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Clinical assessment and management
•    Undertake comprehensive psychiatric and physical health assessments under appropriate supervision.
•    Obtain and document detailed clinical histories, including psychiatric, medical, medication, substance misuse and social histories.
•    Created clinic letters to a good standard for sharing with other professionals in timely manner as per trust policy.
•    Interpret relevant investigations within scope of practice and act as appropriate.
•    Contribute to formulation, diagnosis and treatment planning under appropriate clinical supervision.
•    Monitor patients’ mental and physical health and identify deterioration or emerging risks.
•    Contribute to medication reviews and prescribing-related decisions in collaboration with the responsible prescriber.
•    Recognise and appropriately escalate clinical deterioration, adverse medication effects and safeguarding concerns.
•    Participate in crisis assessment and management within the team’s agreed pathways and scope of practice.
•    Conduct home visit when appropriate.
•    Support the physical health clinic staff when appropriate.

Multidisciplinary working
•    Work effectively as a member of the Community mental health Hub , multidisciplinary team.
•    Attend and contribute to MDT meetings, zoning meetings, clinical reviews, handovers and care planning meetings.
•    Liaise with GPs, acute hospitals, psychiatric inpatient teams,  crisis teams, social care, voluntary-sector organisations and other relevant services.
•    Support continuity of care between primary, secondary and inpatient mental health services.

Risk and safeguarding
•    Undertake and contribute to ongoing assessment and management of risks, including suicide/self-harm, violence, neglect, vulnerability and substance misuse.
•    Recognise and escalate safeguarding concerns in accordance with local policies.
•    Contribute to safety planning and risk management plans.
•    Understand and work within relevant Mental Health Act and Mental Capacity Act frameworks, according to role, competence and supervision.

Physical healthcare
•    Promote physical health assessment and health-promotion interventions for people with severe mental illness.
•    Monitor cardiovascular, metabolic and other physical health risks associated with mental illness and psychotropic medication.
•    Liaise with primary care and other medical services where physical health concerns require further investigation or treatment.
•    Work very closely with the physical health clinic and Clozapine clinic .
•    Work in close liaison with physical health lead nurse and the physical health monitoring team.

Communication and patient-centred care
•    Develop therapeutic and professional relationships with patients and carers.
•    Involve patients in shared decision-making and recovery planning.
•    Communicate complex and potentially sensitive clinical information clearly and compassionately.
•    Work in a culturally sensitive and non-stigmatising manner.

Professional development
•    Maintain professional competence and undertake continuing professional development.
•    Participate in clinical supervision and reflective practice.
•    Keep accurate and contemporaneous clinical records.
•    Contribute to clinical audit, quality improvement, education and service development, research project.
•    Be regular and up to date with appraisal process as per trust policy.
•    Work within the PA scope of practice, local governance arrangements and the supervision framework.
•    Provide colleague cover during annual or study leave, where practicable
•    Use Trust IT systems efficiently for documentation, communication, and data management.
•    Complete and maintain all mandatory training requirements in accordance with Trust policy.
•    Proactive approach in teaching training the staff around physical health care of patients with mental illness.