Clinical Nurse Specialist - Intensive Support Team (IST)
Cambridgeshire and Peterborough NHS Foundation Trust
The Clinical Nurse Specialist (CNS) will be a specialist and/or advanced practitioner in their clinical field and will work in clinical practice most of their working week. They will provide specialist, accredited, clinical expertise in the mental health and behavioural support of adults with learning disabilities (and autism). Their clinical focus will be within the Trust's Intensive Support Team (IST) delivering assessment and support to individuals when in crisis in the therapeutic milieus most conducive to their needs; (2) preventing inappropriate hospital admissions; and (3) supporting timely and effective hospital discharges. Main duties of the job
Clinical practice hours will include direct and indirect clinical/therapeutic work with individuals and their support systems. They will function as a senior member of the multidisciplinary team (MDT), designing, supporting and/or delivering specialist assessments, formulations, interventions and recommendations of relevance to people with LD with acute and/or complex mental health and/or challenging behaviour needs. Clinical responsibilities will include supporting colleagues to skilfully navigate the complex interface of values, rights, evidence, clinical guidelines, and legal/policy frameworks for people with LD, in accordance with the professional standards of their specialist/advanced practice. This post is central to the delivery of clinically based support, education, training and development of the nursing team. Working in partnership with the Team Manager the post holder will develop and embed evidence based clinical nursing practice within the team through implementation and facilitation of clinically based education, training and skills development for nurses. The CNS is a clinical specialist in learning disabilities and adult mental health and is knowledgeable and skilled in managing groups and teams. The CNS will have their own area of clinical skill/interest and will provide direct clinical work within the service. The CNS would have oversight of operational issues for the team in the absence of team manager. About us
Cambridgeshire & Peterborough NHS Foundation Trust is a health & social care organisation dedicated to providing high quality care with compassion to improve the health & wellbeing of the people we care for, as well as supporting & empowering them to lead a fulfilling life. Our clinical teams deliver many NHS services not only via inpatient and primary care setting but also with the community. These services include Children, Adult & Older Peoples mental & physical health, Forensic & Specialist mental health, Learning Disabilities, Primary Care & Liaison psychiatry, Substance misuse, Social care, Research & Development. To achieve our goal, we look to recruit high calibre candidates that share our vision & values. As an equal opportunities employer, we encourage applications from all sectors of the community, particularly from under-represented groups including disabled people & members of our ethnic minorities & LGBTQ+ communities. Job responsibilities
To ensure that a therapeutic milieu is maintained by supporting the nursing team and the therapeutic structure. To lead and/or support in aspects of complex casework and undertake specialist clinical work with individuals and/or their support systems. To take a lead role in ensuring that a high standard of multi-disciplinary care planning is in place and to be accountable for the nursing contribution to the process. To ensure that the nursing team provide accurate and high-quality patient records. To maintain personal and professional development by providing direct clinical work to individuals and their families with appropriate evidence-based intervention e.g. solution focused therapy, CBT, providing groups and activities in line with the Positive Behaviour Support (PBS) model. To encourage and develop user and carer involvement. To undertake any other duties which may reasonably be required by the Team Manager. To take a lead on clinical matters and policy development relating to nursing practice. To provide professional leadership within the specific pathway, working with relevant Team Managers and Service Managers for the planning and delivering of nursing practice and wider service delivery. To have good awareness of the Pathway and protocols and Trust policies and protocols within nursing and Nursing Strategy. Person Specification
Education/Qualifications
Registered Mental Health Nurse or equivalent professional registration. Evidence of relevant post registration training and development. Independent and supplementary Prescriber. Recognised training qualification. Mentor and mentorship training or willingness to complete. Experience
Significant post registration experience in working with people with mental health needs. Community and in-patient experience in mental health services. Considerable experience in the assessment and management of clinical risk. Experience in the planning and delivery of training and practice developments to staff. Experience of effective collaborative working. Evidence of ability to drive for results. Evidence of experience in service evaluation and improvements. Evidence of Interdisciplinary / multi-agency working experience. Clinical audits and research. Experience of working in Liaison Psychiatry. We welcome people with lived experience of mental health. Skills/Abilities
Able to demonstrate commitment to high quality care and service provision. Competent IT skills including word, outlook, excel and power point. Ability to prioritise workload effectively, meeting expected deadlines. Excellent analytical and decision-making skills. Advanced interpersonal skills demonstrating the ability to communicate and work with a wide range of professionals. Ability to influence others effectively. Ability to work autonomously and effectively under pressure. High level of self-awareness, recognising own strengths and limitations. Ability to manage change and deal with conflict / stressful situations. Ability to produce and present clear reports. Advanced understanding of the mental health needs of adults. Specialist knowledge of person-centred care and its application. Specialist knowledge of psycho-social interventions and their appropriate use. Specialist knowledge of medication and the monitoring of its effect. Up to date knowledge of appropriate assessment scales. Good knowledge of the policies and guidelines pertinent to the planning and delivery of care to adults with mental health needs. Awareness of the impact of the health economies on service planning and delivery. Knowledge of the recovery principles and its application to adults. Knowledge of practical application and use of psychological therapies. Knowledge of improvement models and applications. Physical Requirements
Ability to foster good interagency working. Ability to represent the team / service / Trust in a professional manner. Other requirements
Recognise people's right to privacy and dignity, treating every person with respect. Willingness to embrace integrated model and new ways of working. Willingness to be flexible in approach and attitude. Ability to travel independently. Ability to work flexibly. 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. Cambridgeshire and Peterborough NHS Foundation Trust £46,148 to £52,809 a year, pro rata.
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Cambridgeshire and Peterborough NHS Foundation Trust
The Clinical Nurse Specialist (CNS) will be a specialist and/or advanced practitioner in their clinical field and will work in clinical practice most of their working week. They will provide specialist, accredited, clinical expertise in the mental health and behavioural support of adults with learning disabilities (and autism). Their clinical focus will be within the Trust's Intensive Support Team (IST) delivering assessment and support to individuals when in crisis in the therapeutic milieus most conducive to their needs; (2) preventing inappropriate hospital admissions; and (3) supporting timely and effective hospital discharges. Main duties of the job
Clinical practice hours will include direct and indirect clinical/therapeutic work with individuals and their support systems. They will function as a senior member of the multidisciplinary team (MDT), designing, supporting and/or delivering specialist assessments, formulations, interventions and recommendations of relevance to people with LD with acute and/or complex mental health and/or challenging behaviour needs. Clinical responsibilities will include supporting colleagues to skilfully navigate the complex interface of values, rights, evidence, clinical guidelines, and legal/policy frameworks for people with LD, in accordance with the professional standards of their specialist/advanced practice. This post is central to the delivery of clinically based support, education, training and development of the nursing team. Working in partnership with the Team Manager the post holder will develop and embed evidence based clinical nursing practice within the team through implementation and facilitation of clinically based education, training and skills development for nurses. The CNS is a clinical specialist in learning disabilities and adult mental health and is knowledgeable and skilled in managing groups and teams. The CNS will have their own area of clinical skill/interest and will provide direct clinical work within the service. The CNS would have oversight of operational issues for the team in the absence of team manager. About us
Cambridgeshire & Peterborough NHS Foundation Trust is a health & social care organisation dedicated to providing high quality care with compassion to improve the health & wellbeing of the people we care for, as well as supporting & empowering them to lead a fulfilling life. Our clinical teams deliver many NHS services not only via inpatient and primary care setting but also with the community. These services include Children, Adult & Older Peoples mental & physical health, Forensic & Specialist mental health, Learning Disabilities, Primary Care & Liaison psychiatry, Substance misuse, Social care, Research & Development. To achieve our goal, we look to recruit high calibre candidates that share our vision & values. As an equal opportunities employer, we encourage applications from all sectors of the community, particularly from under-represented groups including disabled people & members of our ethnic minorities & LGBTQ+ communities. Job responsibilities
To ensure that a therapeutic milieu is maintained by supporting the nursing team and the therapeutic structure. To lead and/or support in aspects of complex casework and undertake specialist clinical work with individuals and/or their support systems. To take a lead role in ensuring that a high standard of multi-disciplinary care planning is in place and to be accountable for the nursing contribution to the process. To ensure that the nursing team provide accurate and high-quality patient records. To maintain personal and professional development by providing direct clinical work to individuals and their families with appropriate evidence-based intervention e.g. solution focused therapy, CBT, providing groups and activities in line with the Positive Behaviour Support (PBS) model. To encourage and develop user and carer involvement. To undertake any other duties which may reasonably be required by the Team Manager. To take a lead on clinical matters and policy development relating to nursing practice. To provide professional leadership within the specific pathway, working with relevant Team Managers and Service Managers for the planning and delivering of nursing practice and wider service delivery. To have good awareness of the Pathway and protocols and Trust policies and protocols within nursing and Nursing Strategy. Person Specification
Education/Qualifications
Registered Mental Health Nurse or equivalent professional registration. Evidence of relevant post registration training and development. Independent and supplementary Prescriber. Recognised training qualification. Mentor and mentorship training or willingness to complete. Experience
Significant post registration experience in working with people with mental health needs. Community and in-patient experience in mental health services. Considerable experience in the assessment and management of clinical risk. Experience in the planning and delivery of training and practice developments to staff. Experience of effective collaborative working. Evidence of ability to drive for results. Evidence of experience in service evaluation and improvements. Evidence of Interdisciplinary / multi-agency working experience. Clinical audits and research. Experience of working in Liaison Psychiatry. We welcome people with lived experience of mental health. Skills/Abilities
Able to demonstrate commitment to high quality care and service provision. Competent IT skills including word, outlook, excel and power point. Ability to prioritise workload effectively, meeting expected deadlines. Excellent analytical and decision-making skills. Advanced interpersonal skills demonstrating the ability to communicate and work with a wide range of professionals. Ability to influence others effectively. Ability to work autonomously and effectively under pressure. High level of self-awareness, recognising own strengths and limitations. Ability to manage change and deal with conflict / stressful situations. Ability to produce and present clear reports. Advanced understanding of the mental health needs of adults. Specialist knowledge of person-centred care and its application. Specialist knowledge of psycho-social interventions and their appropriate use. Specialist knowledge of medication and the monitoring of its effect. Up to date knowledge of appropriate assessment scales. Good knowledge of the policies and guidelines pertinent to the planning and delivery of care to adults with mental health needs. Awareness of the impact of the health economies on service planning and delivery. Knowledge of the recovery principles and its application to adults. Knowledge of practical application and use of psychological therapies. Knowledge of improvement models and applications. Physical Requirements
Ability to foster good interagency working. Ability to represent the team / service / Trust in a professional manner. Other requirements
Recognise people's right to privacy and dignity, treating every person with respect. Willingness to embrace integrated model and new ways of working. Willingness to be flexible in approach and attitude. Ability to travel independently. Ability to work flexibly. 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. Cambridgeshire and Peterborough NHS Foundation Trust £46,148 to £52,809 a year, pro rata.
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