Clinical Nurse Specialist /Community Mental Health Nurse

• Provide a nursing perspective to the clinical work of the multidisciplinary team and contribute to the delivery of all aspects of the service. Advise on the suitability of referrals for a nursing-led approach and maintain a clinical caseload of highly complex and challenging cases.
• Undertake highly specialist, holistic assessments of referrals to formulate and implement evidence-based treatment and care plans, utilising appropriate theoretical and conceptual frameworks.
• Apply advanced clinical knowledge and experience to identify, analyse, and interpret highly complex presentations and behavioural patterns. Develop comprehensive formulations to effectively prioritise, engage, and intervene with service users, their carers, and families.
• Provide highly specialist nursing expertise, guidance, consultation, and advice to the multidisciplinary team, contributing to the development of treatment formulations and care planning.
• Support alternatives to inpatient admission wherever possible through flexible, specialist outreach interventions and assertive engagement within service users' homes and community settings, reducing the risk of disengagement from treatment.
• Deliver effective, person-centred care packages that provide the most appropriate therapeutic response for service users and their families, working collaboratively with multidisciplinary colleagues and partner agencies.
• Work therapeutically with service users and families experiencing highly complex and emotionally challenging circumstances, including situations involving hostility, conflict, distress, or verbal aggression. Demonstrate the skills required to assess, manage, and de-escalate risk effectively.
• Act as Care Coordinator where required, taking responsibility for the assessment, planning, implementation, and evaluation of care plans. Ensure the views of service users, carers, family members, referring agencies, and other professionals are fully considered within the care planning process.
• Support eligible service users in accessing social care resources, including personal budgets, direct payments, and other relevant support services.
• Make highly skilled clinical decisions regarding treatment options, drawing upon evidence-based practice, therapeutic models, and an understanding of complex developmental, psychological, social, and family factors that influence presentation and recovery.
• Undertake carers' assessments and facilitate carers' groups to provide education, support, and guidance for relatives and carers affected by eating disorders.
• Deliver care that is culturally sensitive, inclusive, and responsive to the diverse needs of service users and their families. Recognise and address the impact of race, culture, religion, gender, age, disability, sexual orientation, and other protected characteristics on engagement, treatment, and recovery.
• Demonstrate specialist knowledge and experience in safeguarding adults and children, ensuring compliance with relevant legislation, local safeguarding procedures, and inter-agency protocols.
• Undertake timely assessments and interventions, including comprehensive risk assessments and risk management planning. Provide specialist advice and consultation to other professionals regarding the assessment and management of clinical risk.
• Take a leading role in medicines management within the service, working collaboratively with the Medicines Management Team to promote safe prescribing practices, medication adherence, and the safe use, storage, and monitoring of medicines and medical devices.

• Provide clinical supervision, consultation, and mentorship to colleagues, students, and trainees.
• Participate actively in multidisciplinary meetings, case reviews, safeguarding meetings, and professional forums to support high standards of clinical care and patient safety.
• Maintain professional registration and ensure compliance with relevant professional standards, Trust policies, and regulatory requirements.

Essential

• Registered Nurse ( Mental Health/Learning Disability)
• Teaching certificate including annual update (ENB 998), or equivalent.
• Evidence of CPD
• Nurse Independent Prescriber

Desirable

• MSc in specific therapeutic treatment modality e.g. systemic practice, cognitive behavioural therapy.
• Post graduate clinical and therapeutic qualification related to the community.

Essential

• Sound experience of working in a range of settings relevant to the post
• Experience of nurse independent prescribing for relevant service user group
• Experience of working with service users presenting with emotional/psychological difficulties and challenging behaviour with their families and wider networks in situations of crisis and emotionally demanding environments.
• Experience and knowledge of implementing safeguarding procedures for children and adults
• Experience of teaching and training in practice

Essential

• Knowledge of recent developments in mental health/learning disability provision for specific service user group including government initiatives for working with a range of service users with challenging antisocial behaviour in education and the community
• Knowledge of current developments in research and its application with the specific service user group

Essential

• Ability to teach and train others using multi-media materials suitable for presentation within public, professional and academic settings
• Facilitating clinical supervision
• Skills in the use of complex methods of assessment and treatment of individual, couples, families and groups frequently requiring sustained and intense concentration.
• Prescribing medication for a group of service users, reviewing effectiveness and side effects.