NursingNetUK

Swydd ddisgrifiad a phrif gyfrifoldebau manwl

Clinical Responsibilities:

• Deliver a highly specialist evidence-based mental health assessment, formulation of diagnosis, care planning, treatment & review for women in the perinatal period.
• Undertake risk assessment & risk management for individual clients, & to provide advice to other professions on aspects of risk assessment & risk management.
• Act as care coordinator, where appropriate, taking responsibility for initiating planning & review of care plans under enhanced CPA including clients, their carers, referring agents & others involved the network of care.
• Provide specialist evidence-based interventions such as CBT, VIPP, VIG, to women in the perinatal period, to the parent infant dyad or the family system.
• Provide specialist consultation, advice & support to both CNWL, local Maternity Hospital in-patient and community services on best practice when working with women with mental health needs; at preconception, pregnant women & women with infants up to one year old.
• To work jointly with care coordinators from CMHTs with a small complex & challenging caseload of pregnant women or those with an infant up to one year old.
• Work in consultation with other professionals making known concerns regarding safeguarding children &/or adults to the appropriate & responsible service. This includes attending Child Protection & Review Conferences as appropriate where the child is at risk because of the mother’s mental illness.
• Work with colleagues to establish a clear process & criteria for receiving referrals to undertake direct work or information for advice & liaison work.
• Assist in setting up structures that allow the dissemination of knowledge & skills regarding working with perinatal women in prison services.
• Liaise & work with specialist services such as MBU, personality disorder services, eating disorder services etc.
• Where possible, to work with partners & significant others to provide appropriate education training and support.
• Identify carers and refer/sign post for assessment as appropriate
• Work as a member of the multi-disciplinary team exercising autonomous professional responsibility for managing a clinical caseload independently, providing highly specialist assessments & follow-up for women referred with complex problems, which includes assessment of risk in terms of self-harm, self-neglect, vulnerability, harm to others, domestic violence & safeguarding children.
• Seek consultation where necessary with clinical supervisor &/or line manager on clinical work and participate in regular supervision.
• To be mindful of the needs of women from a wide range of racial, cultural, sexual, religious & social backgrounds and to develop, with colleagues, sensitive & innovative ways of meeting these needs.
• Ensure that all service users have a perinatal care plan, which is implemented. This requires attending & contributing to pre & post-birth meetings.
• Work with other professionals in supporting them to implement an agreed parent –infant care plan.
• Attend the CNWL Safeguarding Children multidisciplinary meetings & any other relevant multidisciplinary meetings within Maternity services, as appropriate.
• Be responsible for monitoring, recording & reporting on clinical work & communicating highly complex clinical information to a variety of recipients (e.g. patient’s, families and carers, other professionals) orally and in writing.
• Be responsible for developing & maintaining knowledge of local resources & developing excellent working relationships with relevant statutory, voluntary and community groups & organisations.
• The postholder will work autonomously as a specialist perinatal practitioner managing antenatal clinics & post-natal clinics in the prison setting.

Communication:

• Utilise high level oral & written communication skills.
• Demonstrate a high level of interpersonal skills, self-awareness & empathy in all communication.
• Demonstrate the ability to give & receive complex clinical details clearly, with patients, carers & other professional colleagues, supervise & augment the work of midwives as necessary.
• Demonstrate the ability to communicate clearly & sensitively in situations that are challenging &/or contentious.
• Demonstrate an ability to negotiate & problem solve in contentious &/or antagonistic situations, where agreement is required to communicate clear decisions & rationale when agreement cannot be reached e.g. in situations where there are Safeguarding issues.
• Demonstrate the ability to develop & maintain excellent working relationships with colleagues within the Prison Perinatal mental health Team, Mental health Teams, & other relevant agencies.
• Maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self- governance in accordance with professional codes of practice of the relevant professional body & with Trust policies and procedures.

Education & Training:

• Provide regular education & training (both formally and informally) on perinatal mental health issues to a wide range of professionals involved in the care & management of women in the perinatal period (particularly those listed Key Working Relationships). This should be focused around compliance with NICE guidelines.
• Provide on-going training and advise to midwives on enquiring about mental illness at booking of pregnancy and ensuring the implementation of NICE guidelines.
• Contribute to the development & maintenance of the highest professional standards of practice, through active participation in internal & external CPD training & development programmes, in consultation with the post holder’s professional & service managers.

Policy & Service Development:

• Be aware of & comply with all CNWL & Local Acute Hospital policies & procedures & in particular follow & promote the Safeguarding & Promoting the Welfare of Children Policies & contribute to the development of the Perinatal Psychiatry Policy.
• Be responsible for monitoring, recording & reporting on clinical work & communicating highly complex clinical information to a variety of recipients (e.g. patient’s, families and carers, other professionals) orally & in writing.
• Contribute to the development of systems and processes to record relevant information at the time of referral, during on-going work, & for evaluation purposes, as consistent with the policies & protocols of CNWL & Local Acute Trust record keeping policies.
• Work closely with colleagues to promote & develop a collaborative Prison Perinatal Mental Health Service for the assigned locality.
• Be actively involved in the audit process, collecting data, mapping of local needs, & the evaluation & monitoring of personal work & the work of the service. This would include quality improvement projects & involvement in research & development.
• Contribute to the development, evaluation & monitoring of the team’s operational policies & services, through the deployment of professional skills in research, service evaluation & audit. As negotiated & within time constraints, the post holder will be expected to attend relevant clinical meetings of local adult mental health services for individual patients.
• Attend & contribute to the regular departmental meetings.
• Attend local & regional conferences, meetings and forums as appropriate on Perinatal Mental Health

Clinical Governance: 

• Be knowledgeable about, & advise on best practice for treatment of pregnant & postpartum women, parent –infant relationship with particular regard to relevant NICE guidelines & CEMACH reports.
• Be knowledgeable about, & advise on best practice for Safeguarding Children, with particular regard to Working Together to Safeguard Children, HM Government, revised 2006 & the London Child Protection Procedures, revised 2007.
• Participate in the evaluation and audit of clinical work & the service.
• Take an active role in seeking user, carer & stakeholders feedback to help shape & influence the further development of the service.