Job summary
Crisis and Home Treatment Team (CHTT) overview
Bromley Home Treatment Team is a multidisciplinary team, providing a service over a 24 hour period, seven days a week to individuals in mental health crisis with the principal aim of providing an effective alternative to inpatient care. This involves intensive clinical work over short periods of time to prevent the need for admission or facilitate safe early discharge. The team also carries out the following main functions:
- 72 Hour follow-up of individuals at risk of self-harm after inpatient discharge
- Assessment of urgent referrals from PCP
- Responding to referrals via the Trust's Crisis line
The Home treatment team works in close collaboration with the other elements of the crisis services; Mental Health Liaison and Day Treatment Teams, as well as with in-patient and community mental health teams, local authorities and emergency services.
The Home treatment team aim to operate within the standards set out by the Home Treatment Accreditation Service (HTAS)
The post holder may be expected to temporarily or permanently transfer to another CHTT where there is a clear clinical need to do so.
Main duties of the job
To carry out effective biopsychosocial assessments of individuals in crisis referred to the team from community mental health teams, GPs and other sources.
To gatekeep all referrals to inpatient services to test their suitability for home treatment as an alternative to admission
To carry out effective risk assessment and management, seeking advice from multi-disciplinary colleagues and other teams where needed
To assess patients on the inpatient wards for early discharge and home treatment
To provide a range of agreed clinical interventions to service users and their relatives at home aimed at increasing the individual's psychological stability
To develop effective crisis plans with individuals which will improve their future resilience
To provide phone advice to people in crisis as part of the Trust's Urgent Advice Line
To assess the welfare of people discharged from inpatient wards within the past 72 hours, involving other teams and agencies as required within the parameters of the 72HourS Follow-Up protocol
To carry out assessments of mental capacity as required to do so.
To liaise collaboratively with hospital and community based mental health services, both within Oxleas and elsewhere, also with emergency services and non-statutory bodies.
To maintain comprehensive and timely clinical records in accordance with Trust standards
To work extended hours within a shift system over seven days per week .
All other nursing responsibilities.
About us
Oxleas offers a wide range of NHS healthcare services to people living in South East London and Kent and to people in prison. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,000 members of staff work in many different settings including hospitals, clinics, prisons, childrens centres, schools and peoples homes. We have over 125 sites in a variety of locations across the London Boroughs of Bexley, Bromley Greenwich and into Kent and manage hospital sites including Queen Marys Hospital, Sidcup and Memorial Hospital in Woolwich as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are one of the largest providers of prison health services providing healthcare to prisoners across Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We're Kind
- We're Fair
- We Listen
- We Care
Job description
Job responsibilities
Main responsibilities of post
To carry out effective biopsychosocial assessments of individuals in crisis referred to the team from community mental health teams, GPs and other sources.
To gatekeep all referrals to inpatient services to test their suitability for home treatment as an alternative to admission
To carry out effective risk assessment and management, seeking advice from multi-disciplinary colleagues and other teams where needed
To assess patients on the inpatient wards for early discharge and home treatment
To provide a range of agreed clinical interventions to service users and their relatives at home aimed at increasing the individuals psychological stability
To develop effective crisis plans with individuals which will improve their future resilience
To provide phone advice to people in crisis as part of the Trusts Urgent Advice Line
To assess the welfare of people discharged from inpatient wards within the past 72 hours, involving other teams and agencies as required within the parameters of the 72HourS Follow-Up protocol
To carry out assessments of mental capacity as required to do so.
To liaise collaboratively with hospital and community based mental health services, both within Oxleas and elsewhere, also with emergency services and non-statutory bodies.
To maintain comprehensive and timely clinical records in accordance with Trust standards
To work extended hours within a shift system over seven days per week .
Other nursing tasks and responsibilities
To hold continuing accountability for the nursing care and management of all patients under the care of the CHTT on a shift basis.
To carry out assessments of mental capacity.
To work collaboratively with carers
As shift co-ordinator to co-ordinate referrals to the team and all other team activities on a shift basis.
To be accountable for ones own practice and that of junior colleagues for whom one has supervisory responsibility.
To identify clinical need, prioritising and deploying resources, within budgetary parameters.
To promote and utilise evidence-based care.
To be an effective communicator, observer & listener.
To maintain patient confidentiality at all times.
To ensure that all organisational, policies, procedures and guidelines are adhered to as well as contributing to the development of local ones.
To ensure good teamwork and working relationships with patients, carers, relatives, other professionals and the public.
To provide supervision, mentorship & leadership for junior staff and students within the team.
To ensure that clinical supervision is used to reflect upon and modify own and others practice.
To ensure that own practice and that of junior staff remains within legal, ethical and professional parameters and is open to scrutiny from peers.
To hold a valid Professional registration in respective discipline i.e., NMC/SWE/HCPC
Job description
Job responsibilities
Main responsibilities of post
To carry out effective biopsychosocial assessments of individuals in crisis referred to the team from community mental health teams, GPs and other sources.
To gatekeep all referrals to inpatient services to test their suitability for home treatment as an alternative to admission
To carry out effective risk assessment and management, seeking advice from multi-disciplinary colleagues and other teams where needed
To assess patients on the inpatient wards for early discharge and home treatment
To provide a range of agreed clinical interventions to service users and their relatives at home aimed at increasing the individuals psychological stability
To develop effective crisis plans with individuals which will improve their future resilience
To provide phone advice to people in crisis as part of the Trusts Urgent Advice Line
To assess the welfare of people discharged from inpatient wards within the past 72 hours, involving other teams and agencies as required within the parameters of the 72HourS Follow-Up protocol
To carry out assessments of mental capacity as required to do so.
To liaise collaboratively with hospital and community based mental health services, both within Oxleas and elsewhere, also with emergency services and non-statutory bodies.
To maintain comprehensive and timely clinical records in accordance with Trust standards
To work extended hours within a shift system over seven days per week .
Other nursing tasks and responsibilities
To hold continuing accountability for the nursing care and management of all patients under the care of the CHTT on a shift basis.
To carry out assessments of mental capacity.
To work collaboratively with carers
As shift co-ordinator to co-ordinate referrals to the team and all other team activities on a shift basis.
To be accountable for ones own practice and that of junior colleagues for whom one has supervisory responsibility.
To identify clinical need, prioritising and deploying resources, within budgetary parameters.
To promote and utilise evidence-based care.
To be an effective communicator, observer & listener.
To maintain patient confidentiality at all times.
To ensure that all organisational, policies, procedures and guidelines are adhered to as well as contributing to the development of local ones.
To ensure good teamwork and working relationships with patients, carers, relatives, other professionals and the public.
To provide supervision, mentorship & leadership for junior staff and students within the team.
To ensure that clinical supervision is used to reflect upon and modify own and others practice.
To ensure that own practice and that of junior staff remains within legal, ethical and professional parameters and is open to scrutiny from peers.
To hold a valid Professional registration in respective discipline i.e., NMC/SWE/HCPC
Person Specification
Based on qualifications and experience
Essential
- Based on qualifications and experience
Desirable
- Additional qualifications or equivalent experience
Person Specification
Based on qualifications and experience
Essential
- Based on qualifications and experience
Desirable
- Additional qualifications or equivalent experience
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).
