Care Co-ordinator (RMN, OT or Social Worker) -ReFoCuS Team
Job Description
Job summary
Central & North West London NHS Foundation Trust is a Top Employer Award Winner & works in partnership to provide responsive & dependable primary care, mental health, intellectual disability & substance misuse services to the diverse & culturally rich communities we serve.
In our quest to deliver patient-focused quality care we are looking to recruit a highly motivated, innovative & enthusiastic Care Co-ordinator (RMN, OT or Social Worker) to join our forward thinking, friendly & expanding Mental Health team in the Kensington, Chelsea and Westminster Community Forensic Team .
By joining our Health & Justice Health Care Team, you will not only look after the healthcare needs of our patients residing in secure environments, but who also have the opportunity to have a real impact on promoting health & well-being. Our healthcare services work to a 7 day week working model , to ensure our patient's healthcare is managed & maintained to the highest of standards at all times.
Our motto is "Caring NOT Judging" so by working in partnership with the criminal justice system & other agencies, we provide responsive, dependable & high-quality primary care & mental health services to those who may have offended & those at risk of offending in the communities we serve, to improve their health status & to encourage social inclusion.
Why not see what our staff say about working within our award winning teams:https://www.cnwl.nhs.uk/health-and-justice/find-out-what-its-work-health-and-justice
Main duties of the job
The post holder will work as a Care Co-ordinator as part of a multi-disciplinary team, to assess, plan and review health and social care needs under the Care Programme Approach (CPA) for a group of service users with a forensic/offending history.
To undertake comprehensive assessments alone or with colleagues and feedback to the Multi-disciplinary Team, ensuring that planned care is individual and appropriate to the needs of the patient.
To provide effective case management to a defined caseload in accordance with the Care Programme Approach, in conjunction with the team, appropriate departments and external health, social care and forensic services.
To ensure effective discharge care planning.
About us
Central and North West London NHS Foundation Trust offers its staff ongoing career progression through:
- Monthly supervision
- Annual personal development plans/appraisals
- Access to exciting internal and external training opportunities.
Excellent progression through various career pathway opportunities such as but not limited to:
- Preceptorship Programme
- Support and guidance with Revalidation
- Hidden Gem and annual award ceremonies
Excellent staff benefits, our benefit packages are amongst the best in London and include:
- Health and wellbeing services
- Season ticket loans
- Cycle to work scheme
- Relocation package
The trust also values its staff and you are entitled to become a member of MyTrustBenefits. MyTrustBenefits is an online portal for all CNWL staff, as well as their family and friends. It offers over 1400 discounts at hundreds of retailers nationwide. Save money on your weekly food shops, toiletries, cosmetics, cinema, meals out, holidays, travel and entertainment. You can also access free online courses on a variety of topics, professional and personal, ranging from business management, languages, law and teaching.
As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
Quality of Care:
- Promote the health and well-being of patients and maintain a safe, caring and therapeutic environment based on an individualised approach.
- Working with the Team Leader to provide an environment that promotes training and development among the workforce.
- To work under the direction of the team manager and staff in the service to ensure that clinical priorities are clearly understood and met to an agreed standard.
- To assess health and social care needs and negotiate care plans with patients and staff teams.
- To undertake risk assessments including the formulation of a comprehensive plans developed jointly with the patients and staff teams.
- To provide a service sensitive to age, culture, ethnicity and gender, sexuality and disability.
- To contribute to the effective multi-disciplinary team working within the team and the rest of the service.
- To carry out duties in accordance with professional, CNWL and Local Authority policies.
- To undertake comprehensive assessment of individuals: to include all areas of need and information gathering from all relevant Prison departments and external agencies.
- To case manage an identified caseload of clients, in conjunction with the multi-disciplinary team and relevant agencies and carers. To include the planning and implementation of effective care plans, regular review meetings, timely referral to external agencies, within the framework of the CPA, to ensure effective pre-release and discharge planning.
- To communicate effectively with all relevant internal departments and external agencies regarding clients.
- To work closely with the MDT and identify and facilitate an effective range of therapeutic interventions for this particular client group.
- To respond to urgent referrals and to assess whether input from the team is indicated/appropriate.
- To offer a range of evidence based interventions and proactive risk management approaches to help the service user and their family to reduce and manage symptoms, high risk behaviour and other disabling effects of their conditions and enable, as far as possible, full and sustained recovery.
- To ensure that safeguarding procedures are followed.
- To monitor treatment, support concordance and ensure prompt action is taken to alleviate unwanted effects.
- To provide advice and information to patients about their care.
- To provide access to and ongoing psycho-education regarding the various mental health conditions to patients.
- To provide interventions and work with other disciplines/agencies/teams in the care of service users experiencing co-morbid problems with substance use/misuse.
- Provide written reports and discharge summaries as required.
- Co-ordinate CPA review meetings and produce written care plans and circulate care plan to relevant people and agencies in accordance with the Trust policies and guidelines.
- To have a working knowledge of the MHA 1983 (Amendment 2007) as used within criminal justice settings.
- To safely plan patient discharge into the community from wards, or transferring from SCFT to ReFoCuS and to alternative services ensuring continuity of care is provided.
- To ensure that continuity of care is maintained and that appropriate and timely plans are made for the discharge of clients from the inpatient facilities ensuring Section 117 and CPA responsibilities are discharged.
- To act as a social supervisor for restricted patients, providing high quality and timely reports to the Ministry of Justice as requested.
- To provide facilitation of groups including health promotion, wellbeing and those designed to address the offending needs of service users.
- To work within Child Protection and Safeguarding Vulnerable Adults Policies at all times, promoting the wellbeing of children and vulnerable adults and contributing to professional meetings as required
- (Nursing: To provide and evaluate treatment interventions including medication management, physical observations and psycho-social interventions in line with NMC and Trust guidelines).
- The post holder where possible will, under the direction of the team manager and the MDT, ensure that the service is delivered to patients inclusively and effectively.
Management of Resources:
- Work within agreed levels of resources, both human and financial, to support the clinical environment.
- To efficiently co-ordinate all services delivered to the patient groups within the service.
- To participate in the duty rota within the team to ensure that responsiveness to referrals is timely (urgent or routine)
- Provide cover for colleagues in their absence.
- To assist and support the Team Manager in the establishment of an efficient working environment, making the most effective and efficient use of staff, supplies and services.
- To utilise all available resources to the maximum benefit of the service, being aware of resource implications specific to the team.
- Ensure that Trust policies and procedures are followed. ...
