Eating Disorders Clinical Nurse Specialist

The post holder will provide high quality and effective support to the multi-disciplinary professional team in the implementation of care, support and treatment to patients referred to the Adult Community Eating Disorders Team (CEDS) in Bedfordshire and Luton. They will work closely with the team Psychiatrist, Specialist Interest General Practitioner and to offer medical monitoring and intensive support to service users with severe and complex eating disorders in the community, which includes physical examination, investigation, ECG, phlebotomy skills. Working closely with the team therapists and dietitians, they will also provide support to service users to engage in intensive treatment support to prevent admission to hospital where clinically appropriate; support with effective transitions for service users; and meal planning, delivered in a sensitive and motivational manner. This would be carried out in the outpatient's clinics and home environments., 1. Facilitate Medical Monitoring clinics to monitor the physical health of service users referred to and being supported by the service
2. Undertake assessments of routine and urgent cases referred to the Community Eating Disorders Service
3. Develop collaborative care plans in collaboration with service users, carers and other professionals and services involved in a person's care
4. Deliver physical and mental health interventions to support the recovery and care of people using the services
5. Undertake monitoring and review of physical and mental health needs and risks, and ensure safe management and referral of people presenting with escalating risks
6. Support the safe engagement of service users with virtual intensive treatments
7. Support with transitions as per Eating Disorders Transitions Standards
8. Promote awareness, understanding and the safe and effective support of the needs of people with disordered eating, · As a member of the multidisciplinary team, contribute to the safe and effective care of patients referred to the eating disorders service
· Provide comprehensive assessment, formulation, care planning, treatment and review of care in line with the relevant clinical guidelines and Trust policies.
· Conduct risk assessment of the individual and of the potential hazards in the service users environment, and develop risk management plans in collaboration with service users, carers and other professionals and agencies involved in the person's care.
· Attend multi-disciplinary meetings and contribute actively to team review and support of service users with eating disorders.
· Conduct and oversee physical health care checks and act upon the findings
· Act as a key worker for allocated cases as required
· Offer therapeutic interventions for eating disorders within bounds of competency and training eg psychoeducation, motivational enhancement, person/client centred counselling as part of specialist supportive clinical management and CBT-informed approaches.
· Provide psycho-social intervention, education and support to develop service users understanding of mental illness with aim to prevent relapse and admission.
· Undertake, supervise and sign-off nursing needs assessments
· Be competent in use of relevant screening and assessment tools and supervise lower banded staff to undertake this function.
Administration
+ Maintain clear records of all client work carried out in Trust client case notes. Maintain high standards of clinical record keeping including electronic data entry and recording and report writing and responsible exercise of professional self-governance in accordance with professional codes of conduct and practice and Trust policies and procedures.
+ Maintain a high level of written and verbal communication with multidisciplinary colleagues, GPs, service users, carers.
+ Use all Trust information systems as required and in a timely manner to enter patient data, activity data, and incident reporting.
+ Use using email and diaries, and any other systems in compliance with NHS information governance and local Trust requirements

Management &
Human Resources
· Participate in the recruitment process for clinical staff as required
· Work closely with the Operational Manager and Clinical Lead with development and implementation of team operational policies
· Contribute to the induction and oversight of lower banded staff as delegated
Professional Development
· Complete mandatory training in line with the Trust Policy
· Patricipate in annual appraisal for own review and development
· Contribute to annual appraisals for lower banded staff where appropriate
· Attend and participate in own supervision in line with Trust policies
· Provide mentorship and supervision to lower banded staff as required
· Comply with CPD and practice hours requirements set out by Nursing Midwifery Council NMC
· Attend external and internal CPD events
· Attend Trust meetings / forums relevant to role
· Deliver training to other Trust staff in areas of expertise to raise awareness and confidence of working with disordered eating
Performance and Quality
· Participate in SI investigations, disciplinary and grievance procedures plus any relevant investigations in line with Trust policies
+ Take part in service development and review
+ Participate in audit and research
+ Comply with all performance and reporting requirements in line with Trust and national requirements and professional guidelines.

Financial and Physical Resources
+ Responsible for the safe and secure use and storage of all Trust-supplied equipment, in line with Trust policies.

Making Things Better
Quality Improvement is a key part of our work to improve our services and refine how we do things. We have a global reputation for our quality improvement work and we don't stand still! So we offer a fantastic opportunity for our staff to learn, lead and contribute towards improving our services.
We launched our Five Year Strategy in April 2018, which identified four main strategic outcomes to improve: population health outcomes, experience of care, staff experience and improve value. This complements the NHS Long Term Strategy and sets out our direction of travel.
Our Community
We provide a wide range of community health and mental health inpatient services to children, young people, adults of working age, and older adults in The City of London, Hackney, Newham, Tower Hamlets, Bedfordshire and Luton. We also provide psychological therapy services to the London Borough of Richmond, and provide Forensic services to the whole of North East London. We provide services in urban and rural settings, sometimes in our inpatient units, but mostly in the community close to where people live. Integrated care is key in making the best use of resources and providing effective care.
Aiming High
We were rated 'Outstanding' by the CQC in 2016, were proud to be rated 'Outstanding' again in 2018 and continue to be rate 'Outstanding' in 2021.. We were named in the HSJ's Top 10 best places to work in healthcare and were voted Provider Trust of the Year in 2018.
Staff and Service Users United
We strive to ensure that staff feel valued by the Trust and as they are truly pivotal in delivering better outcomes for our patients and service users. Our aspiration is to help to make ELFT the best place to work. This Trust is clinician-led and provides the highest possible level of clinical expertise throughout its services. We pride ourselves on our service user involvement. A service user will be on your assessment centre and interview panel if you are invited to meet us.
We especially welcome people with lived experience of health difficulties, with insight and understanding of different backgrounds, cultures and lifestyles in our population as we believe that this will equip staff to deliver a high standard of care to our service users and patients.
Diversity
ELFT Is committed to being a diverse organisation and our workforce is reflective of the population and communities we serve. We believe that having colleagues with a range of backgrounds and life experiences enriches and adds value to the outcomes we have set out to achieve. Having partnered and endorsed by organisations who are representative and experts in various areas of equality and diversity, we can ensure we are meeting the pre-set standards all the way from recruitment stage throughout the career journey of our employees by being accessible, having fair inclusive practices and a host of staff networks to support, nurture and celebrate our valued staff in the workplace.
Other reasons to apply
As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that's job share, part time or another flexible pattern.
As part of the relocation scheme we presently have, the Trust could support you with offering up to £10,000 for removal and associated expenses. This is subject to change and terms and conditions apply.

ELFT has long been recognised as a centre of excellence for mental and health care, innovation and improvement. So it is a very exciting time for you to come and work for us. Our mission is to make a positive difference to people's lives by improving quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations., Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.