Clinical Nurse Specialist – Independent NMP

Job summary
This post is a Band 7 role in a busy team in South Bristol CAMHS. A suitable candidate will need to have completed the training to be a Non-Medical prescriber (NMP) and will be able to work resiliently and with a strength based approach to be able to engage young people to facilitate change and empower young people to make positive decisions for themselves going forward.

This role will be a mixture of working alongside the psychiatry team to prescribe to young people and also have a caseload of partnership clients. The team is a friendly and supportive team, who work closely together within the MDT framework.

The Non-Medical Prescriber (NMP) provides high-quality, evidence-based assessment, prescribing and medication management for children and young people with a range of mental health difficulties within a busy multidisciplinary CAMHS team. Working collaboratively with psychiatrists, psychologists, nurses, therapists, schools and partner agencies, the post holder undertakes comprehensive assessments, initiates and reviews medication, monitors effectiveness and side effects, and supports shared decision-making with young people and their families.

The role includes risk assessment, safeguarding, physical health monitoring, clinical documentation, consultation to colleagues, and contributing to service development, quality improvement, and the delivery of safe, effective, person-centred care.

Main duties of the job
To work as an Independent Non-Medical Prescriber in partnership with the service user and act as lead specialist in Non-Medical Prescribing for service users with enduring Mental health conditions.

Conducting assessments with service users and carers, care co-ordinating, long term casework.

Working collaboratively with other disciplines and other teams in the locality are essential.

Ensure a comprehensive service is provided to the local population. As a senior member of the team the post holder will need to demonstrate sound leadership skills and be able to manage high levels of responsibility.

About us
We are the lead provider of healthcare for people with serious mental illness, learning disabilities and autism across Bath and North East Somerset (BaNES), Swindon and Wiltshire, and Bristol, North Somerset and South Gloucestershire.

We aim to provide High Quality, Compassionate Care everywhere, every day. This means our services will be safe, clinically effective and provide a positive all round experience for our patients, families and carers. And we believe passionately in treating everyone with kindness, respect and empathy.

Key to this is providing a supportive and safe environment for our 4,000 staff where we all feel welcome and able to do the best we can for those we support. Our staff and teams work incredibly hard delivering services across more than 90 locations, covering 2,200miles, to more than 1.8million people.

At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.

Job responsibilities
Clinical

• To undertake comprehensive assessments of service users referred to the team, both urgent and routine, including specialist assessments of clients requiring nonmedical prescribing, ensuring that a full health and social needs assessment, including medical history and medication history, is undertaken and implemented where required.
• To establish diagnosis and prescribe accordingly, discussing all treatment options (including non-pharmacological treatment) and potential side effects with each service user.
• To ensure that record keeping is both up to date and accurate adhering to Trust, NMC and good practice guidelines, including clear documentation of medications discussed, their effects and risks.
• To establish, plan and implement Clinical Management Plans (CMPs) where appropriate and review at least annually.
• To request formal diagnostic tests in line with Trust, NICE and Department of Health guidelines.
• To assess and review the service users progress.
• To prescribe and change medications within area of speciality and competence.
• To formulate, implement and evaluate individual care plans and nursing treatment plans with the involvement of all parties in the care of the service user.
• To work within Trust Medicines and Non-Medical Prescribing Policies.
• To establish and maintain good liaison with GP practices and other mental health services in the area, including sharing prescribing information and rationale.
• Participate in pilot sites for implementing Trust policies, audit working environment producing data, and analysing results.
• To maintain comprehensive case records in line with Trust requirements, including recording medications prescribed.
• To ensure that all prescribing decisions are communicated.

Research

• To regularly undertake and participate in agreed research projects and to use evidence based findings to the benefit of service user care.
• To lead clinical audit in own specialist area of Non-Medical Prescribing.

Training

• Provide training to other staff regarding specialist area, adhering to Trust policies.
• Provides input into developing strategies for improving nursing care.
• Provides a safe and effective learning environment in mentoring and supervising student nurses, participating in their learning objectives and assessments.
• Ensure that are up to date with UWE requirements for mentoring students by attending annual mentor updates.

Management

• To develop a service plan in conjunction with their service manager, SBU Clinical Director and NMP Lead.
• To be aware of the current legislation and prescribing developments, which may impact on the delivery of services to service users.
• To manage the prescribing needs of an agreed caseload.
• To ensure that clinical standards are cascaded to staff.
• To develop protocols for prescribing within ones own team setting.
• To enhance the working of the team by the sharing of ones own specific professional expertise and knowledge.
• To be responsible for the ordering and safekeeping of FP10s.
• Have a good knowledge, and apply, current Trust Policy, procedures and guidelines ensuring that junior staff work to these.
• To liaise with Clinical Governance, attending as required, and ensuring that clinical standards are cascaded to team.

Professional

• To agree appropriate levels and participate in medical supervision with Independent Medical Prescriber in relation to prescribing practice.
• To be responsible for their own development and the updating of their professional development.
• To participate in Clinical Supervision in line with Trust Policy.
• To develop strategies for continued professional development as Non-Medical Prescriber and Clinical Nurse Specialist, including specialist clinical supervision.
• To ensure own adequate individual liability cover.
• Comply with the Nursing and Midwifery Council The Code, relevant legislation, procedures and policies. To attend and contribute effectively to relevant professional forums.
• To participate in regular caseload management as agreed with line manager.
• Undertake regular review of performance with the line manager to agree personal and service goals.
• Act as a positive role model at work for colleagues in relation to personal and professional conduct and practice.

Person Specification
Education/Registration
Essential

• Professional relevant nursing qualification leading to registration with NMC professional body
• NMP qualification with experience post training of prescribing
• Post qualification experience of providing mental health assessment, treatment and consultation service to children, young people and/or adults with severe, complex and enduring mental health and/or neurodevelopmental difficulties.

Desirable

• Post qualification experience in a community CAMHS setting

Experience/Skills
Essential

• Knowledge of national and local guidelines/policy regarding provision of public sector services to children/young people and their families.
• Knowledge of working together arrangements in particular, Child Protection guidelines Children in Need assessments, and Clinical Risk assessment.
• Experience of CAMHS multi-disciplinary team working
• Skill in Clinical Risk assessment and management in relation to children and young people including experience of managing self-injurious behaviour.
• Ability to communicate sensitive and difficult information to clients and their relatives.

Desirable

• Experience of providing clinical supervision

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applicants must have current UK professional registration.