# Assertive Outreach (Community Psychiatric Nurse)

> NHS job listing from Job Clerk for Central and North West London NHS Foundation Trust.

## Canonical URLs

- **HTML:** https://www.jobclerk.com/job/assertive-outreach-community-psychiatric-nurse/b7c89992-747f-4350-bd5d-f04217dcaabc
- **Markdown:** https://www.jobclerk.com/job/assertive-outreach-community-psychiatric-nurse/b7c89992-747f-4350-bd5d-f04217dcaabc.md

## Summary

- **Status:** Live
- **Employer:** Central and North West London NHS Foundation Trust
- **Town:** London
- **Region:** London
- **Country:** England
- **Profession:** Nurse (community and district)
- **Grade:** Band 6
- **Salary:** £45,953 - £54,254 per annum incl HCAS (pro rata if p/t)
- **Contract type:** Permanent
- **Employment type:** Full time - 37.5 hours per week (Maybe required to work earlier start times or later finish times at times)
- **Closing date:** 2026-06-16T23:59:00.000Z
- **Posted:** 2026-06-02T14:30:35.057Z
- **Source information URL:** https://www.healthjobsuk.com/job/UK/London/Harrow/Central_North_West_London_NHS_Foundation_Trust/Assertive_Outreach_Community_Psychiatric_Nurse/Assertive_Outreach_Community_Psychiatric_Nurse-v8045586
- **Application URL:** https://apps.trac.jobs/job-advert/8045586?ShowJobAdvert=&feedid=9002
- **Employer website:** https://www.cnwl.nhs.uk

## Job Content

### Job overview

The Assertive Outreach Worker will deliver time‑limited and intensive support to adults with severe mental illness (SMI) who are at risk of disengaging from care. The role is central to stabilising engagement, reducing risk, and preventing crisis escalation, in line with the Assertive Outreach Standard Operating Procedure.

The postholder will:

Provide assertive, flexible, and persistent outreach, including home visits, community‑based contacts, and phone/text engagement.

Act as a consistent keyworker, building therapeutic relationships with individuals who find it difficult to engage with services.

Work within a stepped 6‑month model of intensive support, transition, and reintegration into routine CMHH care.

Deliver holistic, person‑centred interventions addressing mental health, physical health, housing, substance use, and social needs.

Work collaboratively with the CMHH MDT, crisis services, inpatient wards, and external agencies to ensure continuity of care and safe transitions.

The role requires strong clinical skills, excellent risk management, and the ability to work autonomously in the community.

### Main duties of the job

Assertive Outreach Delivery

Provide intensive outreach in line with the SOP:

First 3 months: minimum 3 contact attempts per week, aiming for 1–2 successful contacts.

Next 3 months: minimum 2 contact attempts per week.

Deliver flexible contact through home visits, community meetings, phone calls, texts, and occasional evening/weekend availability.

Maintain a “no discharge for DNA” approach, using persistent and creative engagement strategies.

Build strong therapeutic relationships through empathy, reliability, and trauma‑informed practice.

Provide continuity and consistency as the allocated AO keyworker.

### Detailed job description and main responsibilities

Clinical Responsibilities

- Complete and update care plans, risk assessments, and safety plans in line with Trust policy.
- Conduct frequent dynamic risk assessments and escalate concerns promptly.
- Lead on transition planning back to routine CMHH care.
- Ensure timely documentation of all contact attempts, outcomes, and risk assessments.
- Work collaboratively with the CMHH Care Coordinator where this is a separate role.
- Deliver meaningful intervention
- Use therapeutic engagement to support patients to engage.
- Supervision of band 4 support staff
- To hold case load of 10-15 patients.

Holistic Support & Multi‑Agency Working

- Address mental health, physical health, housing, finances, substance use, and social needs.
- Liaise with drug and alcohol services, social care, housing teams, and voluntary sector partners.
- Support individuals to access practical help such as housing applications, benefits, and community resources.
- Involve families and carers (with consent) to strengthen support networks.
 
In‑Reach to Inpatient Wards

Provide continuity of care during hospital admissions.
Attend inpatient wards to maintain engagement and support discharge planning.
Ensure safe and coordinated transition back to community services.

MDT Working & Communication

Participate in daily zoning/MDT meetings and AO huddles.
Share updates, escalate concerns, and contribute to joint care planning.
Maintain strong links with crisis services, inpatient teams, and external agencies.
Promote reflective practice and collaborative working within the team.
- Provide continuity of care during hospital admissions.
- Attend inpatient wards to maintain engagement and support discharge planning.
- Ensure safe and coordinated transition back to community services.
- Participate in daily zoning/MDT meetings and AO huddles.
- Share updates, escalate concerns, and contribute to joint care planning.
- Maintain strong links with crisis services, inpatient teams, and external agencies.
- Promote reflective practice and collaborative working within the team.

## Job Details

The Assertive Outreach Worker will deliver time‑limited and intensive support to adults with severe mental illness (SMI) who are at risk of disengaging from care. The role is central to stabilising engagement, reducing risk, and preventing crisis escalation, in line with the Assertive Outreach Standard Operating Procedure.

The postholder will:

Provide assertive, flexible, and persistent outreach, including home visits, community‑based contacts, and phone/text engagement.

Act as a consistent keyworker, building therapeutic relationships with individuals who find it difficult to engage with services.

Work within a stepped 6‑month model of intensive support, transition, and reintegration into routine CMHH care.

Deliver holistic, person‑centred interventions addressing mental health, physical health, housing, substance use, and social needs.

Work collaboratively with the CMHH MDT, crisis services, inpatient wards, and external agencies to ensure continuity of care and safe transitions.

The role requires strong clinical skills, excellent risk management, and the ability to work autonomously in the community.

## Job Description

Assertive Outreach Delivery

Provide intensive outreach in line with the SOP:

First 3 months: minimum 3 contact attempts per week, aiming for 1–2 successful contacts.

Next 3 months: minimum 2 contact attempts per week.

Deliver flexible contact through home visits, community meetings, phone calls, texts, and occasional evening/weekend availability.

Maintain a “no discharge for DNA” approach, using persistent and creative engagement strategies.

Build strong therapeutic relationships through empathy, reliability, and trauma‑informed practice.

Provide continuity and consistency as the allocated AO keyworker.

## Responsibilities

Clinical Responsibilities

Complete and update care plans, risk assessments, and safety plans in line with Trust policy.

Conduct frequent dynamic risk assessments and escalate concerns promptly.

Lead on transition planning back to routine CMHH care.

Ensure timely documentation of all contact attempts, outcomes, and risk assessments.

Work collaboratively with the CMHH Care Coordinator where this is a separate role.

Deliver meaningful intervention

Use therapeutic engagement to support patients to engage.

Supervision of band 4 support staff

To hold case load of 10-15 patients.

Holistic Support & Multi‑Agency Working

Address mental health, physical health, housing, finances, substance use, and social needs.

Liaise with drug and alcohol services, social care, housing teams, and voluntary sector partners.

Support individuals to access practical help such as housing applications, benefits, and community resources.

Involve families and carers (with consent) to strengthen support networks. In‑Reach to Inpatient Wards Provide continuity of care during hospital admissions. Attend inpatient wards to maintain engagement and support discharge planning. Ensure safe and coordinated transition back to community services. MDT Working & Communication Participate in daily zoning/MDT meetings and AO huddles. Share updates, escalate concerns, and contribute to joint care planning. Maintain strong links with crisis services, inpatient teams, and external agencies. Promote reflective practice and collaborative working within the team.

Provide continuity of care during hospital admissions.

Attend inpatient wards to maintain engagement and support discharge planning.

Ensure safe and coordinated transition back to community services.

Participate in daily zoning/MDT meetings and AO huddles.

Share updates, escalate concerns, and contribute to joint care planning.

Maintain strong links with crisis services, inpatient teams, and external agencies.

Promote reflective practice and collaborative working within the team.

## Person Specification

### Other

**Desirable**

- Full UK Driving License/Car Driver

### Knowledge

**Essential**

- Understands & promotes equality, diversity and human rights in accordance with legislation, policy and procedures
- Understanding of confidentiality in the workplace

### Experience

**Essential**

- Substantial Experience of working in the community mental health
- Working with other stakeholders. LA/ICB and inpatient staff.
- Experience of working with complex and high risk patients with SMI
- Experience in working with patients who have dual diagnosis/ patients who use drug and alcohol
- Demonstrable experience in safeguarding children /adult practice and procedures.
- Experience of supervision of junior staff
- Proven experience of managing a multi-disciplinary team including senior managers and clinicians.
- Experience of working within statutory and other regulatory frameworks within which health and social care services operate and translating these at an operational level

**Desirable**

- Teaching and delivering group/individual presentations
- Experience of policy development and strategic planning and clinical governance development resulting in change management projects/programmes.
- Ability to negotiate complex contracts with the approval of the Senior Manager

### Qualifications

**Essential**

- Registered Nurse qualification with current NMC registration or equivalent Allied Health Professional with current professional registration.

**Desirable**

- Educated to Masters level or equivalent
- Post Graduate management training/qualification

### Key Skills and Abilities

**Desirable**

- Ability to develop & maintain high standards of communication both orally and in writing with people about difficult matters & / in difficult situations
- Ability to prioritise & plan own workload to meet deadlines & competing demands
- Ability to negotiate and influence where appropriate
- Excellent interpersonal skills
- Excellent analytical and judgment skills.

## Documents

- [cnwl values (pdf, 182.9kb)](https://www.healthjobsuk.com/documents?edoc=1162)
- [cnwl staff charter (pdf, 684.7kb)](https://www.healthjobsuk.com/documents?edoc=2868)
- [cnwl staff networks (pdf, 320.0kb)](https://www.healthjobsuk.com/documents?edoc=1160)
- [cnwl reward and wellbeing handbook 2020 (pdf, 1.1mb)](https://www.healthjobsuk.com/documents?edoc=1773)
- [cnwl culture scarf behaviour framework (pdf, 710.2kb)](https://www.healthjobsuk.com/documents?edoc=2869)
- [job description & person specification (pdf, 512.3kb)](https://www.healthjobsuk.com/documents?vdoc=10334359)
- [accommodation information for new starters (pdf, 120.6kb)](https://www.healthjobsuk.com/documents?ddoc=2438)

## Agent Notes

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