Total 20 job vacancies by NHS Jobs

The main duties for this role are described in detail in the job description and person specification document, that is attached to this vacancy. Please ensure to read through to further your understanding of the role.

For more detailed information, please read the job description linked below. As a Trust we are keen to offer and encourage flexible working opportunities to address health and wellbeing and work-life balance for our employees, this will have a positive impact on the care we provide. Flexible working is part of a wider commitment to improve the quality and experience of working life and we recognise that it is a key contributor for the recruitment and retention of our employees. We therefore support and encourage open conversations around a specific working pattern to suit your work-life balance or a multi-role career, if it works for you and works for the role, we'll do our best to make it happen. Local flexible working arrangements are developed in partnership between the line manager and employee in order to ensure equality of access to flexible working, as far as practicable, regardless of role, shift pattern, team or pay, based on: patient/service user and staff experience, service delivery and work-life balance of colleagues. We are committed to creating and maintaining a fair and supportive working environment and culture, where contributions are fully recognised and valued by all and staff feel empowered to carry out their duties to the best of their abilities. As employers we are committed to promoting and protecting the physical and mental health and well-being of all our staff. This underpins our values as set out in the NHS Constitution, supports us to be an Employer of Choice and ultimately enables our employees to support the effective care of our patients. We strongly value the different perspectives and ideas a diverse workforce brings to deliver better outcomes for our patients.We welcome applications irrespective of peoples age, disability, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances.

CLINICAL RESPONSIBILITIESMaintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.To be responsible for the unsupervised assessment of patient care needs and the development, implementation and evaluation of plans of care, ensuring high standards of evidence based care.To undertake all nursing procedures in accordance with Trust policies and ensurethat these procedures and policies are understood and adhered to by all staff, within own management responsibility.To contribute to the development of evidence based guidelines/policies relating to speciality.To ensure accurate and comprehensive nursing records are maintained using appropriate written and electronic documentation.To collect data and provide essential information in a timely and accurate manner when requested for e.g. audits or monitoring CQC standards.To measure patient acuity and/or dependency to inform evidence-based decision making on staffing and workforce.To monitor and record planned vs actual staffing levels and escalate issues when necessary.To be responsible for ensuring effective mechanisms are in place so that all clinical and non-clinical incidents, including serious incidents are properly reported, investigated and changes made to avoid recurrence.To establish effective working relations with all members of the multi-disciplinary team to promote good communication and a multi-disciplinary approach to patient care.To supervise unqualified staff, to ensure that they have the knowledge, skills and resources to carry out delegated aspects of care.2. RESPONSIBILITY FOR PATIENTSTo ensure high standards of care are given to all patients, monitoring this through spot checks and clinical quality indicators outcome measures.Contribute to patient and relative feedback by undertaking daily clinical rounds with the aim of providing excellent standards of care.To collaborate in the assessment of patient care needs and the development, implementation and evaluation of plans of care, ensuring high standards of evidence based care.To ensure communication with patients and significant others is established, ensuring empathy and reassurance regarding, assessment, care and treatment.Be accountable at all times for ensuring that safeguards are in place for patients, in particular those adults or children at risk.To facilitate early discharge planning being carried out to enable appropriate arrangements to be in place for patients leaving hospital or transferring in order to achieve a safe and timely discharge from hospital.To ensure that all patients are cared for in a clean and well-maintained clinical area, ensuring that all staff are aware that they are directly responsible for cleanliness standards when in charge and escalating issues when necessary.3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENTEnsure that all staff act in accordance with Trust policies such as InfectionPrevention and Control, Confidentiality, Health & Safety and Equal Opportunities.Assist with the development of, and implementation of, local and trust wide policies, procedures, guidelines and protocols.To be aware of the research process and current trends.In collaboration with the Senior Sister/Charge Nurse, audit agreed clinicalguidelines of practice, policies and benchmarks within area of clinical responsibility.Resolve any concerns about levels of care or incidents involving patients escalating to the Matron/Senior Sister and reporting via the Trusts incident reporting system.Contribute to discussions and plans regarding service improvements and initiatives.4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCESTakes an active role in the ward environment needs, being alert to possible sources of cross-infection, maintaining safe and clear walkways and bed areas, ensure fire exits remain clear and equipment and supplies are stored correctly.To be responsible for ensuring confidentiality and safekeeping of patient records.Accountable for efficient and economical use of ward supplies.5. RESPONSIBILITY FOR LEADING AND MANAGINGTake an active role in the induction and orientation of new Nursing Assistants.Demonstrates effective time management and prioritisation of workload.Demonstrates good leadership skills and ensure that communication is effective between the patient, relatives and members of the multidisciplinary team.In the absence of the junior sister take charge of the wardTo develop skills to be able to investigate accidents, incidents and complaints,implementing corrective actions where necessary and in consultation. To liaise with the Senior Matron and Complaints and Clinical Risk Management Teams appropriately.Have an awareness of cost implications and assist in the management of resources within the clinical area e.g. equipment, supplies.To contribute to the planning and organising of service improvements.6. RESPONSIBILITY FOR INFORMATION RESOURCESTo be responsible for ensuring confidentiality and safekeeping of patient records.To ensure that there is effective communication systems in place to allow staff to keep abreast of developments in the organisation including unit meetings.7. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENTTo be aware of the research process and current trends.In collaboration with the Matron, and clinical lead, audit agreed clinical guidelines of practice, policies and benchmarks within area of clinical responsibility.

The post holder will uphold and display the Trust values of Innovation, Compassion, Accountability, Respect and Excellence. Key Results To provide and monitor safe, person-centred care to a designated group of patients, service users and families in a range of care settings under the direction of a Registered Nurse, without direct supervision in line with an agreed plan of care. To support the registered nurse and contribute to the on-going assessment and care planning of patients and service users to improve and maintain their mental, physical, behavioural health and wellbeing. To act in the best interests of patients and service users to promote and prevent ill health and contribute to their integrated care. To monitor the condition and health needs of patients and service users on a continual basis in partnership with colleagues, families, and carers, referring to others for reassessment, when required The Nursing Associate will actively contribute to an effective learning environment and support others in their learning. Nursing Associates will recognise and adhere to the Nursing and Midwifery Code of Conduct for Nurses, Midwives and Nursing Associates and work within their scope of practice following the professional standards of practice and behaviours for nurses, midwives and nursing associates and the standards of proficiency. Demonstrate ability to deliver safe and evidenced based care, contribute to ongoing assessment recognising when it is necessary to refer and escalate to others for reassessment. Provide compassionate, safe, and effective care and support to people in a range of care settings. Monitor the condition and health needs of people within their care on a continual basis in partnership with people, families, and carers. Record all care delivered appropriately and contemporaneously. Documentation must be clear, concise, and legible. Any documentation must also be signed, stamped, and dated. Communicate effectively with colleagues, providing clear verbal, digital or written information and instructions when sharing information, delegating, or handing over responsibility for care Recognise and report any situations, behaviours or errors that could result in poor care outcomes Identify and report to a Registered Nurse clinical risk issues that impact on the patients /clients health or social care needs. Develops competencies and practices clinical skills required to deliver care relevant to the patient group and within the scope of practice of the

POST SUMMARY To support the Head of Safeguarding Children in providing senior management leadership in the arrangements and services for safeguarding and promoting the welfare of children across Whittington Health. To be responsible for and line management of the safeguarding children nurse advisors and paediatric liaison nurses and MASH Health Advisors. To be able to provide expert support and advice on individual cases as necessary. To provide expert advice and support to staff within Whittington Health on safeguarding issues including complex cases. To manage the coordination and preparation of case reviews, audits, policies and supporting documents as required on behalf of the Trust and the Local Safeguarding Partnership. To attend multi-disciplinary and multi-agency meetings as appropriate. To oversee the provision of child protection supervision for Health Visitors and School Nurses, Team Leaders and other allied health professionals in relation to their work with children in need and those subject to a Child Protection Plan (Community).Works with the safeguarding/child protection team and partners in other agencies to conduct safeguarding training needs analysis, and to commission, plan, design, deliver and evaluate single and inter-agency training and teaching for staff in the organisations covered. To identify any practice areas or systems which could place children at risk. To work with relevant service staff to reduce the level of risk and inform the Head of Safeguarding Children, Chief Nurse and the Whittington Health Safeguarding Committee of such risks. To participate in the review of the death of adults with dependent children where Domestic Violence is a factor in the death and contribute to recommendations where changes in policy and practice are indicated to promote safer practice. Please Note: This vacancy has been advertised in accordance with the new NHS pay rate which will take effect from autumn 2024. Please note if your employment starts before the 24/25 pay scales are implemented you will be paid under the 23/24 pay scales and any backpay will be adjusted accordingly. Further information can be found athttps://www.nhsemployers.org/articles/pay-scales-202425.

Hours: 37.5 hours per week Salary: £24,245.10 per annum Holidays: 25 days per year plus 8 public holidays (pro rata) Period of Notice: 1 week during probation; 4 weeks thereafter Probationary Period: 6 Months Based at: Swansea Responsible to: Mental Health & Money Advice Service Manager Mental Health & Money Advice Overview The Mental Health and Money Advice Service is the first UK-wide service to address mental and financial health together. We aim to stop the spiral of debt and mental health issues by providing online information and advice and casework provided by telephone. The service launched in November 2017, commissioned by Mental Health UK, delivered by Adferiad in Wales, Rethink in England, Support in Mind in Scotland, and Mindwise in Northern Ireland. Job Purpose: You will support people with mental illness and their carers, partner agencies with money matters. You will be the first point of contact to Mental Health and Money Advice (MHMA) service. You will triage referrals and: Provide unregulated advice and casework to people (i.e. provide them with financial capability and simple benefits advice) Refer people to the specialist Mental Health and Money Advice Advisers for more complex advice, including regulated debt advice. Signpost/refer to other forms of money support when the persons mental health needs do not warrant the intervention of MHMA. You will also support the Mental Health and Money Advisers with their casework for example supporting with correspondence. What I do and achieve: I am the first point of contact for people contacting the Mental Health and Money Advice, I use questioning skills to understand their situation including information about their mental health and finances. I use this information to triage clients, providing advice and casework within my remit or referring clients internally or externally as appropriate. I work in a coaching manner, exploring what outcomes the clients want, provide advice and casework within my remit to help them achieve their goals. I provide advice and guidance on budgeting, saving and financial capability. I provide advice and casework on welfare benefits including benefit checks and helping with guidance on initial claims. I provide advice and casework in relation to mental health issues such as accessing treatment and care. I work towards contractual targets and outcomes within agreed timescales and in line with quality standards. I can demonstrate a commitment to delivering a quality-based service where knowledge and skills are shared. I can work as part of a team to ensure smooth delivery of the service and excellent client care. I can work flexibly with an understanding that this is a new and developing service. I ensure systems and are used in a way that enables the management and on-going monitoring and evaluation of the project. I continue to develop my knowledge of mental health, welfare benefits and money advice to meet the needs of the service. I take on feedback from a variety of stakeholders and contribute to innovative changes and adaptations to service delivery. I ensure records are kept up to date and accessible to other staff and that my casework is maintained effectively, recording advice provided, actions taken and outcomes. I keep clear records of client demographics in line with service procedures. I deal with enquiries from people from diverse backgrounds including those from black and minority ethnic groups and the lesbian, gay, bisexual, and transgender community, with appropriate awareness of and sensitivity to the cultural factors relevant to mental health. I keep myself up to date with information about mental health and money issues. I have the essentials covered: I can demonstrate behaviours consistent with the values of the Charity. I have experience of working with electronic case recording systems. I have experience of providing customer service over the phone. Ability to work independently as well as within a team. I have experience of working with vulnerable clients, particularly people affected by mental illness. Well-developed IT skills- comfortable using Microsoft Office packages and bespoke databases. I may also have: Experience of providing money guidance or financial capability advice. Experience in remote advice delivery e.g. telephone, email, virtual chat etc. Experience using AdvicePro database. Experience of providing telephone-based casework in debt or mental health. Experience of working directly with people affected by mental illness.

To provide mental health and specialist systemic therapy assessments of a significant and complex nature with a view of formulating and implementing plans for the treatment and management of an infant and young childs presentation within the context of family and other systems. These assessments will be based upon an appropriate conceptual framework and will employ research-based evidence and information from appropriate rating scales, self-report measure, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the clients care and service user feedback. To evaluate and make decisions about treatment options considering both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual young child, family, or group. To be responsible for implementing a range of systemic psychotherapeutic interventions. Drawing upon different explanatory models to maintain several provisional hypotheses in reaching a formulation and treatment plan . To undertake risk assessment and risk management for individual children, young people and their families including protective and risk factors present in the network of significant relationships and to provide general advice to other professionals regarding risk assessment and management. This may also include assessment of risk for self-harm.

a. Undertake new patient health checks b. Support the practice nurse with health promotion programmes c. Carry out baseline observations such as pulse oximetry, blood pressure, temperature, pulse rate, recording findings accurately d. Facilitate routine and 24-hour BP monitoring, advising patients accordingly e. Undertake wound care, dressings and other clinical tasks as required f. Support the practice nurse with the management of chronic disease clinics g. Carry out BMI checks as directed h. Act as a chaperone as required i. When trained, undertake venepuncture j. When trained, administer flu vaccinations k. When trained, administer B12 injections, working under a PSD l. When trained, complete INR tests to include using INR star m. Procuring stock supplies, ordering at best price and rotating all stock received n. When trained, complete pre-screening checks for diabetic patients o. When trained, carry out ear irrigation under the supervision of the practice nurse p. Carry out ECGs as requested q. Monitoring/recalling of DMARD patients r. Ensure specimens are actioned/dealt with appropriately and ready for onward transportation s. Maintaining fridge temperature and downloading accurately as per practice policy t. Provide support during minor operations as required u. Ensure all clinical rooms are adequately stocked and prepared for each session v. Ensure fridges are cleaned routinely in accordance with extant guidance w. The checking/calibrating of equipment to include Urinalysis, BM and INR machines x. Ensure clinical waste is removed from clinical areas and sharps bins replaced in accordance with the practice IPC policy y. Deliver opportunistic health promotion where appropriate Attend practice and external meetings as requested In addition to the primary responsibilities, the Health Care Assistant (HCA) may be requested to: a. Participate in practice audit as directed by the audit lead b. Participate in local initiatives to enhance service delivery and patient care c. Support and participate in shared learning within the practice d. Complete opening and closing procedures in accordance with the duty rota Perform other clinical duties as required, within the scope of their competencies and training

SPECIFIC DUTIES & RESPONSIBILITIES: PATIENT/CLIENT CARE To carry a personal clinical caseload to a high level of professional competence and demonstrate clinical expertise in the area of autism and children in Mainstream Schools. To assess, differentially diagnose, plan and implement therapy for children with speech, language and/or communication difficulties on own caseload and supervise others to do so. To work effectively with clients, carers, and colleagues around individual case management; providing advice, guidance and support as necessary and involving them in the planning and prioritisation of care wherever possible. To provide second opinions in your field of clinical expertise to Whittington Health Integrated care team clinical staff on children with complex communicative and emotional disorders. To reflect on clinical practice; adequately identifying strengths & needs of clients, reviewing their response to therapy and providing evidence of sound clinical judgement. To monitor and review the progress of children on caseload and facilitate the development or modification of packages of care / targets as appropriate using evaluation/outcome measurement tools. To adapt practice to meet individual client/carers circumstances, taking into account cultural and linguistic backgrounds. To produce accurate, & detailed reports, therapy programmes, advice and information as necessary in a timely manner. To respond to the requirements of the children and families act 2014 completing written advice which will contribute to Education, Health and Care assessments for children/young people who may have Special Educational Needs. To support the effective transition of students between schools as appropriate. To refer children/young people to other Health, Education or Social Services professionals as necessary. To undertake home visits, as necessary, in compliance with Home Visiting Safety Policy. COMMUNICATION AND RELATIONSHIP SKILLS: To be able to gather information that may be sensitive or complex and analyse it as part of a full assessment of a clients strengths and difficulties. To work closely with clients and carers using empathy, tact, reassurance and active listening to complete assessments, discuss results, and agree treatment options. To routinely overcome barriers to communication during assessment and intervention. This includes the use of sign, symbols or other alternative and augmentation strategies with communication disordered clients/carers, as well as the use of interpreters for clients and carers who do not have English as a first language. To discuss diagnosis and potential outcomes with parents/carers and work collaboratively in decision making regarding referral on and intervention. To motivate difficult to engage clients/carers in the therapeutic process. To negotiate and manage conflict effectively in a range of settings. To deal with initial complaints sensitively, avoiding escalation where possible To form effective therapeutic relationships with clients and/or carers who may be under stress and/or having challenging behaviour. To provide training to a variety of audiences on aspects of speech and language therapy. KNOWLEDGE, TRAINING & EXPERIENCE: To demonstrate highly specialist knowledge underpinned by current evidence based practice and knowledge of national and international research. To identify own training needs as part of the Professional Development Review in discussion with the Lead Therapist for The School and to attend training as agreed. To carry out PDRs for more junior staff To keep up to date with current clinical developments through reading, attendance at courses, meetings and Clinical Excellence Networks(CENs) To maintain up to date professional registration with HPC and RCSLT at all times. To participate in Peer Support Groups. To develop and deliver specialist training informal and formal to others. ANALYTICAL & JUDGEMENTAL SKILLS: To be able to gather and analyse all information, including observation and formal assessment results, in order to identify the most appropriate intervention. To adapt intervention as necessary according to individual need, progress and ability. To provide second opinions to colleagues in complex cases. To demonstrate the ability to reflect on practice and seek appropriate CPD in a variety of settings To develop, record and adapt individual care plans, based on assessment results and response to treatment. To share innovative practice with the wider SLT team To evaluate all training provided and amend according to feedback. PLANNING AND ORGANISATIONAL SKILLS: To manage and prioritise a defined caseload To help others manage and prioritise their workload To plan and organise groups and training, as required. PHYSICAL SKILLS: To demonstrate highly developed auditory skills to enable assessment of speech and/or voice disorders, including a high level of accuracy with phonetic transcriptions. To demonstrate highly developed visual perceptual skills in observations of client interactions and communication To use a keyboard to input data, access emails and produce individualised therapy advice as required. POLICY/SERVICE DEVELOPMENT AND IMPLEMENTATION: To contribute to inter agency team building and policy development. to take a delegated lead on the development of team objectives or projects as required. To develop care protocols for specific clinical areas. To advise line manager of issues around service delivery including staffing issues , service pressures etc To understand and adhere rigorously to the Child Protection procedures as laid down by Whittington Health and multi-agency guidelines. To use specialist knowledge to contribute to service/policy development. To report all complaints/commendations and incidents to the Head of Speech and Language Therapy Services immediately. To prepare responses as required for complaints and attend legal hearings e.g. tribunals. To understand and act upon the complaints procedure as specified by Whittington Health. To be aware of and adhere to all Trust and Service policies To develop and contribute to innovations in the areas of risk management, Quality Standard Setting and Clinical Effectiveness. FINANCE & PHYSICAL RESOURCES To keep and send in accurate statistics within the required time limits. RESEARCH AND DEVELOPMENT: To be innovative in the development of audit, research projects and other clinical effectiveness programmes within your team. To lead in clinical audits on specific projects within your specialist clinical area To design and carry out research projects as required To lead on audits for whole service as directed and complete them independently seeking peer advice as necessary. FREEDOM TO ACT: To manage complex cases independently To be accountable for own professional actions and recognise own professional boundaries, seeking advice as necessary To monitor and evaluate own specialist service delivery, provide progress reports and complete an annual report. To work within defined departmental, professional and organisational protocols, policies and codes of conduct. To plan, implement and evaluate own work, seeking advice as necessary To plan, implement and evaluate others work, alerting the lead therapist for the school to any capacity and capability issues. To participate in monthly supervision with line manager as well as annual performance appraisal in accordance with Whittington health procedures. To supervise others within your field of expertise To support peers in their clinical development by supporting them to develop their clinical expertise. To provide second opinions to colleagues as necessary.

MAIN RESPONSIBILITIES Clinical To be professional and legally accountable for all work undertaken. To work within the standards and guidelines of the trust, the team, professional services, and appropriate professional body. To stay up-to date with new emerging evidence and evidence-based practice for frailty and long-term conditions and be able to utilise this to continue to develop the service going forward. To undertake advanced assessment of people with frailty who present with complex multi-pathology amalgamating in both physical and mental health presentations. To undertake joint visits with all multi-disciplinary team members where appropriate and provide specialist advice on treatment / management regimes. Comprehensive subjective history taking - supporting the individual to only have to tell their story once - enhancing client experiences and promoting integrated working. Completing outcome measures and recording on appropriate systems. To formulate, evaluate and reassess individualised management and / or treatment plans, using clinical reasoning and utilising a wide range of treatment skills and options in order to formulate a personalisedcare plan. Tocomplete assessments and interventions in a variety of settings utilising a range of methods to do this e.g., face to face and virtual, the clients home and in community settings. To be able to manage a caseload of people with complex health and social care needs. To provide specialist advice for clients, their families and colleaguesbased on up-to-date theoretical knowledge and relevant practical experience, and provide specialist advice and guidance to MDT colleagues, junior team members and other health care professionals both within and outside the trust. To use collaboration and partnership to empower patients to effectively self-manage their condition and identify those that may need alternative support to achieve this. To be able to identify when a client can be discharged from the service, taking into account their confidence and competence to self-manage and to be able to effectively communicate this to the client and their support network. Ensuring crisis and escalationplans are in place to support client and their support network post discharge. To be responsible for the maintenance of accurate written records using electronic patient notes. This includes communicating to other health professionals in a contemporaneous manner. To ensure that high standards of clinical practice and patient care are maintained and to ensure that other clinicians in the team do likewise, through ongoing competency assessment and supervision/appraisal. To identify appropriate patient cases, present and discuss these the appropriate MDTs, identifying risks to ensure that the wider MDT are aware and involved in decision making. Supporting more junior staff members with this process. To triagereferrals into the team with appropriate clinical experience and supervision and identifying if appropriate or not. To be able to establish priority and assign to appropriate pathway. To attend and actively participate in MDT clinical meetings and take part in MDT teleconferences to support with multi professional discussions To use specialist knowledge to refer to other disciplines as appropriate for both physical and mental health support. To ensure that the service provided is client centred, that all verbal and written information is accessible and understandable to users, considering cultural, sensory, cognitive and behavioural needs. Leadership To support, supervise and appraise the work of supervised staff, students, and rehabilitation assistants / care navigators and to induct new staff as required. To participate in the Trust Appraisal Scheme, both as appraisee and as an appraiser. To assist and support the Clinical Leads andservice managers, taking an active part in patient engagement, audit and project leading when required. To be involved in the recruitment, selection, and induction process for staff in the MACCT / Proactive care service. To support staff to achieve and maintain appropriate levels of education and continuing professional development, maintain and update a Continuing Professional Development Portfolio (CPD), are up to date with mandatory training. To assist in the organisation and presentation of In-service training to staff in the team and wider MDT. To supervise undergraduate students as required and to liaise with academic institutions regarding student performance and placement within the team. To establish and maintain robust and effective lines of communication within the MACCT but also with other stakeholders, including publicising and promoting the service. In line with the Trusts commitment to Clinical Governance, to identify and participate in quality improvement (QI) within the team alongside clinical audit and evaluation of clinical effectiveness. To be responsible for equipment used in carrying out duties and to adhere to departmental equipment policy. To ensure that all equipment defects, accidents and complaints are reported to the team lead and appropriate actions taken as per trust guidelines. To ensure the competent and safe use of equipment by other designated team members, patients, and carers. Communication/Collaboration To work collaboratively with members of the Anticipatory care networkand other clinical specialities, e.g. GP practice, palliative care teams, in order to provide seamless, high quality care To work in partnership with members of NCL& ACS Anticipatory Careteams to assist in the development and review guidelines and protocols. To develop and maintain collaborative relationships, partnerships and networks to influence and improve the delivery ofMACCT / Haringey Anticipatory Care. To contribute to the development of formal mechanisms to share good practice across Whittington Health and elsewhere sharing knowledge, skills and clinical expertise. To maintain patient information systems in a timely and professional manner and in line with local guidelines and protocols. To provide specialised advice, teaching and training to other members of the MDT regarding the Occupational Therapy management of adults in the community. Research/Audit To be proactive in local and national audits in order to assess the effectiveness and productivity ofMACCT/ Haringey Anticipatory Care and service provision. To participate in and critically evaluate research findings, to disseminate them appropriately and implement findings to improve the service and patient care To participate in research appropriate to the role. To provide regular information and statistics to assist in the audit of the service and respond to the needs identified and in keeping with national standards / guidelines. Note: this job description is a reflection of the current position and the post holder is expected to view it as a guide rather than an exact description of all duties and responsibilities. It may be varied from time to time in consultation with the post holder.

We are seeking to recruit four graduate level practitioners for our team. Intensive supervision and on training will be provided by an experienced supervisor. There will be a strong expectation for trainees to continue in post on successful completion of the one year training, with a salary increase to NHS Band 5 scale for the second year onwards. Successful candidates will be employed on a full-time basis within the Mental Health Support Team delivering individual, group and workshop-based mental health interventions within a borough-based cluster of schools. During training, the post-holders will work under close supervision to gain experience across healthcare and educational settings to enable them to gain the level of competence required to deliver high-quality, evidence-based early interventions for children and young people experiencing mild to moderate mental health problems. Please see attached JD & PS for further details.

CLINICAL RESPONSIBILITIESMaintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.To be responsible for the unsupervised assessment of patient care needs and the development, implementation and evaluation of plans of care, ensuring high standards of evidence based care.To undertake all nursing procedures in accordance with Trust policies and ensurethat these procedures and policies are understood and adhered to by all staff, within own management responsibility.To contribute to the development of evidence based guidelines/policies relating to speciality.To ensure accurate and comprehensive nursing records are maintained using appropriate written and electronic documentation.To collect data and provide essential information in a timely and accurate manner when requested for e.g. audits or monitoring CQC standards.To measure patient acuity and/or dependency to inform evidence-based decision making on staffing and workforce.To monitor and record planned vs actual staffing levels and escalate issues when necessary.To be responsible for ensuring effective mechanisms are in place so that all clinical and non-clinical incidents, including serious incidents are properly reported, investigated and changes made to avoid recurrence.To establish effective working relations with all members of the multi-disciplinary team to promote good communication and a multi-disciplinary approach to patient care.To supervise unqualified staff, to ensure that they have the knowledge, skills and resources to carry out delegated aspects of care.2. RESPONSIBILITY FOR PATIENTSTo ensure high standards of care are given to all patients, monitoring this through spot checks and clinical quality indicators outcome measures.Contribute to patient and relative feedback by undertaking daily clinical rounds with the aim of providing excellent standards of care.To collaborate in the assessment of patient care needs and the development, implementation and evaluation of plans of care, ensuring high standards of evidence based care.To ensure communication with patients and significant others is established, ensuring empathy and reassurance regarding, assessment, care and treatment.Be accountable at all times for ensuring that safeguards are in place for patients, in particular those adults or children at risk.To facilitate early discharge planning being carried out to enable appropriate arrangements to be in place for patients leaving hospital or transferring in order to achieve a safe and timely discharge from hospital.To ensure that all patients are cared for in a clean and well-maintained clinical area, ensuring that all staff are aware that they are directly responsible for cleanliness standards when in charge and escalating issues when necessary.3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENTEnsure that all staff act in accordance with Trust policies such as InfectionPrevention and Control, Confidentiality, Health & Safety and Equal Opportunities.Assist with the development of, and implementation of, local and trust wide policies, procedures, guidelines and protocols.To be aware of the research process and current trends.In collaboration with the Senior Sister/Charge Nurse, audit agreed clinicalguidelines of practice, policies and benchmarks within area of clinical responsibility.Resolve any concerns about levels of care or incidents involving patients escalating to the Matron/Senior Sister and reporting via the Trusts incident reporting system.Contribute to discussions and plans regarding service improvements and initiatives.4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCESTakes an active role in the ward environment needs, being alert to possible sources of cross-infection, maintaining safe and clear walkways and bed areas, ensure fire exits remain clear and equipment and supplies are stored correctly.To be responsible for ensuring confidentiality and safekeeping of patient records.Accountable for efficient and economical use of ward supplies.5. RESPONSIBILITY FOR LEADING AND MANAGINGTake an active role in the induction and orientation of new Nursing Assistants.Demonstrates effective time management and prioritisation of workload.Demonstrates good leadership skills and ensure that communication is effective between the patient, relatives and members of the multidisciplinary team.In the absence of the junior sister take charge of the wardTo develop skills to be able to investigate accidents, incidents and complaints,implementing corrective actions where necessary and in consultation. To liaise with the Senior Matron and Complaints and Clinical Risk Management Teams appropriately.Have an awareness of cost implications and assist in the management of resources within the clinical area e.g. equipment, supplies.To contribute to the planning and organising of service improvements.6. RESPONSIBILITY FOR INFORMATION RESOURCESTo be responsible for ensuring confidentiality and safekeeping of patient records.To ensure that there is effective communication systems in place to allow staff to keep abreast of developments in the organisation including unit meetings.7. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENTTo be aware of the research process and current trends.In collaboration with the Matron, and clinical lead, audit agreed clinical guidelines of practice, policies and benchmarks within area of clinical responsibility.

The post holder is required to undertake the duties and responsibilities of the post with due regard to confidentiality and the Trust policies on Data Protection, Equal Opportunities, Health and Safety and Smoking This Job Description is intended as a general guide to the duties and not as an inflexible specification. This Job Description may, in consultation with the post holder, be amended from time to time to take into account new developments and any changes in working arrangements The post holder may be required to work at alternative locations within the Mental Health Services of this Trust. The post holder will work effectively under Service Integration with Social Care colleagues employed by the Local Authority, who will be employed under different terms and conditions of employment.

MAIN RESPONSIBILITIES Clinical To be professional and legally accountable for all work undertaken. To work within the standards and guidelines of the trust, the team, professional services, and appropriate professional body. To stay up-to date with new emerging evidence and evidence-based practice for frailty and long-term conditions and be able to utilise this to continue to develop the service going forward. To undertake advanced assessment of people with frailty who present with complex multi-pathology amalgamating in both physical and mental health presentations. To undertake joint visits with all multi-disciplinary team members where appropriate and provide specialist advice on treatment / management regimes. Comprehensive subjective history taking - supporting the individual to only have to tell their story once - enhancing client experiences and promoting integrated working. Completing outcome measures and recording on appropriate systems. To formulate, evaluate and reassess individualised management and / or treatment plans, using clinical reasoning and utilising a wide range of treatment skills and options in order to formulate a personalisedcare plan. Tocomplete assessments and interventions in a variety of settings utilising a range of methods to do this e.g., face to face and virtual, the clients home and in community settings. To be able to manage a caseload of people with complex health and social care needs. To provide specialist advice for clients, their families and colleaguesbased on up-to-date theoretical knowledge and relevant practical experience, and provide specialist advice and guidance to MDT colleagues, junior team members and other health care professionals both within and outside the trust. To use collaboration and partnership to empower patients to effectively self-manage their condition and identify those that may need alternative support to achieve this. To be able to identify when a client can be discharged from the service, taking into account their confidence and competence to self-manage and to be able to effectively communicate this to the client and their support network. Ensuring crisis and escalationplans are in place to support client and their support network post discharge. To be responsible for the maintenance of accurate written records using electronic patient notes. This includes communicating to other health professionals in a contemporaneous manner. To ensure that high standards of clinical practice and patient care are maintained and to ensure that other clinicians in the team do likewise, through ongoing competency assessment and supervision/appraisal. To identify appropriate patient cases, present and discuss these the appropriate MDTs, identifying risks to ensure that the wider MDT are aware and involved in decision making. Supporting more junior staff members with this process. To triagereferrals into the team with appropriate clinical experience and supervision and identifying if appropriate or not. To be able to establish priority and assign to appropriate pathway. To attend and actively participate in MDT clinical meetings and take part in MDT teleconferences to support with multi professional discussions To use specialist knowledge to refer to other disciplines as appropriate for both physical and mental health support. To ensure that the service provided is client centred, that all verbal and written information is accessible and understandable to users, considering cultural, sensory, cognitive and behavioural needs. Leadership To support, supervise and appraise the work of supervised staff, students, and rehabilitation assistants / care navigators and to induct new staff as required. To participate in the Trust Appraisal Scheme, both as appraisee and as an appraiser. To assist and support the Clinical Leads andservice managers, taking an active part in patient engagement, audit and project leading when required. To be involved in the recruitment, selection, and induction process for staff in the MACCT / Proactive care service. To support staff to achieve and maintain appropriate levels of education and continuing professional development, maintain and update a Continuing Professional Development Portfolio (CPD), are up to date with mandatory training. To assist in the organisation and presentation of In-service training to staff in the team and wider MDT. To supervise undergraduate students as required and to liaise with academic institutions regarding student performance and placement within the team. To establish and maintain robust and effective lines of communication within the MACCT but also with other stakeholders, including publicising and promoting the service. In line with the Trusts commitment to Clinical Governance, to identify and participate in quality improvement (QI) within the team alongside clinical audit and evaluation of clinical effectiveness. To be responsible for equipment used in carrying out duties and to adhere to departmental equipment policy. To ensure that all equipment defects, accidents and complaints are reported to the team lead and appropriate actions taken as per trust guidelines. To ensure the competent and safe use of equipment by other designated team members, patients, and carers. Communication/Collaboration To work collaboratively with members of the Anticipatory care networkand other clinical specialities, e.g. GP practice, palliative care teams, in order to provide seamless, high quality care To work in partnership with members of NCL& ACS Anticipatory Careteams to assist in the development and review guidelines and protocols. To develop and maintain collaborative relationships, partnerships and networks to influence and improve the delivery ofMACCT / Haringey Anticipatory Care. To contribute to the development of formal mechanisms to share good practice across Whittington Health and elsewhere sharing knowledge, skills and clinical expertise. To maintain patient information systems in a timely and professional manner and in line with local guidelines and protocols. To provide specialised advice, teaching and training to other members of the MDT regarding the Occupational Therapy management of adults in the community. Research/Audit To be proactive in local and national audits in order to assess the effectiveness and productivity ofMACCT/ Haringey Anticipatory Care and service provision. To participate in and critically evaluate research findings, to disseminate them appropriately and implement findings to improve the service and patient care To participate in research appropriate to the role. To provide regular information and statistics to assist in the audit of the service and respond to the needs identified and in keeping with national standards / guidelines. Note: this job description is a reflection of the current position and the post holder is expected to view it as a guide rather than an exact description of all duties and responsibilities. It may be varied from time to time in consultation with the post holder.

The main Duties and Responsibilities of this post are: 1.To provide a 7 day community Speech and Language Therapy service to adults who have acquired speech, language, communication and/or swallowing impairments in Haringey. Treatment will take place at home, residential or nursing homes, resource centres and health centres, which may be made on foot, by public transport, bicycle, motorcycle or car. 2. To ensure that all reasonable precautions are taken in evaluating and reducing risk of lone working. 3. To fulfil the role of a Speech and Language Therapist, offering input, in the assessment, rehabilitation and management of adults in the community with complex communication and swallowing difficulties. 4. To ensure that clinical and professional standards of practice are maintained, including ensuring the maintenance of appropriate levels of education and continuing professional development in acquired swallowing and communication disorders, seeking advice where indicated. 5. The post holder will actively participate in regular clinical supervision with a senior Speech and Language Therapist as well as peer supervision. 6. To ensure close and collaborative working with patients, families, carers and members of the MDTs, and to set, monitor and review goals for intervention. 7. To promote the interests of the SLT service and their clients both within the local team and beyond. 8. To contribute to the continued development of clinical and strategic pathways across the ICO to enhance patient journeys and optimise care, working with colleagues in acute and other community and social agencies. 9. To contribute to specific projects in line with the needs of HART and SLT within the community. 10. The post holder will have an understanding of clinical governance, and keep up-to-date with developments in adult community rehabilitation, with special involvement with communication and swallowing difficulties, contributing to audits to evaluate practice, and contributing in research projects. 11. The post holder will develop an awareness of current policies and practice in health care and social services. 12. To contribute to clinical effectiveness by use of evidence based practice and outcome measures. 13. To ensure working practices are supported so that all the disciplines working in the Teams can develop flexible interdisciplinary/multi-agency work practices, to reflect and support productivity initiatives and different working practices when required, which enhance outcomes for clients. 14. On an annual basis, the post holder will be a clinical educator for SLT students on placement and to participate in supporting other AHP students on placement within the team. 15. The post holder will be required to be working at Level C of the RCSLT dysphagia competencies. 16. To undertake any other duties with the post as required in the community, which may include a change in workplace. 17. The post holder will be expected to manage sensitive and challenging situations, in terms of adult safeguarding and mental capacity issues, with support from more senior staff. The post holder will be expected to undertake an advocacy role for clients where necessary. Revalidation and Registration It is the responsibility of all staff registered with a professional body to: Act within the Professional Bodies Code of Practice Maintain their own work profile to ensure revalidation standards are met and assist junior registered staff in achieving revalidation. Contribute and participate in the development of colleagues professional practice across the trust through leading ward and/or department projects, and supporting training. Ensure optimum use is made of working time. Equal Opportunities Our latest policy known as Promoting Equality, Diversity and Human Rights outlines the Trusts commitment to ensuring that no job applicant or employee receives less than favourable treatment on grounds of sex, marital and civil partnership status,gender reassignment, pregnancy and maternity, race, colour, creed, religion or belief, physical disability, mental health, learning difficulty, age or sexual orientation and is not placed at a disadvantage by conditions or requirements that cannot be shown to be justifiable. For more information about our policy and commitment to equality, click: http://www.whittington.nhs.uk/default.asp?c=10505&q=equality Infection control All staff have a responsibility to prevent and control infections within the Whittington. This includes ensuring personal and team compliance with all relevant policies, especially hand hygiene, the trust dress code, and MRSA screening policies. Working patterns The Trust is currently exploring ways in which patients can be given more choice about when they can attend appointments at the hospital. In order to make this possible there maybe a future requirement for all staff to carry out patient appointments for patients in the evenings or at weekends. This means that staff may be required to work a shift pattern in future. Shifts will not normally operate beyond 9 pm in the evenings and appropriate pay enhancements will apply. Staff will be consulted about the introduction of / changes to shift systems. Staff working in any department where an on 'call rota' operates will be required to participate in the rota. Managers will discuss with staff the level of 'on call' cover required taking into account their individual circumstances. Staff in nursing posts may be requested to work in any area throughout the Trust by the matron or the site manager. Health & Safety Policy Employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act 1974, to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees and visitors. Safeguarding To comply with the Trusts Safeguarding Children and Adults policies, procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to: Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people. Ensure you are familiar and comply with the Croydon Multi Agency Safeguarding Vulnerable Adults Pan London Procedures. Ensure you are familiar and comply with local protocols and systems for information sharing. Know the appropriate contact numbers and required reporting lines. Participate in required training and supervision. Comply with required professional boundaries and codes of conduct Whittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment. Data Protection This post has a confidential aspect. If you are required to obtain, process and/or use information in any format whether electronic or paper based, you should do so in a fair and lawful way. You should hold data only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose and ought to disclose data only to authorised persons or organisations as instructed. Breaches of confidence in relation to data will result in disciplinary action, which may result in dismissal. Confidentiality You are required to maintain confidentiality of any information concerning patients or staff which you have access to or may be given in the course of your work, in accordance with current policy on confidentiality at Whittington Health. Whittington Mission, Vision and Goals We have an excellent reputation for being innovative, responsive and flexible to the changing clinical needs of the local population. We are treating more patients than ever before and are dedicated to improving services to deliver the best for our patients.Our missionHelping local people live longer, healthier lives.Our visionProvide safe, personal, co-ordinated care for the community we serve.Our goalsWe have developed six key strategic goals to make sure we continue to support people to live longer, healthier lives. To secure the best possible health and wellbeing for all our community To integrate and coordinate care in person-centred teams To deliver consistent, high quality, safe services To support our patients and users in being active partners in their care To be recognised as a leader in the fields of medical and multi-professional education, and population-based clinical research To innovate and continuously improve the quality of our services to deliver the best outcomes for our local population Whittington Values Our values underpin everything we do. Our staff are committed to delivering the following values in everything they do. Our ICARE values have been created by our staff and are embedded in our appraisal and planning processes and form part of our staff excellence awards. No Smoking Whittington Health promotes a No Smoking Policy as part of employees healthy living style. You will be required to work within the framework of this policy. Smoking is not permitted within Whittington Health premises. Probationary Period Employment at Whittington Health is offered subject to successful completion of a 6 month probationary period for all staff with the exception of GMC Registered Doctors