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Croydon Outcome Based Commissioning Alliance has developed six Integrated Care Networks (ICNs) across the borough. A central feature of the ICNs is the advent of ‘GP huddles’ which ensure that patients regarded as medium to high-risk are identified quickly and proactively case managed as a result of this. The huddles occur on a weekly basis and the intention is to allocate Community Psychiatric Nurses to each ICN forming a Primary Care Liaison team with specific responsibilities for attending the huddles.
The team will be based at Heavers Resource Centre but will primarily work within GP surgeries. The post-holder will be expected to line manage team members and provide clinical supervision in addition to attending huddles within their allocated area. Part of the role is to offer advice signposting for patients, in collaboration with other members of the MDT, with patients that have mental health issues that can be treated in primary care.
To act as Team Manager - providing senior nurse leadership to team members
Management of care and practice
Management of Financial and Material Resources
Management of Clinical Standards
Management of Human Resources
Management of Information and Communication
Management of the Environment
Detailed job description and main responsibilities
To act as Team Manager - providing senior nurse leadership to team members. To have overall management responsibility for all aspects of the Primary Care Liaison Service (including operational, clinical, information and financial management).
To ensure that the services provided by the Primary Care Liaison service are high quality, well organised, responsive, needs-led, and user and carer focussed.
Record the activity on ePJS and EMIS which will identify the need for mental health support across the huddles and help scope the work and produce regular updates and a yearly report.
To attend weekly GP huddles and offer comprehensive initial assessments and short term case management for patients in collaboration with other members of the MDT.
To work with the MDT to ensure that the care offered is evidence based.
To signpost patients under the age of 65 following assessment to relevant SLaM services.
To effectively assess and manage complex psychiatric and physical health risk as required. To maintain accurate clinical documentation and complete outcome measures as per Trust policy.
Person specification
Qualifications
Essential criteria
Desirable criteria
Experience
Essential criteria
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Knowledge and Skills
Essential criteria
Desirable criteria