registered nurse Devizes, England
Job description
Learning and Disability Nurse- RMN/RMNLD-Band 6
Provide visible, high calibre nursing care and support to the Bristol prisons healthcare teams within a multi-disciplinary framework for adults with learning disabilities and/or additional complex needs and/or learning difficulties.
The post holder will join an established nursing team and contribute to the development of good clinical practice promoting the clinical and professional development of staff to ensure they provide holistic and evidence-based care. The post holder will also provide deputy management duties within this unit and participate in the overall development of the Service.
Key Principles of health and wellbeing model for Prison Service:
Patient focused with health promotion at the heart of our care
Putting the right staff in the right place at the right time – specialist posts to ensure that experience is on hand to lead and support patients e.g., leads in learning disability, long term conditions, older adults, complex case practitioners and discharge coordinators.
Designing and delivering healthcare for the unique needs of each prison.
Being highly supportive of clinical and prison staff with training and support enabling the team to work smarter and as part of an effective Multi Professional Team.
Provide clinical leadership supporting the ward manager and staff.
Contribute to the service delivery within the guidance of the operational manager.
Actively contribute to the service delivery and standards through ongoing Periodic Service Review audits
Ensure consistent implementation of National and Trust policies and Clinical Governance requirements.
Ensure completion of incidents and complaints in accordance with Trust policy.
Actively participate in the ward/unit management meetings and strategy meetings in the improvement of care and services
Provide and fully participate in Clinical Supervision and ensure ongoing personal/professional development in line with Oxleas Policies
Work autonomously to promote good practice, encourage and participate in reflective practice
Provide a highly visible staff nurse presence in the Unit.
Actively participate with others in supporting individual advocacy, user forums, carer groups and service user councils
Actively participate in ensuring systems are in place for assessment, care and discharge planning within a multi-disciplinary framework, ensuring the Care Programme Approach.
Ensure the service meets the requirements of the Mental Capacity Act and other relevant legislation.
Maintain an up-to-date knowledge reference system in conjunction with Oxleas Knowledge Services and use of e-learning.
Promote the benefits of IT in improving knowledge and care standards.
Oxleas - About Us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley, Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We’re Kind
- We’re Fair
- We Listen
- We Care
Promote and develop communication systems which enable staff to work in a person centred way with service users.
Ensure the provision of contemporary evidence based challenging behaviour services
Actively participate in the adoption of a person-centred holistic approach to service user’s assessment and care planning using contemporary models of care. To involve service users with mild/moderate learning disabilities in these processes.
Demonstrate evidence based guidance on person centred/holistic assessment, care planning, intervention and evaluation for adults with severe challenging behaviour,
Ensure the principles of Valuing People and Transforming Care are embedded in practice.
Ensuring Safeguarding Vulnerable Adults policy is understood and adhered to and that issues are reported appropriately.
Demonstrate understanding the importance of developments/contemporary practice issues in relation to challenging behaviour and people learning disabilities.
Demonstrate understanding and the importance of risk assessment and management of risk with particular reference to people with mild to severe learning disabilities and challenging behaviour.
Actively involved in clinical supervision and staff support group facilitation around challenging behaviour practice and interventions.
Undertake direct specialist assessment/therapeutic work with individuals or groups, in liaison with the MDT and encourage others to do so.
Lead in co-ordinating and/or take part in the education of a range of specialist training initiatives about challenging behaviour and people with mild to moderate learning disabilities
Contribute to Clinical Governance and lead on specific projects.
Work to enhance the standards of nursing practice across the Service.
Participate in local audit and trust wide audits.
Work closely with Kent prisons MDT, other Oxleas Services and internal/external colleagues to enhance service
Promote equality and diversity initiatives
Develop and maintain effective relationships with key partners, within the forensic and prisons directorate, Local Authority, local Universities, The Home Office, Police, the voluntary sector, and non-statutory agencies.
Provide cover for the clinical charge nurses as required
The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.
The post holder will be required to undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations.
The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions, health promotion/prevention activity, and management of acute and long-term conditions using our stepped care approach.
The post holder will ensure that a single, integrated, care plans developed, and the individualised care is regularly reviewed.
The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.
The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.
The post holder will ensure that they undertake all training in evidence-based CBT approaches, to enhance consistency and quality of care delivery
The post holder will support patients to manage their health at every stage, from oral health to long term conditions.
The post holder will ensure that health promotion embedded into every aspect of the service.
