NursingNetUK

Detailed job description and main responsibilities

My job makes better lives by being a proactive member of a new team responsible for the development of a transformational approach to integrating primary and community mental health care.

Job Overview

NHS England/Improvement has developed a new Framework to support local systems in implementing the NHS Long Term Plans vision for transforming community mental health care. This Framework sets out how the LTP's vision for a new place-based community mental health model can be realized, and how we can modernize community mental health services to shift to the whole person, whole population health approaches.

The role of the Primary Care Mental Health Practitioner is fundamental to the development of these innovative new teams and mental health services based within networks of GP Practices (PCNs). The role will support the ongoing development and mobilization of integrated primary care mental health services.

The role provides and promotes early assessment, treatment and/or onward bridging to community resources and support and improved access to evidence-based interventions for people with serious mental illness. The role will help people to focus on achievable goals and access local community resources. The service will be for people over 18 years (including carers) with a specific focus on:

• mental health needs that do not meet the access criteria for IAPT or secondary care
• people with serious mental illness who are in recovery and stable in secondary care mental health services who could be cared for within Primary Care
• People with severe mental illness who should be receiving an annual health check and medication review and improved access to physical health interventions.
• Younger adults (18-25) particularly those transitioning between children's and adult services.
• People who present frequently in primary care with a diagnosis of Emotionally Unstable Personality Disorder or with traits that interfere with their daily functioning.

Key Responsibilities

Overall: As part of a small team, to contribute to delivering and co-developing the primary care mental health service model and care pathways for the provision of integrated physical and mental health care in Primary Care Networks.

• To accept referrals direct from primary care and promote early assessment, and treatment and ensure robust relationships and links with other community-based services. To work predominantly with adults (18+)with SMI whose needs are best met within primary care and whose difficulties are best understood within a biopsychosocial model.
• To work closely with colleagues in specialist community mental health services to ensure smooth transitions between teams and services and facilitate an easy in, easy out approach to improve access to evidence-based interventions
• To work closely with and provide day-to-day support and guidance to the Community Connections Primary Care Link Worker/Connector role.
• Facilitate mental health and assets-based assessments in Primary Care and support the Primary Care Team in accessing the appropriate levels of services.
• Case find, screen, triage, assess, and coordinate the development of care plans for people that have been referred by a member of the Primary Care Team
• Provide brief support and time-limited evidence-based interventions, using the principles of motivational interviewing.
• Complete joint assessments with CMHRS to identify and support patients ready to transition to primary care, develop care plans and prepare people for step down.
• Work with the Primary Care Link Worker/Community Connector to actively understand what community resources and assets are available within the specific PCN geography and population and ensure awareness of these is communicated throughout the Network.
• Foster collaborative working between a full range of physical health and mental health services to ensure that people who need care are able to access it quickly and easily and are prevented from being bounced around or excluded from services or falling through the gaps'.
• Support and sign post service users, carers and families to access voluntary services and other relevant community providers and utilise available information (e.g. Health Surrey, First Steps) that promote self-management approaches.
• Work with Primary Care to increase awareness and recognition of mental health issues that affect the registered population through the provision of support, education and problem-solving approaches.
• Develop and deliver education and training which better support the Primary Care Team in management of people with co morbid physical and mental health issues and support completion of , and onwards action from, SMI physical health checks undertaken within the PCN
• Participate in the formal evaluation of the integrated primary mental health care model.
• Establish and participate in networks that help to streamline care pathways across community, primary and secondary care services within the PCN population.
• Keep accurate, contemporaneous electronic and written documentation, care plans and reports in primary care (EMIS system). Outcome measurement
• Be responsible for relevant data collection on work activities, inputting data onto the GP Practice and/or SABP databases as required, and to maintain a high standard of clinical record keeping.
• Maintain high standard of care in all areas of practice in accordance with the relevant professional Code of Conduct and guidelines.

CLINICAL LIAISON & EDUCATION

1. Provide a prompt response to requests for information and advice in line with agreed response times.

2. Develop and deliver education and training which better support the Primary Care Team in management of people with co-morbid physical and mental health issues, and support completion of physical health checks and associated interventions

3. Promotion of positive attitudes towards people with mental ill health, mutual understanding and effective collaborative working between mental health services, primary care trusts and community and voluntary sector.

4. Provision of a suitable leaning environment for nursing and other students on placement, and undertake the roles of supervisor or mentor for students on designated undergraduate, postgraduate courses and post experience courses where appropriate.

5. Provide education on request from statutory and voluntary organisations.

MONITORING & EVALUATION

1. To participate in the formal evaluation of the integrated primary mental health care model.

2. Maintain awareness of current research within own area of specialist practice, and demonstrate a commitment to evidence-based practice.

PROFESSIONAL DEVELOPMENT

1. To maintain high standard of care in all areas of practice in accordance with the relevant professional Code of Conduct and guidelines.

2. Maintain and develop a level of professional knowledge, skills and expertise that ensure the highest standards of practice and is responsive to changing care needs.

3. Act at all times according to professional standards, maintaining own knowledge and skills.

MANAGEMENT AND LEADERSHIP

1. Maintain effective functioning of the service by working effectively in management and leadership tasks as required.

2. Contribute to the development of procedure and accepting delegated management tasks.

3. Supply the necessary information of activity outcomes (and other KPI data) as agreed with the Service manager.

4. Have good quality IT skills appropriate to the needs of the post.

5. This job description is not restrictive or definitive in any way and should be regarded only as a guideline to normal duties.