work collaboratively and in partnership with other disciplines and agencies in meeting the needs of the patients, including consultation with partner agencies to support them with difficult to manage patients in risk formulation.
  • Develop care plans to meet individual patient and their family/carers needs that are focussed on strengths, outcome based and promote service user empowerment to manage their health as much as possible.
  • Demonstrate and develop excellent relational security skills for the purpose of robust risk assessment and management.
  • Manage and prioritise clinical time and caseload effectively. Keep a diary of all visits, journeys and assessments on a daily basis and regularly update the team administrator any future activity.
  • To demonstrate effective communication skills with people in an age appropriate way and those whose understanding may be impaired

General Provision of care and interventions

  • Provide a comprehensive high standard of care to patients in the community, with the flexibility to work across the services geographical area when necessary.
  • To carry out the role of Care Co-ordinator to an allocated number of service users and take responsibility for ensuring that patients care is assessed, planned, implemented and reviewed as part of the Care Programme Approach.
  • To initiate and maintain good links with local authorities of the area of origin of ECR patients within the service.
  • To work as part of a multi-disciplinary team contributing to needs and risk assessments and planning of care and risk management as part of the Care Programme Approach.
  • Participate in MDT caseload meetings and discuss clinical cases which may have implications for others on policy/departmental strategy etc.
  • To ensure that recording data and information is managed in accordance with agreed protocols and to the required standards of both Social Care and NHS organisations and that records are safely kept within Caldicott principles.
  • To work closely with a range of agencies including MAPPA, Ministry of Justice, probation, Victim Liaison Service, AMHTS and others to ensure there is a high standard of Multi-agency working and that this is represented within a service users treatment plan and care pathway.
  • To produce reports for a variety of purposes and within the required deadlines, such as MHRT and section 117 after care.
  • To work at all times with regard to the Departments Equal Opportunities policies, and to support and promote anti-discriminatory practise and initiatives.

Education

  • Use reflective practice in enhancing clinical work.
  • Provide supervision and support as required to other team members.
  • Keep abreast of relevant legislative policies and best practices guidelines and ensure that they are implemented and operated correctly.
  • Participate in clinical audit and research so that practice and skills are enhanced.

Other

  • Be aware of the legal and statutory implications of visiting patients in their place of residence in the community.
  • Act as an advocate for the patients needs and rights.
  • Act in the role of an Appropriate Adult, representing the interests of the patients within the legal system, when required.
  • Take an active role in the formulation of nursing procedures and practices for patient care in the community.
  • Have a working knowledge of policies and legislation relating to health, safety and security for health care staff.
  • Be fully conversant with the Mental Health Act 1983 and the Code of Practice.
  • To apply highly specialist skills and knowledge in order to establish professional competence and fitness to practice.
  • To travel out of area when required.

Clinical Governance:

  • To collect and present statistical and performance related information as required.
  • To initiate and participate in clinical governance and audit activities as required by the service and Trust.
  • In conjunction with the SCFT Manager to establish and monitor professional and clinical standards and to take action to raise standards where necessary.
  • To participate in and support research projects in the Trust and to develop individual research initiatives as appropriate and agreed with the Team Manager.
  • In conjunction with clinical colleagues, to evaluate the service provision.
  • To take a role in the development of evidence-based services and specialist programmes for this care group.
  • To develop and provide a quality needs led service as part of the multi-disciplinary team in order to meet the needs of service users.

These duties are not meant to be exhaustive. The postholder will therefore be expected to adopt a flexible attitude as duties may have to be varied (after discussion) and in keeping with the general profile of the post, dependent on the needs of the Service.

Job description

Job responsibilities

Clinical

  • Physical Health Skills Knowledge of common physical health conditions and their management, and an ability to monitor physical health conditions and wellbeing
  • Knowledge of medications and their effects, including side effects and the management of side effects, including maintaining the safe custody and control of medication and administering and monitoring medication prescribed to service users.
  • Discuss medication with service user and carers and offer information and advice.
  • Work with patients who exhibit negative symptoms such as poor motivation
  • Assisting patients to meet their activities of daily living and helping them to attain their optimum functional level
  • Demonstrate a high level of personal skill and expertise in the delivery of care through individual and group work
  • To liaise closely with the Forensic Pathway in-patient wards to support transition of care to the community.
  • Have a comprehensive knowledge of existing resources available in the community and demonstrate effective use of these resources.
  • Play a vital role in crisis intervention and be a link figure to the multi-disciplinary team operating in the Forensic Service.
  • To work collaboratively and in partnership with other disciplines and agencies in meeting the needs of the patients, including consultation with partner agencies to support them with difficult to manage patients in risk formulation.
  • Develop care plans to meet individual patient and their family/carers needs that are focussed on strengths, outcome based and promote service user empowerment to manage their health as much as possible.
  • Demonstrate and develop excellent relational security skills for the purpose of robust risk assessment and management.
  • Manage and prioritise clinical time and caseload effectively. Keep a diary of all visits, journeys and assessments on a daily basis and regularly update the team administrator any future activity.
  • To demonstrate effective communication skills with people in an age appropriate way and those whose understanding may be impaired

General Provision of care and interventions

  • Provide a comprehensive high standard of care to patients in the community, with the flexibility to work across the services geographical area when necessary.
  • To carry out the role of Care Co-ordinator to an allocated number of service users and take responsibility for ensuring that patients care is assessed, planned, implemented and reviewed as part of the Care Programme Approach.
  • To initiate and maintain good links with local authorities of the area of origin of ECR patients within the service.
  • To work as part of a multi-disciplinary team contributing to needs and risk assessments and planning of care and risk management as part of the Care Programme Approach.
  • Participate in MDT caseload meetings and discuss clinical cases which may have implications for others on policy/departmental strategy etc.
  • To ensure that recording data and information is managed in accordance with agreed protocols and to the required standards of both Social Care and NHS organisations and that records are safely kept within Caldicott principles.
  • To work closely with a range of agencies including MAPPA, Ministry of Justice, probation, Victim Liaison Service, AMHTS and others to ensure there is a high standard of Multi-agency working and that this is represented within a service users treatment plan and care pathway.
  • To produce reports for a variety of purposes and within the required deadlines, such as MHRT and section 117 after care.
  • To work at all times with regard to the Departments Equal Opportunities policies, and to support and promote anti-discriminatory practise and initiatives.

Education

  • Use reflective practice in enhancing clinical work.
  • Provide supervision and support as required to other team members.
  • Keep abreast of relevant legislative policies and best practices guidelines and ensure that they are implemented and operated correctly.
  • Participate in clinical audit and research so that practice and skills are enhanced.

Other

  • Be aware of the legal and statutory implications of visiting patients in their place of residence in the community.
  • Act as an advocate for the patients needs and rights.
  • Act in the role of an Appropriate Adult, representing the interests of the patients within the legal system, when required.
  • Take an active role in the formulation of nursing procedures and practices for patient care in the community.
  • Have a working knowledge of policies and legislation relating to health, safety and security for health care staff.
  • Be fully conversant with the Mental Health Act 1983 and the Code of Practice.
  • To apply highly specialist skills and knowledge in order to establish professional competence and fitness to practice.
  • To travel out of area when required.

Clinical Governance:

  • To collect and present statistical and performance related information as required.
  • To initiate and participate in clinical governance and audit activities as required by the service and Trust.
  • In conjunction with the SCFT Manager to establish and monitor professional and clinical standards and to take action to raise standards where necessary.
  • To participate in and support research projects in the Trust and to develop individual research initiatives as appropriate and agreed with the Team Manager.
  • In conjunction with clinical colleagues, to evaluate the service provision.
  • To take a role in the development of evidence-based services and specialist programmes for this care group.
  • To develop and provide a quality needs led service as part of the multi-disciplinary team in order to meet the needs of service users.

These duties are not meant to be exhaustive. The postholder will therefore be expected to adopt a flexible attitude as duties may have to be varied (after discussion) and in keeping with the general profile of the post, dependent on the needs of the Service.

Person Specification

Knowledge and Experience Requirements

Essential

  • Substantial amount of relevant post-qualifying experience in Mental Health Nursing in a mental health setting.
  • RMN experience with vulnerable and difficult to engage adults
  • Good working knowledge of the Mental Health Act (1983) and Code of Practice, the Mental Capacity Act (2005), and other legislation

Desirable

  • Working with with mentally disordered offenders
  • Good understanding of the criminal justice system and associated processes.

Qualifications - Academic/Skills/Professional

Essential

  • Professional qualification: RMN
  • Registered with NMC

Further Training or Job Related Aptitude and Skills

Essential

  • Excellent skills in assessment and formulation
  • Excellent skills in care planning and case management.
  • Significant experience and competence in identifying and assessing risk in complex situations.
  • Confidence to exercise autonomous professional judgement in accordance with the expectations of NMC registration and appropriate accountability including in the role of Appropriate Adult
  • An excellent capacity to manage sensitive information within appropriate boundaries of confidentiality in a risk management context

Desirable

  • An understanding of the disadvantages experienced by people with mental health problems in society

Communication & Relationship Skills

Essential

  • An ability to engage with service users and carers who may be resistant to care
  • An ability to use empathy when dealing with a difficult to manage service users
  • Excellent skills in clear and concise report writing
  • Sophisticated interviewing and assessment skills

Desirable

  • Experience and confidence in undertaking the role of social supervisor of conditionally discharged patients subject to Ministry of Justice restrictions
  • Demonstrated ability to maintain relationships external to the organisation, to interface with other agencies and participate in processes such as MAPPA

Contractual Requirements or other requirements

Essential

  • Ability to travel including occasionally out of area when required
  • Ability to access a range of settings including visiting people at home

Desirable

  • Willingness to carry out duties outside of ordinary office hours on an irregular basis
Person Specification

Knowledge and Experience Requirements

Essential

  • Substantial amount of relevant post-qualifying experience in Mental Health Nursing in a mental health setting.
  • RMN experience with vulnerable and difficult to engage adults
  • Good working knowledge of the Mental Health Act (1983) and Code of Practice, the Mental Capacity Act (2005), and other legislation

Desirable

  • Working with with mentally disordered offenders
  • Good understanding of the criminal justice system and associated processes.

Qualifications - Academic/Skills/Professional

Essential

  • Professional qualification: RMN
  • Registered with NMC

Further Training or Job Related Aptitude and Skills

Essential

  • Excellent skills in assessment and formulation
  • Excellent skills in care planning and case management.
  • Significant experience and competence in identifying and assessing risk in complex situations.
  • Confidence to exercise autonomous professional judgement in accordance with the expectations of NMC registration and appropriate accountability including in the role of Appropriate Adult
  • An excellent capacity to manage sensitive information within appropriate boundaries of confidentiality in a risk management context

Desirable

  • An understanding of the disadvantages experienced by people with mental health problems in society

Communication & Relationship Skills

Essential

  • An ability to engage with service users and carers who may be resistant to care
  • An ability to use empathy when dealing with a difficult to manage service users
  • Excellent skills in clear and concise report writing
  • Sophisticated interviewing and assessment skills

Desirable

  • Experience and confidence in undertaking the role of social supervisor of conditionally discharged patients subject to Ministry of Justice restrictions
  • Demonstrated ability to maintain relationships external to the organisation, to interface with other agencies and participate in processes such as MAPPA

Contractual Requirements or other requirements

Essential

  • Ability to travel including occasionally out of area when required
  • Ability to access a range of settings including visiting people at home

Desirable

  • Willingness to carry out duties outside of ordinary office hours on an irregular basis

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

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Oxford Health NHS Trust

Address

Marlborough House

Milton Keynes/Buckinghamshire

MK65NG


Employer's website

https://www.oxfordhealth.nhs.uk (Opens in a new tab)


Employer details

Employer name

Oxford Health NHS Trust

Address

Marlborough House

Milton Keynes/Buckinghamshire

MK65NG


Employer's website

https://www.oxfordhealth.nhs.uk (Opens in a new tab)


For questions about the job, contact:

Deputy Team Manager

Matthew Korn

matthew.korn@oxfordhealth.nhs.uk

07789031352

Date posted

18 April 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum/pro-rata (+£1,446 RSU Allowance) per annum/pro-rata

Contract

Permanent

Working pattern

Part-time

Reference number

267-SS6220544

Job locations

Marlborough House

Milton Keynes/Buckinghamshire

MK65NG


Supporting documents

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