JOB TITLE: Mental Health Practitioner/Nurse
LOCATION: South Kerrier PCN surgeries ( Helston Medical Centre, Mullion Health Centre, Meneage St Surgery, St Keverne surgery )
REPORTS TO: Clinical Director/Lead GP Partner
HOURS: Full time or part time considered
SALARY: Dependent on experience
Provide clinical expertise and support to GPs and practice clinicians to manage patients with mental health problems in primary care. This role will support patients who are acutely unwell (urgent on the day) and provide longer term care to those with ongoing mental health problems, reviewing their treatment, medication and taking responsibility for supporting them together with the lead GP. The post holder will work at all times to promote the safety and the wellbeing of these patients and their families/carers.
There is an emphasis on MDT working in partnership with Cornwall Partnership Foundation Trust (CPFT), other health and social care providers, and our internal social prescribing team. Regular mental health MDT meetings are held at practices.
Support to undertake non-medical prescribing is available. The role may evolve to include education and training of clinical and non-clinical staff and trainees.
MAIN DUTIES AND RESPONSIBILITIES:
The duties and responsibilities of the post holder are detailed below, although the precise accountabilities of any job may be expected to change over time. Job holders would be contacted over any proposed changes before implementation.
• Triage and assessment of patients presenting with mental health problems
• Proactive follow-up of adult patients with serious mental illness both in terms of mental and physical health
• Annual medication reviews for those on longer term antidepressants and antipsychotics
• Non-medical prescriber or opportunities to undertake prescribing course or other education programmes
• Active signposting to third sector organisations/ engage with in-house social prescribing team
• Attend monthly mental health meetings with local CMHT IAPT provider substance misuse service and third sector
• Help where appropriate to co-ordinate support for the more vulnerable groups of patients experiencing mental health problems e.g. the homeless, substance misuse, learning difficulties
• Consultations to be undertaken with patients both in surgery and at home plus telephone consultations
• Capable of working independently and proactively
• Active management of flexible caseload with awareness of dependency
• Protection of Children and Vulnerable Adults. To promote and safeguard the welfare of children, young people and vulnerable adults.
• Develop links and foster a culture of partnership between the practice and CPFT Adult Mental Health Services
• Promote and follow treatment protocols and care pathways leading to increased integration of service users within the primary care setting
• Takes professional responsibility with high-level decision making and clinical reasoning skills to assess, diagnose and triage of patients
• Manages and contributes to service delivery and the development of the practice
• Accountable for decisions and actions supported by a professional culture of peer networking/review and engagement in evidence-based practice
• Streamlines pathway of care by providing a responsive service so that patients receive timely access to care
• Ensures care is proactive, preventive in focus and population based, with an emphasis on early intervention
• Energetic individual capable of working effectively within MDT
• Provides care which is tailored to the individual needs. This would include, appraising the impact of individuals’ clinical status on their general health, well-being, employment status
• Supports patients to set their own goals and be confident in their approach to self-management
• Communicates effectively and appropriately with patients and carers complex and sensitive information regarding diagnosis, pathology and prognosis.
• Provides learning opportunities for the whole multi professional team within primary care.
• Works with MDT to develop more effective and streamlined clinical pathways and services
• Exercises professional judgement, making, justifying and taking responsibility for decisions in unpredictable situations, including in the context of incomplete/contradictory information
• Manages interactions in complex situations, including with individuals with particular psychosocial and mental health needs and with colleagues across the primary care team, sectors and settings
• Support the use of telephone triage (screening) services
• To follow the operational systems and procedures required by the organisation.
• To represent the organisation in a positive and professional manner at all times.
• Operate as a full member of the primary care team, including contributing to leadership, service evaluation/improvement and research activity
• Manage and co-ordinate the care that individual patients receive, including through liaising with other members of the MDT and with patients’ carers
• Contribute to the use of healthcare technologies to optimise the integration of service delivery (across teams, sectors and settings) and patients’ access and continuity of care
• Contribute to the development of primary care teams, including through contributing to others’ learning
• Contribute to the development and maintenance of sound clinical governance and risk management.
• Support the development/implementation on any new ways of working/policies that need to be introduced across the SAH.
• Support SAHC in operating a quality assurance but no blame culture that adheres to best practice around incident reporting and whistle blowing.
Engagement with Patients, Internal and External Stakeholders
• Initiate, develop and maintain excellent third party relationships e.g. with CCGs, NHSE Area Teams, sub-contractor providers, patient groups, local community health teams and other stakeholders to grow, maintain and support service and performance delivery.
• To ensure patient surveys are undertaken, analysed and action plans are developed and acted upon
• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
All such information from any source is to be regarded as strictly confidential.
Equality and Diversity
• The postholder will support the equality, diversity and rights of patients, carers and colleagues to include:
• Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgemental and respects their circumstances, feelings priorities and rights.
• The postholder will participate in any training programme implemented by the practice as part of this employment, such training to include:
• Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development.
• Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.
Health and Safety
The postholder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice health & safety policy, the practice health & safety manual and the practice infection control policy and published procedures.
Appraisal/ Objective setting
The post holder will participate in an annual review of their performance during the previous year and agree objectives to be met in the next year. These will be reviewed at agreed points during the year. The annual appraisal will be undertaken by the HR and Non-Clinical PCN Operations Manager ( line manager) and a designated GP Partner may be present.
The postholder should recognise the importance of effective communication within the team and will strive to:
• Communicate effectively with other team members
• Communicate effectively with patients and carers
• Recognise people’s needs for alternative methods of communication and respond accordingly.
The postholder will strive to maintain quality within the practice, and will:
• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance.
• Work effectively with individuals in other agencies to meet patients’ needs.
• Effectively manage own time, workload and resources.
Contribution to the implementation of services
The postholder will:
• Apply practice policies, standards and guidance.
• Discuss with other members of the team how the policies, standards and guidelines will affect own work.
• Participate in audit where appropriate
Working hours will be between 8am and 8pm Monday to Friday and may involve some weekend working at the agreed standard rate. Thirty minutes unpaid break must be taken at lunchtime.
Social Media and designated other websites cannot be accessed on Practice Computers. Personal mobile phones should not be accessed during working hours.
The details contained in this Job Description are not exhaustive and may change as the post develops.
• Registered Nurse with current registration [mental health/LD/Adult], appropriate to the job role
• Evidence of continuous professional development
• Non-medical Prescriber
• Completion of Mentorship Course/ENB equivalent
Experience • Significant post qualifying experience in the relevant care group
• Experience of working alongside people with complex health problems in the designated care group
• Experience of managing a caseload
• Experience of providing a range of clinical interventions to people in the designated care group with a variety of health problems
• Experience of working consultatively with professionals
• Experience of conducting clinical assessments including risk assessments
• Experience of partnership working within and across various statutory and non-statutory teams and agencies
• Understanding of clinical governance
• Previous experience of working in the community
• Contribute to the implementation of services.
• Lived experience of mental health issues Essential
Skills/Abilities • Excellent communication skills, ability to relate and communicate with patients and staff at all levels and from different professions.
• Ability to adapt communication style appropriately and dependant on situation.
• Excellent negotiation and conflict resolution skills
• Understands and demonstrates the characteristics of a role model to members in the team and/or service
• Establish and maintain communication with individuals, families, carers and groups about difficult or complex matters overcoming any differences in communication
• Develop own skills and knowledge and provide information to others to help their development
• Participate in Partnership working with individuals, groups, communities and agencies
• Promote people’s equality, diversity and human rights
• Demonstrates self-development through continuous professional development activity
• Participates in the delivery of education programmes
• Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice
• Experience of child, young person and adult safeguarding.
• Provision of medication using a non-medical prescribing qualification
• Experience of project management
• Demonstrates a commitment to quality improvement
• Demonstrates a commitment to supporting and valuing equality and diversity