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Band 6 Occupational Therapist

Job number:

Job Title:  Mental Health Practitioner  (Nurse, SW or OT) – Band 6

Area:  Cambridgeshire NHS

Salary:  £negotiable  

Job Type:  Locum

Contract length:  Ongoing                     

Job details:  To start asap. To work as a mental health practitioner as part of the PDCS duty team.

The duty support is available to all clients on our treatment waiting list and those in active treatment.

Duty practitioners cover all 4 localities, Cambridge, Fenland, Huntingdon and Peterborough. There may not be a duty practitioner based in each area.

  1. team members in each locality meet every morning and discuss any concerns or queries. Following which members of duty team, call in to a conference call from all localities and discuss incoming work, share information and concerns. A “crisis handover” is subsequently completed whereby an outline of the client, summary of recent events or presentation and any actions. Actions may be graded red /amber/green dependent upon actions required and urgency of the action/ clinical presentation. At the end of the day, the team has a conference call debrief.

The duty service runs “open clinic” telephone support: This service aims to support clients to develop or utilise coping strategies in order to avoid the escalation of emotional distress and potential crisis events. In times of crisis, clients are asked to call the team to request a crisis call and their calls are returned as soon as possible by a duty practitioner.

When clients call the team the call is taken by a member of the admin team. They check the circumstance of the call and whether the request is for practitioner call back in open clinic, crisis call or routine call back.

Calls are rarely transferred directly to practitioners unless the client is in immediate danger in which case practitioner may take the call and co-ordinate any other response that is required.

Once a call is logged by the admin team an email is sent to the duty inbox alerting the duty team to the call and a copy is uploaded to the patient’s notes.

Clinicians within duty will then triage the call for open clinic call back, crisis call or routine call back, depending on the request, clinical information and any management plan in place for the client.

If a crisis call is requested a practitioner contacts the patient as soon as possible. It is not always possible to call back immediately, and clients are made aware of this. It is not unusual for crisis calls to be made to the team in high-risk situations, where someone may be contemplating or having prepared for harm. Where medical attention is required, this takes priority over a further clinical discussion. If harm has not occurred, the primary aim of the contact is to assess the situation, asses the presentation in context of what is already known about the client and support the clients to implement strategies to manage distressing emotions or feelings without harm. The aim is to validate the emotion and the experience of the client, support the client to explore triggers to build understanding and awareness and to implement alternative less destructive ways of managing the emotional distress and to reduce risk to themselves.

Home visits are not conducted as part of the service. When a situation cannot be deescalated, the practitioner will support the client, with initial safety steps, and a face-to-face appointment may be offered in one of the team bases. Rarely, emergency services may be contacted if there has been harm, or the patients are in immediate danger, and they require the direct intervention of others to prevent harm.

The post will also include assessment, review, and ongoing planned intervention appointments as part of the treatment pathway.

Working hours: Monday to Friday, 09.00 – 17.00.

Code:  U.C479.027007.B5741

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