Overview
The Westminster Older Adults and Health Ageing Community Mental Health Team is a dynamic multidisciplinary service providing mental health support to older adults in Westminster with functional disorders and dementia. It is co-located with the Westminster City Council mental health team, offering a holistic approach to care. The team is also involved in the CNWL Open Dialogue project, which promotes person-centred recovery-oriented care. The team operates using a case management, intervention-led and recovery-focused model, offering multidisciplinary assessments and interventions for service users with complex needs, as well as their families and carers. Regular multidisciplinary meetings facilitate case discussions, initial assessments, and reflective practice. A key feature of the service is the integrated older adults home treatment team, which delivers intensive support, crisis management, admission prevention, and helps ensure timely hospital discharges. The CMHT and HTT teams collaborate closely, offering a responsive and flexible service to meet the needs of service users, with coordination with older adults’ inpatient services to enable smooth transitions of care. The service promotes a friendly, respectful work environment where staff receive professional development, including supervision and appraisals. Involvement of service users and carers is a core element of the service\'s design and delivery.
Working for our organisation
* Flexible shift working opportunities for a healthier work-life balance
* Commitment from the team to develop you by offering coaching and in-house development sessions such as, Leadership programmes, non-medical prescribing, CBT-P training and much more
* Free access to our Staff and Wellbeing service to ensure that you are always looking after yourself
* Commitment to career mapping to ensure continuous professional development including opportunities within the Trust
* Shadowing opportunities including HTT, Psych Liaison and many more
* Local Reflective Practice forums run by one of the senior leads
* An opportunity to work with a friendly, dynamic, passionate and diverse team who are committed to looking after each other as well as their patients
* Excellent staff benefits: our benefit packages are amongst the best in London and include: childcare vouchers, health and wellbeing services, season ticket loans, cycle to work scheme, blue light card, discounts at Nando\'s and Superdrug, mobile phone contracts and much more
* Award-winning Staff Networks
* Hidden Gem & annual award ceremonies
Detailed Job Description And Main Responsibilities
Please see full job description for further information
Clinical
* To provide clinical leadership for staff within the service, particularly in the community mental health team.
* To assist the team manager in developing a model of working with service users with complex needs, ensuring that services are provided to the highest possible standard.
* To deputise for the team manager as needed.
* To lead on the day to day operational and clinical management of the service, including duty and triage functions.
* Participate in and lead meetings as appropriate.
* The postholder would be expected to show demonstrable and comprehensive experience of working with older adults/ those with complex physical and mental health needs including functional and organic illness, an ability to work flexibly and collaboratively across local environments and strong interpersonal skills.
* The postholder will be expected to have well developed clinical skills of their own in order to enable them to practice at a high standard, appropriately guide and supervise staff at all levels.
* To provide advice and support other practitioners with the assessment and management of service users\' needs and risks, including cases of a high degree of complexity from a mental health and physical health perspective.
* To provide expert advice and consultation in professional matters relating to the postholder\'s discipline, and to ensure that expert information and advice is available for the other disciplines in the team.
* To provide managerial and clinical supervision for staff.
* To manage a small caseload as needed, including providing access and/or delivering a broad range of psychosocial interventions for individual patients, carrying out robust risk assessments and care planning.
* To work within the relevant legislative frameworks (e.g. Mental Health Act 1983, Mental Capacity Act 2005, Deprivation of Liberty Safeguards, Care Act 2014, etc.).
* To ensure that the team works within the relevant frameworks and policies for safeguarding vulnerable adults.
* To ensure that services within the multidisciplinary team are well coordinated so they are responsive and attuned to the needs of service users, carers and families.
* To demonstrate a high level of clinical competence both in relation to supervision of staff and direct face-to-face contact with service users.
* To ensure that the service works in coordination with community services including other secondary mental health services, social services, third sector providers and Acute In-Patient services.
* To ensure effective liaison with other relevant agencies.
* To maintain and develop administrative procedures regarding the recording of case records.
* To ensure that service users are involved in the development of the team and local services.
Person specification
Qualifications And Training
Essential criteria
* Professional qualification Mental Health Nursing (RMN) with current NMC/HCPC registration, Occupational Therapist
* Attained at least Level 2 Maths and English (equivalent to GCSE grade 9-4 (A*-C))
Desirable criteria
* RGN/physical health qualification
* Evidence of recent and on-going relevant further professional development
* Attendance at specialist short courses relevant to the post (e.g. MBT or DBT, Trauma Informed Care, Group Approaches)
* Trained in Open Dialogue, or willingness to undertake training
Experience
Essential criteria
* Experience of working with older adults/ those with complex physical and mental health needs including functional and organic illness, mental health care, working with carers, physical health, delivering therapeutic individual and group interventions, working in MDTs, working multi-cultural settings
* Experience in audit, evaluation or research
* Work in multi-cultural settings
* Clinical leadership and advice in complex cases.
* Experience of work in the NHS, PCNs or outreach work, experience of working in voluntary sector, community groups
* Management experience, including clinical and managerial support of clinical staff
Knowledge
Essential criteria
* Basic understanding of health care systems and structures: staffing, roles and responsibilities, the role of hospitals, primary care and community care
* Team/self-management and organisation skills that enable a number of complex activities and clinical work to be undertaken, revising and adjusting these according to the needs of individual patients and the service
* Extensive knowledge of mental health conditions, frailty and physical health, social and psychological factors affecting older adults with mental health problems (organic and functional illnesses)
* Comprehensive skills in needs assessments, use of psychosocial assessment methods
* Assessment and management of risks including risks to self and others
* Knowledge of counselling skills/cognitive behavioural skills, psychosocial interventions and recovery approaches
* Appropriate clinical knowledge to be able to make autonomous decisions as well as providing clinical advice to other clinicians based on an analysis of complex presenting problems, risks and making judgement about available options
* Work with people from a wide range of cultural and socioeconomic backgrounds
* Contain and work with organisational stress and able to hold the stress of others
* Manage effectively exposure to distressing/highly emotional circumstances
* Manage effectively verbal aggression from service users, families, etc. and the risk of physical aggression
* Respectful and collaborative approach to service users, families, carers, colleagues and other professionals
* Able to negotiate and ability to handle confrontation effectively and professionally
* Ability to engage challenging and/or acutely distressed patients in potentially hostile and/or antagonistic situations and use deescalation techniques effectively
* High level of communication skills, both written and oral
Operational
Essential criteria
* Computer literate
* Being able to work flexibly across local environments
* Awareness of diversity of cultural norms and being able to respond to this appropriately
* Use IT packages – word processing, e-mail and internet, Excel and Access
* Ability to use or learn NHS clinical systems
* Management of performance targets
* Work cross-culturally and/or in different languages
* Work to professional guidelines
* Accept accountability for own work, and of working towards defined results
* Plan, organise and prioritise own workload
* Record and report on clinical information as required
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