Job Overview

The postholder will deliver and develop a specialist service for a group of patients with a defined set of conditions involving technical interventions and the provision of advice within a multi-disciplinary framework.

This will involve developing and maintaining a high clinical profile and presence and acting as role model for other nursing staff.

For an informal discussion please contact Melanie Kearns at m.kearns@health.gov.je

Job Purpose

The requirement of a Community Nurse Practitioner in the Adult Mental Health Team is to:

• Act as a Care Co-ordinator, lead the provision of highly specialist evidenced based assessment and treatment to clients with a range of complex mental health needs.

 • Possess core competencies on all aspects of risk management for people with mental health presentations.

• Have enhanced skills within a specialist nursing area to support existing specialist nursing team.

 • Providing psychosocial education to individuals and their families.

• To deliver safe and lawful interventions based on positive risk management assessments and collaborative care including safety planning. The role requires both autonomous and multi-disciplinary working.

Statutory Responsibilities

• Ensure that the nursing care provided is delivered to the standards stated in the NMC code of conduct.

• Actively involve the person and carers in the clinical decision making process whenever possible.

• Always work within the best practice guidelines and local policy. 

• Act as a resource for nursing colleagues, the multi-disciplinary team and wider organisation.

• Be committed to continue developing your knowledge and skills.

• All nursing care is delivered to a standard that puts the interest of clients and carers first, is safe and effective and promotes trust through professionalism.

• Ensure client and public safety is protected ensuring that you work within cope of your competence, exercising your professional “duty of candour” and raising concerns immediately whenever you come across situations that put clients, yourself or others at risk. Take responsibility to manage risk situation appropriately and ensure immediate action is taken to escalate in accordance with the policy.

Person specification

• 1st Level Registered Nurse (RMN).

• 4 years post qualification including 3 years recent experience in speciality area.

• Mentorship or Teaching Award/Qualification.

• Relevant post qualifying speciality award.

• Information Technology skills 

• Full driving licence.

• Adhere to revalidation process ensuring professional portfolio meets standards outlined in the new NMC code of conduct

• Enhanced skills and knowledge in mental health provision with a demonstrable ability to work collaboratively with people in the engagement, assessment and planning processes.

• To deliver care within a safe, least restrictive positive risk management framework. This will include actively participating in case management, managerial, peer and clinical supervision processes.

• Comprehensive understanding of the medico-legal context of mental health care provision. This will include an ability to work to the requirements stated in the Mental Health Law, Capacity Law, Human Rights Law and Freedom of Information regulations.

• Competence in clinical decision and recognition when to defer the responsibility to more senior members of the team.

• An understanding of bio-psychosocial factors which are causal in mental ill health and a working knowledge of clinical diagnosis.

• An ability to formulate the causality of someone’s mental health problem and communicate this to the person, their carer(s) and colleagues in a clear concise manner. An ability to use this formulation as a platform for evidence based or informed interventions.

• Ability to communicate effectively and respectfully with other agencies.

•  Participate in  clinical event reviews and reflective practice forums.

• Competence in weighing up decisions and the ability to translate decisions to positive risk management and safety plans.

• Competencies within a wide range of complex mental health problems and management strategies including timely responses and safety planning.

• Ability to recognise scope of role and awareness when to escalate complex risk situations within an existing framework that supports Consultant Psychiatrist and senior colleagues taking responsibility during high risk periods of crisis.

• Competencies to include ongoing evaluation of documentation with enhanced skills in how to interpret clinical treatment outcomes ensuring efficacy. To have a wide range of knowledge and treatment options to support informed choices for clients and carers and this to be reflected within co-constructed care plans.

• Ability to communicate effectively and respectfully with other agencies. To demonstrate skills and knowledge on how to respond and manage disclosures, e.g. giving consideration to client wishes and own professional code of conduct and law.

• To actively participate and lead on a wide range of audit topics relevant to KPI’s and overall HSSD objectives.

 • Will have developed considered expertise so as to meet the needs of the client groups and staff for whom responsibility is held. This will include e.g. a knowledge and understanding of safeguarding, complex mental health.

• Will require comprehensive knowledge of the range of services provided both within HSS Services, by other states department, and by private and voluntary sector providers. This will include e/ services provided by family nursing and home care, probation, etc.