Total 5,348 job vacancies in Enfield, London

We are dedicated to being an outstanding place to work and will work with you to get the best experience. We know flexible working is not a one size fits all and will mean something different to everyone. We are inclusive, so if you are interested in flexible working, please speak to the recruiting manager. The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below.

Please see attached job description for more information about this role and working at Royal Free London NHS Foundation Trust.

Please see the attached supporting job description and person specification document which contains more information about the role and requirements. Please ensure your application refers to the job description and person specification.

Please refer to Job description and Person Specification for outline of skills, knowledge and experience required.

The Trainee Mental Health and Wellbeing Practitioner will: attend all elements of the training programme of study and progress successfully through assessments of competence and attainment work in an adult community mental health service when not completing the programme of study develop and practice psychologically-informed interventions under supervision, working directly with adults in the community support collaborative care planning, alongside other members of the multi-disciplinary team work closely alongside a team of mental health professionals to deliver a set of brief wellbeing-focused psychologically informed interventions - not therapy - for example: Behavioural Activation and Graded Exposure using the GOALS programme Problem-solving Improving sleep Recognising and managing emotions Guided self-help for bulimia and binge-eating Confidence building Support with medicines management The Trainee Mental Health and Wellbeing Practitioner will be required to: Demonstrate the ability to work at degree level Have experience of work interacting with the public, working as part of a team, analysing complex information and communicating effectively Demonstrate the ability to establish and maintain empathic, supportive relationships with people in significant distress, their families and carers This is a training role within adult community mental health services. The post-holder will be enrolled in a graduate certificate or postgraduate certificate training delivering the national curriculum for Mental Health and Wellbeing Practitioners. Once successfully enrolled, the post-holder will attend all elements of the programme of study and progress successfully through assessments of competence and attainment. Until enrolment, and in the remaining part of the week during training, they will work as a trainee in the service, under close supervision and regular course assessment of practice competence. They will work within the limits of their experience and assessed competence for their stage of training: To work alongside service users, families, carers and multi-disciplinary team members to co-ordinate care, supporting collaborative decision-making about care and treatment. To deliver a set of wellbeing-focused psychologically-informed interventions, aligned to cognitive-behavioural principles, based on the best evidence available, that address problems often experienced by people with severe mental health problems. To work within the limits of level of training and experience as a developing practitioner, taking on clinical practice appropriate to assessed levels of competence and stage of training. The post-holder will work as a trainee under close case management supervision from a suitably qualified professional to provide high quality collaborative care planning as a member of the multi-disciplinary team, with a level of autonomy matched to level of demonstrated competence and stage of training. The post-holder will work under close clinical skills supervision from an HCPC registered clinical / counselling psychologist, BABCP accredited cognitive behavioural therapist or Senior MHWP to provide specified psychologically-informed wellbeing-focused interventions, with a level of autonomy matched to level of demonstrated competence and stage of training.

Key responsibilities of the role include to: Provide specialist psychological assessments of service users of the locality service, when care is managed under the CPA (community and in patients). This is to be based upon the appropriate use, interpretation and integration of complex psychological data from a variety of quantitative and qualitative sources including psychological and neuropsychological tests, self-report measures, rating scales, direct and indirect structured observations and assessments with service users and others involved in their care. This can include the interpretation and explanation of the results of cognitive and neuropsychological tests in the context of the service users circumstances and current difficulties and the communication of these findings to those involved in the network of care and in care planning. Be responsible for the formulation and implementation of a broad range of specialist psychological treatment and/or management of service users mental health problems, based upon an appropriate conceptual framework of those problems derived from a broad theoretical knowledge of psychology, and employing methods based upon evidence of proven efficacy, across the full range of care settings. Be responsible for implementing a range of specialist psychological interventions for individual service users, carers and groups, employed singly and in combination, adjusting and refining psychological formulations as practice and experience demand, and drawing upon different explanatory models to maintain a number of provisional hypotheses. Evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical, development and cultural processes and systems which have shaped the individual, family or group. Be responsible for providing and receiving highly complex, sensitive, distressing and emotional information in relation to mental and physical health issues, where there are often difficulties in terms of acceptance or understanding. Communicate across language and cultural barriers, including working for sustained periods of time by communicating with service users, carers or groups through professional interpreters or advocates Spend sustained amounts of time with individuals who may be aggressive and hostile to themselves or others, who may have poor communication and/or self-care skills and special physical and/or mental health needs. Be responsible for recording, monitoring and reporting on clinical work and communicating, in a skilled and sensitive manner, complex clinical information (including assessment, formulation, treatment plans and progress) to a variety of recipients (e.g. service users, carers, other professionals, formal panels, statutory and voluntary organisations) orally, in writing and electronically. Undertake risk assessment and risk management for individual service users as appropriate.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents, please view the attachment/s on this page. The person specification below is not the full person specification but outlines the criteria against which your application form will be assessed.

To further embed and develop the current competency testing for fetal monitoring to assess and improve the knowledge and skills of all staff providing intrapartum and antenatal care across all maternity settings. the post holder will provide leadership, guidance and expertise within the wider multi-professional maternity team for fetal surveillance and intrapartum risk assessment. This will include putting in place strategies and frameworks that ensure the Maternity service meets the Trust and national standards for fetal monitoring, Feto-maternal Surveillance (MDU) and acute care (Triage). To produce and cascade out and embed into practice an intelligent intermittentauscultation training package and lead on the use of this in training midwives whoprovide intrapartum care on the Delivery Suites, the Midwifery Led Unit and in thewomans home. Ensure that all midwives and obstetricians providing antenatal and intrapartum careundertake the competency test in assessing fetal wellbeing. In conjunction with the midwifery education team provide enhanced teaching andadditional support to staff who need to repeat the competency test to in order toachieve and demonstrate the expected levels of knowledge. Lead weekly CTG workshops, maintaining an electronic database to evidence attendance registers and ensure compliance to the mandatory requirement for midwives and medical staff. Disseminate learning which emerges from workshops. Organise CTG master classes on the monthly mandatory training week ensuring theattendance of all eligible staff. Develop, in conjunction with the Maternity Matrons, Obstetric Lead for Delivery Suite and the Obstetric Lead for Risk, an audit form (on a daily basis) for case reviewsall emergency deliveries i.e. instrumental and caesarean sections in the previoustwenty-four hours to review the interpretation of CTGs and subsequentmanagement of care. Use findings of such cases for reflective practice sessions, tocascade and evidence learning from good practice and identify areas for furtherdevelopment. Use every opportunity to facilitate teaching, learning and reflection within the clinical area. When required to work as a practicing midwife within the maternity unit andundertake unit coordinator duties as required. Ensure staff are assessing fetal well-being in the context of the woman's health,pregnancy, gestation and stage of labour by observing how handover is communicated at change of shifts, midwife to doctor communication when referrals are made and listening to assessments made over the telephone (SBAR). Ensure that interpretation of fetal assessment is undertaken with a structured approach, reflective of recommendations within our current guidelines and that all documentation reflects this approach. Use every opportunity to provide positive feedback and identify and disseminate learning from good outcomes. Be visible and proactive on Delivery Suite, Birth Centre and in antenatal areas toinitiate and/or lead discussion regarding fetal assessment, embed and promote theFresh Eyes approach with associated documentation evidenced. Ensure ongoing audit across to monitor (the improvements and subsequently maintained standards) in fetal assessment. Assist in the investigation of incidents pertaining to poor birth outcomes,implementing any recommendations arising from these investigations. Promote evidence-based practice throughout the maternity service. After several years of ever closer working, North Mid and Royal Free London are planning to come together as one organisation to enable them to go further and faster in improving services for patients and the health of the local community than they can achieve separately. The merger of North Mid into the RFL group is currently expected to take place on 1 January 2025, subject to NHS England and Secretary of State approval.

A full list of roles and responsibilities can be found within the Person Specification for this role.

Please see the attached job description and person specification for full details of the main responsibilities of this role.

To provide highly specialist Speech and Language Therapy services using evidence based practice to provide advanced dysphagia assessment and management for our babies, children and young people. Ensuring patients/families/carers are involved in the planning and prioritisation of their care wherever possible. Please review the job description for the full list of roles and responsibilities.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below.

Scope and purpose of the role To deliver a high standard of patient care as a salaried GP in nursing Homes, using advanced autonomous clinical skills, and a broad and in-depth theoretical knowledge base To manage a clinical caseload, dealing with patients needs in a nursing Home setting Provide advanced GP care and case management to patients with multiple complex long-term conditions Undertake medical and social care assessments to initiate interventions to improve quality of life in the nursing Home setting Reduce the fragmentation of care To provide informal training and support to the nursing home team (where applicable) and ensure the highest standards of care are provided for the patients Job Summary The post holder is an experienced GP, who acting within their professional boundaries, will provide care for the patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of their care. They will demonstrate safe, clinical decision-making and expert care for patients within the general practice. They will work collaboratively with the multi-disciplinary general practice team to meet the needs of patients, supporting the delivery of policy and procedures, and providing clinical leadership as required. Key Responsibilities Clinical role The post-holder will Make professionally autonomous decisions for which he/she is accountable Provide face to face visits via a clinical ward round during the working week. Provide a first point of contact for Nursing Homes for advice regarding medical/nursing conditions of patients, making use of skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. This includes a comprehensive review (ensuring coding of all significant health conditions and allergies) of newly admitted patients to the Nursing Home and patients readmitted to the Nursing Home following discharge from hospital. This process would include a post-discharge reconciliation of the medication. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports To prescribe safe, effective and appropriate medication as defined by current legislative framework. This would include the prescription of monthly repeat medication, acute medication and the additional/cessation of medication as indicated (e.g. following discharge from hospital or from the advice of other healthcare professions including but not limited to specialist consultants). Additionally, this includes liaison with both community pharmacists (for example to ensure the continuity of supply of medication) and other pharmacists (including the medicines management pharmacists from GSTT). Provide polypharmacy/drug reviews of medications. To prescribe medication safely and in line with local CCG/national guidance including evidence based and cost-effective prescribing. Provide safe, evidence-based, cost-effective, individualised patient care. This significantly includes documentation about resuscitation and advanced care planning (onto recognised registers such as Co-ordinate My Care) of all patients newly admitted to the Nursing Home as well as a retrospective review of already admitted patients where such resuscitation and advanced care planning discussions have not yet been performed. This is likely to be performed with the patient and/or their representatives (dependent on circumstances including where which involving the patient may not be appropriate) and also be done in Best Interest meetings with other relevant healthcare professionals where a patient lacks capacity about advanced care decision making (and where an advanced directive does not exist). Offer a holistic service to patients and their families, developing where appropriate an on-going plan of care/support, with an emphasis on prevention and self-care Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills Refer patients directly to other services/agencies as appropriate including social services and allied agencies/services. Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (e.g. Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered. This includes QoF/KPIs/Local & National schemes including enhances services in care homes schemes. Work with multi-disciplinary teams within the locality, and across the wider Health Economy, to promote integrated and seamless pathways of care. This includes playing a significant role in ensuring the delivery of effective multidisciplinary meetings (MDTs). Sustain & maintain high standards of patient care and service delivery. Participate in identification of community health needs and develop patient/family-centred strategies to address them. Help develop and set up new patient services and participate in initiatives to improve existing patient services. Be aware of and contribute to planning and delivery of practice-based commissioning. Where appropriate will perform non-nhs funded work (such as private reports). Teaching and mentoring role The post-holder will Promote a learning environment for patients, nursing & care home staff and other health professionals. Contribute to the planning and implementation of the teaching for existing staff, such as medical students, GP trainees and registrars, and Health Care Assistants, within the locality. Professional role The post-holder will: Promote evidence-based practice through the use of the latest research-based guidelines and the development of practice-based research. Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review. Maintain their professional registration. Participate in continuing professional development opportunities to ensure that up-to-date evidence-based knowledge and competence in all aspects of the role is maintained. Develop and maintain a Personal Learning Plan. Record accurate consultation data in patient records in accordance with the latest guidance and other pertinent standards. Keep up to date with pertinent health-related policy and work with the locality team to consider the impact and strategies for implementation. Work collaboratively with colleagues within and external to the locality. Encourage and develop teamwork within the locality. Participate in multi-disciplinary protocols and Patient Group Directions development. Participate in meetings, reporting progress as required. Participate in audits and inspections as appropriate.

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience, and knowledge required. For both documents, please view the attachment/s below.

For this role, we are looking for exceptional candidates with experience and the ability to manage multiple agendas in a busy role. Excellent systems knowledge, data collation, extraction and analytical skills, along with an energy and passion to drive change and support transformation programmes is a must for any applicant. In return you will have full support and an individual development programme to enhance your career. We encourage you to apply if you have effective communication skills, strong business and performance experience, are an imaginative thinker, and are creative and determined in your approach. You will be a credible leader who will be able to demonstrate effective people leadership skills together with a track record of delivery. Your role will help support transformation and contribute to the development and implementation of the Directorate and Trust service strategy, in particular focusing on supporting service improvements that will enhance patient care and realise efficiencies.