Senior Psychiatric Liaison Nurse (SNP)

Position: Senior Psychiatric Liaison Nurse
Location: Thornton Heath CR7
Salary: £48,836 to £52,849
Job Type: Full-Time

Job summary
Not exclusive:
B7 Senior Mental Health professional to be present in ED where possible to provide support / be a point of escalation on matters relating to mental health patients in the emergency dept.

1. To carry a code 10 bleep on each shift and a rota basis.
2. The allocation of the Code 10 bleep will be reflected on the staff off duty/rota.
3. B7 is expected to make themselves known to the ED sister in Charge, RMNs and relevant departments at the start of their duty.
4. B7 is required to remain / float around ED, be visible and be the point of reference for all matters relating to Mental Health patients in the department.
5. B7 is expected to attend the ED huddles and to have an oversight on all Mental Health patients in the department,
6. B7 is expected to provide advice to the RMNs/HCAs on how to support the mental health patients in the department.
7. B7 is only expected to support the Liaison team in reviewing patients where possible but not to be involved in full psychiatric assessments.
8. B7 is to attend all Liaison handovers as well as discuss any issues they are aware of in the emergency department.
9. B7 is expected to make the clinical assessment unit (CAU) aware of all potential referrals so the CAU can be prepared to receive these patients.
10. All referrals to the CAU by a Band 6 PLN are to be discussed with the B7; the B7 is then expected to contact CAU to make these referrals once the criteria for transfer to the CAU are met.
11. All other duties as required by the service.

Main duties of the job
As part of national expansion of Liaison Mental Health services to ‘Core24’, we are pleased to offer an exciting innovative opportunity for the role of Senior Psychiatric Liaison Nurse to work in the acute trust emergency department and ward settings.Working as part of a dynamic Multi-Disciplinary Team, you will work at the interface between physical and mental health across inpatient hospital wards and in our Emergency Department. You will work with anyone over the age of 18 years presenting with mental health as well as physical health needs to both the emergency department and medical wards.We are looking for two dynamic and tenacious SNP practitioners who enjoy rapid assessment / crisis work and working with a diversity of clinical presentations.The role will be working as part of a multidisciplinary Mental Health Liaison Team to facilitate timely discharge and reduce multiple attendances of clients with complex mental health, physical health and social care needs. There will also be opportunities to teach both colleagues and acute trust staff / depts. as part of your SNP role.

You will also work in partnership with our newly opened clinical assessment unit (CAU) and you will be expected to support the unit as part of your SNP role.

About us
Benefits:
We are committed to ensuring our staff get the most out of their benefits package and understand the importance of a healthy work life balance. There is an extensive range of excellent benefits for you and your family. We want you to feel like you are part of a close knit team at SLaM. It is important to us that you are valued and appreciated and that is why we have a comprehensive benefits package on offer.

Some of our benefits are highlighted here:

• Generous pay, pensions and leave, we offer a comprehensive pay, pensions and leave package which is dependent on the role and length of service.
• Work life balance, flexible working and support a range of flexible options, such as: part-time working and job sharing.
• Career development, There are plenty of opportunities to progress your career and we support your development through a number of programmes such as mentoring, coaching, positive people management, collective leadership and other talent programmes
• Car lease, our staff benefits from competitive deals to lease cars.
• Accommodation, our staff benefits from keyworker housing available which is available on selected sites
• NHS discounts, with discounts up to 10% from a variety of well-known retail brands though Health Service Discounts website.

Other benefits include:

• Staff counselling services
• Wellbeing events
• Long service awards
• Cycle to work scheme
• Season ticket loan
• On site restaurants

Job description
Job responsibilities

1. To allocate breaks (1 hr break to be taken between 9-5, 30 min break to be taken between 5-10pm) and ensure all staff take breaks2. Remind staff the 1 hr and 30 min break are not to be taken together3. To allocate and ensure AM bed list is circulated at the start of the AM shift4. To allocated someone to do the 11:00 and 15:30 bed call5. To be present and ready to handover for AM, PM, and Night shifts6. To ensure patients in the department who are awaiting admission have a timely review (i.e. PLN, SNP, Consultant, SpR)7. To be aware of and ensure all referrals are added to the spread sheet8. To ensure the band 7 on shift is aware of all referrals for triaging purposes 9. To ensure all referrals are allocated- be aware of breach times10. Team Leader will discuss any breaches with the shift coordinator11. Shift coordinator is to ensure they are made aware of assessment outcomes (i.e. senior reviews, HTT, admission, MHAA etc.) and ensure the assessing PLN/SNP/Dr has reflected this on the spread sheet12. If a patient is to be ARCed, referred to AMHP, etc. Shift coordinator is to check this has been done13. To keep an eye on the A&E dashboard and keep in mind any potential referrals14. To check in with NiC in A&E and check they are kept updated on all psych patients15. To check inpatient referrals on CERNER during out of hours16. To remind PLNs/Drs that entries/documentations are uploaded on both Cerner and EPJs17. To ensure any clinical or management issues are escalated to the SNP/team manager18. Shift Co-ordinator to ensure CERNER Laptops are signed in and out for each day and each time used.

MHLS Senior Nurse Practitioner role:

1. To take part in surge / bed calls with external and internal senior managers.2. To ensure patients in the department who are awaiting admission have a timely review (i.e. PLN, SNP, Consultant, SpR3. To be responsible for ensuring at every shift all patient contacts have management plan documented on Acute Trust / SLaM Patient systems (Cerner & ePJS) before commencing a sit down of comprehensive history/clerking documentation.4. To check in with A&E Nurse in Charge to offer update on all MHLS patients in the department5. Be mindful of potential referrals from ED6. Triage new referrals and to act as the front door practitioner when on duty7. To support the shift coordinator to ensure the spreadsheet is kept updated8. To ensure all patients who require referral to be ARCed, referred to AMHP, etc has been done.9. To check inpatient referrals on CERNER during out of hours

Person Specification
Education
Essential

• Registered Mental Health Nurse
• Evidence of other advanced education related to Psychiatric Liaison
• Mentorship ENB 998 or equivalent

Desirable

• Registered General Adult Nurse/ formal training in physical health
• Evidence of continued professional development
• Formal training in risk assessment and management

Experience
Essential

• oSignificant post qualifying experience in mental health services with a sound knowledge of the full range of mental health services, both inpatient and community based.
• oA sound understanding and experience of how to assess and manage crisis within acute mental illness
• oMust be able to take an overview of the provision of mental health services and ensure service users’ needs are met appropriately

Desirable

• oExperience of working with specific diagnosis of Personality Disorder
• oExperience of working with service users with harmful substance misuse and alcohol issues

Knowledge
Essential

• Working knowledge of all relevant legislation associated with acute mental health care, including MHA 2007, MCA, Human Rights Act, Common Law, etc
• Sound knowledge of risk assessments and tools in mental health and acute care
• Ability to build and maintain high standards of professional links and communication with a variety of persons and services

Desirable

• Experience of presenting Data for service development
• Experience of service development, Quality Improvement and leading change

Abilities
Essential

• Ability to assess, plan, implement and evaluate care to meet the needs of service users, appropriate to the setting of the Emergency Department
• An ability to analyse and interpret key documents and identify the implications for local policy and practice ? Ability to demonstrate knowledge of the physical and psychological effects of alcohol and drugs
• Ability to demonstrate knowledge of the epidemiology, presentation and immediate management of deliberate self-harm
• Ability to demonstrate knowledge of the physical and psychological effects of alcohol and drugs

Desirable

• Experience of conducting audits/service evaluations and show evidence of service development

Skills
Essential

• Demonstrate skills in autonomous, senior decision making regarding discharge, sign posting and admission of service users following a comprehensive assessment and evaluation of risk
• Experience of assessing and risk managing violent self harm
• Experience at working at band 6 level or above within psychiatric liaison services

Desirable

• Excellent communication skills
• Ability to gain easily, the trust and respect of service users, their relatives and staff across disciplines and services

Other Requirements
Essential

• Recognition of own limitations, strengths and weaknesses and an ability to seek advice when necessary
• Ability to manage and prioritise clinical demands, supervision and support and Emergency Department pathways
• Ability to work across a 24 hrs ervice

Desirable

• Ability to negotiate and reach compromises in verbal discussions in a manner that inspires confidence and respect from others

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.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement.

UK Registration
Applicants must have current UK professional registration.