As a highly specialised nurse practitioner, the post holder will demonstrate their capabilities in line with the multi-professional framework for advanced clinical practice as well as supporting the consultant nurse on the strategic, operational, and clinical direction for the development of nursing practice within Bexley Children and Adolescent Mental Health Services. The post holder will support the development of extending boundaries and in collaboration with the nurse consultant take a lead on creating frameworks for the enhancement of nursing within Bexley CAMHS, developing and maintaining links with the wider nursing CYP workforce in order to improve physical and mental health outcomes for all CYPs.
The post holder will work clinically within the Blossom Team, providing highly specialised clinical support to colleagues and vulnerable young people accessing mental health services across Bexley.
• Highly specialised clinical practice within the service, 75% of this time dedicated to providing clinical and consultancy support related to the Blossom Team. The remaining 25% of the time allocated to clinical supervision and the development of the nursing profession within BexleyCAMHSthrough professionalleadership.
• To workinpartnership with the consultant nurse and Team manager for CAMHS to continually develop excellence in CAMHS nurses andnursing practice in line with National recommendations & targets, Oxleas Trust Nursing Strategy &CYPclinicalgovernance.
• Facilitating education, training and development of internal staff and a range of external agencies, statutory and non-statutory in management and treatment of children and young people accessing crisisservices.
• Support the development of research into various aspects of service provision and serviceevaluation.
• A key member of the senior clinical and management team within Bexley, representing the nursing discipline in both managerial and clinical decision making (participating inkey senior tasks) and akeymember of the Blossom seniors.
• To actively develop key relationships internal and external to theservice.
• To promote nurse led research and audit, ensuring this is in line with service requirements. Topromote publicationinprofessional nursingpublications.
• To support psychiatric colleagues within the CAMHS pathway in medication reviews
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
• We’re Kind
• We’re
• We Listen
• We Care
Safeguarding:
• To supporttheimplementation of the safeguarding children policy and ensuring excellent safeguarding practice withintheservice area ofCAMHSand work closely with the SafeguardingLead.
• To ensure CAMHS clinicians within their service access safeguarding consultation, 2- 3 sessionsyearly.
• To ensure all teams are compliant with safeguarding qualitymetrics.
• To offer safeguarding supervision toCAMHSclinicians within their service (CP, CIN,LAC).
• To ensure that service management teams are clear on all safeguarding monitoring/ recording and requirements and to create adequate systemsto mitigate any risksinprocesses ofcompliance.
Clinical:
• Contribute and actively support on the systemic development and delivery of the highest quality specialist assessment and intervention services within Blossom Team in conjunction with the Consultant Psychiatrist, Consultant Psychologist and TeamManager.
• Demonstrate critical understanding ofthebroadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including when working with complexity, risk, uncertainty and incompleteinformation.
• To manage a clinical caseload as CCO/ nurse prescriber, with complex and severe mental health difficulties and LDND, delivering highly specialised, evidenced based interventions and evaluation of careprovided.
• Lead best practice by the development of treatment and care plans basedon workinginpartnership with individuals, families and carers using a range of comprehensive assessment and treatment methods to respond directly to referrals for non-medical consultant opinion or specialist assessment, providing specialist advice and opinion to fellow professionals, partner agencies and voluntaryservices.
• Undertake specialist interventions for a range of service users referred to the service
• Make complex decisions acting on professional judgement about when to seek help, demonstrating own critical reflection on own practice, self- awareness, emotional intelligence, and openness to change in challenging circumstanceinthe absence of clearboundaries.
• Work as an autonomous practitioner taking key responsibility and accountability for effective care delivery, being responsible and accountable for decision making, actions andomissions.
• Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnosis which are in the interest of service users and their family in the absence of precedents andprotocols.
• Provide clear direction and leadership for practitioners with regard to legal, ethical and moral dimensions ofcare.
• Demonstrate the ability to take therapeutic risks in the interest of improved service user care, advocating the development of delivering care that is responsive to changing requirements, informed by an understanding of local population health needs, agencies andnetworks.
• To contribute to overall service delivery and development asrequired.
Teaching, training, and supervision
• To actively support the nurse consultant and team manager in ensuring changes take place and support the change processes that will ultimately develop professional practice and enhance service-user care specifically within Oxleas CAMHSBexley.
• Take a lead role in the demonstrable measurement of the clinical effectiveness of any change process within BexleyCAMHS.
• Critically assess and address own and supervisees learningneeds.
• Advocate for and contribute to a culture of organizational learning to inspire future and existingstaff.
• Support Bexley CAMHS to build capacity and capability through work based and interprofessional learning, and the application of learning to practice.
• Act as a role model, educator, supervisor, coach, and mentor, seeking to instill and develop the confidence of nursing students and otherstudents.
• To be the lead person for organizing nursing student education at Bexley CAMHS.
• To actively contribute to the development of directorate wide and lead on local service specific development, implementation, and evaluation of training/ preceptorship programmes for nursing staff, including trainees, and to make recommendations for furtherdevelopment.
• To participate in formal and informal delivery of education and training for nursing and other staff asrequired.
• Contribute to the develop and implement in local service area robust models of nursing care, and redefine nursing roles and develop practice skills within this area.
• To provide supervision and support to nursing staff within OxleasCAMHSand to maintain robust clinical and professional supervisionstructures.
• Provide expert advice/consultation and support to a range of stakeholders working across agencies, disciplines and organisational boundaries at local, regional and nationallevels.
• To ensure active participation in gathering, synthesizing and disseminating clinical information obtained from national and international sources into clinical practice alongside the consultantnurse.
• To provide clinical placements for nursing students in line with theCYPDirectorateoffer.
• To co-ordinate and directly provide where needed the CAMHS nursing offer for Greenwich University nursingstudents.
• To develop skills in the area of professional undergraduate teaching, training and supervision and to provide supervision to otherMDTstaff’s psychological work, asappropriate.
• To maintain own professional development through supervision, appropriate training and participation inother development opportunities as agreed with service and professionalmanagement.
Management responsibilities
• Demonstrate team leadership, resilience, and determination, managing situations that are unfamiliar, complex, or unpredictable and seeking to build confidence withincolleagues.
• Proactivelyinitiateanddevelopeffectiverelationships,fosteringclarityofroles within teams, to encourage productiveworking.
• Demonstrate receptiveness to challenge and preparedness to constructively challenge others; escalating concerns that affect individuals, families, carers, communities and colleagues’ safety and wellbeing wherenecessary.
• To be involved, as appropriate, in the shortlisting and interviewing nurses and other CAMHSclinicians.
• To take the lead on ensuring nursing competencies across the local service area are up to date and recorded for the Directorate reporting directly to the nurse consultant forassurance.
• Contributes to the development of clearly articulated strategic objectives for nursing within Oxleas CAMHS relating to service development and an annual action plan designed to meet these goals that clearly dovetail with the strategic objectives of thedirectorate
• Work autonomously within professional guidelines and exercise responsibility for systematic governance of clinical practice, ensuring systems are in place and working effectively for the clinical and professional supervision and support of other nurses within OxleasCAMHS.This will include professional appraisaland the identification of CPD needs within the discipline area of responsibility in line with directorate and trust policies and priorities.
• Lead and actively engage in peer review to inform own and others practice, formulating and implementing strategies to act on learning and make improvements. Developing clinical audit and effectiveness for nursing practice within Bexley CAMHS, utilising research knowledge and skills to monitor the effectiveness of current practices to provide informed judgements about their quality andappropriateness.
Research and evaluation
• To initiate and/or oversee nurse led research and audit ensuring this is in line withCYPdirectoraterequirements.
• Critically engage inresearch activity, adhering to good research practice guidance, so that evidenced based strategies are developed andapplied to enhance quality, safety, productivity and value formoney.
• Critically appraise and synthesise the outcome of relevant research, evaluation and audits using the results to underpin own practice and to inform that ofothers.
• To promote the development of research skills within CAMHS nurses based in local area of responsibility and provide supervision in this area asrequired.
• Take a critical approach to identify gaps in the evidence base and its application to practice, alerting appropriate individuals and organisations to these and how they might be addressed ina safe and pragmaticway.
• To keep abreast of national and international research findings, and to promote the dissemination and application of these withinCAMHS.
• Actively identify potential need for further research to strengthen evidence for bestpractice.
• Disseminate practice research findings and quality improvement projects through appropriatechannels
• TodevelopandmaintainacademiclinkswithlocalHigherEducationinstitutesto promote research opportunities within CAMHS.
• Commitment to contribute to publishing research and audit projects in nursing journals.
This advert closes on Sunday 8 Sep 2024
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