Deliver Meaningful Intervention

• Use therapeutic engagement to support patients to engage.

Supervision of Assertive outreach staff

• To hold a case load of 10-15 patients.

Holistic Support & Multi-Agency Working

• Address mental health and physical health
• Liaise with other partners regarding identified needs e.g. drug and alcohol services, social care, housing teams, and voluntary sector partners.
• Support individuals to access practical help such as housing applications, benefits, and community resources.
• Involve families and carers (with consent) to strengthen support networks.

In-Reach to Inpatient Wards

• Provide continuity of care during hospital admissions.
• Attend inpatient wards to maintain engagement and support discharge planning.
• Ensure safe and coordinated transition back to community services.

MDT Working & Communication

• Participate in MDT meetings and AO huddles.
• Share updates, escalate concerns, and contribute to joint care planning.
• Maintain strong links with crisis services, inpatient teams, and external agencies.
• Promote reflective practice and collaborative working within the team.

Training, Supervision & Professional Development

• Maintain professional registration and adhere to relevant legislation (MHA, MCA, Care Act).
• Participate in clinical supervision, reflective practice, and mandatory training.
• Contribute to team learning, including sharing specialist knowledge related to your profession.
• Support students or trainees where appropriate.
• To participate in training relevant to post.

Management of Resources

• Work within CNWL policies including lone working, safeguarding, risk management, and health & safety.
• Ensure accurate and timely record-keeping.
• Contribute to monitoring caseloads, contact frequency, and clinical review processes.
• Use Trust systems (e.g., Tableau disengagement dashboards) to support identification of risk patterns.

Research, Audit & Service Development

• Contribute to audits, service evaluation, and quality improvement initiatives.
• Ensure practice is evidence-based and aligned with the Assertive Outreach SOP.
• Participate in the development of the AO model and wider CMHH pathways.
• Recording caseload activity on system one and ensuring accurate recording
• To report on team performance in terms of patient feedback and productivity and DNA rates.

Building and Maintaining Relationships with Local Community

• Work collaboratively with community organisations, primary care, and voluntary sector partners.
• Support individuals to access community resources that promote stability and recovery.
• Maintain strong links with other CNWL community and inpatient teams.

General

• Abide by legal requirements and the professional code of conduct for your discipline.
• Undertake any other duties relevant to the post as requested by senior managers.
• Promote equality, diversity, and inclusion in all aspects of practice.

RIDING CLAUSE

This job description is an outline of the postholder’s duties and responsibilities. It is not exhaustive and may be amended to meet the changing needs of the service.

Person Specification

Qualifications

Essential criteria

• Relevant diploma/degree in Mental Health Nursing, OT or Social Work
• Registration with NMC/HCPC/Social Work England

Desirable criteria

• Relevant post-basic training for all Disciplines
• Mentorship qualification relevant to professions
• Management training
• Practice Educator Programme

Experience

Essential criteria

• Significant years post qualifying experience at Band 6 level
• Experience of working with a complex and high risk caseload of patients with SMI in the community
• Assessing health and social needs and formulating care-plans to reflect those needs.
• Working in a multi-cultural environment.
• Experience working with individuals with substance misuse
• Experience of working in a multidisciplinary team.
• Practical experience of providing high quality care and exceeding expectations
• Demonstrate an understanding of safeguarding children/adult practices/procedure
• Experience of providing supervision to junior staff

Desirable criteria

• Management experience
• General life skills.
• Evidence of continuing professional development.
• Budgetary management
• Mentoring

Skills/ Abilities

Essential criteria

• Ability to chair regular MDT meetings with strong leadership skills
• Highly proactive and responsive to day to day demands of working in a busy CMHT
• Experience of using a range of therapeutic skills & psychosocial interventions.
• Strong clinical and risk assessment skills
• Able to build constructive relationships with warmth and empathy using good communication skills
• Ability to succinctly formulation clinical intervention including signposting to other community services
• Leadership skills (motivating, using initiative, change management).

Desirable criteria

• Teaching and delivering group/individual presentations
• Experience of policy development and strategic planning and clinical governance development resulting in change management projects/programmes

Knowledge/ Understanding

Essential criteria

• Mental Health Act 1983, Care Act 2014, Mental Capacity Act 2015
• Risk assessment and management.
• Experience of using a range of therapeutic skills & psychosocial interventions.
• Highly skilled in IT applications i.e excel, word
• Knowledge of new developments in social care and allied health professions
• Ability to embrace and manage change effectively & sensitively within the team and the wider organisation.
• Proficient in utilising Tableau to monitor team/individual performance

Other

Essential criteria

• Willingness to undertake further training & professional development.

Desirable criteria

• Possession of a valid driving license
• Able to recognise signs of stress in self & others.