Care Co-coordinator

The post holder will work as part of the Alliance Rehabilitation Team, an integrated multi-disciplinary team, and will assist in the provision of care co-ordination to individuals with enduring long-term mental health difficulties and complex support needs in Lambeth. The post holder will be a care co-coordinator, as outlined in the Care Programme Approach (CPA) who will be working within a vibrant Multi disciplinary Team (MDT).
The post holder will be responsible for assessing, planning, implementing and evaluating plans of care for a defined caseload within a multi-disciplinary team setting. They will be expected to work flexibly , supporting and contributing to the development of the service as a whole.
The Alliance Rehabilitation Team (ART) sits within the IPSA (Integrated Personalised Support Alliance). The IPSA comprises an Alliance contract between SLAM, CCG, Lambeth Social Care, and two voluntary sector organisations, Certitude and Thamesreach. Together IPSA delivers intensive rehabilitation and personalised packages of support to people with complex mental health support needs in Lambeth.
It aims to reduce use of rehabilitation inpatient wards and to offer more alternatives to institutional settings, through developing more supported living settings and more independent living opportunities., 1) To act in the clinical role as a Care Co-coordinator for a caseload of clients with enduring long-term mental health problems, on CPA and to actively monitor and support clients on the caseload.
2) Undertaking comprehensive assessments of clients' needs/strengths, including assessments of capacity. (including both mental health and social care support needs).
3) To undertake and record full assessment of risk. To plan, implement and evaluate risk management plans and other protection plans, in conjunction with the client, multi-disciplinary team and other agencies.
4) To co-ordinate and record CPA meetings. Including ensuring that the information is entered on to the ePJS and CPA records are sent out to appropriate parties.
5) Ensure that intervention aims at supporting, teaching and guiding individuals towards their optimum level of functioning guided by the recovery model, and principles of personalisation and co-production. 6) To ensure effective communication and liaison with ART team members and placement settings to ensure co-ordination of integrated care., 1) To act as a Care Co-coordinator for a caseload of clients with enduring long-term mental health problems, on CPA and to actively monitor and support clients on the caseload.
2) To undertake comprehensive assessments of clients' needs/strengths, including assessments of capacity. (including both mental health and social care support needs). To plan, implement and evaluate care/support plans, risk management plans and other protection plans, in conjunction with the client, multi-disciplinary team and other agencies.
3) To undertake and record full assessment of risk. To plan, implement and evaluate risk management plans and other protection plans, in conjunction with the client, multi-disciplinary team and other agencies.
4) To co-ordinate and record CPA meetings. Including ensuring that the information is entered on to the ePJS and CPA records are sent out to appropriate parties. To attend all clinical meetings and case conferences as required. To ensure that all clients have a documented Care Plan (including a Crisis and Contingency Plan) and are reviewed and evaluated on a regular basis.
5) Ensure that intervention aims at supporting, teaching and guiding individuals towards their optimum level of functioning guided by the recovery model, and principles of personalisation and co-production.
6) To ensure effective communication and liaison with ART team members and placement settings to ensure co-ordination of integrated care.
7) To work in partnership with ART and IPSA colleagues to contribute facilitating the move-on or step-down pathways and transition process.
8) To provide Social Circumstances reports for Mental Health Review Tribunals when required.
9) To provide cover for colleagues when on annual leave/sick/study leave, and to participate in provision of duty cover.
10) To take every reasonable opportunity to improve and maintain professional knowledge and competence. Be involved in the setting and maintaining of standards across the service.
11) To participate in regular supervision and appraisal of own casework with appointed supervisor and team leader. To attend all team development workshops and other training opportunities (both statutory and otherwise)
12) To provide statistical information in accordance with service demands.
13) To contribute to the development of team policies and procedures and on-going evaluation to ensure the continued development and improvement of the service. Report any service deficiencies to Team Leader.
Person Specification
Verified at interview (I), by application form (A) or by a test (T)
Essential

Registered Mental Nurse with evidence of post-qualification training and current registration. (A)
ENB 998 or equivalent mentoring qualification.
Experience:
Previous experience of developing good working practices with external agencies. (A,I)
Evidence of working with clients with enduring mental health problems. (A,I)
Experience of working within a multi-disciplinary team.

Knowledge:
A working knowledge of all relevant legislation including the Mental health act, Mental Capacity Act and the Care Act(A,I)
Knowledge of Care Programme Approach (A,I)
Understanding of the principles of the recovery model (A,I)
Understanding of and commitment to Equal Opportunities Policy. (I & A)
Skills:
Risk Assessment and management skills (I)
Skills in care coordination as outlined in Care Programme Approach and Care planning with client involvement. (I)
Imaginative and lateral thinking in problem solving situations. (A,I)
Ability to communicate effectively verbally and in writing, including for the delivery of training.(I, A )
Ability to work independently, time management, work under pressure and meet deadlines. (I )
Desirable
Post qualification experience in community mental health services . (A&I)
Experience in delivering training (A,I)
Experience in working with residential settings (A,I)

South London and Maudsley NHS Foundation Trust has a rich history, well-established community links and an international reputation. We deliver specialist services in the London boroughs of Croydon, Lambeth, Lewisham and Southwark, Bexley, Bromley, Greenwich, Wandsworth and Richmond.
We are committed to provide a high quality and specialist care to our service users and we are recognised for our care and treatment we provide. The Care Quality Commission already rates our services as 'good'.
We launched our five-year strategy, Aiming High; Changing Lives in 2021 together with Our Care Improvement System as our quality management system methodology to make a positive impact on patient care, outcomes and staff experience. By joining SLaM, all staff will get the opportunity to be part of this exciting improvement journey supported with learning and development to harness everyone's potential as change makers.
The trust recognises the unique and valuable contribution that people with lived experience of mental illness can bring to a role. We therefore welcome applications from people with lived experience and consider them as an asset to the Trust.
Our Values
We take pride in providing specialist care to our service users where our Trust values and our promise to be caring, kind, polite, prompt, honest, listen and do what I say I'm going to do is at the heart of everything we do. When you join us, you'll be part of something special.
As a Trust we are happy to talk flexible working., Confidentiality/data protection regarding all personal information and Trust activity must be always maintained (both in and out of working hours) in accordance with professional codes of conduct and relevant legislation such as the Data Protection Act. The post holder should ensure that they are familiar with and adhere to all Trust Information governance policies and procedures. Any breach of confidentiality will be taken seriously, and appropriate disciplinary action may be taken.
Equal Opportunities
Promote the concepts of equality of opportunity and managing diversity Trust wide.
Health and Safety
Employees must be aware of the responsibilities placed upon them under the Health and Safety at Work Act 1974, paying due regard to health and safety in the workplace and management of risk to maintain a safe working environment for service users, visitors and employees.
Infection Prevention and Control
Employees must be aware of their responsibilities to protect service users, visitors and employees against the risks of acquiring health care associated infections, in accordance with Trust policy.
Professional standards and performance review
Maintain consistently high professional standards and act in accordance with the relevant professional code of conduct. Employees are expected to participate in the performance review process.
Service/Department standards
Support the development of performance standards within the Service/Department to ensure the service is responsive to and meeting the needs of its customers.
Finance
All Trust staff will comply with the financial processes and procedures.
Safeguarding Children & Vulnerable Adults
Employees must be aware of the responsibilities placed on them under the Children Act 1989, 2004 and the trusts safeguarding vulnerable adults' policy.
Code of Conduct
The post holder is required to adhere to the standards of conduct expected of all NHS managers set out in the Code of Conduct for NHS managers.
This job description will be subject to regular review and adjustment.
The Trust is committed to providing services which embrace diversity and that promote equality of opportunity. We are a Disability Confident Employer, we welcome applicants from all sections of the community and people of all protected characteristics. We provide reasonable adjustments for candidates with a disability and are committed to treating people fairly with compassion, respect and dignity and in promoting equality and human rights. We aim to put this commitment into practice by:
+ Embedding our commitment to tackling inequality, eliminating discrimination and harassment; promoting equality of opportunity and fostering good relations in our everyday practice
+ Ensuring that all our services and all staff understand and support our commitment
+ We believe that people who use our services, their carers and our staff, should be treated with compassion, respect and dignity
Please note:
+ That all applications for this post will need to be made online
+ That you read and understand the Job Description and Person Specification attached to the role. Your Statement in Support should reflect the requirements specified as your application will be judged against these criteria
+ That the closing date listed is a guide only and that the vacancy may close earlier should sufficient number of applicants have been received. We advise that you submit your application as early as possible
+ That once you have submitted your application you agree to your application being transferred to a 3rd party e-recruitment system. All subsequent information regarding your application will be generated from apps.trac.jobs
+ That should you not have heard from us within three weeks from the closing date your application has not been successful
+ That priority consideration for applications may be given to at-risk NHS employees
+ That should you be successful and appointed, you authorise South London and Maudsley NHS Foundation Trust to confirm your previous NHS service via an Inter Authority Transfer (IAT) process
+ That we are a smoke-free Trust
SLaM is a Stonewall Diversity Champion , Stonewall is the largest Lesbian, Gay, Bi and Trans (LGBT) rights charity in Europe'

We are committed to ensuring our staff get the most out of their benefits package and understand the importance of a healthy work life balance. There is an extensive range of excellent benefits for you and your family. We want you to feel like you are part of a close knit team at SLaM. It's important to us that you valued and appreciated and that are why we have a comprehensive benefits package on offer
Some of our benefits are highlighted here:
Generous pay, pensions and leave, we offer a comprehensive pay, pensions and leave package which is dependent on the role and length of service.
Work life balance, flexible working and support a range of flexible options, such as: part-time working and job sharing.
Career development, There are plenty of opportunities to progress your career and we support your development through a number of programmes such as mentoring, coaching, positive people management, collective leadership and other talent programmes
Car lease, our staff benefits from competitive deals to lease cars
Accommodation, our staff benefits from keyworker housing available which is available on selected sites
NHS discounts, with discounts up to 10% from a variety of well-known retail brands though Health Service Discounts website. Other benefits include:
Counselling services
Wellbeing events
Long service awards
Cycle to work scheme
Season ticket loan