Clinical Nurse Specialist

An exciting opportunity for the post of Clinical Nurse Specialist has become vacant within Adult Community Mental Health Services in St Albans

• Taking responsibility for making a significant contribution to the nursing input, participating fully in the referral and allocation process, assessments, treatment, risk management, safeguarding vulnerable children and adults, care coordination of service users as well as contributing to case discussions and service related meetings.
• offering consultations and supervision to colleagues and students as well as staff in other services.
Main duties of the job The post holder will take responsibility for making a significant contribution to the delivery of high quality nursing care within the service. The role involves full participation in referral triage and allocation processes; undertaking comprehensive assessments; planning and delivering evidence based treatment and care interventions; and leading on risk assessment, risk management. The post holder will provide senior clinical governance and leadership for nurse led clinics, including Depot, Clozapine, Olanzapine, and Physical Health Clinics. Work in partnership with Matrons to ensure consistent, high quality nursing practice and the safe use of high risk medications. Lead audit, quality improvement, and incident learning, ensuring clinical documentation and pathways meet professional, legal, and organisational standards. The post holder will be responsible for professional decision making, including the investigation and management of safeguarding concerns, and oversight of safeguarding responsibilities for vulnerable children and adults. The post holder will coordinate care for a defined caseload of service users, contributing to multidisciplinary case discussions, clinical decision making, and service related meetings, while supporting the ongoing development and effectiveness of the service., Provide the nursing perspective to the clinical work of the team and to the delivery of all aspects of the service, advising on the appropriateness of referrals for a nursing oriented approach, and maintaining a small clinical caseload of highly complex and demanding cases. To provide a highly specialist, holistic assessment of referrals in order to formulate and implement plans for the treatment and management of care based on an appropriate conceptual framework employing research based evidence. To use highly specialist knowledge and experience to identify, analyse and interpret highly complex problem behaviour and inter-actionable patterns making appropriate 4 formulations to prioritise, engage and intervene effectively to assist service users, carers and families. To provide highly specialist nursing (and multi-modality) guidance, advice and consultation to the multidisciplinary team, contributing expertise to the treatment formulations. To support alternatives where possible, to prevent in-patient admission and possible disengagement with the service by specialist and flexible outreach in service users' homes. To provide a care package which offers the most effective therapeutic response to service users and their families and, where appropriate, working jointly and collaboratively with other clinicians in the multi-disciplinary team.


• Registered Nurse ( Mental Health/Learning Disability)
• Teaching certificate including annual update (ENB 998), or equivalent.
• Evidence of CPD
• Nurse Independent Prescriber
Desirable criteria
• MSc in specific therapeutic treatment modality e.g. systemic practice, cognitive behavioural therapy. Post graduate clinical and therapeutic qualification related to the community., Sound experience of working in a range of settings relevant to the post
• Experience of nurse independent prescribing for relevant service user group
• Experience of working with service users presenting with emotional/psychological difficulties and challenging behaviour with their families and wider networks in situations of crisis and emotionally demanding environments.
• Experience and knowledge of implementing safeguarding procedures for children and adults
• Experience of teaching and training in practice
• Experience of peer supervision, supervising colleagues in the multidisciplinary team and consultation in other agency settings
• Experience and knowledge of working in a multi-ethnic community
Desirable criteria
• Experience of therapeutic practice in different cultural contexts.
• Record of publication in professional journals., You must have appropriate UK professional registration.
  
  Hertfordshire Partnership University NHS Foundation Trust (HPFT) is an outstanding organisation with ambitions to match. We are one of just five mental health trusts to achieve an overall rating of 'Outstanding' from the Care Quality Commission, and our aim is to be the leading provider of mental health and specialist learning disability services in the country.
Our family of over 4000 members of staff provide health and social care for over 400,000 people with mental ill health, physical ill health and learning disabilities across Hertfordshire, Buckinghamshire, and Norfolk, delivering these services within the community and several inpatient settings. We also deliver a range of nationally commissioned specialist services including Tier 4 services for children and young people, perinatal services, plus medium and low secure learning disabilities services. The care we provide makes a fantastic difference to the lives of our service users, their families and carers - everything is underpinned by choice, independence and equality, with our Trust values embedded throughout, HPFT supports people with mental ill health, learning disabilities and autism across Hertfordshire, Buckinghamshire, Norfolk and Essex. We employ around 4,500 people who deliver these services within the community and in inpatient settings. We also deliver a range of nationally commissioned specialist services including Tier 4 services for children and young people, perinatal services and medium and low secure learning disabilities services. We have operated as a NHS Foundation Trust since our authorisation in August 2007.