Senior Psychiatric Liaison PractitionerNHS

Job summary

A Senior clinician in the psychiatric liaison service will be a combined leadership and clinical role.

Expectations of high level evidenced based clinical contact with complex and challenging cases and role modelling to the wider service.

Assessments, documentation and communication written and verbal will be of a high standard and in line with service and trust aims and goals.

A part of a team the post holder will supervise other members of the team and support improvement in all areas that the service provides.

Working combined shifts over a 24hr 7 day service it is important to communicate your own well being and recognise the needs and support where possible the wellbeing of your colleagues.

Main duties of the job

Assessment and signposting.

Supporting the acute trust to aid smooth and timely discharges from hospital.

Documenting and communicating interactions on systems both from the ELFT and Acute trust to maintain clarity in care planning.

Supervisory responsibility

Deputising for clinical lead and operational led as required.

Improvement projects

Teaching to acute colleagues informally and formally depending on setting.

Job description

Luton Psychiatric Liaison Service (PLS)

Job Description & Person Specification

Job Title: Senior Psychiatric Liaison Practitioner

Grade: Band 7

Hours: 37.5 Hours Per week

Responsible To: Operational Manager Psychiatric Liaison Service

Accountable To: Deputy Director of Nursing

Location Luton & Dunstable Hospital

Purpose of the Job:

The post holder will be part of the Psychiatric Liaison Service (PLS) Service which is a model of psychiatric liaison serving the Luton & Dunstable Hospital including the Emergency Department and inpatient wards at the Luton & Dunstable Hospital. The service is commissioned to carry out the following:

Provide a single multidisciplinary mental health and drug assessment service

Provide expert advice on the management, treatment and diagnosis of patients to acute hospital clinicians

Provide support to acute hospital clinicians

Provide training to acute hospital clinicians

To improve health outcomes for patients

To reduce length of stay for patients

To reduce readmissions to the Emergency Department

To reduce re-attendances to the Emergency Department

To improve the experience of patients who receive care in the acute hospital

To reduce direct admissions to care homes

To improve Luton & Dunstable Hospital staff awareness, skills and knowledge in mental health and drugs and alcohol

The Service will operate a 24 hour a day, 7 day a week service for people aged 16 years and above who present with a suspected mental health, self-harm or drug and alcohol problem. The service will maintain focus on identifying, assessing and care planning for older people.

The post holder will be expected to be self-motivating and autonomous with the ability to demonstrate accurate formulations of mental state, risk and need for people over the age of 16 years taking into account medical and social factors and referring on to other disciplines in the team or other agencies as appropriate within the given timeframes for the service.

The post holder will provide advice on mental health issues and participate in carrying out training programs for clinical teams on the management of a wide variety of mental health problems.

KEY PERFORMANCE AREAS:

The post-holder will:

• Be responsible for the full mental health assessment of care needs of patients presenting with a wide variety of clinical conditions within the Emergency Department and the acute hospital. Following this, the post-holder will be responsible for development, implementation and evaluation of programmes of care without supervision, unless otherwise indicated.
• Have freedom to act, particularly, but not exclusively, around discharge and follow-up in line with the PLS key performance indicators on discharge. In doing so, they will at all times, work closely with members of the PLS team and organisations and teams as appropriate to the needs of the patient and within the set timeframes.
• On a secondary basis, provide a comprehensive consultation-liaison service to the other medical teams and individual clinicians, particularly assisting them develop plans of care and make complex decisions in cases where patients over the age of 16 years are exhibiting complex psychosocial needs and/or challenging behaviours.
• Take an active role in contributing to meeting the PLS key performance indicators as specified in the service specification.
• Provide independent judgement and advice on complex facts and situations, for example with regards to gatekeeping, which can be conflicting and multi-dimensional and where expert opinion may differ, or some information may be unavailable.
• Be required to teach other nursing and non-nursing staff, both in formal and informal settings including pre-registration students.
• Assist in maintaining the PLS Teams ward-based patient caseload, providing reviews and up-dates to the Consultant Psychiatrist and providing a broad range of clinical interventions as appropriate.
• Be responsible for specific clinical and managerial projects and undertake all necessary work to complete these, including facilitating meetings, liaising and/or negotiating with other staff.
• Be expected to participate fully in quality assurance initiatives, with particular emphasis on a patient first approach.
• Act as a role model in providing a service for people above the age of 16 years with mental health problems, for all staff within the acute hospital.
• Initiate and participate in audit/research projects associated with the work of the service.
• Act as shift co-ordinator as designated on a regular basis. In the absence of the person who has continuing responsibility for the team you will also be required to take on a range of management duties in the absence or request of the Operational Manager i.e. attend meetings as well as chair meetings.

Clinical:

The post-holder will:

• Have a wide base of clinical skills, knowledge and experience appropriate to the needs of individual patients over the age of 16 years and to the clinical settings in which they are required to be seen. Where clinical knowledge requires more specialist input e.g. 16 and 17 year old or drugs and alcohol the post holder will be expected to refer on to the relevant department.
• Carry out specialist assessments and develop, implement, evaluate and document specialist management plans and care plans as appropriate to the individual patients needs and behaviours. These assessments will be from the Luton & Dunstable Hospital.
• Provide a consultation-liaison service to clinicians and clinical teams within the acute hospital. This will include giving specialist advice on a range of care, treatment and patient management issues including psychiatric emergencies.
• Demonstrate a high standard of record keeping and documentation with adherence to trust policy and an understanding of professional guidelines and application of confidentiality.
• Work with colleagues to develop and promote the philosophy of the PLS, framework of care delivery and strategic objectives, taking responsibility for specific areas of policy and strategy delivery.
• Work with colleagues to develop clinical expertise and high standards of nursing practice, as defined by the Nursing & Midwifery Council Standards of Conduct, Performance and Ethics for Nurses and Midwives (2009).
• Deliver care that is evidence based, reflecting current best practice and research.
• Actively participate in structured regular management supervision provided by your line manager in accordance with Trust policies and procedures. You may also be expected to take responsibility for the supervision of nurses and others in non-mental health settings working with patients with mental health problems.
• Demonstrate clinical excellence and high standards of nursing practice to other colleagues.
• Will be required to carry out unpredictable amount of mental effort during assessments and unpredictable work pattern
• Demonstrate a sound understanding of the legal and ethical issues in caring for the mentally ill. In particular, demonstrating sound understanding of the Mental Health Act (2007), Mental Capacity Act (2005), deprivation of liberty safeguards and their application in a non-mental health setting.

Communications:

The post holder will:

• Demonstrate the ability to receive and give complex clinical details clearly and appropriate to the situation, with patients, carers and colleagues.
• Demonstrate the ability to communicate clearly, sensitively and with compassion in situations that are emotional, contentious and/or hostile.
• Demonstrate a high level of interpersonal skills, self-awareness and empathy in all communications.
• Demonstrate an ability to negotiate and problem solve in contentious and/or antagonistic situations where agreement cannot be reached e.g. in situations where the Mental Health Act may be needed to be used.
• Demonstrate the ability to develop and maintain good working relationships with colleagues within the PLS team and staff within Luton & Dunstable Hospital and East London Foundation Trust.

Management

The post-holder will:

• Take responsibility for agreed clinical, managerial and strategic projects associated with the provision of the PLS. This will include planning, implementing, reviewing and revising these projects as necessary.
• In the absence or request of operational manager; take responsibility for the immediate management of the team and patient care provided, to agreed local and professional standards.
• In the absence or request of operational manager, take responsibility for the co-ordination of all activities within the clinical area or equivalent sphere.
• Ensure the promotion of health and safety regulations in relation to the well-being and interests of the patients, staff and all visitors who come into contact with the team environment.
• At all times follow the Nursing & Midwifery Council Standards of Conduct, Performance and Ethics for Nurses and Midwives (2009) and ensure that all staff within their sphere of responsibility also follows the code as laid down.
• Supervise monitor and appraise the performance of junior staff within the sphere of designated responsibility, and report to the Operational Manager.
• Assist the shift co-ordinator and senior management to exercise day to day control of the budget for the service.
• Act as change agent to promote innovation and high standards of practice in line with the PLS aims and objectives.

Type reports and discharge summaries.

About us

Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.