COMMUNITY SUPPORT WORKER, BAND 3, PERTH & KINROSS MENTAL HEALTH TEAMS. Information Pack. Job Reference: D/LR/248/17. Closing date: 27 APRIL 2018

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1 COMMUNITY SUPPORT WORKER, BAND 3, PERTH & KINROSS MENTAL HEALTH TEAMS Information Pack Job Reference: D/LR/248/17 Closing date: 27 APRIL 2018

2 NHS TAYSIDE VISION, AIM AND VALUE Our Vision Our Aim and Values To find out more about NHS Tayside visit our website at:

3 About NHS Tayside NHS Tayside is responsible for delivering healthcare to more than 400,000 people living in Tayside. We employ around 14,000 staff and provide a comprehensive range of primary, community-based and acute hospital services for the populations of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa 825 million of public money which works out at around 2.3 million spent by NHS Tayside for every day of the year. Tayside area

4 Within NHS Tayside and based on the western edge of Dundee, Ninewells Hospital is one of the largest teaching hospitals in Europe. It is internationally renowned for introducing laparoscopic surgery to the UK as well as being a leading centre in developing fields such as the management of cancer, medical genetics, cardiovascular disease, diabetes, informatics, neuroscience and imaging. Our hospital sites across Tayside also have nursing and research links with the University of Dundee and University of Abertay, Dundee. In Tayside, we have 80,000 admissions every year and there are another 17,000 'same' day procedures. We also run 280,000 outpatient clinic sessions annually. In addition, at the heart of health services in our communities are our GP and primary care services which are there supporting our patients and their families where they live and work. The science of improvement NHS Tayside has been at the forefront of patient safety and the science of improvement. Our aim is to be the best at getting better. We were the first site in Scotland, and one of only four in the UK, to be a pilot site for The Health Foundation's Safer Patient Initiative. The significant successes of this project have embedded a pioneering Tayside-wide approach to patient safety and improvement. Academic Health Science Partnership in Tayside (AHSP) NHS Tayside has embarked on a major collaborative initiative, Academic Health Science Partnership in Tayside (AHSP). It is the first Academic Health Science Network in Scotland with an ambition to transform healthcare locally and globally at the time when it faces many difficult challenges. Building upon the success of previous University of Dundee and NHS Tayside collaborations, AHSP is bringing together the delivery of healthcare services, education, quality improvement and research with the purpose of improving the health of patients through more effective integration of these functions in routine practice.

5 LIVING IN TAYSIDE Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland s longest river, Tayside is an innovative and exciting place to begin or expand your career. Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquility and scenery of neighbouring towns and villages within reach of the region s cities of Dundee and Perth. Find out more about living and working in Tayside at:

6 Education in Tayside In Tayside there are a host of schools, both public and private and excellent colleges and universities making Tayside a family friendly location. Housing in Tayside Whether you want to live in the rural countryside or one of Tayside s vibrant cities or towns, you ll have a variety of housing choices, many below the national average house price. For more information about housing in Tayside, visit the Tayside Solicitors Property Centre and/or Perthshire Solicitors Property Centre websites: Getting around There are excellent connections to and within the region. It only takes approximately 30 minutes to drive between Dundee and Perth and just over an hour between Dundee and Edinburgh, Aberdeen and Glasgow. Travelling and commuting within Tayside is easy by road, bus or train. Dundee s regional airport offers daily flights to London Stansted in addition to private and leisure flights. The international airports at Edinburgh, Glasgow and Aberdeen will ensure you are connected from Scotland to the rest of the world. Enter job description here.

7 1. JOB IDENTIFICATION Job Title Community Support Worker (Mental Health) Department(s)/Locati P & K Community Mental Health Teams on Number of Job 3 Holders 2. JOB PURPOSE As part of a multidisciplinary team the post holder will work with registered nurses to plan and deliver a flexible patient centred programme of therapeutic activities for individuals/groups of patients. This may occur within the patient s own environment or in a wide range of community settings. To undertake clinical procedures to service users with severe and /or enduring mental health problems under the direction of a registered nurse. 3. ORGANISATIONAL POSITION 4. SCOPE AND RANGE SENIOR CHARGE NURSE CHARGE NURSE COMMUNITY MENTAL HEALTH NURSE THIS POST The post holder will work as part of the Community Mental Health Nursing Team contributing to patient care as delegated by senior staff. The Nursing Team are a key component of the Perth and Kinross adult multidisciplinary Community Mental Health Teams delivering interventions to people experiencing moderate to severe mental health problems. The post holder will deliver a structured programme of activity aimed to promote recovery. The post holder will utilise specific skills e.g. cooking, group work, sports, to ensure the effective delivery of all therapeutic treatment. Patients may be informal or being offered treatment within the parameters of the Mental Health Act. The post holder will undertake clinical procedures as directed by a registered nurse for service users of a Community Mental Health Team. 5. MAIN DUTIES/RESPONSIBILITIES Induction Standards & Code of Conduct Your performance must comply with the national Mandatory Induction Standards for Healthcare Support Workers 2009 and with the Code of Conduct for Healthcare Support Workers. Under the direct or indirect supervision of a registered nurse: 7 of 18

8 To contribute to the assessment of service users needs and problems and to the development, monitoring and evaluation of treatment plans with the support and supervision of a registered nurse. To provide support and care for people with severe and/or enduring mental health problems in their homes and in the wider community. To work with and encourage service users to engage in day treatments and activity opportunities identified as part of a plan of care. To advise service users and carers as to how to access appropriate information, advice and emotional support. To enable service users to maintain social contact and avoid isolation. To Lone Work in the community setting for most or all of the day. To assist, encourage and empower service users to achieve an agreed level of functioning in relation to activities of daily living. To participate in and facilitate group work activities as specified in a plan of care. To be involved with the discharge and the discharge planning of persons about to leave hospital and engage with the community psychiatric services. Co-operate with and maintain good relationships with key workers, professionally trained staff, and external agencies involved in supporting service users and under the direct or indirect supervision of a registered nurse to make referrals to other agencies. To contribute to the ongoing monitoring of care plans by keeping appropriate records as directed and supervised by registered nursing staff. To contribute to patient reviews and Care Programme Approach discussions. Maintain good relationships and an empathic approach to service users, carers and relatives and refer them to a registered nurse for any questions they may have on a service user s condition or for any suggestions or complaints that they wish to raise. Report to a registered nurse any observed changes in a service user s ongoing physical/psychological needs and participate in maintaining accurate and up-to-date records in relation to such observations as directed and supervised by a registered nurse. To provide information as required that is needed for the monitoring and evaluation of the service, including that required under the Clinical Governance agenda. To work within NHS Tayside policies and procedures to ensure maintenance of safe working practices for patients and colleagues. Adhere to the procedures for the use of supplies and equipment in order to promote the effective and efficient use of resources. Participate in personal/career development planning to maintain skills and personally develop in order to maximise service delivery in an annual review of performance. 8 of 18

9 To be aware of health and safety issues in relation to the work undertaken. To participate in CMHT team meetings and to develop and maintain positive working relationships with other team members. To participate in the ongoing regular management supervision of the work undertaken. As necessary assist patients to complete benefit and housing applications. With the sanction of the Community Mental Health Team make referrals to other agencies and organisations, which provide a service to people who are experiencing severe and/or enduring mental health problems. Acknowledge the diversity of individuals and be respectful of person s rights, privacy and need for confidentiality. To undertake clinical procedures relating to the monitoring of medications and to participate in training relating to these procedures (e.g. Venepuncture, ECG, Temperature, Pulse, Respiration, and Blood Pressure). 9 of 18

10 6. COMMUNICATIONS AND RELATIONSHIPS May be in receipt of highly sensitive information from some users, other relatives and carers requiring empathy and listening skills. Need to develop positive relationships with service users with severe and complex mental health problems, their relatives and carers even when faced with challenging behaviour. Need to be able to maintain appropriate boundaries in relationships with service users, other relatives and carers so that non-treatment issues do not intrude into the agreed treatment plan. Need to be able to communicate clearly and effectively with service users, carers, relatives, key workers, other members of multidisciplinary teams, external agencies and other health workers Awareness of when information from service users, other relatives and carers, requires communication to key workers, registered nurses and other members of the multidisciplinary team. Use formal supervision with registered nurses to communicate any issues relating to involvement in treatment plans and arising out of relationships with service users, their relatives or carers. Be aware of the need to respect service users and staff in confidentiality. Be able to provide clear written reports regarding any involvement with service users, other relatives or carers. Contribute to induction of new staff and clinical placements of students. 7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Previous experience of working in the field of mental health. Ability to work alone in the community setting under indirect supervision of a registered nurse. Ability to develop and maintain relationships with people with severe and enduring mental health problems and associated complex needs. Ability to contribute to, and work as part of, a multidisciplinary team. A comprehensive induction period of six weeks for persons new to post. Compulsory training as required by NHS Tayside, including CPR Training, De-escalation and Breakaway, Mental Health Act Awareness Training, Moving & Handling, Infection Control, Fire Risk Awareness. Be involved in any essential training for CMHT staff. Effective written and verbal communication skills. Ability to carry out assigned tasks on a lone worker basis. Knowledge of community mental health issues, diagnosis and treatments. 10 of 18

11 Awareness and knowledge of risk management issues relating to working in the community with persons suffering from severe and enduring mental health problems. Knowledge of other agencies and organisations and the ability to liaise and network with these agencies on a frequent basis. Knowledge and ability to be able to undertake clinical procedures proficiently (Venepuncture, ECG, Temperature, Pulse, Respiration and Blood Pressure and consolidated experiential learning). NHS Tayside s Clinical Skills Training in Venepuncture, 12 Lead ECG, and Vital Signs Recording. Mandatory compliance with the Induction Standards and the Code of Conduct of Healthcare Support Workers. 8. SYSTEMS AND EQUIPMENT Equipment to take bloods Sphygmometer and cuff ECG equipment Urinalysis Equipment Thermometer Weighing Scales Maintenance of patient records/returns Lone worker I.T.- Internet, , A.I.M., Single shared assessment Being able to travel from one area to another within community using own transport or public transport De-escalation and breakaway techniques C.P.R. Fire safety Infection control Risk management alarm system at CMHT bases RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act This includes messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment. 9. PHYSICAL DEMANDS OF THE JOB Physical skills Keyboard skills Travel in all weather conditions Physical demands Accompanying and participating with patients in recreational and sports activities, e.g. gym, swimming, etc. Travel in all weather conditions. Walking for majority of working day. Hand eye coordination required for phlebotomy and clinical observation (e.g. Venepuncture, 12 Lead ECG, Temperature, Pulse, Respiration and Blood Pressure) 11 of 18

12 Mental demands Listening to service users needs over a period of between one and two hours. Concentration required to see several service users in one day all with different needs. Responding to non-predictable crisis situations. Concentration on writing records of patient contact. Emotional demands Communicating with people suffering from serious and enduring mental health problems. Communicating with highly distressed and anxious mentally unwell patients and/or their relatives/carers. Accompanying service users to recreational activities and social venues, including those service users in treatment under the Mental Health Act. Having contact with service users/their relatives and carers at time of bad news and/or following contentious treatment decisions. Dealing with service users with severely challenging behaviour. At times subjected to highly sensitive information about service user s history and problems, e.g. disclosure of sexual abuse. Dealing with group dynamics when accompanying groups of service users to recreational, sporting activities and/or social venues. Supporting colleagues emotionally in relation to the demands of the job. Working Conditions: Exposure to verbal aggression often. Exposure to physically aggressive behaviour owing to the nature of the client group. Exposure to all weather conditions on a frequent basis. Exposure to clients living conditions (e.g. fleas, dirt). Exposure to hazard of passive smoking in clients own homes. Regular exposure to high-risk locations to fulfil treatment plans Regular exposure to high risk bodily fluids (e.g. service user with HIV or Hepatitis requiring blood sample to be taken) 10. DECISIONS AND JUDGEMENTS Make decisions on a daily basis regarding involvement with service users, their relatives and carers, acknowledging the limits of the non-registered role and its responsibilities. Make decisions on a daily basis as to what information from and about service users, their relatives and carers, requires communication to key workers, registered nurses and other members of the multidisciplinary team. As a member of a multidisciplinary community mental health team contribute to the decision-making process with regard to patient care. Report to the appropriate registered nurse any observed non-compliance with NHS Scotland, NHS Tayside and local policies and procedures. Whilst undertaking clinical observations make judgements on reporting any abnormalities/concerns to a registered nurse. 12 of 18

13 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Working with patients with severe and enduring mental health problems who have highly complex problems, can present with challenging behaviour and having to deal with crisis situations or situations requiring assertive engagement. Working alone with patients whose clinical presentation can change between visits. Physical demands of undertaking activities with patients. More frequent and longer contact with patients can raise issues in relation to emotional dependence and boundaries that are difficult to negotiate Time management and prioritisation of workload Making decisions as to what information provided by service users, their relatives and carers, requires communication to others in the multi-disciplinary team. To act as a member of the Community Mental Health Nursing Team undertaking clinical procedures relating to the monitoring of medications (e.g. Venepuncture, ECG, Temperature, Pulse, Respiration, and Blood Pressure) for service users who have complex and challenging behaviours. 13 of 18

14 Person Specification POST REF NO: D/LR/248/17 JOB TITLE/BAND: Community Support Worker Band 3 LOCATION: Perth & Kinross Community Mental Health Teams HOURS: 37.5 CRITERIA ESSENTIAL DESIRABLE METHOD OF EVALUATION EXPERIENCE: Previous experience of working in a health or social care setting. Experience of working within a Mental Health setting. Application Form Understanding of Mental Health issues. Commitment to ongoing training and engaging in supervision. Understanding of the principles of community mental health. Statement of Support Interview References QUALIFICATIONS: (Training; Research; Publications) Good level of literacy and numeracy. Commitment to working with information technology. Relevant SVQ III. Qualification in Health or Care related field. Application Form Interview Willingness to undertake learning and development relevant to the role. KNOWLEDGE & SKILLS: Diversity of interests. Commitment to develop specialist skills in providing a range of activities (group work, cooking, accessing community resources, arts and crafts, horticulture, IT, music, woodwork, adult education, metalwork, DIY). Evidence of specialist skills in one or more of the following (group work, cooking, arts and crafts, horticulture, IT, music, woodwork, adult education, metalwork, DIY) Previous experience of working in or running group activities. Application Form Statement of Support Interview PERSONAL QUALITIES: Communicate effectively. Calm under pressure. Willingness to work flexibly and be adaptable. Ability to work as part of a team. Application Form Statement of Support Interview 14 of 18

15 OTHER: (eg travel across Tayside) Travel throughout the locality. Understanding of health, safety and risk awareness. Application Form Statement of Support Ability to work flexible work pattern 15 of 18

16 General Information POST REF NO: D/LR/248/17 JOB TITLE/GRADE: COMMUNITY SUPPORT WORKER BAND 3 LOCATION: PERTH AND KINROSS COMMUNITY MENTAL HEALTH TEAMS Conditions of Service Remuneration The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is 17,760 to 20,727 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer. Hours of Duty The hours of the post are 37.5 hours per week, Monday to Friday 9am- 5pm The contracted weekly hours may be worked over any reference period, e.g. 150 hours (pro rata for part time staff) over four weeks or annualised hours, with due regard for compliance with employment legislation, such as the Working Time Regulations. Start and finish times will be determined by the needs of the service. Superannuation New employees are automatically enrolled into the NHS (Scotland) Superannuation Scheme, but may opt out later should they choose. The pension scheme is provided by Scottish Public Pensions Agency. All benefits are explained on the SPPA website Employee contribution rates with effect from 1 April 2018 are as follows: Annual Pensionable Pay Contribution (Full-time equivalent) Up to 16, % 16,929 to 22, % 22,440 to 27, % 27,911 to 51, % 51,482 to 73, % 73,499 to 114, % 114,761 and above 14.7% Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits currently around 14% of basic pay. 16 of 18

17 Annual Leave On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year References Occupational Health Clearance Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year All offers of appointment are subject to receipt of two satisfactory references. All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by Occupational Health (OH). The Rehabilitation of Offenders Act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as spent after the lapse of a specified period of time. The period of time depends upon the sentence imposed. However, some criminal convictions can never be regarded as spent. These convictions are for serious crimes and must always be disclosed. Further guidance on the offences included in the list can be found at: https://www.mygov.scot/offences-always-disclosed/ Any information you do disclose will be treated confidentially and only shared with those who need to know. Disclosure Scotland Having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. If you are appointed and it is found you did not disclose previous conviction(s), which you were legally obliged to disclose, then disciplinary action up to and including dismissal may be taken. The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children. A PVG certificate contains all unspent and certain spent conviction information. It also contains any other non-conviction information that the police or other government bodies think is relevant. Disclosure Scotland continually monitor PVG scheme members' records for vetting information including criminal convictions that may affect their suitability to work with vulnerable groups. 17 of 18

18 Immigration, Asylum and Nationality Act 2006 Professional Registration/ Induction Standards Code of Conduct Smoking Policy Fair Processing Notice Applications It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents. New entrants to NHS Tayside will be required to achieve the mandatory Induction Standards for Healthcare Support Workers (HCSWs) in Scotland and comply with the Code of Conduct for HCSWs throughout your employment. Internal candidates will be required to comply with the Code of Conduct for HCSWs NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds. NHS Tayside is under a duty to protect the public funds it administers, and to this end may use the information you provide on your Application Form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information see: e/index.htm or contact Completed forms should be returned to: quoting the job reference in the subject line or HR & OD Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9SY By closing date of Friday 27 April 2018 Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage. All completed applications are held in HR & OD Directorate until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be ed to invite them to attend for interview. It is important that you check your s regularly, including your junk/spam folder. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from HR & OD Directorate. Thank you for your interest in working for NHS Tayside. 18 of 18

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