Jobs at Nhs in United States

Job summary: An exciting opportunity for the post of Clinical Nurse Specialist has become vacant within Adult Community Mental Health Services in Rosanne House, Welwyn Garden City, Hertfordshire.

Taking responsibility for making a significant contribution to the nursing input, participating fully in the referral and allocation process, assessments, treatment, risk management, safeguarding vulnerable children and adults, care coordination of service users as well as contributing to case discussions and service related meetings.

• Offering consultations and supervision to colleagues and students as well as staff in other services.
• Fulfil the role of a Nurse Independent Prescriber for a specific group of service users as per Trust policy and NMC requirements

• To develop and provide highly specialist evidence-based interventions for service users, drawing on a wide range of theoretical frameworks and treatment modalities.
• To deliver timely, accessible services through both clinic-based and outreach models.
• To provide highly specialist advice and consultation regarding formulations and treatment to colleagues, external agencies working autonomously within professional guidelines.
• Care coordinate a small caseload of service users delivering highly specialist assessments and integrated care.
• With others, be responsible for developing nursing practice in the service including the supervision of both nursing colleagues and colleagues from other disciplines in the service.
• To actively participate in supervision, appraisal and professional development to enhance clinical skills e.g. nurse prescribing
• To work collaboratively and provide nursing consultation to other relevant professions within HPFT and external agencies to build capacity in terms of the early identification and physical and psychological management of disorders and/or disability.
• To work collaboratively with colleagues in Primary, Secondary and Tertiary Care to improve existing service provision within the Trust, enabling the effective management of care in the community, avoiding in-patient admissions whenever possible.
• To take a leading role for service innovation and development, including projects with other junior staff to ensure delivery of safe effective nursing.

Hertfordshire Partnership University NHS Foundation Trust (HPFT) is an outstanding organisation with ambitions to match. We are one of just five mental health trusts to achieve an overall rating of 'Outstanding' from the Care Quality Commission, and our aim is to be the leading provider of mental health and specialist learning disability services in the country.

Our family of over 4000 members of staff provide health and social care for over 400,000 people with mental ill health, physical ill health and learning disabilities across Hertfordshire, Buckinghamshire, and Norfolk, delivering these services within the community and several inpatient settings. We also deliver a range of nationally commissioned specialist services including Tier 4 services for children and young people, perinatal services, plus medium and low secure learning disabilities services.

The care we provide makes a fantastic difference to the lives of our service users, their families and carers - everything is underpinned by choice, independence and equality, with our Trust values embedded throughout:

Our Trust values are:

Welcoming. Kind. Positive. Respectful. Professional.

These values are at the core of who we are, everything we do, and how we do it!

Date posted: 06 October 2025

Pay scheme: Agenda for change

Band: Band 7

Salary: £50,008 to £56,908 a year per annum, pro rata (Inclusive of 5% HCAS)

Contract: Permanent

Working pattern: Full-time

Reference number: 367-ACMS-9649-A

Job locations: Rosanne House, Parkway, Welwyn Garden City, AL8 6HG

Provide the nursing perspective to the clinical work of the team and to the delivery of all aspects of the service, advising on the appropriateness of referrals for a nursing oriented approach, and maintaining a small clinical caseload of highly complex and demanding cases.

To provide a highly specialist, holistic assessment of referrals in order to formulate and implement plans for the treatment and management of care based on an appropriate conceptual framework employing research-based evidence.

To use highly specialist knowledge and experience to identify, analyse and interpret highly complex problem behaviour and inter-actionable patterns making appropriate formulations to prioritise, engage and intervene effectively to assist service users, carers and families.

To provide highly specialist nursing (and multi-modality) guidance, advice and consultation to the multidisciplinary team, contributing expertise to the treatment formulations.

To support alternatives where possible, to prevent in-patient admission and possible disengagement with the service by specialist and flexible outreach in service users' homes.

To provide a care package which offers the most effective therapeutic response to service users and their families and, where appropriate, working jointly and collaboratively with other clinicians in the multi-disciplinary team.

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
• Experience of peer supervision, supervising colleagues in the multidisciplinary team and consultation in other agency settings
• Experience and knowledge of working in a multi-ethnic community

Desirable:

• Experience of therapeutic practice in different cultural contexts.
• Record of publication in professional journals.

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.

Applicants must have current UK professional registration.