CPN Band 6 Assertive Outreach Team

Job overview

To work in conjunction with the Multi Disciplinary Team to provide an evidenced based Assertive Outreach Service which delivers diverse community care packages to Service Users experiencing long term mental health problems. These service users may be experiencing serious problems in daily living, employment, interpersonal relationships, housing, social and leisure activities. They may have chaotic lifestyles, have precarious housing tenure and may be at greater risk of psychiatric hospitalisation.

Main duties of the job

Will manage a defined caseload under supervision from the clinical lead within the Community Mental health Team, undertaking risk assessment, intervention and appropriate escalation regards to presenting risk to senior team members and/or external agencies.  Working as active member of the team undertaking the further assessment needs of patients flagged as requiring assertive engagement with patients in community as well as within their home environment.  Contribute to the team management of the Duty system  To share responsibility within the relevant multidisciplinary team for the management of referrals and waiting list according to CMHT Policies.  To assume the role as a lead professional/Care Co-ordinator for patients under their care  Take the lead role in the development of a collaborative and patient centred care plan  To ensure that each patient in care receives an individual assessment and a regularly updated care plan which is formulated in collaboration with the patient.  To ensure that information regarding the patients needs and progress are communicated promptly and accurately to other people involved in their care, having due regard for confidentiality.

Detailed job description and main responsibilities

The main challenge of this post is to provide therapeutic care and treatment to service users with complex health and social care issues who find it difficult to engage with traditional psychiatric services The post holder will be clinically responsible for supporting the delivery of a flexible, responsive local service within the Community Mental Health Team (CMHT) and have close links into the Complex Rehabilitation Team to support the step up and step down of service users. Will work collaboratively with colleagues, key partners and those within the local community to develop services to meet the mental health needs of the community. The post holder will employ a wide range of skills, building on and developing their expertise and actively seeking advice and collaboration with issues which may not be readily within their sphere of competence. As a senior registered practitioner they are professionally and legally accountable under their identified code of professional practice.

Ensure that the requirements of the Mental Health Act 1983 and Mental Capacity Act 2006 are met and that patient’s rights under the Acts are upheld.  Regularly review own caseload in caseload management with supervisor to promote efficacy and contribute to the overall management of service.  To share responsibility with your supervisor in receiving clinical and line management supervision in accordance with the Trust Policies.  Deliver supervision and facilitate Personal Development Conversations (PDC) with more junior members of staff.  Participate in own PDC process, identifying training and development needs, and pursuing relevant actions to maintain and improve level of competence and effective contribution.  Provide clinical supervision and accountability as designated by the Service manager.  Provide guidance and advice to colleague in supporting care delivery and developing plans of care in the wider team.  Liaise with other organisations to support the care plan developed for the patient for their wider holistic needs.  Responsible for the delivery of core interventions and WRAP plans, and where appropriate specialist interventions.  Implement Outcome measures as per trust guidelines as is reportable for service review needs.  Ensure the therapies provided should be appropriate to meet the specific needs of the individual based on their diagnosis, Life stage and abilities.  The post holder will promote health education in accordance with the trust making every contact count and based upon individuals holistic assessments.  Ensure that patients on their caseload have up to date safety plans in place, completed in collaboration and shared where appropriate across the health community.  Work in conjunction with current Mental health framework processes, assuring that clinical systems are in place for individuals on their caseload  The post holder will be responsible for assuring individuals on their caseload have a personalised plan of care that is formulated, with agreed outcomes associated with current evidence.