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Senior Nursing Assistant-Enhanced Care Team
NHS
City Of London
On-site
GBP 30,000 - 33,000
Full time
Job summary
A prominent NHS foundation trust in London seeks an Enhanced Care Nursing Assistant to support mental health patients in their emergency department and wards. Candidates should have strong communication skills, experience with mental health conditions, and a UK Care Certificate. The role offers training and development opportunities, and the contract is full-time.
Qualifications
- Previous experience working with patients that present a risk.
- Substantive experience with patients who have mental health conditions.
- Knowledge of different mental health presentations.
Responsibilities
- Providing 1:1 engagement and observation to patients.
- Support with personal care needs.
- Assess needs/risks and communicate to the team.
- Identify when patients experience anxiety/distress.
- Respond appropriately to clinical emergencies.
Skills
Education
Would you like to be part of a team that supports mental health patients or those experiencing psychological distress at St Thomas' hospital?
We are seeking confident, caring , compassionate, responsive and recovery focused individuals with excellent communication skills to provide care and support to patients identified as needing therapeutic engagement and observation in our emergency department and across the hospital wards.
You be required to demonstrate the ability to act calmly in challenging situations and form positive therapeutic relationships with patients. In return you will be supported daily by experienced senior mental health nurses and you will have the opportunity to develop your skills and knowledge through in‑house training, regular supervision and reflective sessions.
You will also have the opportunity to further develop nursing skills in managing both the physical and mental health care of patients with an understanding of the interface between the two.
IF YOU HAVE APPLIED OR INTERVIEWED FOR THIS POST IN THE LAST 3 MONTHS AND NOT BEEN SUCCESSFUL YOUR APPLICATION WILL NOT BE CONSIDERED. IF YOU ARE SHORTLISTED FOR INTERVIEW, YOU WILL BE EXPECTED TO SUBMIT EVIDENCE OF A UK CARE CERTIFICATE. ONLY CERTIFICATES WILL NOT BE ACCEPTED.
12th November 2025 at Midnight
08th December 2025
The Mental Health Enhanced Care Team provide therapeutic interventions towards maintaining safety, reducing agitation, distress, promoting mental health wellbeing and recovery for patients identified as having a mental health support need while awaiting treatment/assessment or transfer to mental health services.
Our criteria for enhanced care involvement includes persons with acute mental illness, experiencing psychological distress, drug/alcohol intoxication, acute confusion likely to wander/abscond and deemed at risk of harm to themselves or others.
The role of the enhanced care nursing assistants involves working under the direction of a registered professional to participate in the development and maintenance of high quality patient care.
- Providing 1:1 engagement and observation to therapeutic engagement with patients
- Providing activities where appropriate
- Supporting with personal care needs
- Clinical observations
- Continually assessing needs/risks and communicating these to the multidisciplinary team in accordance with the mental health care plan and least restrictive principles
- To therapeutically engage with patients who have a mental health condition or are experiencing psychological distress
- To always deliver care in accordance with the principles of least restriction and in line with national guidance including NICE guidelines for managing disturbed behaviour
- To understand continuous risk assessment of the patient and elevate any increase in risk
- To identify when patients are experiencing anxiety/distress and therapeutically engage to alleviate these symptoms
- To identify escalation of risk and actively de‑escalate the situation
- To undertake therapeutic activities appropriate to the patient’s presentation
- To identify an issue that prevents therapeutic engagement of the patient
- Provide excellent customer care skills to ensure patients come first
- Undertakes a range of delegated clinical care duties to deliver agreed plans of care, acting on own initiative
- To ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines
- Recognise and avoid situations that may be detrimental to the health and wellbeing of individuals
- Act as an advocate for patients within the department to ensure a patient‑oriented approach to the delivery of care and meet NHS Plan standards
- Provide support and assistance to professionals in the implementation of plans of care for individual patients
- Assist with fluid and dietary needs of patients including completion of menu cards and recording intake and output of fluids and solids
- As directed collect specimens from patients and record routine observations of weight, blood pressure, temperature, pulse, respiratory rate; report any abnormalities and concerns to a Registered Nurse
- Recognise when patients are in pain and discomfort and report to nurse in charge
- Under trained staff, maintain and develop own skills including monitoring and recording vital signs (blood pressure, glucose, oxygen saturation), simple aseptic dressings, removal of sutures, clips and venflons
- Respond appropriately to clinical emergencies to ensure safe care
- Undertake physical interventions (restraint) as a last resort only
- Assist the Registered Nurse with safe handling and mobilisation of patients and assist in transportation when necessary
- Chaperone patients to other clinical departments following assessment by a registered nurse to maintain patient safety
- Ensure own actions help to maintain quality
- Respond to patient requests for non‑clinical information to improve communication
- Understand and adhere to all Trust policies, guidelines and procedures including Health and Safety, Fire Safety, Waste Management and Resuscitation policies to maintain a safe working environment for patients and staff
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals – Guy's, St Thomas', Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England's eight academic health sciences centres, bringing together world‑class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
Date posted: 07 November 2025
Agenda for change
Band 3
£30,546 to £32,207 a year p.a inc HCA
Permanent
Full‑time
196-NM13396-N
St Thomas' Hospital
Westminster Bridge
London
SE1 7EH
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
- Evidence of general education e.g. GCSE's or equivalent.
- NVQ III in Health care or equivalent qualification in the area of speciality (e.g. Operating Dept. Practice for posts in Theatre).
- UK Care Certificate Theory and Practice.
- Training in safe physical interventions / restraint/ Breakaway (for example PMVA, PSTS, PPI).
- Previous experience of working with patients that present a risk to themselves or others.
- Substantive experience working with patients who have mental health conditions.
- Experience of working with people with serious and enduring mental health problems.
- Customer care experience.
- Knowledge of different mental health presentations.
- Understanding of the requirements of patient confidentiality.
- Knowledge of the Mental Health Act / Mental Capacity Act.
- Conflict resolution.
- Proven ability to work within a team as well as on own initiative.
- Proven ability to understand and comply with detailed procedures.
- Demonstrate ability to manage priorities under pressure.
- Demonstrates Trust Values and Behaviours.
Guy's and St Thomas' NHS Foundation Trust
St Thomas' Hospital
Westminster Bridge
London
SE1 7EH
https://www.guysandstthomas.nhs.uk/careers/careers.aspx
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