Job descriptionWe have an exciting opportunity to join the Greenwich Early Intervention in Psychosis team. We are looking to recruit a Care Coordinator to work with people experiencing first episode psychosis. The Early Intervention for Psychosis Services across the Trust are dynamic, well trained and enthusiastic about implementing evidence based approaches to supporting clients on their recovery journey. The successful post holders will be motivated, flexible and creative in their approach to engaging clients and will have experience of delivering evidence based psychosocial interventions to people experiencing psychosis. The post holdes will be closely supported in the team and will have the opportunity to participate in training and development as part of the team’s continuing professional development programme. Experience and knowledge of working with Dual Diagnosis would also be desired. For more information or to arrange an informal visit, please contact Gary Winters or Emily Davies on 020 8319 5500 Care Coordinator working with people with psychosis should ensure they are competent in: Engagement Working with a biopsychosocial formulation Assessment skills Using explanatory models of illness Explaining the causes of psychosis Explaining treatment options Negotiating skills Skills for working with families of people with psychosis Conflict management and conflict resolution. A self-management programme should be developed and delivered face-to-face with service users, as part of the treatment and management of psychosis. Self-management programmes should include: Information and advice about psychosis Effective use of medication Identifying and managing symptoms Accessing mental health and other support services Coping with stress and other problems What to do in a crisis Building a social support network Preventing relapse and setting personal recovery goals. As a Care coordinator you will also deliver family intervention when trained and supervised in delivery. You will be working with people with psychosis from diverse ethnic and cultural backgrounds should ensure they are competent in addressing cultural and ethnic differences in beliefs regarding biological, social and family influences on the causes of unusual mental states, treatment expectations and adherence. Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes. We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people. Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values: We’re Kind We’re Fair We Listen We Care Management responsibilities Significant knowledge, awareness and understanding of Mental Health Law, including legislation of particular relevance to the community sector including the Community Care Act (2015) treatment legislation, the Care Programme Approach (2008), the Mental Capacity Act (2005) and Community Treatment Orders (CTO). To be personally responsible and professionally accountable for a caseload as part of the community team and lead and manage the work of others as required. Co-ordinating care, communicating with other professionals involved in the care and ensuring regular CPA reviews are held as required. This will include communication with other teams for example in-patient services through attendance at ward meetings and with interface services e.g. Addictions service and CAMHS services where appropriate. Independently carrying out assessment, care planning and care coordination with excellent interpersonal skills, ability to listen to others’ views, respect and value individuals from a diverse range of backgrounds. Leading meetings with community team members on a regular basis to discuss report and evaluate client care. Ensuring a flexible approach in care provision with focus on choice and social inclusion opportunities. Recognising and addressing concerns about the physical health needs of service users with long term conditions (e.g. diabetes, asthma etc.); escalating these concerns as necessary to senior members of the multi-disciplinary team. Leadership · Ensuring that electronic patient’s records are complete. Writing reportsand letters in a community setting.· Engaging in practice reflection through clinical supervision andreflective practice groups, and contributing to the delivery of clinicalsupervision to junior staff.· Demonstrate leadership skills within the clinical context of thecommunity, showing particular awareness of the challenges facing staffworking in a community setting and supporting junior staff asappropriate. Clinical Promoting Recovery Encouraging and empowering service users to have an optimum level of responsibility for their individual programme of care and with theirconsent, where appropriate, seeking the cooperation of friends, relatives and carers – following ‘recovery’ principles and approaches. Supporting service users to adopt recovery strategies that promote their wellbeing, healthy lifestyle, independence and self-care. Risk Assessment and Risk Management Reporting any incident or Serious Untoward Incidents that may take place in a community setting and provide reports and accurate records relating to the incident. Working safely to ensure safe custody of medicines, sharps, and clinical equipment in a community setting; and reporting of all incidents following Trust Policy. Recognising and responding appropriately to “self-harm and suicide prevention” with particular regard to the risks in community settings, in line with Trust policies and training guidelines. Understanding and working within the boundaries of the Lone Working Policy and awareness of Personal Safety in a community setting, including clear and updated communication with colleagues. Responding to urgent situations, emergencies or crises using protocols specific to the local community setting. Safeguarding and Duty of Candour Understanding and implementing safeguarding procedures in a community setting; recognise, report and investigate safeguarding issues and raise safeguarding alerts if you suspect that a service user and/or carer has been exposed to harm or abuse. Understanding and implementing of Duty of Candour with regard to the particular issues in a community setting. Infection control • Understanding and implementing infection control measures in a community setting. Legislation Demonstrating an awareness and understanding of relevant and up-to date. Mental Health Law of particular relevance in community settings; ensuring adherence to legislation at all times. Having knowledge of the legal requirements of the Mental Health Act, Care Act, Mental Capacity Act, Programme Approach, Deprivation of Liberty, Safeguarding Vulnerable Adults and Community Treatment Orders. Understanding of the admission and discharge procedure Completing referral forms as necessary. Networking/liaising across the teams such as Transition of clients from CAMHS into Working Age Adult team or from WAA to Older adult. Medication Management Administering and monitoring the side effects of medication according to NMC professional standards. Having significant knowledge of medication used in a community setting and side effects. Giving medication including IMI to the right patient, right medication, right dose, right route, and right time and giving the right education to patients. Ordering and appropriate storage of medication in a community setting. Research The post-holder will be required to participate in annual EIP audit (NCAP) of their caseload and engage in any other EIP team clinical audits as required. The post-holder will also be encouraged to engage in Quality and Service Improvement projects. Communication Preparing and providing reports on information and statistics asrequired relating to case load, regularity of visits and details of contactwith clients and families.• Communicating/liaising effectively with relevant agencies to ensure thatan integrated programme of care is provided throughout.• Advising families on prevention of illness and accidents in a communitysetting within own level of competency.• Liaising with other Health Care Professionals, Statutory and /orvoluntary Agencies to address the needs of service user.• Working closely with relevant professionals identifying health needs ofthe practice population and support the development of services inresponse to those needs.• Leading and participating in team, locality and Trust initiatives asrequired and promote the strategic aims and objectives of the service,Nursing strategy and other relevant quality improvement initiatives inthe community.• Leading and actively contributing to clinical or governance reviews ofthe team’s activity and the monitoring of performance in line with trustdirectives and audit programmes in the community.• Documenting according to Trust policy, write in plain language,avoiding jargon and use of acronyms.
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