Mental Health Complex Case Manager

The post holder will assist and provide a proactive and efficient case management for all adult mental health patients across all ELHT hospital sites. They will provide education and advice to maintain a high standard of discharge planning processes and work to support the patients onward and ongoing care plans. As a case manager in the Integrated Discharge Service, they will promote the timely access to health, mental health and social care resources to enable the safe and effective discharge of patients from hospital. To work in partnership with other interdependent teams and services across the Health and Social Care Economy that are involved in the discharge planning of patients., · To provide clinical advice and guidance to professionals within Integrated Discharge Service. · To support patients identified to have psychological and mild to moderate mental health needs associated with long term physical conditions. · To conduct assessments required for discharge and provide bed base care category recommendations · To triage and signpost patients to the appropriate service within their locality. · Develop robust care plans in conjunction with the patient and wider multi- disciplinary teams, to enable the patient to manage their mental health condition more confidently, which will enhance the ability to manage their long-term conditions. · Provide data that analyses the impact of mental health provision within the Integrated Discharge Service., Working within the Integrated Discharge Service (IDS) involves supporting timely, safe and effective patient discharge from hospital through multidisciplinary and multi-agency working. The role includes early identification of discharge barriers, coordinating complex discharge plans, liaising with health, social care and mental health services, providing specialist advice to ward teams, managing safeguarding concerns, and supporting patient flow by reducing avoidable delays and length of stay., Undertake comprehensive mental health assessments for patients with complex mental health needs. Utilise recognised assessment tools including 6CIT, PHQ-9, GAD-7, GDS-15, MoCA, DASS-21, MCA and Trusted Assessment documentation. Assess emotional, psychological and cognitive needs and their impact on managing long-term conditions. Complete risk assessments, including suicide, self-harm and safeguarding risks, escalating concerns appropriately. Develop person-centred care plans with realistic and achievable goals. Refer and coordinate care with secondary mental health services, GPs and other agencies where required. Contribute to discharge planning, best interest meetings and multidisciplinary care planning. Discharge and Case Coordination Support patients through the Enhanced Discharge to Assess pathway. Attend ward rounds, discharge planning meetings and multidisciplinary team meetings. Monitor patient progress, engagement and outcomes following discharge. Coordinate care across acute, community, social care and mental health services. Communication and Partnership Working Provide specialist mental health advice to healthcare professionals, patients, carers and families. Develop effective working relationships with GPs, CMHTs, social services, voluntary organisations and acute services. Facilitate collaborative, person-centred approaches to care across agencies. Maintain accurate, timely and confidential clinical records., Deliver mental health education and training to healthcare professionals and partner organisations. Provide supervision, mentoring and support to staff and students. Participate in clinical and managerial supervision and maintain professional registration requirements. Promote evidence-based practice and psychosocial interventions. Service Development, Audit and Governance Participate in service improvement, policy development and clinical governance activities. Contribute to audits, research projects and quality improvement initiatives. Support the development of services for older adults with mental health needs. Monitor and evaluate outcomes including patient experience, reduced emergency department attendance and reduced length of stay. Professional Responsibilities Maintain compliance with NMC standards, Trust policies and mandatory training requirements. Maintain up-to-date knowledge of mental health legislation, dementia care, safeguarding and best practice. Demonstrate accountability, professional leadership and adherence to ELHT values. Engage in continuing professional development and appraisal processes. Key Performance Outcomes Improved patient experience and satisfaction. Reduced hospital length of stay. Reduced emergency department attendance. Effective discharge planning and community support arrangements. Improved staff knowledge and confidence in managing mental health needs. Positive multidisciplinary and stakeholder feedback.

• Registered Mental Health Nurse (RMN) - current NMC Registration
• Evidence of professional updating and development in the nursing care of patients in an acute or community setting.
• Diploma in Professional Studies (Nursing) - or equivalent.
Desirable criteria
• Teaching & Assessing qualification (or equivalent).
• CBT/PSI qualification
• Non-Medical Prescribing V300 or working towards, A minimum of two years post-registration mental health nursing experience
• Involvement in innovative nursing practice and multi-cultural nursing environments
• Team leadership
• Evidence of practicing in an acute mental health inpatient/community care setting., Imagination and determination.
• A questioning attitude.
• A concept of own nursing philosophy
• Enthusiasm.
• Flexibility.
• Ability to work under pressure and meet deadlines.
• A problem-solving approach to professional practice.
• Ability to meet contractual requirements
• Full current driving licence
Desirable criteria
• Ability to assimilate new concepts and approaches to care.
• Ability to respond positively to constructive criticism., Skills in assessing, planning and evaluating mental health nursing interventions.
• Skills in interacting therapeutically with distressed and/or disturbed individuals
• Skills in individual nursing interventions.
• Skills in teaching, supervision and self-appraisal.
• Skills in multi-disciplinary team-work.
• Skill in interacting effectively with colleagues.
• Ability to cope with stress.
• Excellent presentation skills - both verbally and non-verbally.
• Skill in report writing.
• Skill in chairing meetings
• Skill in motivating and managing change in others.
Desirable criteria
• Skill in basic research process.
• Skill in audit and quality assurance programmes.
• Skills/training in a psychological therapy, Extensive knowledge of the various approaches to mental health assessment.
• Knowledge of key areas of liaison psychiatric nursing practice, including the psychological effects of physical illness
• Knowledge of nursing and psychiatric interventions with patients in an acute phase of mental illness/distress.
• Knowledge of risk assessment and management, particularly in relation to suicide
• Knowledge of the clinical and demographic risk factors associated with suicide and self-harm.
• Knowledge of Common Law and issues relating the Mental Health Act (1983).
• Knowledge of the teaching process.
• Knowledge of team-work and staff development.
• Knowledge of the various therapeutic approaches in the care and treatment of patients with delirium, dementia and depression.
Desirable criteria
• Knowledge of basic research methodology, You must have appropriate UK professional registration.
  
  At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work., The Trust is an equal opportunities employer, committed to improving the working lives of our staff and operates a 'Zero Tolerance' policy to aggression, violence, bullying and harassment. In addition, our aim is to help protect children and vulnerable adults by providing a first-class service to the recruitment of people into positions of trust.
We aim to employ a workforce that reflects the diverse communities we serve. We welcome applications from everyone irrespective of ethnic origin, gender, age, gender identity, sexual orientation, religion, marital status, disability or social background. We especially welcome applications from members of our black, Asian and minority ethnic (BAME) communities, as we have identified that ELHT has an under-representation of BAME employees. Appointments will be made on merit.

It is important you are made aware of the following as regards your application to East Lancashire Hospitals NHS Trust
• Please note that the salary advertised is for full time hours. If this post is less than 37.5 hours per week, the salary will be pro-rata. For posts on Agenda for Change pay-scales, new entrants to the NHS will normally commence on the first pay point of the relevant band.
• This vacancy may close before the closing date if the recruiting manager deems sufficient applications have been received. Therefore it is advised to complete your application as early as possible to avoid disappointment.
• Please ensure you check the email account from which you apply regularly as we will use this to contact you regarding your application.
• Please note that shortlisting is completed anonymously with candidates being assessed against the essential criteria for the post. Therefore only applicants, who can clearly demonstrate how they meet our person specification criteria in their application, will be short-listed.
Disclosure and Barring Scheme (DBS) If the role you are applying for is identified as either controlled or regulated activity as defined in in the Safeguarding vulnerable Groups Act (2006) any offer of employment is provisional upon a satisfactory DBS check being obtained. The healthcare sector is exempted from the Rehabilitation of Offenders Act 1974. In line with other NHS organisations in the North West Region, the Trust is now passing the charge for undertaking a DBS check on to candidates in the event they are successfully appointed into the post for which they have applied. Candidates can choose whether to pay this over 1-3 months as a deduction from the monthly salary. However, if you are applying for a post as a BANK worker, the payment must be made in full at the time of employment checks. By applying for this vacancy you are agreeing to this undertaking in the event you are successfully appointed. The cost of an Enhanced Disclosure will be £55.38 and for a Standard Disclosure will be £27.38.