Job summary
The Dynamic Hospital Avoidance Lead (Acute inpatients & AMH Crisis/ Liaison , is an exciting role which aims to make a big impact in people's lives with Learning Disabilities and/or Autism.
The post holder will support Crisis Resolution & Home Treatment Teams and the Mental Health Hospital Liaison teams with people on their caseloads who have a diagnosis of Learning Disability and/or Autism. The main aim of the role is to support teams to avoid clinically inappropriate admissions into a mental health acute hospital.
At times someone will need to be admitted to hospital and those admissions should be as short as possible; therefore they will need to support inpatient teams to ensure robust care and discharge planning is in place for individuals with a diagnosis of a Learning Disability and/or Autism.The role will have a specific focus to provide additional support to wards to make things happen as required to ensure discharge plans remain on track. This will include liaising and working with colleagues from across Health and Social Care systems.Maintain oversight of the persons discharge planning and provide regular feedback to CCG as part of weekly Discharge Review Meeting.
Please note that the job description is currently pending job evaluation.
Become part of a talented, compassionate and enthusiastic workforce committed to a vision of 'making a positive difference in people's lives'.
Main duties of the job
The Trust is working closely together and in collaboration with the wider Joined Up Care Derbyshire organisations.
This is an exciting opportunity to be part of a specialist team and contribute to an integrated service development.
The Dynamic Hospital Avoidance Lead (Acute Inpatients & AMH Crisis/ Liaison) will be to work across the mental health crisis teams and mental health hospital liaison covering the North of Derbyshire County) to support people on their caseload with adults who have a diagnosis of a Learning Disability and/or Autism. The role will be to support teams to avoid an inpatient admission if this is deemed clinically inappropriate.
At times someone will need to be admitted to hospital and those admissions should be as short as possible; therefore they will need to support inpatient teams to ensure robust care and discharge planning is in place for individuals with a diagnosis of a Learning Disability and/or Autism.
This is a 12 month fixed term contract and Secondment Opportunity. If applying as a secondment, please ensure you have gained the approval from your employer/line manager, before making an application.
About us
Join 'Team Derbyshire Healthcare' and become part of a talented, compassionate and enthusiastic workforce committed to a vision of making a positive difference in people's lives.
CQC rated us as 'GOOD' overall, commenting on how our colleagues treated patients with compassion and kindness and felt positive and proud about working for the trust.
Benefits include:
- Commitment to flexible working where this is possible
- 27 days annual leave/ year plus bank holidays, increasing to 29 days after 5 years & 33 days days after 10 year service
- Yearly appraisal and commitment to ongoing training
- Generous NHS pension scheme
- Good maternity, paternity and adoption benefits
- Health service discounts and online benefits
- Incremental pay progression
- Free confidential employee assistance programme 24/7
- Access to our LGBTI+ network, BAME Network and Christian Network
- Health and wellbeing opportunities
- Structured learning and development
Job description
Job responsibilities
Please see the full job description for further details. Please ensure when completing supporting information in the application form that you use the person specification to ensure you cover all aspects of this for shortlisting.
- The Transforming Care Programme (TCP) has a focus on improving health and care services so that people with Learning Disabilities and/or Autism can live in the community, with the right support, and close to home. Sometimes someone will need to be admitted to hospital and those admissions should be as short as possible. The post holder will:
- Develop close working relationships with consultant psychiatrist/inpatient teams, the TCP, Learning Disability & Autism Leads and Autism Leads) and social care to ensure timely discharges if an inpatient and to ensure that community teams are working towards the Building The Right Support Agenda.
- Work from within the Derbyshire Healthcare NHS Foundation Trust (DHcFT) Intensive Support Teams (IST) and Specialist Autism Teams (SAT) and in-reach into DHcFT acute inpatient units and Acute Mental Health community services.
- The role aims to provide support to staff within the inpatient services and Adult Mental Health community services via clinical leadership in relation to individuals with a diagnosis of Learning Disability and/or Autism.
- Provide highly specialist Learning Disability & Autism Spectrum Disorder advice and consultation to other professionals across Adult Mental Health inpatient wards, Crisis Resolution & Home Treatment Teams and Hospital Liaison.
- To have highly skilled clinician who will support and advise psychiatrist/inpatient teams and acute AMH community teams to ensure robust care and discharge planning is in place for individuals with a diagnosis of a Learning Disability and/or Autism.
- The In-reach role will have a specific focus to provide challenge and support to psychiatrist and wards to make things happen as required to ensure discharge plans remain on track. This will include liaising and working with colleagues in TCP and across Health and Social Care systems.
- Maintain oversight of the persons discharge planning and provide regular feedback to the TCP as part of weekly Discharge Review Meeting. Which will be securitised at weekly meeting by NHSi and the TCP and Learning disability & autism lead at the weekly TCP weekly meeting.
- To have highly developed assessment skills and experience of working with people who may have a range of complex difficulties relating to their Learning Disability and/or Autism.
- To have advanced awareness, skills and understanding of National Policy and the ability to apply to this in practice. This would include advanced knowledge in respect of specialist assessments, therapeutic interventions and research evidence.
- Working with teams to support the Building The Right Support processes and ensure they are being followed i.e. Dynamic Support Register (DSR), Care and Treatment Reviews (CTR), Community Care & Treatment Reviews (CCTR) and Local Area Emergency Protocols (LAEP).
- The expert role requires complex decision making and supporting the ward staff and acute community services to plan and coordinate the person with a Learning Disability and/ or Autisms care and risk management.
- Scrutinising admission and ensuring that process have been followed e.g. LAEP/CTR.
- To monitor service provision and evolution in a changing social and economic environment.
Job description
Job responsibilities
Please see the full job description for further details. Please ensure when completing supporting information in the application form that you use the person specification to ensure you cover all aspects of this for shortlisting.
- The Transforming Care Programme (TCP) has a focus on improving health and care services so that people with Learning Disabilities and/or Autism can live in the community, with the right support, and close to home. Sometimes someone will need to be admitted to hospital and those admissions should be as short as possible. The post holder will:
- Develop close working relationships with consultant psychiatrist/inpatient teams, the TCP, Learning Disability & Autism Leads and Autism Leads) and social care to ensure timely discharges if an inpatient and to ensure that community teams are working towards the Building The Right Support Agenda.
- Work from within the Derbyshire Healthcare NHS Foundation Trust (DHcFT) Intensive Support Teams (IST) and Specialist Autism Teams (SAT) and in-reach into DHcFT acute inpatient units and Acute Mental Health community services.
- The role aims to provide support to staff within the inpatient services and Adult Mental Health community services via clinical leadership in relation to individuals with a diagnosis of Learning Disability and/or Autism.
- Provide highly specialist Learning Disability & Autism Spectrum Disorder advice and consultation to other professionals across Adult Mental Health inpatient wards, Crisis Resolution & Home Treatment Teams and Hospital Liaison.
- To have highly skilled clinician who will support and advise psychiatrist/inpatient teams and acute AMH community teams to ensure robust care and discharge planning is in place for individuals with a diagnosis of a Learning Disability and/or Autism.
- The In-reach role will have a specific focus to provide challenge and support to psychiatrist and wards to make things happen as required to ensure discharge plans remain on track. This will include liaising and working with colleagues in TCP and across Health and Social Care systems.
- Maintain oversight of the persons discharge planning and provide regular feedback to the TCP as part of weekly Discharge Review Meeting. Which will be securitised at weekly meeting by NHSi and the TCP and Learning disability & autism lead at the weekly TCP weekly meeting.
- To have highly developed assessment skills and experience of working with people who may have a range of complex difficulties relating to their Learning Disability and/or Autism.
- To have advanced awareness, skills and understanding of National Policy and the ability to apply to this in practice. This would include advanced knowledge in respect of specialist assessments, therapeutic interventions and research evidence.
- Working with teams to support the Building The Right Support processes and ensure they are being followed i.e. Dynamic Support Register (DSR), Care and Treatment Reviews (CTR), Community Care & Treatment Reviews (CCTR) and Local Area Emergency Protocols (LAEP).
- The expert role requires complex decision making and supporting the ward staff and acute community services to plan and coordinate the person with a Learning Disability and/ or Autisms care and risk management.
- Scrutinising admission and ensuring that process have been followed e.g. LAEP/CTR.
- To monitor service provision and evolution in a changing social and economic environment.
Person Specification
Qualifications
Essential
- Current professional registration and qualification e.g. RNLD, RNMH, OT, Psychology and SLT.
- A degree in a professional area e.g. Nursing, OT, SLT and Psychology, or equivalent experience plus additional specialist training in the field Learning Disabilities and/ or Autism.
- Evidence of continuing professional and personal development
Desirable
Skills
Essential
- Ability to lead and contribute to clinical discussions across a range of stakeholders and multi-agency working to support admission avoidance, admissions and discharge planning processes.
- Ability to analyse complex issues where material is conflicting or incomplete and drawn from multiple sources and identify trends and make recommendations which will influence service changes.
- Awareness of the barriers that individuals with a diagnosis of learning disability and/or Autism face within healthcare, the legal frameworks implement to avoid these, and the ability to offer creative solutions.
- Ability to work alongside others who may have limited understanding of Learning Disability and/or Autism and empower them when supporting this cohort.
- Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales.
Desirable
- Ability to think creatively about opportunities for service development.
Knowledge/ Experience
Essential
- Highly experienced and knowledgeable regarding people with a diagnosis and treatment of Mental illness, Learning Disability and/or Autism.
- Experienced and highly skilled in working in the community and inpatient settings and the ability to work across different community teams and influence practice.
- Working experience and in depth knowledge of the "Building The Right Support" processes i.e. Dynamic Support Register (DSR), Care & Treatment Review (CTR), Community Care & Treatment Review (CCTR) and Local Area Emergency Protocols meetings (LAEP)
- In depth knowledge of Transforming Care Partnership and awareness of the national scrutiny that the Trust, and Joined Up Care Derbyshire from NHSi regarding Learning Disabilities and Autism inpatient admissions.
- Experience of managing risks and reporting
Desirable
- Experience of implementing significant changes in working practices.
Person Specification
Qualifications
Essential
- Current professional registration and qualification e.g. RNLD, RNMH, OT, Psychology and SLT.
- A degree in a professional area e.g. Nursing, OT, SLT and Psychology, or equivalent experience plus additional specialist training in the field Learning Disabilities and/ or Autism.
- Evidence of continuing professional and personal development
Desirable
Skills
Essential
- Ability to lead and contribute to clinical discussions across a range of stakeholders and multi-agency working to support admission avoidance, admissions and discharge planning processes.
- Ability to analyse complex issues where material is conflicting or incomplete and drawn from multiple sources and identify trends and make recommendations which will influence service changes.
- Awareness of the barriers that individuals with a diagnosis of learning disability and/or Autism face within healthcare, the legal frameworks implement to avoid these, and the ability to offer creative solutions.
- Ability to work alongside others who may have limited understanding of Learning Disability and/or Autism and empower them when supporting this cohort.
- Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales.
Desirable
- Ability to think creatively about opportunities for service development.
Knowledge/ Experience
Essential
- Highly experienced and knowledgeable regarding people with a diagnosis and treatment of Mental illness, Learning Disability and/or Autism.
- Experienced and highly skilled in working in the community and inpatient settings and the ability to work across different community teams and influence practice.
- Working experience and in depth knowledge of the "Building The Right Support" processes i.e. Dynamic Support Register (DSR), Care & Treatment Review (CTR), Community Care & Treatment Review (CCTR) and Local Area Emergency Protocols meetings (LAEP)
- In depth knowledge of Transforming Care Partnership and awareness of the national scrutiny that the Trust, and Joined Up Care Derbyshire from NHSi regarding Learning Disabilities and Autism inpatient admissions.
- Experience of managing risks and reporting
Desirable
- Experience of implementing significant changes in working 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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
