Assertive Outreach (Community Psychiatric Nurse)

Clinical Responsibilities Complete and update care plans, risk assessments, and safety plans in line with Trust policy. Conduct frequent dynamic risk assessments and escalate concerns promptly. Lead on transition planning back to routine CMHH care. Ensure timely documentation of all contact attempts, outcomes, and risk assessments. Work collaboratively with the CMHH Care Coordinator where this is a separate role. Deliver meaningful intervention Use therapeutic engagement to support patients to engage. Supervision of band 4 support staff To hold case load of 10-15 patients. Holistic Support & MultiAgency Working Address mental health, physical health, housing, finances, substance use, and social needs. Liaise with drug and alcohol services, social care, housing teams, and voluntary sector partners. Support individuals to access practical help such as housing applications, benefits, and community resources. Involve families and carers (with consent) to strengthen support networks. InReach to Inpatient Wards Provide continuity of care during hospital admissions. Attend inpatient wards to maintain engagement and support discharge planning. Ensure safe and coordinated transition back to community services. MDT Working & Communication Participate in daily zoning/MDT meetings and AO huddles. Share updates, escalate concerns, and contribute to joint care planning. Maintain strong links with crisis services, inpatient teams, and external agencies. Promote reflective practice and collaborative working within the team.