Job summary
Richmond CAMHS Tier 3 is a multidisciplinary team specialising in the provision of high-quality assessments and evidence-based treatments for children, young people and their families presenting to the service with moderate to severe mental health problems and with high-risk profiles.
We are looking for a committed CAMHS Clinical Nurse Specialist who is passionate about working with children and young people with complex presentations, and who is also interested wider service development initiatives.
Main duties of the job
The role will be to provide a flexible, timely response to young people and their families who require urgent Mental Health assessments, and /or robust risk management. The postholder will have a caseload within the Multi-disciplinary Tier 3 CAMHS Service at Richmond T3
The children and young people will be known to Richmond CAMHS or may be urgently referred by GP, Schools, or Social Workers. The role facilitates joint working with team consultants and therapists from the tier 3 teams, Children's emergency care team (CEC's), A&E, T3 Duty, waitlist support and case management with young people deemed at risk.
This role is open to qualified Nurses with the following:
- Qualification as Registered Mental Health Nurse registered with the NMC
- Experience of working with children and young people in a variety of settings
- Experience of work within a multi-disciplinary team
- The ability to relate and provide accessible services to a diverse community
- The ability to efficiently manage a high-risk caseload
- Knowledge and skills in risk management and safeguarding
- The ability to deliver a range of evidence-based interventions
About us
We are Proud to Belong at South West London and St George's Mental Health NHS Trust.
We have expert services, a rich history and a clear commitment to providing the best quality care for those with mental ill-health. The Care Quality Commission already rates our services as 'good' - we aspire to be 'outstanding'.
This is a great time to join us. We are transforming the way we care for our communities to support our mission of Making Life Better Together. We have built two brand new mental health facilities at Springfield University Hospital, which are amongst the best in the world. More developments are planned across our sites and services.
We are inclusive and diverse and strive to be actively anti racist. We want to attract people from all backgrounds and experiences to enrich the work we do together. We are proud to co-produce and involve our local communities in all that we do.
We offer flexible working, career development and a variety ofbenefits to enable a positive, welcoming environment in which our people and their careers can thrive.
About our locations:
Barnes Hospital, Barnes
Our community hub is near shops, restaurants and stations at Barnes Bridge, Mortlake and Barnes with trains to Richmond, Kingston or Clapham Junction. From January 2023 work on a new hospital building will begin, creating a mixed use development on site. Services will relocate in January 2023 before returning to Barnes after a year.
Job description
Job responsibilities
Clinical
- To provide specialist advice, guidance and consultation to other professionals who are contributing directly to the assessment, formulation and treatment plan of young people.
- To work in close liaison with other childrens services including health, social care services, education and the voluntary sector.
- To formulate assessment and implement plans for the treatment and/or management of a child or adolescents self-harm mental health needs, using frameworks which take account of an analysis of a complex range of information from multiple sources, and uses methods of intervention based upon evidence of effectiveness across the full range of care settings.
- To manage meetings that routinely involve parents/carers and other professionals, where viewpoints can be different and in conflict.
- To frequently manage complex and emotionally charged meetings with children and families where clients may be hostile, antagonistic or have high expressed emotion.
- To be responsible for managing and prioritizingown workload of children and adolescents involving self-harm
- To provide appropriate therapy aspart of a multi-disciplinary assessment andtreatment plan.
- To be responsible for implementing a range of group work interventions focusing on life skills training, motivational and creative activities, systemic, psychological and psychotherapeutic interventions for individual children, carers, families and groups.
- To make appropriate formulations, that may need to consider risk such as sexual abuse, drawing upon a wide experience and knowledge base, maintaining a number of provisional hypotheses and adjusting and changing treatment options.
- To be responsible for recording clinical work and communicating, both orally and in writing, in a skilled and constructive manner highly complex or distressing information, for example regarding the experience and effects of anorexia and bulimia on a young persons physical and developmental status.
- To share assessment and treatment plans, using sensitive and age appropriate language, being mindful that the information may be unwelcome.
- To be mindful of the needs of children, young people and families from a wide range of racial, cultural, sexual religious and social backgrounds, and to develop with colleagues innovative ways of meeting these needs.
Professional
- To ensure Trust standards of recording and information governance are maintained.
- To provide consultation and training in relation to self-harm to a range of colleagues and professional groups as appropriate.
Teaching, Training and Supervision
- To receive regular clinical supervision from the Service Manager
- To undertake mandatory and statutory training, supervision and annual appraisal as required by Trust policy.
- To contribute and commit to undertaking an annual Development Review/appraisal.
- To undertake personal development as identified in the Personal Development Plan (PDP).
Other
- To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the post holders professional and service manager(s).
- To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice and Trust policies and procedures.
- To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health. For this post these specifically include:
- Current Mental Health Legislation
- The Childrens Act (1989)
- Trust, London Borough of and panLondon child protection procedures.
- Local and national developments in SWLStG CAMHS
- Risk Assessment and Management
- Clinical Governance
- Local and national developments in line with Every Child Matters
- Joint working practices between voluntary and statutory sector
Job description
Job responsibilities
Clinical
- To provide specialist advice, guidance and consultation to other professionals who are contributing directly to the assessment, formulation and treatment plan of young people.
- To work in close liaison with other childrens services including health, social care services, education and the voluntary sector.
- To formulate assessment and implement plans for the treatment and/or management of a child or adolescents self-harm mental health needs, using frameworks which take account of an analysis of a complex range of information from multiple sources, and uses methods of intervention based upon evidence of effectiveness across the full range of care settings.
- To manage meetings that routinely involve parents/carers and other professionals, where viewpoints can be different and in conflict.
- To frequently manage complex and emotionally charged meetings with children and families where clients may be hostile, antagonistic or have high expressed emotion.
- To be responsible for managing and prioritizingown workload of children and adolescents involving self-harm
- To provide appropriate therapy aspart of a multi-disciplinary assessment andtreatment plan.
- To be responsible for implementing a range of group work interventions focusing on life skills training, motivational and creative activities, systemic, psychological and psychotherapeutic interventions for individual children, carers, families and groups.
- To make appropriate formulations, that may need to consider risk such as sexual abuse, drawing upon a wide experience and knowledge base, maintaining a number of provisional hypotheses and adjusting and changing treatment options.
- To be responsible for recording clinical work and communicating, both orally and in writing, in a skilled and constructive manner highly complex or distressing information, for example regarding the experience and effects of anorexia and bulimia on a young persons physical and developmental status.
- To share assessment and treatment plans, using sensitive and age appropriate language, being mindful that the information may be unwelcome.
- To be mindful of the needs of children, young people and families from a wide range of racial, cultural, sexual religious and social backgrounds, and to develop with colleagues innovative ways of meeting these needs.
Professional
- To ensure Trust standards of recording and information governance are maintained.
- To provide consultation and training in relation to self-harm to a range of colleagues and professional groups as appropriate.
Teaching, Training and Supervision
- To receive regular clinical supervision from the Service Manager
- To undertake mandatory and statutory training, supervision and annual appraisal as required by Trust policy.
- To contribute and commit to undertaking an annual Development Review/appraisal.
- To undertake personal development as identified in the Personal Development Plan (PDP).
Other
- To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the post holders professional and service manager(s).
- To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice and Trust policies and procedures.
- To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health. For this post these specifically include:
- Current Mental Health Legislation
- The Childrens Act (1989)
- Trust, London Borough of and panLondon child protection procedures.
- Local and national developments in SWLStG CAMHS
- Risk Assessment and Management
- Clinical Governance
- Local and national developments in line with Every Child Matters
- Joint working practices between voluntary and statutory sector
Person Specification
Training and Qualifications
Essential
- oFirst degree in mental health nursing
- oProfessional registration with NMC
- oEvidence of relevant professional development
Desirable
- oFurther post registration training in child and adolescent mental health
- oSupervision training
- oAn appropriate professional qualification to supervise students in training. (e.g. ENB 998 or Practice Teacher Award)
- oA postgraduate qualification in a therapeutic modality relevant to child mental health.
Experience
Essential
- oSignificant post qualification experience
- oSignificant experience of working with self-harm
- oSignificant experience of working with adolescents with mental health difficulties
- oClinical risk assessment and management of vulnerable client groups
- oLeadership experience
- oExperience of developing services and influencing and managing a change process
- oWorking in a multi-disciplinary team
- oProviding and receiving supervision
- oEstablishing collaborative relationships across professional groups and organisations and managing those relationships with sensitivity and diplomacy
Desirable
- oExperience of Racial Awareness/Diversity Training
- oConducting service evaluations
- oWorking collaboratively with service users and/or carers to develop services
- oWork in a range of settings e.g. inpatient, community, residential
- oExperience of working in a community setting
- oCoaching skills, qualification.
Person Specification
Training and Qualifications
Essential
- oFirst degree in mental health nursing
- oProfessional registration with NMC
- oEvidence of relevant professional development
Desirable
- oFurther post registration training in child and adolescent mental health
- oSupervision training
- oAn appropriate professional qualification to supervise students in training. (e.g. ENB 998 or Practice Teacher Award)
- oA postgraduate qualification in a therapeutic modality relevant to child mental health.
Experience
Essential
- oSignificant post qualification experience
- oSignificant experience of working with self-harm
- oSignificant experience of working with adolescents with mental health difficulties
- oClinical risk assessment and management of vulnerable client groups
- oLeadership experience
- oExperience of developing services and influencing and managing a change process
- oWorking in a multi-disciplinary team
- oProviding and receiving supervision
- oEstablishing collaborative relationships across professional groups and organisations and managing those relationships with sensitivity and diplomacy
Desirable
- oExperience of Racial Awareness/Diversity Training
- oConducting service evaluations
- oWorking collaboratively with service users and/or carers to develop services
- oWork in a range of settings e.g. inpatient, community, residential
- oExperience of working in a community setting
- oCoaching skills, qualification.
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
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).
