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Job description

Hospital at Home is an exciting new service developed under the Thames Valley CAMHS Provider Collaborative, which covers Oxfordshire, Buckinghamshire, Berkshire, Gloucestershire, Swindon, Wiltshire and BaNES. Working in partnership with Berkshire Healthcare NHS Foundation Trust, Gloucestershire Health and Care NHS Foundation Trust and The Huntercombe Group.

The Hospital at Home team supports young people and their families with eating disorders who meet the threshold for inpatient care. In some cases, admission will be prevented and in others, young people will be stepped down to this model following a short inpatient admission. Hospital at home maximizes the use of new technology, provides care close to home, reduces admission, length of stay, waiting times and provides earlier discharge from inpatient care.

**The service is generally delivered remotely with the team working from home , but you will be required to travel to the bases as necessary. Travel between sites may be required on occasion. Office bases are available in Oxford & Swindon**

• To provide a quality family therapy service to the young people and their families within the Hospital at Home service.
• To provide consultation, supervision, and support the work of colleagues providing care and treatment, according to expertise.
• To work autonomously within professional guidelines and the overall framework of the team’s policies and procedures.
• To utilise skills for audit, policy, service development and research.

Hospital at Home is an innovative team who place young people and their families at the heart of service provision. The team work closely together to ensure high standards of care are consistently delivered to all of the young people we care for. Communication is key and there are set times each day for the team to meet for handovers and every team member is encouraged to attend weekly ward rounds for each young person.

As part of the Hospital at Home team you will be valued and respected in your role and have the opportunity to develop your skills and experience of working with young people with eating disorders. The Hospital at Home team is friendly, proactive, ambitious and supportive of each other and recognize the link between staff wellbeing and improved patient outcomes.

The team are flexible and responsive to patients and their families and are committed to supporting young people to recover from their eating disorder.

Benefits of working for Oxford Health NHS Foundation Trust include:

• Excellent opportunities for career progression
• 27 days annual leave, plus bank holidays, with an increase to 33 days with continuous service
• NHS Discount across a wide range of shops, restaurants and retailers
• Staff accommodation
• Competitive pension scheme
• Lease car scheme
• Cycle to work scheme

Some of the main duties include:

• To provide specialist systemic assessments of clients referred to the team utilising information from a range of systemic methodologies (identifying and prioritising interactional patterns/ dynamics/ context) and employing research based models in order to formulate and implement plans with individuals, couples, families and carers in the context of the professional and wider social system.
• To plan and implement formal family therapy treatment and/or management of clients mental health problems, based upon clients problems and employing methods of proven efficacy
• To implement appropriate systemic interventions for individuals, carers, families and groups, adjusting and refining formulations, adjusting and refining formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses
• To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and complex factors concerning historical and developmental processes that have shaped the individuals, family or group
• To be responsible and accountable for the assessment, treatment and discharge of clients whose problems are managed by family therapy based standard care plans
• To provide specialist systemic advice, guidance and consultation to other professionals contributing directly to clients’ formulation, diagnosis and treatment plan, in the context of multi-disciplinary team working
• To undertake risk assessment and risk management for individual clients and to provide advice to other professionals on systemic aspects of risk assessment and risk management
• To act as care co-ordinator where appropriate for a case load of patients and contribute to the CPA processes within the Team
• To communicate highly complex information and give feedback in a skilled and sensitive manner, for example in organising and conducting meetings which can include clients, family members, multi agency representatives. These can generate a high level of emotion, and involve risk issues such as domestic violence, the safety of the person or care for people with enduring mental health problems
• To provide advice, guidance and consultation to peer and junior professionals within the service, both individually and by attendance at team referral and review meetings

Teaching, training and supervision

• To receive regular clinical, professional, and managerial supervision from a senior appropriately qualified member of the team and where appropriate, other senior professional colleagues and line managers
• To provide post-qualification training (CPD) experiences and contribute to the supervision of recently qualified systemic psychotherapists, as appropriate and in consultation with relevant others
• To contribute to training of Oxford Health staff, as required, in the theory and practice of systemic psychotherapy using methods such as leading a systemic psychotherapy clinic, live supervision and joint work in order to model systemic psychotherapy commensurate with experience
• To maintain and develop skills in the area of professional pre- and post-graduate training and clinical supervision. Where required, to provide placements for trainee family therapists
• To provide advice, consultation training and clinical supervision to staff working with the children and families across a range of agencies and settings, where appropriat

Management, recruitment, policy and service development

• To contribute to the development, evaluation and monitoring of operational policies and services, through the deployment of professional skills in research, service evaluation and audit, in consultation with relevant others
• To provide and maintain adequate statistics and records of work as required by the Trust
• Exercises delegated responsibility for the safe, appropriate and legitimate use of systemic psychotherapy tools and other equipment deployed in post holder’s area of duty. Advise manager on equipment and resources needed to maintain work undertaken and any shortcomings with these
• To participate as appropriate in staff recruitment, both in the short-listing process and as a member of interview panels for qualified family therapists
• To represent systemic psychotherapy and attend relevant meetings and professional activities by agreement with manager
• To advise both service and professional management on those aspects of the service where systemic and/or organisational matters need addressing

Research and Evaluation

• To remain informed of and critically evaluate current systemic research to support own professional work and to contribute this perspective to the multidisciplinary team
• To contribute to the design and management of clinical audit, assisting colleagues to develop, evaluate and monitor service provision and operational policies, through the deployment of professional skills in research, service evaluation and audit
• To undertake research in own professional area as agreed with professional leads in line with service objectives and governance arrangements
• To participate in research and audit teaching and activity initiated within the team, service and / or professional group.

General and Professional

• To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the post holder’s professional and service manager/s
• To contribute to the development and articulation of best practice in systemic psychotherapy across the service, taking part in regular professional supervision and appraisal and maintaining an active engagement with current developments in the field of systemic psychotherapy
• To maintain a high standard of clinical record keeping, including electronic data entry and recording, report writing and the responsible exercise of professional self governance in accordance with the UKCP code of practice and Trust policies and procedures
• Ability to create a calm, appropriate environment for clients in a highly emotive situation and respond appropriately to this need
• To maintain up-to-date knowledge of legislation and national and local policies
• To maintain current knowledge of the operation of the sound and recording equipment used as part of systemic psychotherapy practise and to promote ethical and effective use in line with Directorate policy. To introduce this practise to families in a sensitive way. To be able to use tape and digital review to contribute to the enhancement of the skills of colleagues