The Rough Sleeping and Mental Health Project (RAMHP) is an Oxleas Foundation Trust service that aims to improve the mental health of people sleeping rough in the London Broughs of Bromley, Bexley, and Greenwich. The project will develop close operational working links with other advocacy and support services in the non-profit sector and will enhance, fill gaps, build bridges between services, and help existing services work together more effectively so that homeless people are rapidly identified, assessed, supported, and directed so that their recovery is sustained.
The service covers the London Broughs of Bromley, Bexley, and Greenwich. The RAMHP team is initially funded by the GLA and is currently undergoing an evaluation. This requires close working with the GLA Commissioners and Imperial College Health Partners to establish monitoring, measuring performance outcomes and output data and evaluation criteria.
Important: This is no exhaustive, but the role includes:
- Experience of working in mental health is essential.
- Lead the team in the absence of the senior clinical practitioner.
- The post holder will need to be flexible in terms of working hours, as may be needed.
This includes the ability to start work earlier than 9am.
- Develop and maintain a high standard of practice using psychoeducation and the recovery model.
- Liaise and establish good working relationships with partner agencies to ensure integrated delivery of care and support.
- Carry out initial assessment of service users.
- Develop goals and support plan with service users.
- Implement and evaluate care using psychosocial interventions and skills to meet individual
needs.
- Work in accordance with safeguarding adults and children’s policies to support the safety of vulnerable adults and children.
- Work towards achieving the team’s KPIs and ensure compliance with Trust CQUIN.
- Practice in accordance with the MCA (2005) and the MHA (1983) as amended, the Community Care Act (2014) and other relevant legislation and guidance.
- Carry out risk assessment and develop, with patients, appropriate support plan to mitigate identified risks.
- Recognise and address concerns about physical health needs.
- Participate in MDT and review meetings.
- Participates in audits and surveys relevant to the team.
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
RAMHP is designed to complement, strengthen, and enhance existing provision, becoming part of a homeless wellbeing pathway. The service will work within Oxleas and allow access to a range of training and development resources, seminars, clinical support, supervision, and access to the Quality Improvement Programme.
This post is funded by NHS England’s Longer Term Plan funding stream. The RAMHP project fits the priorities for the Greater London Authority’s action plan for homelessness by working to:
• Minimise the flow of new rough sleepers onto the streets.
• Ensure that no one new to the streets sleeps rough for a second night.
• Ensure no one returns to sleep on the streets of London.
• Tackle rough sleeping by non-UK nationals.
• Improve partnership working around enforcement.
• Improve outcomes for people discharged from hospital or prison.
• Meet the physical and mental health needs of rough sleepers.
• Improve access to mental health services.
• Ensure the availability of appropriate accommodation, including emergency.
accommodation.
• Maintain and improve the collection and use of data about the rough sleeping
population.
The service covers the London Broughs of Bromley, Bexley, and Greenwich. The RAMHP team is initially funded by the GLA and is currently undergoing an evaluation. This requires close working with the GLA Commissioners and Imperial College Health Partners to establish monitoring, measuring performance outcomes and output data and evaluation criteria.
KEY RESPONSIBILITIES
• Develop and maintain a high standard of practice based on assessment using
psychoeducation, the Recovery Model and supportive clinical management.
• To liaise and establish good working relationships with partner agencies, colleagues in non-profit sector services, Primary Care services, Social Services, Community Mental Health Teams, Assertive Outreach, In-Patient services, Criminal Justice, and other agencies as appropriate.
• To have knowledge of a range of therapeutic interventions available to reduce distress for individuals experiencing mental illness/ distress.
• Ability to work autonomously and within MDT setting.
• To work with the multi-disciplinary team in developing plans that offer supportive 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 patient information throughout the multidisciplinary team.
• Ensure compliance with the requirements of Safeguarding Adults and Children’s policies. To ensure that staff have the required knowledge and skills to work within these procedures to support the safety of vulnerable adults and children.
• Recognize the role of advocacy, promote concept of autonomy and self-empowerment, and ensure members of the team comply with this.
• Understand the KPI’s for the Rough Sleeper Mental Health Project and ensure compliance with Trust CQUINs.
• Participate in audits and survey relevant to the team.
• Identify own educational needs ensuring professional updating and development as appropriate.
• Ensure full potential through supervision, appraisals, and performance management.
• Ensure that you are suitably skilled in addressing the physical health needs of service users.
• To participate in development of new policies and procedures as required.
• Ensure that clients receive a culturally competent service.
• To co-ordinate the day-to-day activity and manage the workload of the team in the absence of the senior clinical practitioner.
• To ensure the legal requirements of the Mental Health Act (1983) and subsequent amendments and the Mental Capacity Act (2005) are adhered to.
• To establish and maintain good relationships with service users, carers and voluntary sector colleagues.
• To provide best evidence practice to service users which complies with legislation, policies and procedures and relevant quality, governance, and local and national guidelines.
• Ensuring that the local demographics are taken into consideration for service provision and improvement.
• To represent the team positively both internally and externally to the Trust. Main Duties
• To carry out the initial assessments of service users who meet the criteria for the Rough Sleepers Mental Health Project.
• To evaluate effectiveness whilst working within the framework of Risk Assessment.
• To assess, plan, set goals with the service user; implement and evaluate care using psycho-social interventions and skills to meet individual needs.
• To actively support the person in self-management of their symptoms through the formation of their care plan.
• Liaise with other services and undertake referrals to other services.
• To respond to emergency referrals within a timely fashion and to agree protocols and targets.
• To develop and implement appropriate Health Promotion strategies.
• 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, NMC and HCPC policies.
• To respond in an appropriate manner to emotional distress resulting from mental ill health and social deprivation.
• To attempt to de-escalate potentially dangerous situations and to be supportive to colleagues in promoting and maintaining a safe and healthy working environment.
• Manage distressing and challenging situations in a sensitive and non-threatening way to reduce anxieties and promote effective resolutions.
• Demonstrate appropriate emotional self-regulation and always maintain professional boundaries.
This advert closes on Friday 8 Nov 2024