Job summary
We are seeking to recruit a full time Band 5 Community Learning Disability Nurse for our Community based specialist health services for people with Learning Disabilities across the York and Selby area on a fixed term contract to cover maternity leave.
This post is being advertised to address a temporary need however the Trust has made the commitment to offer Registered Nurses a permanent contract with the Trust. In the event that the need for this post ends, a suitable alternative post will be offered (this does not apply to other registered professions). Applicants should be aware that alternatives may require some flexibility on role and/or location.
Main duties of the job
The successful candidate will have some experience of working within a multi-disciplinary team that provides services for people with learning disabilities in addition to demonstrating an ability to delivery of high quality, effective and personalised services to meet the needs of the service user.
You must hold a relevant NMC qualification, and preferably have experience of community clinical setting.
You should be a compassionate, self-motivated and committed individual with excellent organisational skills and the ability to prioritise your workload.
A key strength will be your ability to communicate effectively both verbally and in written form with the people we support and their families or carers, the multi-disciplinary team and other wider stakeholders.
Due to the nature of the role it is essential that applicants are able to travel independently across the locality and have access to a suitable vehicle for business purposes. If necessary, adjustments can be considered in accordance with the Equality Act 2010.
About us
We are geographically one of the largest NHS Foundation Trusts in the country with an annual income of £423m and a workforce of over 7,500 staff operating from around 160 sites. Tees, Esk and Wear Valleys NHS Foundation Trust provides mental health and learning disability services for the people of County Durham and Darlington, Teesside, North
We want you to be part of Our Journey to Change. This is our vision for where we want to be in five years' time - it explains why we do what we do, the kind of organisation we want to be and the three big goals we're committing to over the next five years.
Ourvalues
The most important way we will get there is by living our values all of the time. These are:
- Respect - listening, inclusive, working in partnership
- Compassion - kind, supporting, recognising and celebrating
- Responsibility - honest, learning, ambitious
Our big goals
We are committed to three big goals:
- To co-create a great experience for our patients, carers and families.
- To co-create a great experience for our colleagues
- To be a great partner
The York CLDT is an experienced team with band 7, 6 ,5, 4 and 3 nurses, Psychiatry, Psychology, OT, Physio, SLT . We have nurse leadership from the Advanced Nurse Practitioner and there is a very good nurse network across LD services led by the LD Modern Matron. There are networks throughout the wider TEWV services.
Job description
Job responsibilities
Clinical Responsibilities, Patient Contact
- Maintains safety, privacy and dignity of all clients in the delivery of client centred care, recognising and respecting differences including spiritual and cultural beliefs
- Takes steps to obtain client consent to care and treatment in accordance with the Mental Capacity Act, ensuring that clients who lack mental capacity remain at the centre of decision-making and are fully safeguarded.
- Acts, wherever applicable, in accordance with the Mental Health Act and associated policies and procedures.
- Responsible for recognising the potential for or signs of client harm, abuse or neglect, including poor clinical practice, reporting all such concerns and taking all reasonable steps to protect the client. Responsible for identifying and reporting concerns regarding the safeguarding of children who may be at risk.
- Ensures the highest professional standards and attitudes towards the care of clients from all staff. Clients have a range of learning disabilities (some with co-existing mental health conditions), may demonstrate behaviours that challenge and may have difficult family situations of relevance.
- Processes new referrals and has responsibility for own caseload with support from a senior practitioner or team manager.
- Acts as lead professional for clients on standard care and may take responsibility as care co-ordinator for clients on Care Programme approach under supervision and as appropriate.
- Assesses clients needs and develops, implements and evaluates intervention plans as part of the multi-disciplinary team, with the involvement of the client and where appropriate, their carer. Guidance is provided by a community clinical lead, senior nurse or community registered nurse (band 6) as required, for more complex clients.
- Ensures intervention plans are based on current risk assessment, evidence based practice, critical thinking and whole system support requirements that take account of relevant physical, social, cultural, psychological, spiritual, genetic and environmental factors.
- Undertakes risk assessments in accordance with the Trusts Clinical Risk Assessment and Management Policy, devising and implementing actions and intervention plans which take the risk formulation fully into account
- Ensures safe medicines management, as delegated and in accordance with Trust policy and legal requirements.
- Provides health education and advice on health promotion to clients and their carers.
- Responds appropriately to crisis situations, where necessary seeking advice and guidance from other relevant professionals and where appropriate being responsible for decision making and coordination in a crisis situation
- Demonstrates safe breakaway techniques in the management of violence and aggression as required.
- Where appropriate and with authorisation, acts as an advocate for clients/carers.
- Attends Mental Health Act tribunals.
Administrative Responsibilities
- Undertakes administrative tasks in relation to own work
- Uses Microsoft Office application
- Responsibility for Information Systems
- Responsible for maintaining accurate and comprehensive client records using PARIS, or other electronic systems approved by the Trust, in accordance with the Trust and professional record keeping standard
- Writes reports for Mental Health Act tribunals and Safeguarding referrals
- Plans own and others workload, managing competing demands to ensure care is delivered according to clinical priority.
- Delegates tasks to members of the clinical team whose competence has been established, whilst maintaining professional accountability and ensuring their work meets required care standards.
- Undertakes care co-ordination as appropriate.
Policy Development
- Contributes to the development of policies and procedures in own area as part of the community team or special interest group.
- Assists in the implementation, monitoring and evaluation of new or revised policies and procedures in the workplace
- Contributes to continual safety and quality improvement activities as part of the community team or special interest group.
- May participate in projects to develop services to meet the changing needs of the client group.
Financial Responsibilities
- Has a personal duty of care to ensure all equipment is used safely and effectively, following manufacturers instructions, immediately reporting any defects in accordance with local procedures.
- Uses available resources efficiently and effectively.
Research and Audit
- Participates in clinical audits as required.
- Keeps up to date with new developments in the field, evaluating available research and disseminating information to inform evidenced based practice.
- Maintains a personal professional portfolio of learning activity in compliance with registering body requirements
- Participates in practice development initiatives as part of the team.
Staff Management, Training and Development, HR
- Demonstrates clinical leadership through personal practice.
- Undertakes day to day supervision of associate practitioners and community support workers including work allocation, checking record keeping and quality of care delivered and providing clinical advice and guidance as required.
- May undertake appraisal of associate practitioners and community support workers following appropriate training
- Provides clinical supervision to associate practitioners, community support workers and students.
- Provides preceptorship / mentorship to team members as appropriate.
- Participates in the induction of new staff to the clinical area.
- Provides training to associate practitioners, community support workers and students, monitoring and evaluating learning outcomes, providing feedback and assessing competencies to facilitate learning in practice.
- Provides training in relation to own work to GPs, statutory, private and voluntary providers of care and other primary care agencies as appropriate.
Communication
- Communicates in a way which recognises difference and ensures that people feel included and their individual communication needs are met.
- Communications with clients must at all times be safe (appropriate) in content, effective and respectful and made compassionately and positively to minimise anxiety and distress related to their health and well-being.
- Ensures that effective communication systems are maintained within the team and strengthens partnership links with GPs, social workers, statutory, private and voluntary independent providers of care and other primary care agencies, attending multidisciplinary and other meetings as required.
- Uses appropriate communication methods to ensure effective therapeutic engagement with clients including the giving and receiving of complex or sensitive information where understanding may be limited.
- Communicates information regarding clients needs and progress accurately and in a timely manner to their carers/relatives as appropriate having due regard for confidentiality at all times.
- Ensures that communication with members of the public is professional and courteous at all times.
- Resolves informal complaints effectively, avoiding escalation where possible and informs the team manager in a timely manner.
- Participates in professional forums and special interest groups.
Analysis and Judgement
- Decides when to escalate issues to more senior staff
- Is aware of own limitations and scope of practice.
- Responds appropriately to crisis situations, where necessary seeking advice and guidance from other senior professionals. Implements prescribed strategies/interventions to manage the crisis effectively and informs relevant staff in a timely manner.
- Uses judgement to provide appropriate advice to associate practitioners, community support workers and students.
- Responsible for maintaining appropriate boundaries with clients.
Personal ResponsibilitiesThe post holder must:
- Comply with the terms of the contract of employment, the Staff Compact and the Trusts Statement of Values and Behaviours.Be aware of, comply with and keep up to date with all Trust Policies and Procedures and other communications relevant to the role.
- Maintain registration with the appropriate professional body where applicable and comply with the relevant code of conduct and standards of professional practice.
- Fully participate in management, clinical and professional supervision sessions relevant to the role, as required by the Trust.
- Fully participate in annual appraisal and appraisal reviews.
- Maintain up to date knowledge and competency in the skills required to perform safely and effectively in the role. Undertake relevant training (including statutory and mandatory training) and be responsible for personal development agreed with the line manager and in line with the requirements of the AFC Knowledge and Skills Framework.
GeneralThe post holder must:
- Comply with the Trusts Information Governance Policies and maintain confidentiality of information at all times in line with the requirements of the Data Protection Act.
- Comply with the Trusts Health and Safety Policy and risk management procedures and report as necessary any untoward incident or hazardous event in accordance with local procedure.
- Carry out the duties of the post with due regard to the Equality and Diversity Policy.
- Comply with the Trusts Infection Control Policies as appropriate to the role.
- Comply with the Safeguarding of Children and Adults policies and protocols as appropriate to the role.
- Comply with the Behaviours that Challenge Policy as appropriate to the role.
Job description
Job responsibilities
Clinical Responsibilities, Patient Contact
- Maintains safety, privacy and dignity of all clients in the delivery of client centred care, recognising and respecting differences including spiritual and cultural beliefs
- Takes steps to obtain client consent to care and treatment in accordance with the Mental Capacity Act, ensuring that clients who lack mental capacity remain at the centre of decision-making and are fully safeguarded.
- Acts, wherever applicable, in accordance with the Mental Health Act and associated policies and procedures.
- Responsible for recognising the potential for or signs of client harm, abuse or neglect, including poor clinical practice, reporting all such concerns and taking all reasonable steps to protect the client. Responsible for identifying and reporting concerns regarding the safeguarding of children who may be at risk.
- Ensures the highest professional standards and attitudes towards the care of clients from all staff. Clients have a range of learning disabilities (some with co-existing mental health conditions), may demonstrate behaviours that challenge and may have difficult family situations of relevance.
- Processes new referrals and has responsibility for own caseload with support from a senior practitioner or team manager.
- Acts as lead professional for clients on standard care and may take responsibility as care co-ordinator for clients on Care Programme approach under supervision and as appropriate.
- Assesses clients needs and develops, implements and evaluates intervention plans as part of the multi-disciplinary team, with the involvement of the client and where appropriate, their carer. Guidance is provided by a community clinical lead, senior nurse or community registered nurse (band 6) as required, for more complex clients.
- Ensures intervention plans are based on current risk assessment, evidence based practice, critical thinking and whole system support requirements that take account of relevant physical, social, cultural, psychological, spiritual, genetic and environmental factors.
- Undertakes risk assessments in accordance with the Trusts Clinical Risk Assessment and Management Policy, devising and implementing actions and intervention plans which take the risk formulation fully into account
- Ensures safe medicines management, as delegated and in accordance with Trust policy and legal requirements.
- Provides health education and advice on health promotion to clients and their carers.
- Responds appropriately to crisis situations, where necessary seeking advice and guidance from other relevant professionals and where appropriate being responsible for decision making and coordination in a crisis situation
- Demonstrates safe breakaway techniques in the management of violence and aggression as required.
- Where appropriate and with authorisation, acts as an advocate for clients/carers.
- Attends Mental Health Act tribunals.
Administrative Responsibilities
- Undertakes administrative tasks in relation to own work
- Uses Microsoft Office application
- Responsibility for Information Systems
- Responsible for maintaining accurate and comprehensive client records using PARIS, or other electronic systems approved by the Trust, in accordance with the Trust and professional record keeping standard
- Writes reports for Mental Health Act tribunals and Safeguarding referrals
- Plans own and others workload, managing competing demands to ensure care is delivered according to clinical priority.
- Delegates tasks to members of the clinical team whose competence has been established, whilst maintaining professional accountability and ensuring their work meets required care standards.
- Undertakes care co-ordination as appropriate.
Policy Development
- Contributes to the development of policies and procedures in own area as part of the community team or special interest group.
- Assists in the implementation, monitoring and evaluation of new or revised policies and procedures in the workplace
- Contributes to continual safety and quality improvement activities as part of the community team or special interest group.
- May participate in projects to develop services to meet the changing needs of the client group.
Financial Responsibilities
- Has a personal duty of care to ensure all equipment is used safely and effectively, following manufacturers instructions, immediately reporting any defects in accordance with local procedures.
- Uses available resources efficiently and effectively.
Research and Audit
- Participates in clinical audits as required.
- Keeps up to date with new developments in the field, evaluating available research and disseminating information to inform evidenced based practice.
- Maintains a personal professional portfolio of learning activity in compliance with registering body requirements
- Participates in practice development initiatives as part of the team.
Staff Management, Training and Development, HR
- Demonstrates clinical leadership through personal practice.
- Undertakes day to day supervision of associate practitioners and community support workers including work allocation, checking record keeping and quality of care delivered and providing clinical advice and guidance as required.
- May undertake appraisal of associate practitioners and community support workers following appropriate training
- Provides clinical supervision to associate practitioners, community support workers and students.
- Provides preceptorship / mentorship to team members as appropriate.
- Participates in the induction of new staff to the clinical area.
- Provides training to associate practitioners, community support workers and students, monitoring and evaluating learning outcomes, providing feedback and assessing competencies to facilitate learning in practice.
- Provides training in relation to own work to GPs, statutory, private and voluntary providers of care and other primary care agencies as appropriate.
Communication
- Communicates in a way which recognises difference and ensures that people feel included and their individual communication needs are met.
- Communications with clients must at all times be safe (appropriate) in content, effective and respectful and made compassionately and positively to minimise anxiety and distress related to their health and well-being.
- Ensures that effective communication systems are maintained within the team and strengthens partnership links with GPs, social workers, statutory, private and voluntary independent providers of care and other primary care agencies, attending multidisciplinary and other meetings as required.
- Uses appropriate communication methods to ensure effective therapeutic engagement with clients including the giving and receiving of complex or sensitive information where understanding may be limited.
- Communicates information regarding clients needs and progress accurately and in a timely manner to their carers/relatives as appropriate having due regard for confidentiality at all times.
- Ensures that communication with members of the public is professional and courteous at all times.
- Resolves informal complaints effectively, avoiding escalation where possible and informs the team manager in a timely manner.
- Participates in professional forums and special interest groups.
Analysis and Judgement
- Decides when to escalate issues to more senior staff
- Is aware of own limitations and scope of practice.
- Responds appropriately to crisis situations, where necessary seeking advice and guidance from other senior professionals. Implements prescribed strategies/interventions to manage the crisis effectively and informs relevant staff in a timely manner.
- Uses judgement to provide appropriate advice to associate practitioners, community support workers and students.
- Responsible for maintaining appropriate boundaries with clients.
Personal ResponsibilitiesThe post holder must:
- Comply with the terms of the contract of employment, the Staff Compact and the Trusts Statement of Values and Behaviours.Be aware of, comply with and keep up to date with all Trust Policies and Procedures and other communications relevant to the role.
- Maintain registration with the appropriate professional body where applicable and comply with the relevant code of conduct and standards of professional practice.
- Fully participate in management, clinical and professional supervision sessions relevant to the role, as required by the Trust.
- Fully participate in annual appraisal and appraisal reviews.
- Maintain up to date knowledge and competency in the skills required to perform safely and effectively in the role. Undertake relevant training (including statutory and mandatory training) and be responsible for personal development agreed with the line manager and in line with the requirements of the AFC Knowledge and Skills Framework.
GeneralThe post holder must:
- Comply with the Trusts Information Governance Policies and maintain confidentiality of information at all times in line with the requirements of the Data Protection Act.
- Comply with the Trusts Health and Safety Policy and risk management procedures and report as necessary any untoward incident or hazardous event in accordance with local procedure.
- Carry out the duties of the post with due regard to the Equality and Diversity Policy.
- Comply with the Trusts Infection Control Policies as appropriate to the role.
- Comply with the Safeguarding of Children and Adults policies and protocols as appropriate to the role.
- Comply with the Behaviours that Challenge Policy as appropriate to the role.
Person Specification
Qualifications
Essential
- RNMH or RNLD, current professional registration with NMC.
- Evidence of Continuing Professional Development.
- MIP, FLIP, ENB 998 Teaching & Assessing in Clinical Practice or City & Guilds 730 Teaching in Adult Education or willingness to work towards. Qualification must be achieved within agreed timescale.
- Trained Clinical Supervisor (within agreed timescale).
Experience
Essential
- Working with people with learning disabilities.
Desirable
- Working in a person centred therapeutic organisation
- Working in a community setting
Knowledge
Essential
- Evidenced based knowledge of best practice in caring for clients in the designated field.
- Clinical Risk Assessment and Management and its application in practice.
Skills
Essential
- Communicate complex and sensitive information effectively to clients, carers/families and all members of the multidisciplinary team.
- Motivate and work positively and assertively with other members of the team.
Person Specification
Qualifications
Essential
- RNMH or RNLD, current professional registration with NMC.
- Evidence of Continuing Professional Development.
- MIP, FLIP, ENB 998 Teaching & Assessing in Clinical Practice or City & Guilds 730 Teaching in Adult Education or willingness to work towards. Qualification must be achieved within agreed timescale.
- Trained Clinical Supervisor (within agreed timescale).
Experience
Essential
- Working with people with learning disabilities.
Desirable
- Working in a person centred therapeutic organisation
- Working in a community setting
Knowledge
Essential
- Evidenced based knowledge of best practice in caring for clients in the designated field.
- Clinical Risk Assessment and Management and its application in practice.
Skills
Essential
- Communicate complex and sensitive information effectively to clients, carers/families and all members of the multidisciplinary team.
- Motivate and work positively and assertively with other members of the team.
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).
