Central and North West London NHS Foundation Trust
Registered Mental Health Nurse - HMP High Down
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Job Overview
Central and North West London NHS Foundation Trust is a Top Employer Award Winner and works in partnership to provide responsive and dependable primary care, mental health, intellectual disability, and substance misuse services to the diverse and culturally rich communities we serve.
In our quest to deliver patient-focused quality care, we are looking to recruit a highly motivated, innovative, and enthusiastic Registered Mental Health Nurse to join our forward-thinking, friendly, and expanding Health & Justice team at HMP High Down. By joining our Prisons Health Care Team, you will not only look after the healthcare needs of our patients residing in secure environments but also have a real impact on promoting health and well-being. Our healthcare services work to a 7-day week working model to ensure our patient's healthcare is always managed and maintained to the highest of standards.
Our motto is “Caring NOT Judging” so by working in partnership with the criminal justice system and other agencies, we provide responsive, dependable, and high-quality primary care and mental health services to those who may have offended and those at risk of offending in the communities we serve, to improve their health status and to encourage social inclusion.
We offer a great range of career pathways to support our nurses through their journey. See the list of endless opportunities under the working for your organisation tab.
Main Duties of the Job
- To function fully within the Mental Health In-reach Team, assessing and treating patients through their journey in prison.
- To accept referrals and triage patients with the team.
- To undertake Early Days In Custody (EDIC) assessments. To ensure all new arrivals receive a brief assessment of individual presentation and need, referring patients on to other services (GP, SMS, chaplaincy, psychology, etc) and book further assessment if indicated.
- To participate in Care and Separation (Segregation) Unit (CSU) rounds with a GP and primary care nurse.
- To undertake comprehensive assessments alone or with colleagues and feedback to the Multi-disciplinary Team, ensuring that planned care is individual and appropriate to the needs of the patient.
- To provide effective case management to a defined caseload in accordance with the Care Programme Approach, in conjunction with the team, appropriate prison departments, and external health, social care, and probation services.
- To ensure effective pre-release care planning.
Working for Our Organisation
Along with the fully established benefits such as Monthly supervision; Annual personal development plans/appraisals; Support and guidance with Revalidation; Hidden Gem and annual award ceremonies. We are also able to offer access to a full range of internal and external training opportunities across our services.
Our Health and Justice healthcare services present unique and diverse learning, development, and leadership opportunities for nurses, where you will have the potential to make a significant difference to the lives of adults, children, and young people who often experience a wide range of health inequalities.
We have a clinical leadership career pathway in place to ensure you feel supported and valued via our career pathway programme that facilitates lifelong learning and development enabling you to progress within your career within Health & Justice.
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We will support you to ensure you develop your clinical and leadership skills. This includes:
- Induction programme
- Career coaching
- Clinical supervision
- Reflective Practice
- Ongoing support from professional nurse advocates
- NHS Leadership Academy leadership course
- Bespoke health and justice clinical competencies
- External training courses in enhanced and advanced practice
All our sites in Surrey offer free use of the onsite leisure facilities and free parking for staff.
Detailed Job Description And Main Responsibilities
Please see attached JD&PS for full details of duties and responsibilities.
Quality of Care
- Promote the health and well-being of patients and maintain a safe, caring, and therapeutic environment based on an individualised approach.
- Working with the Team Leader to provide an environment that promotes training and development among the workforce.
- To work under the direction of the team manager and staff in the service to ensure that clinical priorities are clearly understood and met to an agreed standard.
- To assess health and social care needs and negotiate care plans with patients and staff teams.
- To undertake risk assessments including the formulation of a comprehensive plans developed jointly with the patients and staff teams.
- To work within the Prison service safer custody framework for managing suicide and self-harm (ACCT procedures) to support patients requiring this.
- To provide a service sensitive to age, culture, ethnicity, and gender, sexuality, and disability.
- To contribute to the effective multi-disciplinary team working within the team and the rest of the Prison.
- To carry out duties in accordance with Prison / NOMS policies.
- To undertake comprehensive assessment of individuals: to include all areas of need and information gathering from all relevant Prison departments and external agencies.
- To case manage an identified caseload of clients, in conjunction with the multi-disciplinary team and relevant agencies and carers. To include the planning and implementation of effective care plans, regular review meetings, timely referral to external agencies, within the framework of the CPA, to ensure effective pre-release and discharge planning.
- To communicate effectively with all relevant internal departments and external agencies regarding clients, within the restrictions of a prison environment.
- To work closely with the MDT and identify and facilitate an effective range of therapeutic interventions for this particular client group.
- To respond to urgent referrals and to assess whether input from the team is indicated/appropriate.
- To offer a range of evidence-based interventions and proactive risk management approaches to help the service user and their family to reduce and manage symptoms, high-risk behaviour, and other disabling effects of their conditions and enable, as far as possible, full and sustained recovery.
- To ensure that safeguarding procedures are followed.
- To monitor treatment, support concordance, and ensure prompt action is taken to alleviate unwanted effects.
- To provide advice and information to patients about their care.
- To provide access to and ongoing psycho-education regarding the various mental health conditions to patients.
- To provide interventions and work with other disciplines/agencies/teams in the care of service users experiencing co-morbid problems with substance use/misuse.
- Provide written reports and discharge summaries as required.
- Co-ordinate CPA review meetings and produce written care plans and circulate care plan to relevant people and agencies in accordance with the Trust policies and guidelines.
- To have a working knowledge of the MHA 1983 (Amendment 2007) as used within criminal justice settings.
- To safely plan patient care back out into the community from Prison, or transferring to alternative prison establishments ensuring continuity of care is provided.
- The post holder where possible will, under the direction of the team manager and the MDT, ensure that the service is delivered to patients inclusively and effectively.
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Person Specification
EDUCATION AND QUALIFICATIONS
Essential criteria
- Registered Mental Health Nurse NMC
- Evidence of professional development since registration
Desirable criteria
- Post registration qualification that enhances clinical work: CBT, DBT, Dual Diagnosis, etc.
PREVIOUS EXPERIENCE Paid/unpaid Relevant To Job
Essential criteria
- Experience of working as part of a multi-disciplinary team
- Experience of care coordinating within CPA framework
- Experience of working in community setting
- Experience of mentoring or supervising students
Desirable criteria
- Experience of working in a Prison or forensic environment
ATTITUDES, APTITUDES, PERSONAL CHARACTERISTICS
Essential criteria
- Motivated to maintain the highest standards possible in the service.
- Able to accept constructive feedback.
- Able to ask for support where required.
- Compassionate & non-judgmental approach.
- Flexible.
Other
Essential criteria
- The post holder must have the ability to understand and implement the equal opportunities policy at a level appropriate to the job.
Skills, Knowledge, Abilities
Essential criteria
- Expert in engaging with people with mental health problems, assessing their needs, designing and delivering appropriate interventions, and evaluating the effectiveness of the process.
- Risk assessment and management skills.
- Excellent IT skills.
- Proven ability to work with patients to increase their level of self-determination and resilience.
- Knowledge of safeguarding frameworks.
- Problem solving, stress management & conflict resolution skills.
- Ability to engage in evidence-based practice, with an understanding of care quality (clinical governance).
- Ability to work effectively as part of a team and independently as appropriate.
- To use supervision positively and effectively.
- Effective time management.
- Knowledge of the needs and rights of patients.
Desirable criteria
- Knowledge of CPA, Mental Health Act, MAPPA, legislation, and policies relevant to prison mental health.
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