NursingNetUK

Swydd ddisgrifiad a phrif gyfrifoldebau manwl

To undertake the role of recovery coordinator alongside an MDT for an allocated caseload of service users organising and participating in the ongoing assessment, planning, delivering and review of care to meet identified physical and mental health social care and well being needs.

This will include: 

Organising and participating in defined assessment methods/activities 

Arranging CPA meetings in line with trust policy 

Developing and reviewing appropriate care plans identifying and organising other resources as appropriate. 

Providing defined interventions/ activities as part of the care plan. 

Completing relevant paper and electronic documentation in line with the care coordinator role 

Plan and undertaking defined interventions and treatments to enable the individual to meet and develop their ongoing daily living skills, to increase confidence and independence in line with agreed personal recovery plans.

This might include; 

Preparing for and delivering defined self-help groups 

Therapeutic activities to improve and individuals coping skills eg, anger, anxiety, stress management, assertiveness or relaxation 

Therapeutic activities to improve an individual’s physical health such as exercise programmes, diet or nutritional planning. 

Planning and undertaking activities to enable the individual to meet and develop their daily living skills, to increase confidence and independence in line with agreed personal recovery plans. This might include helping individuals to:

access information on appropriate and safe housing
move into new accommodation or respite care
complete forms or letter eg housing benefits 
contact employment advisors or education facilities 

Or it might include providing any of the following:

Emotional support to individual focusing on motivation and encouragement. 

Information and advice to maintain good physical health by encouraging a good diet and exercise. 
Information on rights under the mental health act.

Effectively build hope inspiring relationships which acknowledge the personal journey of each person, and focus on strengths and aspirations to allow the creation of meaningful personal recovery plans. 

Communicate effectively with a wide range of people in order to build and sustain effective, and positive relationships with individuals, and carers, team members and other agencies. This may include accessing translation and interpreting services. 

Promote continuity of care by maintaining regular contact with service users, during episodes of inpatient treatment, working closely with other teams to facilitate early discharge. 

To work collaboratively with service users and their carers to understand and manage their mental health needs in line with their personal recovery plan and relapse prevention strategies. 

To undertake specific activities and interventions in the support of carers including engagement and involvement, assessment and provision of support or services. 

Organise and participate in the development of risk assessments and crisis management plans, rapid access plans, within the appropriate framework, ensuring that when trigger points are reached these are reported appropriately to a registered practitioner, and that immediate or direct action is taken in line with these, or in the event of a crisis. 

Respond to the needs of individual with sensitivity with regard to their age, culture, race, gender, ethnicity, social class or disability, modifying behaviour to optimise the helping relationship. 

Promote the rights of individual by recognising differences and acting in accordance with the relevant legislation, recognising and reporting discriminatory behaviour, and taking appropriate action. 

Work collaboratively and sensitively with individuals, with a range of mental health needs to develop skills to manage their own health, in accordance with their personal recovery plan, by actively promoting and using approaches which are affirming, build on strengths, identify past positive experience and success, and use small steps to move towards the persons goal. 

Promoting independence and increasing confidence by providing appropriate self help materials, information about available resources/services, facilitating identified group work and educational workshops. 

To be responsible for maintaining own caseload on a day to day basis, ensuring that time is prioritised effectively. 

Contribute to the protection of individuals from abuse and harm in line with local safeguarding policies and procedures. 

Develop own knowledge and practice, making use of supervision and available learning opportunities. 

Promote, monitor and maintain health, safety and security in all work places. 

Maintain accurate, confidential records of patient activity, writing reports and letters, utilising electronic record and other systems available within the organisation. 

Report and record within agreed timeframes, all activity relating to information reporting and performance requirements. 

To participate in local arrangements in order to ensure consistent care to service users across the local geography