Care Coordinator

1) To provide specialist nursing input for adults with a diagnosis of a learning disability (LD) and/or Autism (ASD)who also experience additional mental illness, co-morbid neurodevelopmental conditions, or behaviours whichchallenge and who have had contact with forensic services. This will include assessment, including risk, planningand implementing care and interventions and evaluating in conjunction with the service user, the carer, MDT andother agencies2) Provide specialist knowledge on forensic mental health across all SLaM boroughs through active follow up of adefined caseload as well as providing expert advice and consultation e.g. CMHT's, Community LD teams,Community Forensic mental health teams, courts, police liaison meetings, probation and mental health hostels.3) To liaise with, advise and support carers, community based mental health workers, inpatient services, supportworkers and primary healthcare team members. To liaise effectively with all concerned parties including GPsabout CPAs, management, possible risks and contingency strategies for service users4) To work effectively within a multi-disciplinary context whilst maintaining the unique perspective and contributionof mental health and learning disability nursing5) Ensure that all service users have documented service/care plans which are reviewed and evaluated on aregular basis and that service users have copies of their care plans6) Manage a caseload of enhanced CPA clients acting as a care co-ordinator. Attending clinical meetings, CPNmeetings, referral meetings, professional meetings as appropriate to the service user7) To mentor allocated RMN/RNLD student nurses and joint practitioner students. To participate in the induction ofnew team members8) To maintain accurate user documentation, establishing priorities, organising time and resources to ensure safeand effective standards to monitor/document care9) To actively participate in the setting, monitoring and maintenance of evidence based nursing practice andstandards of care, through nursing research and clinical audits10) Through regular appraisal and supervision, review, maintain and promote your own professional development.Undertake regular supervision of own case load with team leader or other identified professional and ensure thisis accurately recorded11) To act as an accountable professional in line with the NMC code of Professional Conduct and with relevantlegislation

Clinical Care

1) To manage a defined caseload of complex and challenging clients who present as high risk and will havedemonstrated this through the nature and gravity of their offending.2) Demonstrate effective and innovative advanced communication skills with people with a learning disabilityand/or ASD and their family and/or carers3) Provide care co-ordination and joint working for a designated caseload of community clients who havecommitted serious offences and may be subject to formal statutory supervision e.g. conditionally discharged bythe Home Office4) Develop and implement evidence based interventions in the management of patients in the community includingacting in the capacity as social supervisor and care co-ordinator.Interviewer information pack5) Employ a person-centred approach to communication providing Easy Read or alternative formats, whereappropriate, to promote understanding and ability for the person to make an informed choice about their care6) Encounter distressing accounts of offending behaviour whilst undertaking assessments as well as in the courseof your day to day duties e.g. extreme violence or of serious sexual assault7) To participate in the assessment and screening of mentally disordered offenders at the Magistrates' Court and toprovide a range of interventions and where necessary provide oral evidence8) Provide monitoring of out of area placements ensuring attendance at CPA's which may involve travellingnationally and providing written reports to the Borough Forensic Meetings9) To provide specialist input and advice to forensic mental hostels within 4 SLaM Boroughs10) Occasional/frequent exposure to distressing, volatile and unpredictable situations e.g. verbal and challengingbehaviour.11) Demonstrate cultural awareness and sensitivity to all people, with consideration of and attending to equality anddiversity, when meeting the population health needs and leading on the promotion of health equalities.12) Demonstrate an understanding of and an ability to critically reflect upon the potential impact of unconscious biason clinical interventions and be cognisant of health inequalities experienced by people with a learning disability .13) Promote the mental health and well-being of people with a learning disability in conjunction with mental healthprofessionals and General Practitioners14) To identifying needs, mental capacity and ensuring identifiable safeguarding issues are actioned and processesimplemented.15) Develop innovative strategies for effective co-production with people with a learning disability learning disabilityand/or ASD, their families, and carers. To understand and engage in positive behaviour support (PBS) strategiesto support care and improve quality of life.16) Be cognisant of the processes of incident reporting, incident reviews and learning from deaths - LearningDisabilities Mortality Review (LeDeR) NHSE/I 2019 which now includes reviewing the deaths of autistic adults.17) Work collaboratively with multi professional agencies, to ensure access to healthcare meets the individuals health and wellbeing needs across the life span, including sexual health, long termco-morbidities and end of life care.18) Provide support to other professionals to ensure a consistent and seamless health care approach across healthand social care sectors for all individuals.19) Ensure that capacity and best interest decisions involve the person with the learning disability in a way that theycan express their views and understand the decision to be made.20) Monitor the risk of a potential crisis for people with a learning disability and/or ASD. Initiate and augmentinterventions; support and collaborate with all appropriate agencies to reduce the risk of harm and unplannedadmission to hospital.21) To maintain confidentiality in accordance with the agreed policies, procedures and protocols of the SouthLondon and Maudsley Hospital NHS Foundation Trust.22) Actively promote the healthcare needs of people with a learning disability and/or ASD in line with therequirements set out in Valuing People Now, the NHS Improvement Standards for learning disability, Autism Actand the NHS Long Term Plan.23) To facilitate access to mainstream health services where appropriate and using tools such as Hospital Passportsand individual health action plans.24) Facilitate and enable people with a learning disability and/or ASD to have a better understanding of their healthneeds, through co-production of appropriate strategies to support them and their carers/families to develop theirown skills to manage their individual mental or physical health needs

Clinical Governance

1) All staff are responsible for identifying areas within their service, which do not meet clinical governance qualitystandards2) All staff are expected to participate in clinical governance actions to achieve clinical governance within theirservice3) All clinicians are expected to participate in Care Improvement System, including clinical audit programmes.

Service Developments

1) Attend all team meetings and carry out all principal duties of the team in accordance with the teamsoperational policy2) Develop supportive working relationships with other service providers.3) Provide specialist clinical advice to all members of the FIND, to ensure the highest standards of clientcare are maintainedInterviewer information pack4) Support primary and secondary health care services to meet the needs of people with a learningdisability and/or ASD5) Keep up to date with current trends in learning disability and mental health nursing and the impact ofcurrent health and social care community legislationEducation & training of others1) Participate in the teaching and supervision of students on placement within the team. Act as a mentor tostudent nurses; be familiar with their educational needs and requirements of their current practice2) Participate in and educational role to nursing and non-nursing disciplines.3) Maintain and develop expertise in caring for people with learning disabilities, by regularly updating onesown knowledge by reading relevant books, journals and so forth, by attending relevant conferences andcourses and participating in In-service training when requested or required

Administrative and managerial responsibilities

1) Ensure that all principal duties are carried out in line with the agreed policies, procedures of the SouthLondon and Maudsley Hospital NHS Foundation Trust.2) Ensure effective communication between Forensic Mental Health services, Learning Disability services,General Mental Health services and the Criminal Justice System keeping within agreed protocols oninformation sharing and confidentiality.3) Maintain the welfare and safety of service users and staff with due regard to accident reporting and theHealth and Safety at work Act.4) To provide oral evidence to the Magistrates' courts as required, as part of the psychiatric assessmentservice.5) Participate when necessary in acting up or across in the FIND services. To ensure that arrangement ismade with the FIND Team lead to cover caseload during periods of absence or leave.6) Assist the FIND team lead/FIND colleagues in all aspects of community nursing.