About this role
Job summary
*DISCLAIMER - The job location on this advert is the head office of The Confederation. It is not where the role is based.*
We are looking for an experienced enhanced practice nurse specialising in mental health and learning disabilities to join our Colne Union PCN in Yiewsley / West Drayton on an initial 12 month fixed term contract with the possibility of becoming permanent.
The PCN covers the following practices:
High Street PracticeOakland Medical CentreOtterfield Medical CentreThe Green Medical CentreYiewsley Family Practice
Please note that this role is on-site only with no remote working.
Main duties of the job
You will be an experienced registered nurse working at enhanced practice level across the Primary Care Network, with a specialist focus on mental health and learning disabilities. Working autonomously within an agreed scope of practice, the post holder will provide high-quality, person-centred care for adults with severe mental illness, common mental health problems, learning disabilities, autism, neurodevelopmental needs and associated physical health inequalities. They will use specialist knowledge, enhanced assessment skills and evidence-based clinical decision-making to assess need, formulate and review personalised care plans, monitor treatment, support recovery and independence, and make timely referrals or escalation where required.
You will work closely with general practice, community mental health and learning-disability services, social care, pharmacy and voluntary-sector partners. They will contribute to annual physical health checks, proactive review, medicines monitoring, prevention, early identification of deterioration, crisis planning, safeguarding and reduction of health inequalities.
About us
The Confederation, Hillingdon CIC works with General Practice and other healthcare providers to deliver its vision for Hillingdon to deliver the best primary care outcomes for patients in the whole of London. We are a not-for-profit community interest company. The Confederation works to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We deliver excellent clinical services ourselves both at scale and complementary to General Practice. We are the provider representative voice for local General Practice into the wider NHS and other Partners. We are of the NHS but independent, innovative and transformational.
The Confederation determines to develop as an attractive place to work, providing rewarding roles and opportunities to grow in order to attract and retain great staff that in turn delivers our vision.
Our Values
We work together to make a difference for patientsWe care enough to go the extra mileWe support, trust, and empowerWe sincerely value each otherWe support primary care to own its destiny
Job description Job responsibilities
Work autonomously and accountably within the NMC Code, local policies, agreed clinical pathways and the limits of the role and individual competence.Undertake comprehensive, holistic assessments of mental health, learning-disability needs, physical health, cognition, communication, social circumstances, functioning, strengths, risks and protective factors.Use enhanced mental health and physical assessment skills to identify deterioration, relapse, unmet need, adverse treatment effects, diagnostic overshadowing and conditions requiring urgent medical or specialist review.Develop, implement and evaluate personalised care and support plans in partnership with patients, families, carers, advocates and the multidisciplinary team, promoting recovery, independence and quality of life.Provide enhanced-level management for one or more defined specialist areas, such as severe mental illness, depression and anxiety, learning disabilities, autism, dementia, neurodevelopmental needs or another locally agreed priority.Complete and coordinate physical health reviews for people with severe mental illness, including relevant observations, lifestyle review, cardiovascular and metabolic risk assessment, blood tests, screening, medicines monitoring and follow-up within competence.Undertake or coordinate annual health checks and health action plans for people with learning disabilities, ensuring reasonable adjustments, accessible communication and timely action on identified physical and mental health needs.Review treatment effectiveness and, where qualified as an independent prescriber, prescribe, deprescribe and review medicines in accordance with evidence, national guidance, local formularies and professional accountability.Monitor the safety and effectiveness of psychotropic and other medicines, support adherence, identify adverse effects and interactions, and arrange appropriate investigation, referral or specialist review.Use psychologically informed and evidence-based approaches to support self-management, emotional wellbeing, relapse prevention, behaviour change, coping strategies and recovery goals within scope of practice.Assess risk relating to self-harm, suicide, self-neglect, exploitation, abuse, violence, vulnerability, deterioration or carer breakdown, and develop proportionate safety, crisis and escalation plans.Recognise mental health crisis, acute behavioural change, delirium, severe distress, safeguarding concerns and urgent or emergency presentations; initiate immediate care and escalate or refer without delay.Assess decision-making capacity relevant to the care or treatment being considered, support communication and involvement, and follow legal and organisational requirements for consent and best-interest decision-making.Undertake home, care home, supported-living or community visits when required by the service and when clinically appropriate.Maintain accurate, contemporaneous and complete clinical records, including clear documentation of assessment, formulation, clinical reasoning, risk, capacity, consent, plans, advice, escalation and outcomes.Population Health and PCN Service Delivery:Use practice and PCN data to identify people with severe mental illness, learning disabilities, autism or other mental health needs who are at risk, overdue review, experiencing poor access or likely to benefit from proactive intervention.Support achievement of relevant Quality and Outcomes Framework, PCN, local enhanced service and contractual priorities while maintaining person-centred and clinically appropriate care.Improve uptake and quality of severe mental illness physical health checks, learning-disability annual health checks, screening, immunisation and other prevention activity through proactive recall, follow-up and reasonable adjustments.Identify and address physical health inequalities, premature mortality risks, barriers to access and unmet health needs affecting people with mental illness or learning disabilities.Support proactive care for people with complex mental, physical and social needs through risk stratification, anticipatory care, personalised care planning and multidisciplinary review.Contribute to enhanced access and other PCN-wide clinical services, including delivery across different member practices and community settings where required.Work with integrated neighbourhood teams and partner organisations to improve continuity, care coordination, crisis prevention and outcomes for people who may otherwise experience fragmented care.Evaluate the impact of clinical interventions and service changes using agreed outcome measures, patient and carer feedback, inequalities data and audit findings.
Full details can be found in the supporting documents.
Person Specification
Experience Essential
Mentorship, practice assessor or teaching qualification/experience Significant post-registration nursing experience Recent experience in mental health, learning-disability, primary care or a closely related community setting Autonomous management of patients with mental health or learning-disability needs within an agreed scope of practice Experience caring for people with severe mental illness, learning disabilities, autism, multimorbidity or complex psychological, physical and social needs Enhanced mental health assessment, formulation, clinical reasoning and decision-making skills within scope of practice Physical health assessment and monitoring for people with severe mental illness or learning disabilities Safe medicines management and prescribing practice, including psychotropic monitoring, adherence, adverse effects and interactions Assessment and management of risk relating to self-harm, suicide, self-neglect, vulnerability, exploitation, violence or deterioration Experience of crisis planning, relapse prevention, safety planning and timely escalation to specialist or urgent services Learning-disability annual health checks, health action plans or equivalent proactive health review Severe mental illness physical health checks and associated follow-up Personalised care planning, recovery-focused practice, shared decision-making and care coordination Knowledge and application of safeguarding responsibilities for children and adults at risk Knowledge of consent, capacity, best-interest decision-making, advocacy and appropriate information sharing Understanding of diagnostic overshadowing, reasonable adjustments, accessible information and the physical health inequalities affecting people with mental illness or learning disabilities Knowledge of NICE guidance, professional standards, QOF and relevant PCN/local service requirements Understanding of population health management, prevention, inclusion health and health inequalities Accurate clinical coding, data quality and use of clinical systems such as EMIS or SystmOne Clinical audit, quality improvement and evaluation of outcomes Incident reporting, complaint management and learning from patient-safety events Development or review of clinical protocols, referral pathways, guidelines or standard operating procedures Supervision, mentorship and competency development of nursing or support staff Clinical leadership and contribution to service development or redesign Effective multidisciplinary and cross-organisational working with mental health, learning-disability, social care and primary care services
Desirable
Clinical supervision or safeguarding supervision training Leadership or management qualification Additional qualification in learning disabilities, autism, cognitive assessment, dementia, psychological therapies or positive behavioural support Experience supporting autistic people or people with neurodevelopmental or communication needs
Qualifications Essential
Right to Work in the UK Current registration with the Nursing and Midwifery Council as a Registered Mental Health Nurse or Registered Learning Disabilities Nurse, with no restriction affecting the role Nursing degree or equivalent professional qualification Relevant postgraduate modules or recognised CPD supporting enhanced-level practice in mental health, learning disabilities, autism or neurodevelopmental care Independent/Supplementary Nurse Prescribing qualification (V300), or currently undertaking with completion agreed Recognised qualification or competency in at least one relevant specialist area, such as severe mental illness, learning disabilities, autism, dementia, psychosocial interventions or behavioural support Current basic life support training and evidence of competence in physical health assessment Training in suicide and self-harm risk assessment, crisis response or equivalent
Other Essential
Confident use of digital technology, remote consultation tools and evidence resources Knowledge of infection prevention, cold-chain management and safe handling of medicines and vaccines Self-directed, reflective and accountable practitioner Highly motivated, compassionate and committed to high-quality person-centred care Flexible team player able to work across professional and organisational boundaries and travel between PCN sites Satisfactory occupational health clearance and enhanced DBS check appropriate to the role
Desirable
Research awareness and critical appraisal of evidence Project or change-management experience
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name The Confederation, Hillingdon CIC
Address The Pembroke Centre
90 Pembroke Road
Ruislip
HA4 8NX
United Kingdom
Employer's website https://www.theconfederationhillingdon.org.uk (Opens in a new tab)