Care Coordinator - South Oxfordshire Adult Mental Health Team

JOB DESCRIPTION

Oxford Health is committed to safeguarding and promoting the welfare of children,

young people and vulnerable adults and expects all staff and volunteers to share this

commitment.

Job Title: Care Coordinator (CPN/ OT)

Band: 6

Responsible to: AMHT Team Manager

Responsible for: Any supervisees

Accountable to: Service Manager

Place of work: Wallingford Community Hospital, Abingdon Mental Health Centre

or Ridgeway, Didcot

Hours: As per contract

Author:

Creation Date: May 2019

Last Updated: May 2019

Document Ref: Band 6 Care Coordinator

Version: 1

JOB PURPOSE

The post holder will work within the Adult Mental Health Team (AMHT) providing a high quality service

across all areas of the Adult Mental Health Service. To undertake all aspects of clinical duties as an

autonomous practitioner. To work within your professional scope of practice.

DUTIES AND RESPONSIBILITIES

Main Tasks:

1. To work independently as part of an interdisciplinary team to diagnose, assess, plan

and implement patient specific programmes of care/interventions, contributing to the

continuous assessment of patients.

2. To undertake more complex assessments, using your profession specific clinical

knowledge and skills.

3. To function effectively across a variety of environments (e.g. ward, department,

patients homes etc.) involving changing and demanding conditions

4. To use a comprehensive range of verbal and non-verbal communication tools to

communicate effectively with patients, and their families/carers, the diagnosis and

treatment plan, that may be complex and sensitive, to help progress rehabilitation.

This will include patients who may have difficulties with understanding or

communication.

5. To evaluate patient progress and alter treatment programmes as and when

appropriate.

6. To involve patients in goals and treatment proposals. To gain valid informed

consent. To work within the legal framework with patients who lack capacity for

informed consent or are subject to the Mental Health Act.

7. To be responsible for own time management and the prioritisation of your caseload.

8. To supervise the practice of designated registered and non-registered staff within the

AMHT.

9. To delegate appropriate duties to junior registered and support staff and follow up

outcomes.

10. To develop comprehensive discharge and contingency plans with relevant

professionals to arrange on-going care.

11. To attend clinical meetings, liaise closely both verbally and in writing with the

multidisciplinary team, patient and carers across boundaries to ensure continuity and

integration of patient’s treatment

12. To lead the clinical education and support of:

 Other members of the AMHT and the wider Community Service

 Non-registered staff

 Patients and their carers

 Students

13. To manage clinical risk within own patient caseload and the wider AMHT.

14. To be able to manage stressful, upsetting or emotional situations in an empathetic

manner supporting other members of the AMHT, clients and their families in these

situations.

15. To develop partnership working with all relevant agencies/services/individuals to

support optimum management of the identified client group

16. To be use the Care Programme Approach as basis for assessing, planning delivering,

reviewing care and discharging patients form the service and to act as care

coordinator.

17. Using care clustering packages to inform and develop plans of care.

18. To be responsible for maintaining own competency to practice through CPD activities

and maintain a portfolio which reflects personal development. This will also support

requirements for registrations with the Health Profession Council/NMB/GSCC.

Other Responsibilities:

1. To ensure confidentiality and security of patient data is maintained at all times in

compliance with the Data Protection Act.

2. To ensure confidentiality of staff, patients and carers is maintained in line with Trust

policy.

3. To ensure all electronic records are updated and complete within the standard for the

Trust (e.g. 24 hours for progress notes)

4. To attend appropriate mandatory training courses in line with requirements of the

role, Health and Safety Regulations and as part of personal development, e.g.

systems training, fire awareness training, appraisals.

To carry out any other duties as requested by the Team Manager/Community Lead to ensure

the quality of service provided by the team.

Contract of Employment

The AMHTs operate from 07:00-21:00, 7 days a week. Post holders working within the

AMHTs will be expected to work flexible hours to cover the shift patterns (7am – 3pm, 9am –

5pm and 1pm – 9pm)

Staff working in AMHTs may be required to work flexibly between all aspects of the AMHT in

order to meet the needs of the service.

Working Relationships:

Working relationships will be maintained with:

 Local Adult Mental Health Teams and Inpatient Services

 Departments within the Trust

 Other working partners including GP’s, CCG’s, Health and Social Care Services, Voluntary

Organisations and Patient and Carer Representatives.

CODE OF CONDUCT

All staff are required to work in accordance with their professional group’s code of conduct (e.g.

NMC, GMC, DoH Code of Conduct for Senior Managers).

This job description is intended as a basic guide to the scope and responsibilities of the post and is

not exhaustive. It will be subject to regular review and amendment as necessary in consultation

with the post holder.

In addition to undertaking the duties as outlined above, the post-holder will be expected to fully

adhere to the following:

Personal Development

 To actively participate in an annual performance review (appraisal) and the development

and implementation of a personal development plan.

 To take responsibility for their own professional development ensuring professional

standards are maintained and statutory and mandatory training is in date.

 To attend any training as requested.

Code of Conduct

 To adhere to the Professional Code of Conduct relating to your profession (if applicable).

 To uphold the principles and values set out in the NHS Code of Conduct for Managers.

 To support the organisation in developing an effective work/life balance for employees that

meets the needs of the organisation.

 To ensure that the health and wellbeing of patients is at the centre of all activities and that

all staff engage and communicate with patients as appropriate.

 To always promote quality and safety of patients, visitors and staff thus enabling the Trust

to meet its regulation requirements (Care Quality Commission Registration – Regulations

and Outcomes) that relate most directly to patients and also strive for continuous quality

improvement.

Equal Opportunities/Diversity

 To observe Oxford Health NHS Foundation Trust’s Equal Opportunities Policy providing

equality of treatment and opportunity to employees, service users and service providers

irrespective of sex, sexuality, age, marital status, ethnic origin or disability.

Health & Safety

 To take responsibility for the health & safety of themselves and other persons who may be

affected by their omissions or actions at work.

 To promote the Trust’s Health and Safety Policy and ensure matters are managed in

accordance with it.

 To co-operate with the Trust to ensure that statutory and departmental regulations are

adhered to.

 Report accidents, incidents and near misses, implementing corrective action where

necessary.

Infection Control

 To comply with Trust policies for infection control and hand hygiene such as hand hygiene,

decontamination Policy, uniform and workwear code and standard precautions Policy to

reduce the spread of healthcare-associated infections (HCAIs).

 Employees with clinical responsibilities must incorporate into their clinical activities up to

date evidence that supports safe infection control practices and procedures, such as the use

of aseptic techniques and the safe disposal of sharps.

Confidentiality and Data Security

 To comply fully with the duties and responsibilities outlined the Trust’s Information

Governance Policy.

 To comply with the Data Protection Act 1998, NHS Confidentiality guidelines (e.g. Caldicott,

GMC) and any code of practice on Confidentiality and Data Protection as accepted by the

Trust. Departmental codes of practice and procedures for confidentiality are available from

the head of department.

 To ensure that all information collected, stored and used is done so in compliance with the

above Act and any relevant Trust Policy.

 To preserve the confidentiality of any information regarding patients, staff records in your

area (in connection with their employment) and the Trust business. This obligation shall

continue in perpetuity.

 To raise any matters of concern with your Manager/Director

Safeguarding

 To recognise that promoting the welfare and safeguarding children, young people and

adults is everyone’s business and access training and supervision as appropriate to the role.

 To support the organisation in ensuring service users are protected from abuse or the risk

of abuse and their human rights are respected and upheld.

 To ensure concerns are responded to appropriately in line with the Trust’s Safeguarding

Adults Policy and the Child Protection Policy and interagency safeguarding procedures.

 To comply with recruitment and other checks as requested by the organisation including

undertaking an Enhanced Disclosure via the Criminal Records Bureau.

Other

 To be aware of and work in line with all Trust policies and procedures.

 To carry out any other tasks as reasonably directed.

PERSON SPECIFICATION

Band 6 Care Coordinator

Specification Essential Desirable

Education and Training  Professional Qualification

(Degree or equivalent)

 Professional Registration

 Evidence of Continuing

Professional

Development (CPD)

portfolio

 Post graduate

education specifically

relating to client

group (Post basic

qualification in

community care/

research awareness/

management)

Occupational Experience  To have highly extensive

experience which should

include community and

working with mental

 To have a good

knowledge of

community services

 Community work with

health.

 To have experience of

working within a

multidisciplinary team

 To have a good

knowledge and interest

in community care and

have specific clinical

expertise in mental

health

 To understand and have

experience of Risk

Management

 To have a good

understanding of Clinical

Governance

 To understand the legal

responsibilities of the

profession

 To have an

understanding of AMHTs

and interdisciplinary

working

 To have experience of

supervising other staff

 To be able to carry out

moderate to intense

physical effort

throughout the working

day and carry out

concurrent activities

people with mental

health needs.

 To have awareness of

National and local

issues concerning

mental health

 To have experience of

audit

 To have experience of

supervising student

placements.

Skills required – IT / Admin  To be IT literate

 To have excellent English

verbal and written

communication skills

 To be able to prioritise

effectively

 To show evidence of

sound problem solving

skills

 To be able to work

collaboratively as part of

a team

Personal Qualities  To be able to manage in

a stressful working

environment and with

emotional or aggressive

patients/or carers

 Adaptable and flexible

 Able to use own initiative

when appropriate

 Keen to learn

 Team player

 Reliable

 Able to challenge and be

challenged

 Able to build rapport

Other Requirements  To comprehend and

work within the Trust

policies of data

protection, equal

opportunities, Health &

Safety and to meet the

diverse needs of patients

 Able to travel to

undertake work and have

the capacity to carry

equipment relative to

your post

 Able to comply with

Manual Handling policies

and guide lines

 Car driver with car

available for work

May 2019

Appendix 1

Profession Specific Skills

All of these professions should be competent in delivering a range of psycho-social

intervention skills.

Occupational Therapy

1. Building a collaborative relationship with the patient that will promote reflection,

autonomy and engagement in the therapeutic process

2. Applying O.T. models of practice/frameworks to clinical practice and using profession

specific assessment tools and outcome measures (e.g. Model of Human Occupation)

3. Utilising expert knowledge of the impact of mental/physical health dysfunction on

occupational performance

4. Enabling problem solving and engagement in the intervention areas of personal care,

vocation, leisure and general productivity to achieve and maintain balance in activities of

daily living

5. Utilising expert knowledge and skills in using activity as a therapeutic tool

6. Applying expertise in the delivery of group work interventions

7. Demonstrating the application of physical health knowledge to mental health practice

(e.g. minor assessment of environments and adaptive equipment)

Mental Health Nursing

1. Physical Health Skills – Knowledge of common physical health conditions and their

management, and an ability to monitor physical health conditions and wellbeing

2. Extensive knowledge of medications and their effects, including side effects and the

management of side effects.

3. Psycho-educational family approaches

4. Work with patients who exhibit negative symptoms such as low motivation.

5. Assisting patients to meet their activities of daily living and helping them to attain

their optimum level of functioning.

6. Champion Bio-Psychosocial approaches to care