Nurse Practitioner

An exciting opportunity has arisen for an enthusiastic and committed Band 5 Nurse to join the Norfolk Forensic Community Learning Disability team in an acting Band 6 role for a 9-month fixed-term maternity cover. This position offers a valuable career development opportunity within the Adult Forensic Learning Disability community service, working alongside an experienced multidisciplinary team. It provides the chance to develop leadership and management skills within a supportive and dynamic environment, ideal for those looking to progress their careers. The post holder will contribute to delivering high-quality service provision by offering consultation and advice, completing specialist risk assessments and comprehensive assessments and formulations, delivering therapeutic interventions, and providing training. All duties will be undertaken in line with service policies and the model of care. You will also play a key role in supporting ongoing service transformation within forensic learning disability services. This includes improving continuity of care, reducing patient length of stay in inpatient settings, and minimising hospital admissions where possible. The successful candidate will be central in coordinating care, supporting junior staff, and contributing to service development and quality improvement initiatives, demonstrating strong clinical leadership, effective decision-making, and a commitment to delivering high-quality, patient-centred care., A key feature of the team is its close working relationship with the Broadland Clinic, a Medium Secure Forensic Learning Disability Inpatient Service, which sits within the Learning Disability and Forensic Strategic Business Unit of Hertfordshire Partnership University NHS Foundation Trust. The team will be involved in the discharge planning process through CPAs pro-actively. The Integrated Community Forensic Learning Disability team has multi-disciplinary participation. It has a stepped service offer which includes:

• Training packages on a range of Forensic Learning Disability topics
• Consultancy and advice to community learning disability teams and in-patient units on patients who present with 'forensic' or 'forensic-like' behaviours and needs.
• To undertake specialist risk assessments such at HCR20v3, ARMIDILO-S (training will be provided)
• To deliver a range of community-based therapeutic interventions for patients with the above needs.
• NHS access (gatekeeping) assessments to determine if patients need more secure in-patient treatment
• Remain involved and be a source of continuity for people who get admitted to such in-patient settings.
• Monitor progress and participate pro-actively in discharge planning to less restrictive settings.
• To hold an active case management of service users identified as having high risk forensic needs
• To deliver effective evidence-based practice to adults with learning disabilities requiring specialist forensic services., To work as a Learning Disability nurse to support Service users with a Learning disability in the community, who have a forensic history and active risk profile, or whose risks indicate a high likelihood of offending without specialist management.
To work in close collaboration with the in-patient services to monitor the service users progress and participate pro-actively in discharge planning to less restrictive settings. This will include providing seamless support for the service users by offering direct work with the individuals and advising and supporting the ward-based staff to ensure there is a clear pathway for a safe and timely discharge transition from inpatient services to the community. To function as a lead health professional and manage a caseload of people with Learning Disabilities and associated mental health needs, as allocated, taking responsibility for the formulation of detailed, individualised, and person-centred assessments in partnership with individuals and families/carers and facilitate the formulation of robust risk management strategies. To practise evidence-based offence specific nursing interventions and treatment for offenders with learning disabilities within their caseload. To provide high quality, comprehensive specialist risk assessments that rely on Structured professional judgment (HCR-20v and ARMIDILO - S) which includes assessment and formulation and sets out appropriate risk management options and recommendations. Offer training to upskill local providers and community teams so they are better able to meet the needs of the service users they are supporting. Increase the capacity and capability of community providers, families, and others, including the understanding of the criminal justice systems, to work effectively with people with a forensic history or forensic like behaviour, by providing specialist forensic advice, guidance, and consultation regarding the risks of people with a learning disability and challenging behaviour /complex needs to provide positive practices and interventions to the service users To identify, as part of the review process, the need for further assessment, and complete this in partnership with the person and their network. To develop links and work in collaboration with other mainstream services which can support the various needs that the individual may present with. To maintain and promote practice within the Mental Health Act (1983), amended 2007, Mental Capacity Act, 2005 and Hertfordshire Safeguarding Adults frameworks. To work with the clinical team and Team Managers to provide and ensure high standards of clinical practice and to seek continuous improvement through Practice Governance a culture of audit and learning. To participate in the induction, training and education of students and other staff as appropriate.


• Academic qualifications RNLD
Desirable criteria
• ENB 997/998 (Mentoring & Preceptorship or equivalent
• Post graduate Qualification, Relevant experience of working with adults with a Learning Disability.
• Experience of working service users with forensic needs
• Experience of working within learning disability Assessment and Treatment settings, community- based learning disability teams or similar
• Experience of working with service users with Challenging Behaviour, Epilepsy, and Mental Ill Health., Knowledge of health-related practice, policy and legal requirements, e.g. Valuing People, National Service Framework for Mental Health, Green Light Tool Kit, Mental Health Act 1983, Mental Capacity Act 2005, Deprivation of Liberty Act 2005, Care Programme Approach, and Practice Governance.
• Understanding of the management of stressful situations, ensuring recognition and support to staff and service users.
• Knowledge of change management
• Knowledge and skills in teaching and presentation of clinical skills., You must have appropriate UK professional registration.
  
  Hertfordshire Partnership University NHS Foundation Trust are one of just five mental health trusts to achieve an overall rating of 'Outstanding' from the Care Quality Commission.
Our family of over 4,500 members of staff provide health and social care for people with mental ill health, physical ill health and learning disabilities across Hertfordshire, Buckinghamshire, Essex and Norfolk, delivering these services within the community and several inpatient settings. 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.