Eating Disorders Nursing Associate or Clinical Support Worker

The post holder will work in the medical monitoring pathway of the Adult Community Eating Disorders Service, working closely with the team Psychiatrist, Specialist Interest General Practitioner and Clinical Nurse Specialist. This includes physical examination, investigation, ECG and phlebotomy skills working under the direction of a Registered Nurse to service users with severe and complex eating disorders in the community.Service users will be seen at a variety of sites across the county of Bedfordshire and Luton and the post holder will be expected to travel and provide clinics throughout the county to meet the service needs including transporting equipment for the clinics, and for clinical supervision and MDT meetings. Travel to in-patient services outside the county may also be necessary to support service users for discharge. The service user group seen by the post holder will include people experiencing severe or complex eating disorders, and may present with high levels of
physical and psychiatric risk, with high levels of distress, for example suicidal ideation, self-harming behaviour, and histories of trauma and abuse. The post holder will work closely with the Operational Manager and Clinical Nurse Specialist to agree case and workload levels, and systems of monitoring quality of practice. The post holder will directly contribute to the positive working environment within the multi-disciplinary team, + Co-ordinate and liaise with service users for medical monitoring appointments
+ Facilitate full medical monitoring clinics including taking bloods; performing ECG tests; taking patient observations such as blood pressure and pulse, and other investigative physical health tests as per Kings College guidelines for individuals with an eating disorder and as per direction from senior staff.
+ Report any deterioration of the service users physical or mental state appropriately and timely
+ Practice within professional guidelines and promote professional practice in clinical area.
+ Recording accurate notes and observations in patient clinical records system
+ Ensure high standard and accurate verbal/written communication about patient care with
·, Patient/Client Care
+ Co-ordinate and liaise with service users for medical monitoring appointments

+ Facilitate full medical monitoring clinics including taking bloods; performing ECG tests; taking patient observations such as blood pressure and pulse, and other investigative physical health tests as per Kings College guidelines for individuals with an eating disorder and as per direction from senior staff.
+ Report any deterioration of the service users physical or mental state appropriately and timely
+ Practice within professional guidelines and promote professional practice in clinical area.
+ Record accurate notes and observations in patient clinical records system
+ Ensure high standard and accurate verbal/written communication about patient care with all team members.
+ Ensure that a service user centred multi-disciplinary approach to care is present

+ Assess, plan, implement and monitor care in keeping with evidence based practice.

+ Ensure timely referrals to a registered nurse or other appropriate clinician when any actions, care or treatment is required.

+ To provide guidance to junior staff relevant to clinical speciality

+ Ensuring that care reflects individual and cultural needs taking into account any reasonable adjustments that may be required

+ Ensure that the service provides holistic care that incorporates excellence in physical, mental health care management and general wellbeing.

+ Understand and apply the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

+ Undertake training and assessment to expand clinical skills and knowledge relevant to clinical practice needs.

+ Ensure that the clinical environment is pleasant, clean, comfortable and suitable for use at all times liaising with other departments as necessary.

+ Recognise and act upon safeguarding concerns

+ Ensure that all practices are within the guidelines set out by the NMC and other professional groups and are in accordance with Trust policies.

+ Prepare and clean treatment and clinic rooms, ensuring IPC measures are implemented and adhered to as per Trust policies and procedures.
+ Maintain medical monitoring stock, completing a regular stock take ensuring adequate stock is available.
+ Collaborate with external partners such as GP's and other professionals involved in an individual's care. Providing correspondence and updates on current treatment and medical monitoring.

Policy and Service Development
+ Exercise professional responsibility for adhering to Trust Policies and Procedures.

+ Contribute to policy, practice changes and service improvements arising from audits, complaints and serious untoward incidents.

+ Update and maintain clinical expertise within national, Trustwide and health care initiatives in order to effectively contribute to service development.

+ Contribute to the development of a culture that actively promotes the involvement of service users and carers.

+ Participate in projects within the service and the Trust as negotiated with your service.

+ Active participant in developing and implementing Quality Improvement initiatives within your area of work.

Financial and Physical Resources
+ Ensure effective use of available resources.

+ Working in conjunction with the Clinical Nurse Specialist and Operational Manger to ensure effective medical monitoring clinic cover

Human Resources
+ Support and develop other staff. Share knowledge as appropriate

+ Allocate, supervise and monitor work given to junior staff.

+ Provide support to all Team members to ensure the smooth running of the medical monitoring pathway in relation to the wider service offer

+ Assist senior staff in staff training and development and recruitment and selection, as appropriate.

+ Promote learning environment and to work alongside students and liaise with the Student Nurse Mentors in order to support their learning objectives as required

Information Resources
+ Ensure patient records are up to date and are an accurate reflection of the situation.

+ Ensuring that work is fully compliant with the requirements of the GDPR.

Research and Development
+ To assist in ensuring Quality Improvement clinical audit becomes part of everyday practice.

+ To assist in research as appropriate to clinical area.

+ To support a culture of research and development appropriate to clinical area and current area of specialism in Eating Disorders

Freedom to Act
· Manage own workload ensuring this is in line with relevant policies, procedures and Nursing Accountability Framework.
· Actively participate in appraisal and goal setting process and evaluate throughout the year.
· Ensure participation in regular clinical and managerial supervision with the line manager and clinical supervisor .
Physical Effort
· To be fully conversant with Moving and Handling Security Policies in practice.
· Ensure you are full trained and annually updated in management of aggression and violence in order that Trust guidelines are followed in the management of violent or aggressive patients.
Emotional Effort
· Manage distressing and challenging situations in a sensitive and non-threatening way to reduce anxieties and promote effective resolutions.
· Flexible approach, able to recognise signs of stress in self and others and take the appropriate action.
· Acknowledge own strengths and limitation and discuss/identify training and development needs in management supervision.
· Remain optimistic in therapeutic engagement with patients, family and carers
· To work within the anti-bullying policy providing support to bullies, victims and other members of the nursing team.
Working Conditions
· Take an active role in ensuring working conditions are safe.
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.