Clinical Nurse Specialist (Non-Medical Prescriber)

Job summary

Are you a qualified non-medical prescriber looking for an opportunity within Community Mental Health Services?

You will be responsible for the facilitation of clozapine, depot and wellbeing clinics running in the Bridgwater Community Mental Health Team. You will undertake monitoring and follow-ups with patients and working within the CMHS, you will increase timely access to medications and allow for increased frequency of monitoring and medicines optimisation.

Working as an independent prescriber, you will develop and embed the NMP role within the CMHT. It is envisaged that this will include leading and prescribing in both clozapine and depot clinics as well as a stand-alone nurse prescribing clinic which may include initiation and ongoing monitoring of psychotropic medications (including annual reviews) and smoking cessation. Other nursing and support staff will continue to be involved in the clinics.

In addition, you would be regularly involved in CMHS assessments where there is a medication/diagnostic issue to allow for immediate prescribing at the point of assessment, or medication advice to the GP.

Clinical Pathways and safeguards for the role:

This is an autonomous role and it is expected that the NMP will work as an independent prescriber within their own competencies. It is expected that regular clinical supervision and support from senior psychiatrists will be available, and in addition peer supervision with other NMP's working in similar roles.

Main duties of the job

You will be working within the Community Mental Health Team (CMHT) in Bridgwater as part of the management team, providing leadership to the clinic staff and ensuring patients safety.

In this clinical leadership role, you will have direct clinical contact with people in our clinics and prescribing responsibilities. Part of the role is to liaise with GPs under the 'shared care agreement' to find the most appropriate place to deliver patient care.

You will have line management responsibility for clinic staff and offer support to the wider CMHT team.

Our team are friendly and warm with patient care at the heart of what drives us to deliver our diverse community services.

About us

As an organisation, the NHS offers a wide range of benefits including flexible working, fantastic pension contributions, market leading annual leave allowance, career progression and regular conversations, not to mention our Blue Light Card and NHS exclusive discounts.The benefits of working in Somerset include the idyllic countryside, with our areas of outstanding beauty and stunning coastlines. You will get to enjoy these perks whilst still only being a stone's throw away from bustling city centres like Bristol, Bath and Exeter and only two hours away from London.There are excellent educational facilities in the area and, when compared to other regions, house prices are reasonable. You will experience the best of both in Somerset, the countryside and the cosmopolitan -- there is truly something for everyone!

Date posted

10 October 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

184-OL-GR-1018

Job locations

Glanville House

Church Street

Bridgwater

Somerset

TA6 5AT

Job description

Job responsibilities

Duties and Responsibilities:

Communication and Key Working Relationships:-

Director of Mental Health and Learning Disabilities/Operational Service Managers/Team Managers - as identified in annual job plan

Ward/team members - as identified in annual job plan

Consultant Psychiatrists

Users/Carers Representatives/Advocacy

Central Trust Services: HR, Learning & Development etc.

Professional:-

To maintain and further develop high standards for the delivery or urgent care through co-operative work with colleagues, through audit and supervision.

To be aware of, and adhere to Trust policies and procedures.

To receive regular clinical and management supervision in an agreed and appropriate format.

To keep abreast of developments in the field of SMI care research and service development guidance.

To support the development of medical interventions for service users with severe and enduring mental health difficulties.

To participate in relevant Trust clinical governance initiatives

To participate in and promote clinical audit within the Service.

To liaise with other disciplines and agencies, as appropriate, to ensure best practice is shared.

Responsibility for Patient / Client Care, Treatment & Therapy:-

Undertaking responsibilities with a defined caseload focusing on work with people experiencing severe and enduring mental health difficulties and other complex needs and difficulties in the community.

Policy, Service, Research & Development Responsibility:-

To work within the Directorate of Mental Health and Learning Disabilities and advise regarding service priorities and effective implementation of best practice guidelines.

To contribute to strategic planning and proposed changes to service delivery in order to ensure / promote effective service delivery in accordance with Trust strategy and local need.

To regularly participate in relevant areas of research & evaluation and undertake service evaluation as agreed with the line manager -- and / or supervise the research of others.

To encourage a culture of evidence-based practice in all parts of the service.

The post-holder will work within their professional code of conduct and within Trust policies and procedures. This will support safe, high quality practice. The post-holder will be aware that their actions reflect upon themselves, their professional and the Trust and will recognise this corporate responsibility.

As a member of the Team, the post holder will be a role model for high professional standards of behaviour and attitude within the Team and with people using the service, other professionals and agencies.

To manage their time and workload effectively and efficiently.

To ensure they undertake all mandatory training and all other key training requirements for their role and professional qualification.

To participate in internal and external audit and evaluation in order to support the provision of high quality care and services.

To keep up to date with new developments in mental health practice and policy.

To keep up to date clinical records on the Trust's Electronic Patient Record in line with Trust policy.

To respect the confidential nature of clinical information and adhere to Trust policy.

To engage in monthly management supervision and annual appraisal.

To engage in regular professional supervision in line with Trust policy.

To participate in agreed Post Qualifying training and regular professional development programmes.

Responsibility for Finance, Equipment & Other Resources

To hold responsibility as may be agreed with the Line Manager.

Responsibility for Supervision, Leadership & Management

To provide specialist supervision to practitioners, trainees and other professionals, as appropriate.

To ensure that all members of the treating teams have access to a highly specialist evidence- based framework for understanding and care of clients with severe and enduring mental health difficulties, through the provision of advice and consultation and the dissemination of specialist research and theory.

To organise and undertake teaching and training in relevant skills as agreed with both professional and operational managers.

To provide advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate.

To develop a personal professional development plan in collaboration with the line manager, to be updated annually, and to participate in annual review process.

Contributing to the promotion of staff well-being and morale in the Team through developing and maintaining supportive relationships, acting as a role model and demonstrating hope and inspiration.

Supporting the Team Manager to achieve team objective, targets and quality standards.

Participating in development initiatives within the Team and the Trust as agreed with the Team Manager.

Promoting recovery focused work within the team and with other professionals and agencies.

Information Resources & Administrative Duties

To carry out such other clinical and administrative duties as may be agreed with the Line Manager.

Identifying and engaging with practitioners with specialist knowledge, for example by requesting specialist knowledge or clinical supervision sessions where appropriate.

The post-holder will use the Knowledge and Skills from their professional background and apply these in undertaking case work and other team functions.

To keep updated with statutory requirements and comply with appropriate legislation, policy and procedures.

Fulfil statutory responsibility for the initial assessment of carers (including young carers') needs.

Prepare and present reports as necessary to facilitate appropriate decisions being made in respect of service users.

Any Other Specific Tasks Required:-

The post will involve a combination of sitting, standing and walking and will require sitting in a restricted position whilst performing assessments.

There is a frequent requirement for sitting in a restricted position in (a) clinical settings e.g. observing and interacting with a range of clients across settings for long periods each day and (b) in the office eg at a work station.

Frequently transporting equipment such as files, laptops, TV and PowerPoint projectors to partner agencies, often parking away from the building requiring manual transporting of the equipment.

Utilise driving skills locally most days with regular requirement to drive throughout the clinical area and occasionally beyond.

Regularly typing information into internal and external databases.

Regularly working at the computer to deal with email communication from inside the organisation, from partners and from regional and national organisations. Many will have an urgent response time.

A requirement to be agile to avoid challenging and injurious behaviour and where appropriate undertake breakaway techniques and to be trained in this.

Job responsibilities

Duties and Responsibilities:

Communication and Key Working Relationships:-

Director of Mental Health and Learning Disabilities/Operational Service Managers/Team Managers - as identified in annual job plan

Ward/team members - as identified in annual job plan

Consultant Psychiatrists

Users/Carers Representatives/Advocacy

Central Trust Services: HR, Learning & Development etc.

Professional:-

To maintain and further develop high standards for the delivery or urgent care through co-operative work with colleagues, through audit and supervision.

To be aware of, and adhere to Trust policies and procedures.

To receive regular clinical and management supervision in an agreed and appropriate format.

To keep abreast of developments in the field of SMI care research and service development guidance.

To support the development of medical interventions for service users with severe and enduring mental health difficulties.

To participate in relevant Trust clinical governance initiatives

To participate in and promote clinical audit within the Service.

To liaise with other disciplines and agencies, as appropriate, to ensure best practice is shared.

Responsibility for Patient / Client Care, Treatment & Therapy:-

Undertaking responsibilities with a defined caseload focusing on work with people experiencing severe and enduring mental health difficulties and other complex needs and difficulties in the community.

Policy, Service, Research & Development Responsibility:-

To work within the Directorate of Mental Health and Learning Disabilities and advise regarding service priorities and effective implementation of best practice guidelines.

To contribute to strategic planning and proposed changes to service delivery in order to ensure / promote effective service delivery in accordance with Trust strategy and local need.

To regularly participate in relevant areas of research & evaluation and undertake service evaluation as agreed with the line manager -- and / or supervise the research of others.

To encourage a culture of evidence-based practice in all parts of the service.

The post-holder will work within their professional code of conduct and within Trust policies and procedures. This will support safe, high quality practice. The post-holder will be aware that their actions reflect upon themselves, their professional and the Trust and will recognise this corporate responsibility.

As a member of the Team, the post holder will be a role model for high professional standards of behaviour and attitude within the Team and with people using the service, other professionals and agencies.

To manage their time and workload effectively and efficiently.

To ensure they undertake all mandatory training and all other key training requirements for their role and professional qualification.

To participate in internal and external audit and evaluation in order to support the provision of high quality care and services.

To keep up to date with new developments in mental health practice and policy.

To keep up to date clinical records on the Trust's Electronic Patient Record in line with Trust policy.

To respect the confidential nature of clinical information and adhere to Trust policy.

To engage in monthly management supervision and annual appraisal.

To engage in regular professional supervision in line with Trust policy.

To participate in agreed Post Qualifying training and regular professional development programmes.

Responsibility for Finance, Equipment & Other Resources

To hold responsibility as may be agreed with the Line Manager.

Responsibility for Supervision, Leadership & Management

To provide specialist supervision to practitioners, trainees and other professionals, as appropriate.

To ensure that all members of the treating teams have access to a highly specialist evidence- based framework for understanding and care of clients with severe and enduring mental health difficulties, through the provision of advice and consultation and the dissemination of specialist research and theory.

To organise and undertake teaching and training in relevant skills as agreed with both professional and operational managers.

To provide advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate.

To develop a personal professional development plan in collaboration with the line manager, to be updated annually, and to participate in annual review process.

Contributing to the promotion of staff well-being and morale in the Team through developing and maintaining supportive relationships, acting as a role model and demonstrating hope and inspiration.

Supporting the Team Manager to achieve team objective, targets and quality standards.

Participating in development initiatives within the Team and the Trust as agreed with the Team Manager.

Promoting recovery focused work within the team and with other professionals and agencies.

Information Resources & Administrative Duties

To carry out such other clinical and administrative duties as may be agreed with the Line Manager.

Identifying and engaging with practitioners with specialist knowledge, for example by requesting specialist knowledge or clinical supervision sessions where appropriate.

The post-holder will use the Knowledge and Skills from their professional background and apply these in undertaking case work and other team functions.

To keep updated with statutory requirements and comply with appropriate legislation, policy and procedures.

Fulfil statutory responsibility for the initial assessment of carers (including young carers') needs.

Prepare and present reports as necessary to facilitate appropriate decisions being made in respect of service users.

Any Other Specific Tasks Required:-

The post will involve a combination of sitting, standing and walking and will require sitting in a restricted position whilst performing assessments.

There is a frequent requirement for sitting in a restricted position in (a) clinical settings e.g. observing and interacting with a range of clients across settings for long periods each day and (b) in the office eg at a work station.

Frequently transporting equipment such as files, laptops, TV and PowerPoint projectors to partner agencies, often parking away from the building requiring manual transporting of the equipment.

Utilise driving skills locally most days with regular requirement to drive throughout the clinical area and occasionally beyond.

Regularly typing information into internal and external databases.

Regularly working at the computer to deal with email communication from inside the organisation, from partners and from regional and national organisations. Many will have an urgent response time.

A requirement to be agile to avoid challenging and injurious behaviour and where appropriate undertake breakaway techniques and to be trained in this.

Person Specification

Qualifications

Essential

• Professional care qualification
• Professional qualification for non-medical prescribing
• Registration with the relevant provisional body such as the NMC, HPC or GSCC

Desirable

• Relevant specialist CPD qualification (Diploma/ Masters etc.
• Management training/ qualification
• Clinical supervision training

Experience

Essential

• Significant specialist post qualification experience in the field of severe mental illness.
• Experience of work across service settings and agencies.
• Clinical and audit work within specialist area.
• Teaching/training with range of staff and other professions.
• Supervision experience with all grades of staff.
• Care co-ordination or equivalent role.
• Experience of Service Development/Project Work

Desirable

• Consultancy work in multi-professional settings.
• Service development/ project work.

Additional Criteria

Essential

• Knowledge of legislation and its implications for clinical practice and professional management, including complex child protection issues.
• Evidence of continuing professional development as recommended by the relevant professional body.
• Knowledge of the role & functions of other agencies & departments.
• Effective communication with colleagues at all levels within the organisation and external organisations.
• Compassionate - exceptional interpersonal skills with the ability to communicate effectively with staff, service users, carers and relatives (as appropriate) remaining sensitive and empathetic.
• Excellent organisational skills, ability to manage own time and plan timed activities.
• Ability to recognise and manage challenging situations in a calm and professional manner.
• Able to take instruction and direction and work effectively as part of a team.
• Ability to record and retrieve information on paper/electronic records as appropriate.
• High standards of written communication skills with the ability to use email and internet.
• Good communication skills.
• Ability to carry out assessments and psycho-social interventions
• Risk assessment and risk management skills
• Risk assessment and risk management skills
• Good team working and communication skills
• Influencing and negotiating skills
• Ability to work with a range of agencies
• Ability to record and retrieve information on charts and paper and electronic patient records
• Ability to use email and internet
• Access to a car is essential and appropriate business insurance will be required.

Desirable

• Experience of positive risk taking
• Basic computer literacy
• Understanding of Health Services Management and Policy

Qualifications

Essential

• Professional care qualification
• Professional qualification for non-medical prescribing
• Registration with the relevant provisional body such as the NMC, HPC or GSCC

Desirable

• Relevant specialist CPD qualification (Diploma/ Masters etc.
• Management training/ qualification
• Clinical supervision training

Experience

Essential

• Significant specialist post qualification experience in the field of severe mental illness.
• Experience of work across service settings and agencies.
• Clinical and audit work within specialist area.
• Teaching/training with range of staff and other professions.
• Supervision experience with all grades of staff.
• Care co-ordination or equivalent role.
• Experience of Service Development/Project Work

Desirable

• Consultancy work in multi-professional settings.
• Service development/ project work.

Additional Criteria

Essential

• Knowledge of legislation and its implications for clinical practice and professional management, including complex child protection issues.
• Evidence of continuing professional development as recommended by the relevant professional body.
• Knowledge of the role & functions of other agencies & departments.
• Effective communication with colleagues at all levels within the organisation and external organisations.
• Compassionate - exceptional interpersonal skills with the ability to communicate effectively with staff, service users, carers and relatives (as appropriate) remaining sensitive and empathetic.
• Excellent organisational skills, ability to manage own time and plan timed activities.
• Ability to recognise and manage challenging situations in a calm and professional manner.
• Able to take instruction and direction and work effectively as part of a team.
• Ability to record and retrieve information on paper/electronic records as appropriate.
• High standards of written communication skills with the ability to use email and internet.
• Good communication skills.
• Ability to carry out assessments and psycho-social interventions
• Risk assessment and risk management skills
• Risk assessment and risk management skills
• Good team working and communication skills
• Influencing and negotiating skills
• Ability to work with a range of agencies
• Ability to record and retrieve information on charts and paper and electronic patient records
• Ability to use email and internet
• Access to a car is essential and appropriate business insurance will be required.

Desirable

• Experience of positive risk taking
• Basic computer literacy
• Understanding of Health Services Management and Policy

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Somerset NHS Foundation Trust

Address

Glanville House

Church Street

Bridgwater

Somerset

TA6 5AT

Employer's website

https://www.somersetft.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Somerset NHS Foundation Trust

Address

Glanville House

Church Street

Bridgwater

Somerset

TA6 5AT

Employer's website

https://www.somersetft.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Hiring Manager

Helen Surridge

helen.surridge@somersetft.nhs.uk

Date posted

10 October 2024

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

184-OL-GR-1018

Job locations

Glanville House

Church Street

Bridgwater

Somerset

TA6 5AT

Supporting documents

Please view the full job description on NHS Jobs for attached documents.

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