Senior Nurse Practitioner (Learning Disability Complex Care)

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Mersey Care NHS Foundation Trust celebrates diversity and promotes equal opportunities; we are committed to challenging and eliminating racism and other forms of discrimination and advancing and promoting equality of opportunity in the provision of services and creating an inclusive environment for all employees. We believe that everyone has the right to be treated with dignity and respect.

We take positive action to support disadvantaged groups and also particularly encourage applications from ethnic minorities, disabled and LGBTQIA+ people that are under-represented in our workforce. Furthermore we welcome applications from reservists and ex-armed forces personnel as we recognise the benefits of the values, skills, training and experience that they bring to their work with us. We encourage all applicants to share their equality information with us.

Job overview

Mersey Care NHS Foundation Trust is the health provider for the delivery of the Integrated Mental Health Team (IMHT) at HMP Liverpool. The service is designed to support the holistic mental health and learning disability needs of our client group, in partnership with our Physical Health providers and HMPPS colleagues.

HMP Liverpool is a Category B, male only, local prison, in the Liverpool area.

The service provides individual and group-based interventions based on the clinical needs of the population. The service is developing and will adopt the biopsychological model to inform practice and tailor interventions accordingly. These interventions will be individualised, and trauma informed, alongside comprehensive risk assessment and management.

Core aims of the service are to improve mental and psychological wellbeing via a range of interventions, build the development of independent core skills, reduce risk, and advocate for mental health and learning disabilities within the wider prison.

The post holder will be joining a dedicated team of clinical staff from a range of backgrounds and experience. Team members have high levels of skill, passion and enthusiasm (and humour!) and are committed to ensuring the on-going successful development of the service and the opportunities it provides for our population.

Main duties of the job

We are now recruiting a Senior Leaning Disability Nurse Practitioner to join our team. The successful candidate will working alongside a fellow Learning Disability Nurse and the wider IMHT to support those in custody with Learning Disability and Autism needs.

The post holder will have clinical responsibility via the application of relevant assessments and facilitating individual and group based interventions based on the holistic needs of the client group.

The post holder should have considerable experience of working with individuals with complex clinical and risk presentations including within institutional settings and as part of a multi-disciplinary team. This should include work with clients whose needs may mean that they find it difficult to engage with services.

Experience of working in complex service and organisational settings is required alongside an ability to constructively manage the personal, professional and ethical opportunities and challenges such work can involve.

Within the IMHT's, we prioritise the development of our staff team and have proven that we value and nurture diverse clinical interests. We are committed to creating an empowered staff team. We strive to be reflective and support of each other which is vital given the challenges this work can entail.

Working for our organisation

Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.

We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.

At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.

Flexible working requests will be considered for all roles.

Detailed job description and main responsibilities

Principal Responsibilities:
1. To carry a clinical caseload within the prison with individuals who present behaviour that
challenges or where there is a risk of offending.
2. Under direction undertake a thorough assessment of new referrals using a range of tools.
3. Under direction provide comprehensive risk assessment of offending and/or other complex
behaviours.
4. Under supervision carry out initial assessments with service users.
5. Under the supervision of senior staff complete comprehensive risk assessment of offending
and/or challenging behaviours.
6. Under the supervision of senior staff, develop Risk Management Plans including strategies
and recommendations.
7. Contribute to the development of a formulation of offending behaviour and/or risk.
8. Under the direction of senior staff support the implementation of specialist therapeutic
interventions.
9. To evaluate the outcome of any interventions.
10. Develop detailed care plans when planning release from prison settings or when seeking
alternative placements in community settings.
11. To encourage the ethos of the Positive Behavioural Support model in delivery of care.
12. To provide advice and support to teams to maintain consistency in the overall
management and response to risky or challenging behaviour.
13. To undertake on occasions urgent or emergency assessments, including risk assessments.
14. To provide recommendations for a gate keeping assessment where appropriate.
15. To provide advice, consultation and support to partner agencies regarding complex
challenging behaviour and offending.
16. To support and lead on the development of contingency plans for crisis and relapses.
17. To organise own workload and work schedule.
18. To provide clinical and managerial supervision to junior members of staff.
19. To act as supervisor, assessor and mentor for students, nurses and junior staff.
20. To facilitate the education of service users, relatives and other agencies concerned with
provision of learning disability services in the prison service.
21. To be involved in the development of training / information resources for partner agencies
in the area of Learning Disabilities.
22. To ensure Safeguarding requirements are upheld.
23. To organise and chair regular staff meetings and other forums as appropriate.
24. To provide statistical information as required by the Trust.
25. To ensure effective communication between services, and the co-ordination of other
services as appropriate.
26. To undertake duties as may be delegated by the Service Manager.
27. To utilise theory, evidenced based literature and research to support practice.
28. To contribute to the evidence base by leading and participating in research and audits
whenever possible.
29. To develop and review protocols, policies and procedures.

Person specification

Qualifications

Essential criteria

• 1st level Nurse Registration in either Learning Disability or Mental Health.
• Degree plus evidence of additional experience and significant skill within relevant field.
• Post registration training in a therapeutic / intervention approach (e.g. Applied Behavioural Analysis and Intervention, CBT etc.).

Desirable criteria

• Forensic Risk assessment (RSVP, HCR20, START)
• Good computing skills (ECDL or Similar)

Knowledge & Experiences

Essential criteria

• Minimum eighteen months post registration experience to include having worked with people with learning disability needs and those in forensic services..
• Experience of communicating with people on complex matters, issues and ideas and/or in complex situations.
• Experience in the use of forensic risk assessment and management.
• A good understanding of the Mental Capacity Act, DOLs, Safeguarding and the legal frameworks applicable to working with offenders in a forensic setting.
• An understanding of the Criminal Justice process.
• Experience of inter-agency working.
• Experience of providing management and clinical supervision.

Desirable criteria

• Prior experience of working with people with autism, mental health, personality related needs, dual diagnosis etc.
• Demonstrates leadership skills, training skills and can motivate others.
• Experience working with staff teams, providing consultancy and clinical supervision.
• Demonstrate an interest in theories of offending in learning disabilities.
• 6 months experience working within a forensic service.

Skills

Essential criteria

• Excellent spoken and written communication skills
• Ability to work on own and to work to set and meet deadlines
• Ability to work in a multiagency context.
• Skills in the assessment of complex behaviours using a variety of methods.
• Skills in the designing of intervention and management plans, evaluation and monitoring.
• Able to recognise limits of own competency and when to seek supervision
• Able to work autonomously and on own initiative, prioritise and manage own time effectively
• Driving Licence

Please ensure you check the email account from which you apply for all correspondence. All information regarding your application will come from apps.trac.jobs not NHS Jobs.

Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview.

As a Disability Confident Employer, we offer a guaranteed interview scheme for applicants who consider themselves to be disabled who meet the minimum (essential) criteria for the role in the person specification. If you would like your application to be considered under the Trust's guaranteed interview scheme you can indicate this in the personal information section of your online application form.

Should you require a reasonable adjustment to our recruitment process please email recruitment@merseycare.nhs.uk to ensure that measures can be put in place to support you.

We reserve the right to close any vacancy earlier than advertised in exceptional circumstances once we have received a high volume of applications.

The Trust expects all post holders who require an enhanced DBS for their role subscribe to the DBS Update Service. You will be required to enrol for this service for a fee of £13 per year and maintain registration. Trans applicants who require a DBS check and do not want to reveal details of their previous identity can contact the DBS Sensitive Applications Team (01516761452 or email sensitive@dbs.gsi.gov.uk) with their application number once they have completed their DBS application form. The team can prevent any previous identity showing on the DBS Certificate, unless the applicant has a conviction under their previous details in which case this will need to be disclosed.

Flexible working requests will be considered for all roles.

Please be advised that the use of Artificial Intelligence on applications is monitored and if you choose to use this, you must declare this on your application form.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Senior Nurse Practitioner-Learning Disability Complex Care (PDF, 469.3KB)
• B6 OH risk (PDF, 480.6KB)
• A Great Place to Work (PDF, 2.1MB)
• Our People Promise and Charter (PDF, 5.8MB)
• Employee Benefits (PDF, 950.7KB)