NursingNetUK

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Key Management Responsibilities

• To play a pivotal role in influencing the effective clinical pathway development for the PDU/HBPoS across the acute and urgent care pathway through implementation, utilisation, and on-going evaluation to ensure improved patient and service outcomes. 
• To provide expert clinical and operational leadership in the development and delivery of improved care pathways for service users experiencing acute mental health crisis and their carers
• Develop pathways, collaborative working and maintain links with interdependent services, including but not limited to: Crisis and Home Treatment Teams, RSTs/CMHTs, SPA Teams, Psychiatric Liaison Services, Street Triage Teams, Police, London Ambulance Services, Trainee Doctors, and Approved Mental Health Professionals, as well as non-clinical voluntary services
• Maintain and improve the quality of crisis planning, risk assessment and capacity assessments by providing clinical support and leadership to prevent crises and provide a coordinating role for all service users experiencing acute mental health crisis who attend the PDU/HBPoS
• Responding to adult acute mental health needs by planning, coordinating, and delivering specialist education and training to non-qualified and qualified nursing staff, community services, trainee doctors, Police and London Ambulance Service
• To clinically lead, supervise and manage the PDU non-qualified and qualified nursing team
• To develop and maintain compliance with service specific policies and guidelines
• Ensure service user and carer involvement in the development of the services to promote better health, social care, and medicines management
• To lead in the identification and adoption of innovative clinical practice models relating to crisis planning for adults experiencing acute mental health crisis
• To manage and support the delivery of holistic person-centred care planning and integration of management of physical and mental health
• To be sensitive to the psychological needs of self and staff involved in the frequently highly distressing circumstances of patients and families
• To audit the work set out in the job description to ensure achievement against set outcomes of the team
• Ensure all staff are supported to develop and maintain their professional development through training, Personal Development Reviews, coaching, mentoring and regular supervision
• To manage own personal resources and professional development to meet your work and personal objectives ensuring the maintenance of professional registration by portfolio and reflective practice
• To take responsibility for the safeguarding of vulnerable adults and children
• To provide out-of-hour cover as Manager on Call on rotational basis which may include nights and weekends
• To lead in the recruitment, selection, and retention of staff in the clinical area
• To investigate complaints, accidents, and critical incidents in accordance with agreed procedure and prepare timely reports
• To ensure effective implementation, dissemination and monitoring of all Directorate and Trust-wide policies
• To ensure the unit is adequately and safely staffed within the agreed budget and nursing resources are used efficiently to meet identified needs
• To participate in budget setting and report areas of concern to the Modern Matron
• Provide and receive highly complex, sensitive, and contentious information, presenting information, to a wide range of stakeholders in a formal setting
• Nurtures key relationships and maintains networks internally and externally, including national networks
• Deputise for the Clinical Manager as required, expanding on knowledge, skills, and experience within personal professional development

Clinical/Professional

• To provide expert clinical leadership, professional advice, and promotion of best practice in the clinical management of service users experiencing acute mental health crisis
• To have specialist knowledge and expertise in acute mental health care, acting as a role model and expert clinician in the clinical setting
• To provide high level specialist assessment skills to deliver care to meet individual’s needs/complex cases from both a clinical and an emotional perspective
• Ensures and facilitates daily reviews of clinical care through person centred plans
• To provide advice, tools and strategies to the individual, family and other health and social care professionals to improve quality of life of people experiencing acute mental health crisis
• To assess, plan, implement and evaluate treatment/interventions and care for people experiencing acute mental health crisis, including fulfilling the role of an Independent Nurse Prescriber and having up to date knowledge of the medication pathway and processes
• Take a lead nursing role on clinical issues relating to the care of adults experiencing acute mental health crisis
• In collaboration with clinical colleagues, develop or introduce agreed clinical guidelines for best practice and ensure that all practice developments are evaluated
• To facilitate and/or support staff undertaking mental capacity assessments of all PDU service users to contribute to their crisis planning and consent
• To have up to date knowledge of the medication pathway and processes with the ability to prescribe/supervise nurse prescribers.
• To provide care, support, and advice to the highest possible standards within the advice contained in the NMC Code of Practice

Project and Information Management

• Provide clinical input and advice on project management processes
• Carry out post project reviews and ensure any lessons learned are incorporated into future project planning
• To work across internal and external boundaries to ensure appropriate levels of engagement and communication with key stakeholders in programmes and projects
• Work closely with project sponsors, project managers, stakeholders etc
• To use the Trust’s management information systems and other sources of information on service structures, delivery, and performance to inform project planning and evaluation within the specified constraints of time and cost

Policy and Service Development

• Develop and review policies relating to HBPoS and Psychiatric Decision Units
• To raise clinical standards in line with Clinical Governance and CQC expectations, support and raise standards in the team through implementation of policies and guidance
• Lead the coordination and delivery of meetings, workshops and conferences related to promote the HBPoS/Psychiatric Decision Unit/Nurse Led Services
• To prepare high quality project reports for the urgent and acute management team, project boards, executive committees, and the Trust Board
• Identify and encourage improvement and innovation in the delivery of services moving towards the delivery of integrated services with inpatient and community services, the Local Authority, GPs, the Voluntary Sector, and other key partners
• To challenge current working practices and procedures to promote a culture of continuous improvement
• Help engender an environment where all staff are constantly seeking to make service improvements and deliver to their agreed individual and service objectives
• Allocate and monitor the progress and quality of work to ensure the required standard of performance is met
• Ensure robust systems are in place for capturing service users’ views on the quality of services provided and for involving patients’ relatives and their representative in the planning and development of services
• Support the development of a culture in which all staff are responsible for delivering high quality patient centred clinical and support services

Research and Development

• Ensure that systems are in place to collect appropriate data and related information
• Ensure that processes and procedures are in place to deliver the required internal and external performance and quality outcomes/targets
• Participate in the development of best practice guidance knowledge base to improve the care of adults experiencing mental health crisis, utilising research findings in the provision of clinical services
• Adapt and apply scientific research to the clinical specialty of adult and urgent mental health care
• Plan, develop and evaluate methods and processes for gathering, analysing, interpreting, and presenting data and information
• Deliver projects to comply with key performance indicators
• To undertake relevant research, data searches and publish as appropriate

Staff Management

• Responsible for the recruitment of the nursing workforce, chair of recruitment panels/assessment centres and acting as the recruiting officer
• Responsible for undertaking appraisal and personal development of those in the team including progressing any disciplinary or capability issues
• Develop close positive working relationships, to support an effective matrix approach to achieve NHS objectives
• To support, motivate and develop staff within the team to ensure that they can deliver the new responsibilities of the NHS strategy
• To ensure staff comply with mandatory training and undertake service-related training
• To ensure that clinical areas receive regular educational audits and are equipped to provide high quality training to students on placement

Training and Development:

• Maintain personal clinical competence through regular direct clinical involvement and delivery of clinical care
• To undertake mandatory and statutory training (MAST) as required by Trust policy
• To contribute and commit to undertaking an annual Development Review/appraisal (PADR)
• To undertake personal development as identified in the Personal Development Plan (PDP)
• To ensure the Trust and local induction training is completed for all new staff and that a preceptorship programme is in place for newly qualified staff
• To receive both clinical and managerial supervision. Develop and implement supervision and development reviews on the unit. Counsel, advise and initiate action where necessary in all matters relating to staff wellbeing