Detailed job description and main responsibilities

Service Delivery & Clinical Practice

• Contribute as part of a small team to the delivery and ongoing development of integrated physical and mental health care within PCNs.

• Accept referrals directly from primary care and carry out mental health, asset-based, and biopsychosocial assessments.

• Case find, screen, triage, assess, and coordinate care plans for individuals referred by the primary care team.

• Provide brief, time-limited, evidence-based interventions, including motivational interviewing techniques.

• Work predominantly with adults (18+) with serious mental illness whose needs are best met in a primary care setting.

• Complete joint assessments with Community Mental Health Recovery Services (CMHRS) to support step-down into primary care and ensure smooth transitions.

• Maintain accurate, timely electronic clinical records, care plans, and outcome measures using EMIS and other relevant systems.

Integrated Working & Care Pathways

• Develop and maintain robust working relationships with primary care, specialist mental health services, community organisations, and voluntary sector providers.

• Facilitate an “easy in, easy out” approach between services to improve access and reduce fragmentation of care.

• Work closely with the Community Connections Primary Care Link Worker/Connector, providing day-to-day guidance and support.

• Actively map and promote awareness of community resources and assets within the PCN geography.

• Support service users, carers, and families to access appropriate voluntary and community services and self-management resources.

Education, Training & Liaison

• Provide advice, guidance, and prompt responses to primary care teams in line with agreed response times.

• Develop and deliver education and training to support primary care teams in managing co-morbid physical and mental health conditions.

• Support completion of SMI physical health checks and subsequent actions within PCNs.

• Promote positive attitudes towards mental health and collaborative working across health, community, and voluntary services.

• Provide a supportive learning environment for students and act as a supervisor or mentor where appropriate.

Monitoring, Evaluation & Governance

• Participate in the formal evaluation of the integrated primary care mental health model.

• Collect, record, and report relevant activity and outcome data in line with service requirements and KPIs.

• Maintain awareness of current research and demonstrate a commitment to evidence-based practice.

• Ensure all practice meets professional codes of conduct, clinical governance standards, and organisational policies.

Professional Development, Management & Leadership

• Maintain and develop professional knowledge, skills, and expertise in response to changing service needs.

• Contribute to service development, procedures, and delegated management tasks as required.

• Work effectively within leadership and management structures to ensure smooth functioning of the service.

• Demonstrate strong IT skills appropriate to the role.