Job summary
CNWL London Perinatal Service provide community perinatal mental health services in 5 boroughs, the Maternity-Trauma and Loss Care Service as well as Coombe Wood Mother and Baby Unit.
Coombe Wood is a highly regarded specialist perinatal service providing inpatient treatment and support for pregnant and postnatal women experiencing mental health and emotional difficulties. We support women/birthing people with their babies up to a year old. It is a 10 bedded unit which is currently commissioned by NHSE. We are working to be a Lead Provider Collaborative to meet the perinatal mental health needs of women/birthing people across North West London.
Our multi-disciplinary team consists of doctors, nurses, nursery nurses, therapists and support staff who are experienced specialists offering mental health treatment for mothers and support with infant care and development and encouraging the formation of lasting positive bonds.
The matron will need to provide nursing leadership and work closely with the MDT to ensure we provide excellent care to women/birthing people and their babies. Whilst the job can be challenging we provide excellent support and training opportunities.
Main duties of the job
The post holder will be responsible for the clinical and operational management of the Mother and Baby Unit (MBU) at Coombe Wood, providing strong and clear leadership in partnership with the clinical leads in the service.
The post holder will lead by example to drive up standards of care and practice within the service and to empower the nursing workforce to take on a greater range of clinical tasks to improve patient's care in their clinical area.
Provide nursing advice and expertise in the management of complex cases and contribute to the development of stronger working relationships across the range of community services and relevant agencies and independent providers to ensure seamless provision of services for patients.
The role will encompass managerial, clinical, professional, financial and developmental aspects, requiring the post holder to work in collaboration with the MDT and the directorate management team and others to use resources in the most effective way, to free up capacity for clinical work and ensure optimum level of care is achieved on a twenty-four hours basis.
You will work closely with the Head of Perinatal Services to ensure this service is delivered in accordance to the service specifications.
About us
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
- Central and North West London NHS Trust expects all Band 8a nurses to act in a way which shows you understand our core values and are willing to put them into practice with service users, their friends family and carers and also other staff
- As a Band 8a nurse we expect you to show COMPASSION, contribute to a caring and kind environment and recognise that what you do and say helps can make the lives of others
- We expect you to RESPECT everyone and acknowledge and welcome people's differences rather than ignore them or see them as problematic.
- We expect you to EMPOWER others and continually try to provide information, resources and support to help others make their own decisions and meet their own
- We expect you to work in PARTNERSHIP and behave in a way that shows that you recognise that commissioners and users of our services are the people who generate and pay for our
Job description
Job responsibilities
Clinical Practice
- To provide clinical leadership and expertise to the inpatient mother & baby unit (MBU). Working closely with the ward manager, clinical team leaders and lead clinicians to ensure women either pregnant or with infants under one year of age are cared for in the area most appropriate to their
- In conjunction with other members of the multi-disciplinary team and specifically with the Nursing directorate and quality improvement team implement and embed relevant contemporary developments in perinatal mental health nursing to improve patient
- Provide advice and support on the management of complex cases and the prevention and management of
- To attend clinical meetings as required ensuring service effectiveness, with the ability to offer expert feedback regarding improvements to practice and
- To ensure that patients receive a high standard of care that has a therapeutic focus and is responsive to their
- Ensure all incidents are reported in accordance with Trust policy and Learning from SUIs, complaints and positive and constructive feedback is proactively managed and used to influence change in clinical
- Strengthen and maintain links with other professionals and agencies ensuring that there is joined up working to provide a seamless
- Ensure the timely management of all referrals into both MBU
- Ensure systems are in place which promotes patients choice in all aspects of their care; improve the quality of patient experience.
- Create meaningful relationships with advocacy and external organisations to ensure best practice guidelines are implemented within this service.
- Encourage service user and carer engagement and co-production in service development, feedback in all aspects of clinical care and implement recommendations at a strategic
- To forge good working relationship with leads professionals within maternity services, health visiting and adult mental health services to enable a clear pathway, partnership working, the sharing of expertise and peer
- Be fully conversant with national and Trust clinical policies, the Mental Health Act 1983, Care Act, children act and ensure they are implemented in
- Provide the necessary leadership, supervision, co-ordination and development of all the professionals and particularly the nursing and support staff in challenging areas of
- To be responsible for the security, care and maintenance of clinical and general equipment ensuring standards of infection control, accuracy & safety are
- To ensure that the clinical environment is safe and fit for
Governance and Quality
- Establish a culture in which the quality of services is improved through reflection on practice and continuous professional
- Promote a culture of continuous improvement through audits, use of outcome measures (CROMS, PROMS and PREMS), evidence-based practice and
- Ensure shared decision making with service user involvement in all aspects of care, building on the strengths and preferences of the individual and ensuring dignity and respect is maintained and providing choice and understanding individual
- Act upon concerns of service users and carers and respond accordingly in line with organisational policy and
- Monitor incident reporting, ensuring action plans are in place and implemented if required thereby establishing a culture of safety across the team, which enables learning from incidents and collaborative working with service
- Lead on the allocation and undertaking of investigations of serious untoward incidents, critical incident reviews, complaints, service reviews, inspections and
- Demonstrate leadership in, and drive the Trusts QI programme in the designated area and lead on the implementation of local programmes as
- Participate in the development, interpretation and implementation of national and local policies. Ensure all areas in the ward are maintained to a clean and safe condition for patients and staff and that fire, health and safety requirements are met and meet the PEAT and PLACE
- To ensure nursing staff undertake all mandated audits and monitor compliance.
- To take a leadership role in ensuring the service achieves accreditation with the Perinatal Quality Network.
Risk Assessment
- To support the risk assessment and management process ensuring it is carried out to a high standard and central to care delivery, ensuring all staff are competent at risk assessment and management and that staff are supported to work with service users and carers on minimising risk and developing safety plans
- To recognise potential crisis situations and act responsively to seek local resolution where
- Accountability for the implementation of Safeguarding Adults and Children policies and ensuring alerts are made where concerns
- To ensure all health and safety, security and risk procedures and practice are
- Contribute to the division/trust risk registers
- To work with the ward manager and service manager to ensure that contingency plans for responding to emergencies and major incidents (i.e. business continuity plans) and health economy pressures (i.e. heat wave and winter planning) are developed, tested and
Resource and Performance Management
- To ensure the local services, Trust and national targets, key performance indicators and quality standards are met through effective use of resources and are, monitored and reported on a regular basis and that information requirements are
- Participate in the budget setting process for delegated area of responsibility in conjunction with the relevant management
- Work closely with the ward managers regarding maximising their efficient and effective use of resources within the financial resources
- Take responsibility for the processes which are in place and are being developed to monitor and report on service activity data.
- Contribute to the development of the service business plans and ensure that there is a service-wide commitment to delivering the requirements of the service
- Ensure that plans are developed and implemented to enable the delivery of agreed CQC and CCQI and quality schedule targets for the service
- Support the Perinatal Services Manager in identifying cost improvement plan savings on annual basis in nursing/ team budgets in line with CNWL requirements while ensuring that quality and safety standards are maintained
- Overall day to day appropriate line management within the team, which includes the following:
- To lead/participate in the recruitment and selection of staff, in liaison with professional leads and in accordance with the Trust selection procedures. This involves advertising vacancies, chairing interview panels, selecting and appointing staff, and providing comprehensive induction for new
- To ensure effective training and to lead on team building, as part of the change management process, to promote an open, honest, supportive, forward and outward looking working
- Ensure all staff receive monthly formal, regular managerial supervision and annual appraisal according to Trust Policies, and to encourage all clinical staff to receive monthly clinical supervision, whether group or
- Dealing with complex staff issues at an informal and formal management stage, including sickness, capability, performance, grievance; and disciplinary, in line with HR
- To ensure trust policies and procedures are adhered to within the service.
- To ensure the efficient use of human resources ensuring safe levels of staffing, which reflect the necessary and appropriate skill mix across the
- To ensure staff attend relevant courses in line with Personal Development
- Ensure systems are in place for local induction of staff of all grades
- To demonstrate the ability to support the inpatient team in managing their patients care in a safe and accountable
- To ensure that managers monitor and report on sickness absence, annual leave, training and study leave, taking appropriate management action as required for identified areas of responsibility within the
- Ensure that all staff, service users and visitors adhere to the Health and Safety Work Act other relevant legislation and ensure that staff adheres to the Trusts policies and
- To ensure that educational audits are conducted and develop educational programmes for students on placement within the area of clinical expertise including assessment of the placements as
- Provide accurate and timely returns, statistics and reports as required by the service manager, the Trust, NHS England and other
- To perform other managerial duties as directed by the Service Manager and to inform the Service Manager of any unmet or changing
Personal Development & Professional Responsibilities
The post holder will:
- Work closely with colleagues in enhancing the provision of care, developing staff by incorporating a system of Individual Performance Review and appraisal, supported by robust clinical
- Ensure that all staff attends mandatory training and have a personal development plan agreed through the appraisal
- Take opportunities to extend own knowledge and skills within the aims of the service needs and available funding and prepare a concurrent portfolio of experiences
- Adhere to and promote adherence to the NMC code of conduct, provide evidence of relevant registration as required
- Ensure that a learning environment and robust preceptorship programme is established in the practice
- Represent the service and Trust wide meetings as instructed by the service
- Provide CNWL Duty Senior Nurse cover on a rostered
Health Promotion
- Participate, assist and facilitate the education of service users, their relatives and their carers, in relation to their physical health and ongoing mental health needs, care plans and risk
- Ensure that service users receive preconception and or contraception
- Ensure systems are established to routinely assess and monitor and educate patients with physical health
- Ensure staff are provided with the relevant skills and knowledge to manage, advise and/or assist patients with baby care and child
Job description
Job responsibilities
Clinical Practice
- To provide clinical leadership and expertise to the inpatient mother & baby unit (MBU). Working closely with the ward manager, clinical team leaders and lead clinicians to ensure women either pregnant or with infants under one year of age are cared for in the area most appropriate to their
- In conjunction with other members of the multi-disciplinary team and specifically with the Nursing directorate and quality improvement team implement and embed relevant contemporary developments in perinatal mental health nursing to improve patient
- Provide advice and support on the management of complex cases and the prevention and management of
- To attend clinical meetings as required ensuring service effectiveness, with the ability to offer expert feedback regarding improvements to practice and
- To ensure that patients receive a high standard of care that has a therapeutic focus and is responsive to their
- Ensure all incidents are reported in accordance with Trust policy and Learning from SUIs, complaints and positive and constructive feedback is proactively managed and used to influence change in clinical
- Strengthen and maintain links with other professionals and agencies ensuring that there is joined up working to provide a seamless
- Ensure the timely management of all referrals into both MBU
- Ensure systems are in place which promotes patients choice in all aspects of their care; improve the quality of patient experience.
- Create meaningful relationships with advocacy and external organisations to ensure best practice guidelines are implemented within this service.
- Encourage service user and carer engagement and co-production in service development, feedback in all aspects of clinical care and implement recommendations at a strategic
- To forge good working relationship with leads professionals within maternity services, health visiting and adult mental health services to enable a clear pathway, partnership working, the sharing of expertise and peer
- Be fully conversant with national and Trust clinical policies, the Mental Health Act 1983, Care Act, children act and ensure they are implemented in
- Provide the necessary leadership, supervision, co-ordination and development of all the professionals and particularly the nursing and support staff in challenging areas of
- To be responsible for the security, care and maintenance of clinical and general equipment ensuring standards of infection control, accuracy & safety are
- To ensure that the clinical environment is safe and fit for
Governance and Quality
- Establish a culture in which the quality of services is improved through reflection on practice and continuous professional
- Promote a culture of continuous improvement through audits, use of outcome measures (CROMS, PROMS and PREMS), evidence-based practice and
- Ensure shared decision making with service user involvement in all aspects of care, building on the strengths and preferences of the individual and ensuring dignity and respect is maintained and providing choice and understanding individual
- Act upon concerns of service users and carers and respond accordingly in line with organisational policy and
- Monitor incident reporting, ensuring action plans are in place and implemented if required thereby establishing a culture of safety across the team, which enables learning from incidents and collaborative working with service
- Lead on the allocation and undertaking of investigations of serious untoward incidents, critical incident reviews, complaints, service reviews, inspections and
- Demonstrate leadership in, and drive the Trusts QI programme in the designated area and lead on the implementation of local programmes as
- Participate in the development, interpretation and implementation of national and local policies. Ensure all areas in the ward are maintained to a clean and safe condition for patients and staff and that fire, health and safety requirements are met and meet the PEAT and PLACE
- To ensure nursing staff undertake all mandated audits and monitor compliance.
- To take a leadership role in ensuring the service achieves accreditation with the Perinatal Quality Network.
Risk Assessment
- To support the risk assessment and management process ensuring it is carried out to a high standard and central to care delivery, ensuring all staff are competent at risk assessment and management and that staff are supported to work with service users and carers on minimising risk and developing safety plans
- To recognise potential crisis situations and act responsively to seek local resolution where
- Accountability for the implementation of Safeguarding Adults and Children policies and ensuring alerts are made where concerns
- To ensure all health and safety, security and risk procedures and practice are
- Contribute to the division/trust risk registers
- To work with the ward manager and service manager to ensure that contingency plans for responding to emergencies and major incidents (i.e. business continuity plans) and health economy pressures (i.e. heat wave and winter planning) are developed, tested and
Resource and Performance Management
- To ensure the local services, Trust and national targets, key performance indicators and quality standards are met through effective use of resources and are, monitored and reported on a regular basis and that information requirements are
- Participate in the budget setting process for delegated area of responsibility in conjunction with the relevant management
- Work closely with the ward managers regarding maximising their efficient and effective use of resources within the financial resources
- Take responsibility for the processes which are in place and are being developed to monitor and report on service activity data.
- Contribute to the development of the service business plans and ensure that there is a service-wide commitment to delivering the requirements of the service
- Ensure that plans are developed and implemented to enable the delivery of agreed CQC and CCQI and quality schedule targets for the service
- Support the Perinatal Services Manager in identifying cost improvement plan savings on annual basis in nursing/ team budgets in line with CNWL requirements while ensuring that quality and safety standards are maintained
- Overall day to day appropriate line management within the team, which includes the following:
- To lead/participate in the recruitment and selection of staff, in liaison with professional leads and in accordance with the Trust selection procedures. This involves advertising vacancies, chairing interview panels, selecting and appointing staff, and providing comprehensive induction for new
- To ensure effective training and to lead on team building, as part of the change management process, to promote an open, honest, supportive, forward and outward looking working
- Ensure all staff receive monthly formal, regular managerial supervision and annual appraisal according to Trust Policies, and to encourage all clinical staff to receive monthly clinical supervision, whether group or
- Dealing with complex staff issues at an informal and formal management stage, including sickness, capability, performance, grievance; and disciplinary, in line with HR
- To ensure trust policies and procedures are adhered to within the service.
- To ensure the efficient use of human resources ensuring safe levels of staffing, which reflect the necessary and appropriate skill mix across the
- To ensure staff attend relevant courses in line with Personal Development
- Ensure systems are in place for local induction of staff of all grades
- To demonstrate the ability to support the inpatient team in managing their patients care in a safe and accountable
- To ensure that managers monitor and report on sickness absence, annual leave, training and study leave, taking appropriate management action as required for identified areas of responsibility within the
- Ensure that all staff, service users and visitors adhere to the Health and Safety Work Act other relevant legislation and ensure that staff adheres to the Trusts policies and
- To ensure that educational audits are conducted and develop educational programmes for students on placement within the area of clinical expertise including assessment of the placements as
- Provide accurate and timely returns, statistics and reports as required by the service manager, the Trust, NHS England and other
- To perform other managerial duties as directed by the Service Manager and to inform the Service Manager of any unmet or changing
Personal Development & Professional Responsibilities
The post holder will:
- Work closely with colleagues in enhancing the provision of care, developing staff by incorporating a system of Individual Performance Review and appraisal, supported by robust clinical
- Ensure that all staff attends mandatory training and have a personal development plan agreed through the appraisal
- Take opportunities to extend own knowledge and skills within the aims of the service needs and available funding and prepare a concurrent portfolio of experiences
- Adhere to and promote adherence to the NMC code of conduct, provide evidence of relevant registration as required
- Ensure that a learning environment and robust preceptorship programme is established in the practice
- Represent the service and Trust wide meetings as instructed by the service
- Provide CNWL Duty Senior Nurse cover on a rostered
Health Promotion
- Participate, assist and facilitate the education of service users, their relatives and their carers, in relation to their physical health and ongoing mental health needs, care plans and risk
- Ensure that service users receive preconception and or contraception
- Ensure systems are established to routinely assess and monitor and educate patients with physical health
- Ensure staff are provided with the relevant skills and knowledge to manage, advise and/or assist patients with baby care and child
Person Specification
Education and Experience
Essential
- Registered with the NMC
- Relevant Management Qualification
- Mentorship qualification
- Degree/Masters in specialist field or appropriate experience
Desirable
- Recognised senior management training in leadership, policy or strategy
Experience
Essential
- Extensive post-registration experience
- Previous experience of managing a multi-disciplinary staff team, including line management, supervision responsibility and operational management of services at band 7 or equivalent
- Experience of multi-professional collaboration at senior level, including partnership working with other agencies.
- Experience of providing clinical/managerial supervision and facilitating reflective practice.
- Experience managing budgets
- Experience in IT skills, familiar with word processing, excel and email systems
- Experienced in involving service users and their carers in service planning and monitoring
- Experience writing reports
- Experience writing reports and delivering presentations to a high standard and to senior staff
- Experience of managing staff and resources
- Experience of service development
- Experience of re-provisioning services and managing staff through change
Desirable
- Experience of working in Perinatal Service
- Experience of managing Adult or Perinatal Mental Health services
- Experience of representing services at different organisations
Skills, Knowledge and Abilities
Essential
- Able to demonstrate an up to date knowledge and understanding of current Mental Health Policy issues including the Mental Health Act and the Mental Capacity Act
- Able to demonstrate an understanding of safeguarding practice for both vulnerable adults and children and the Children's Act
- Ability to build and develop teams of people and to provide strong leadership to a diverse workforce.
- Able to demonstrate an up to date knowledge of nursing developments, especially in mental health.
- Experience of representing services at different organisations
- Ability to manage pressure and changing and conflicting priorities effectively.
- Ability to support and monitor systems for clinical practice.
- Able to influence and use negotiation skills and the ability to manage differences constructively.
- A demonstrable ability to work closely with a range of stakeholders and other providers in helping plan the future of service provision.
- Able to demonstrate a genuine commitment to principles of equal opportunity, fair access and service user empowerment, and the ability to translate principles into practice.
Desirable
- Detailed knowledge of policy agenda in Mental Health services and Perinatal Mental Health
ATTITUDES, APTITUDES PERSONAL CHARACTERISTICS
Essential
- A demonstrable ability to make sound and timely decisions and initiate action to solve problems
- To demonstrate the ability to weigh up situations and consider the benefits and problems before decisions are made
- The ability to implement performance management systems within the service area that meet local and national objectives and motivate staff to achieve these objectives
- Demonstrable ability to plan, manage and implement projects when required and assume delegated lead responsibilities.
Desirable
- Demonstrable ability to plan and implement change in the service and ensure the involvement of the workforce in the programme of change.
OTHER
Essential
- The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job.
- Ability to promote anti-discriminatory and anti-racist practices
Person Specification
Education and Experience
Essential
- Registered with the NMC
- Relevant Management Qualification
- Mentorship qualification
- Degree/Masters in specialist field or appropriate experience
Desirable
- Recognised senior management training in leadership, policy or strategy
Experience
Essential
- Extensive post-registration experience
- Previous experience of managing a multi-disciplinary staff team, including line management, supervision responsibility and operational management of services at band 7 or equivalent
- Experience of multi-professional collaboration at senior level, including partnership working with other agencies.
- Experience of providing clinical/managerial supervision and facilitating reflective practice.
- Experience managing budgets
- Experience in IT skills, familiar with word processing, excel and email systems
- Experienced in involving service users and their carers in service planning and monitoring
- Experience writing reports
- Experience writing reports and delivering presentations to a high standard and to senior staff
- Experience of managing staff and resources
- Experience of service development
- Experience of re-provisioning services and managing staff through change
Desirable
- Experience of working in Perinatal Service
- Experience of managing Adult or Perinatal Mental Health services
- Experience of representing services at different organisations
Skills, Knowledge and Abilities
Essential
- Able to demonstrate an up to date knowledge and understanding of current Mental Health Policy issues including the Mental Health Act and the Mental Capacity Act
- Able to demonstrate an understanding of safeguarding practice for both vulnerable adults and children and the Children's Act
- Ability to build and develop teams of people and to provide strong leadership to a diverse workforce.
- Able to demonstrate an up to date knowledge of nursing developments, especially in mental health.
- Experience of representing services at different organisations
- Ability to manage pressure and changing and conflicting priorities effectively.
- Ability to support and monitor systems for clinical practice.
- Able to influence and use negotiation skills and the ability to manage differences constructively.
- A demonstrable ability to work closely with a range of stakeholders and other providers in helping plan the future of service provision.
- Able to demonstrate a genuine commitment to principles of equal opportunity, fair access and service user empowerment, and the ability to translate principles into practice.
Desirable
- Detailed knowledge of policy agenda in Mental Health services and Perinatal Mental Health
ATTITUDES, APTITUDES PERSONAL CHARACTERISTICS
Essential
- A demonstrable ability to make sound and timely decisions and initiate action to solve problems
- To demonstrate the ability to weigh up situations and consider the benefits and problems before decisions are made
- The ability to implement performance management systems within the service area that meet local and national objectives and motivate staff to achieve these objectives
- Demonstrable ability to plan, manage and implement projects when required and assume delegated lead responsibilities.
Desirable
- Demonstrable ability to plan and implement change in the service and ensure the involvement of the workforce in the programme of change.
OTHER
Essential
- The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job.
- Ability to promote anti-discriminatory and anti-racist practices
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).