community nursing and care coordinator

EAST LONDON NHS FOUNDATION TRUST; City of Westminster; On-site; GBP 30,000 - 40,000; Full time

Job summary

A prominent healthcare organization in the UK is seeking a Community Nursing and Care Coordinator. The role involves comprehensive assessments and developing care plans for service users with mental health needs. You will be responsible for coordinating care and collaborating with multi-disciplinary teams to provide high-quality services. This position offers flexible working arrangements and potential relocation support.

Benefits

Flexible working arrangements

Relocation assistance up to £10,000

Qualifications

• Experience in community nursing and mental health support is required.
• Knowledge of therapeutic interventions for acute mental health crises.
• Ability to work within a multi-disciplinary team.

Responsibilities

• Coordinate care and promote mental health support.
• Conduct comprehensive assessments for service users.
• Work autonomously within a collaborative team environment.

Skills

Risk assessment

Psychoeducation

Communication

Team collaboration

Education

Registered Nurse qualification

Job description

This is a permanent community nursing and care coordinator role. To make assessments within Health (SAP/CPA) and Social Care (Care Management) frameworks. To set up, implement and review appropriate care plans and to support and advise relatives and caregivers. To promote the needs of service users with mental health needs and to offer and provide training and education whenever possible. In conjunction with the crisis pathway services, provide a safe and effective urgent community assessment and treatment response service. Undertake comprehensive assessments, including risk assessment, effectively and efficiently. Formulate and agree crisis safety care plans and support and advise relatives and caregivers. Be rotational and flexible, working according to the needs of the NMHT service and the Neighbourhood, develop and maintain a high standard of practice based on assessment through the use of psychoeducation, the Recovery Model and supportive clinical management. Liaise and establish good working relationships with referring agents, colleagues in Primary Care services, Social Services, Community Mental Health Teams, Assertive Outreach, In‑Patient services, Criminal Justice, Voluntary Sector and other agencies as appropriate. To have knowledge of and practice a range of therapeutic interventions available to reduce distress for individuals experiencing an acute mental health crisis. Ability to work autonomously and within MDT setting. To work with the multi‑disciplinary team in developing plans that offer supportive crisis care in the least restrictive way. Act as a role model in the practice area, encouraging staff in teaching and supervision to sustain a supportive learning environment. Be responsible for the maintenance and accurate recording of patient information in the documentation systems and to ensure the effective dissemination of service user information throughout the multidisciplinary team.

Key Responsibilities

• To proactively involve people in their care, and to include them in decision‑making processes
• To take responsibility to act using sound professional judgment and effective problem‑solving when decisions have to be made in highly complex and challenging situations
• To evaluate effectiveness whilst working within the framework of risk assessment
• To report all relevant information to the referring agent and keep them informed of the service user’s progress
• To assess, plan, set goals with the service user, carers and families; implement and evaluate care using psycho‑social interventions and skills to meet individual needs
• To actively support the person in crisis in self‑management of their symptoms through the formation of their care plans
• To act as care coordinator for service users
• To respond to emergency referrals within a timely fashion and to agreed protocols and targets
• To develop and implement appropriate health promotion strategies including the Recovery College appropriate to the client group
• To refer for carers’ assessments and provide information and support to carers as appropriate
• To be responsible for accurate record‑keeping in line with Trust and NMC policy and procedures
• To maintain high standards of professional practice and competence in keeping with the NMC code of conduct and scope of professional practice
• To report to the Deputies or Operational Lead any incident or serious untoward incident that may take place and provide accurate records relating to the incident
• To contribute to establishing and maintaining liaison with the members of the primary/secondary healthcare team, voluntary agencies and other professional disciplines necessary to provide a comprehensive service to clients and their families
• Provide service users, relatives and carers with details of the complaint procedure and PALS; support in the making of complaints and forwarding of compliments
• Complete assessment and discharge documents in a timely fashion
• Communicate effectively with service users, persons in crisis and their families; all staff are responsible for understanding the importance of respectful communication to support good relationships and maintain the reputation of the organisation
• Participate in duty coordination, organising the work of the whole team as required and directed by the Operational Lead or Senior Mental Health Practitioners and in accordance with team protocols
• Respond to emergency referrals within agreed local protocols and timeframes
• Ensure that a safe and effective home‑treatment team service is delivered to both ongoing clients on the team’s caseload and any referred cases
• Utilise the quality improvement approach to think systemically about complex problems, develop potential change ideas and test these in practice using the Trust’s QI framework
• Engage in and make time for quality improvement; develop an appropriate level of skills and share learning and successes
• Resolve local issues on a daily basis using the tools and methods of quality improvement without staff having to seek permission
• Plan and prioritise own workload
• Document all care interactions on the relevant clinical system as per local arrangements
• Administer and/or monitor medication as prescribed in keeping with policies and NMC requirements; keep self‑updated through training and CPD
• Work within the relevant ELFT policies
• Be aware of any conflict or distress experienced by team members
• Assist in providing a clinical learning environment for students
• Act as an assessor/mentor to student nurses on placement
• Participate in the education of new workers and trainees through fieldwork experience, tutorials, seminars and case presentations, evaluations and reports
• Participate in clinical and managerial supervision
• Strive for excellence and the provision of the highest quality, evidence‑based care and clinical outcomes throughout the service, and pursue accreditations where relevant with national standards
• Ensure compliance with the Trust’s equality and diversity policy, supporting the delivery of the Trust’s race equality scheme and the duty to positively promote race equality, ensuring services are responsive to the needs of people with protected characteristics
• Act as an effective role model working in a courteous, patient‑focused manner and maintaining patient confidentiality at all times
• Actively participate in maintaining personal and professional growth, undergo performance appraisals and identify educational and training needs
• Ensure mandatory and statutory training is always in date
• Support the development and embed quality improvements within the team and actively embrace quality improvement projects, creating a culture for learning and development
• Support financial balance in the team, making the best use of resources to achieve positive clinical outcomes for service users and carers
• Arrange for the replacement or repair of equipment and furniture as required

Benefits

Flexible working is supported, including job share, part‑time or other flexible patterns. As part of a relocation scheme, the Trust may provide up to £10,000 for removal and associated expenses (terms and conditions apply).

Commitment to Equality, Diversity & Inclusion

ELFT is committed to being a diverse organisation, ensuring our workforce reflects the population and communities we serve. We believe that having plural colleagues enriches our outcomes, and we maintain fair, inclusive practices across recruitment and career development. Our equality and diversity policy is fully compliant with national standards and supports the delivery of race equality and anti‑discrimination measures.