Due to recent service changes and expansion, a number of vacancies have arisen within the Forensic community service. This is an exciting opportunity to join an established but developing service. We are looking for motivated mental health nurses, to work within a supportive and experienced multi-disciplinary team. The forensic community service is a transitional service, and as such we work in a collaborative and recovery focused manner to enable safe and supportive transitions for patients leaving secure services.
You will gain experience of case management and risk assessment and be responsible for a defined community caseload.
You will have a sound knowledge of concepts in forensic psychiatry and have the ability to work within a model of the multi-disciplinary team. You will also have excellent communication skills and be willing to offer commitment, motivation and a willingness to learn.
In return we will offer an excellent opportunity for personal and professional development to enhance your knowledge and skills in the management of forensic service users living in the community.
Main duties of the job
Provide specialist knowledge on forensic mental health across all 3 boroughs through active follow up of a defined caseload as well as providing expert advice and consultation to community hostels. Assess, develop and implement care packages for service users leaving conditions of low or medium security within the framework of the CPA in conjunction with other members of the MDT. Work within codes of practice and professional guidelines and be accountable for own professional practice. Ensure observance of all relevant legal and statutory requirements. Act within broad occupational policies without guidance or direct supervision. Maintain client confidentiality at all times. Participate fully in continuous professional development and supervision. Provide mentorship and supervision to students on placement. Implement risk management strategies including medication management, organization and delivery of prescribed medication. Conduct random urine screening for illicit substance misuse as directed by Home Office directions.
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.
We have over 125 sites in a variety of locations in the South of England. In London, we operate within the Boroughs of Bexley, Bromley, Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values: We're Kind We're Fair We Listen We Care
Job description
Job responsibilities
Manage a defined caseload of complex and challenging clients who present as high risk and have demonstrated this through the nature and gravity of their offending. Manage the conflict between the therapeutic alliance while keeping within the statutory and legal framework. Accountable for the assessment of care needs, risk assessment, development, implementation and evaluation of treatment packages ensuring that reviews take place within the Trust CPA policy. Provide care coordination and joint working for a designated caseload of community clients who have committed serious offences and may be subject to formal statutory supervision. Develop and implement evidence-based interventions. Act in the capacity as social supervisor for conditionally discharged patients. Ensure clinical effectiveness in working with patients, families, and carers, including people who disengage from services, by facilitating engagement and therapeutic cooperation using flexible and responsive engagement strategies. Prepare social circumstances reports for Mental Health Review Tribunal reports as requested. Encounter distressing accounts of offending behaviour while undertaking assessments as well as in the course of day-to-day duties. Provide a range of social care interventions including the preparation of reports for funding panels, mainstream housing, benefits etc. Assess the suitability of residential placements. Coordinate MHA assessments in the community. Monitor out of area placements ensuring attendance at CPAs for service users that have been admitted. Provide specialist input and advice to forensic mental hostels within the Bracton Centre's catchment area. Participate in reflective practice within the supervision framework. Administer prescribed medication safely as appropriate and in accordance with Oxleas policy and NMC guidelines. Occasional/frequent exposure to distressing, volatile and unpredictable situations. The full-time position will focus on the effective facilitation of the depot and Clozapine clinics incorporating our Physical Health Pathway to provide a seamless service to patients.
Person Specification
Qualifications
Essential
Registered Adult Nurse and/or Registered Mental Health Nurse and/or Registered Learning Disabilities Nurse.
Desirable
MSC.
Experience
Essential
Experience of research-based/reflective practice, e.g. understanding and ability to use supervision to reflect on skills, attitude and knowledge and develop these by using evidence-based practice. Evidence of continuing professional development. Significant relevant clinical experience.
Desirable
Experience of taking responsibility for a ward/clinical unit.
Skills
Essential
Resilient: able to cope with difficult interpersonal situations. Forms very effective working relationships with colleagues. Advocates for all individuals, particularly those with protected characteristics promotes equality and diversity.
Desirable
Problem solving, ability to identify problems, review options and take appropriate action without a predetermined framework.
Employer details
Employer name
Oxleas NHS Foundation Trust
Address
Bracton Centre
Bracton Lane
Dartford
DA2 7AF
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