Job summary
- Main area
- Mental Health Clinical Nurse Specialist
- Grade
- NHS AfC: Band 7
- Contract
- Fixed term: 12 months (12th June 2025 to 11th June 2026)
- Hours
- Full time - 37.5 hours per week (Monday to Friday 9-5pm)
- Job ref
- 391-NMUH-7131527
- Employer
- Royal Free London NHS Foundation Trust
- Employer type
- NHS
- Site
- St Michael's Site
- Town
- Enfield
- Salary
- £51,883 - £58,544 per annum including outer London HCAs
- Salary period
- Yearly
- Closing
- 23/05/2025 23:59
Employer heading

Mental Health Clinical Nurse Specialist
NHS AfC: Band 7
The North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
The hospital has been on its present site for over 100 years and was established as an NHS trust by statute in December 1990. The Trust’s services are provided on the North Middlesex University Hospital site as well as a range of community sites across the London Borough of Enfield, including at partner hospitals. They provide services in collaboration with a range of partners, including local GPs, acute, mental health and other community health service providers across North Central London.
In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield. It is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.
Job overview
The Care Homes Assessment Team (CHAT) is an award-winning integrated physical and mental health service that supports the lives and deaths of residents in Care Homes across Enfield and part of Haringey. CHAT is part of Enfield Community Services (ECS) which is hosted by NMUH. The team has dedicated Consultant Psychiatry support and a mental health band 7 RMN and OT all currently supporting residents in Care Homes. We are looking for a flexible, dynamic and experienced band 7 Mental Health Specialist Nurse to join our team due to maternity leave of the current post holder. We are a supportive team and organisation and are looking for someone with assessment and diagnosis skills, independent prescribing is desirable but if not already prescribing a willingness to undertake this qualification is essential, experience working with dementia or older people with mental health and/or learning disabilities in the Care Home setting is essential and experience of having sensitive future care planning conversations and supporting end of life. The service operates 7 days a week 8am-8pm but shift patterns for this role will be 8am-4pm or 9am-5pm.
Main duties of the job
To expertly assess patients including systemic mental health assessments, analysing signs and symptoms and other measures of function to formulate diagnosis, treatment and referral where appropriate to the identified group of patients resident in a specific group of Care Homes. To develop individualised evidence based care and treatment plans for the patients in close discussion with them, their relatives and the Care Home staff; and with consideration of the unique presentation of psychological illness and response to treatment of elderly people with suspected or known mental health diagnosis. To agree appropriate interventions and contingency plans, including end of life care, with the patients and carers, both formal and informal, with the specific purpose of preventing unnecessary A&E attendance or hospital admission and improving end of life care. To support an unplanned care telephone triage service to the homes in Enfield providing advice and organising assessment of patients as necessary. To facilitate the review of patients’ medications, in consultation with the GP/psychiatrist, as appropriate, especially where there is evidence of polypharmacy within own scope of practice. Proactively promote safety and report concerns via established safeguarding information panel and safeguarding pathways to the Local Authority. Including attending strategy meetings, information gathering meetings and sharing information to protect vulnerable Care Home residents.
Working for our organisation
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital here
Detailed job description and main responsibilities
Please refer to the attached Job description and Person Specification for main responsibilities of the role.
Person specification
Education & Professional Qualifications
Essential criteria
- • 1st . level Registered Mental Health Nurse with current registration with the NMC
- • Evidence of CPD in management of psychological conditions
Desirable criteria
- • Degree in psychological health related topic
- • Community Specialist Practice
- • Independent Prescribing
- • Education at Masters Level
- • Post graduate training in Dementia and/or Delirium management
Experience
Essential criteria
- • Significant post-basic work within acute, mental health or community & primary care nursing fields
- • Experience of working in a senior nursing role
- • Experience of working in a multi-disciplinary team
- • Experience of implementing change in clinical practice
- • Experience of working with older adults
- • Experience of supporting clients with dementia and BPSD
Desirable criteria
- • Experience of working with or in care homes
Skills and Aptitudes
Essential criteria
- • Ability to manage complex psychological illness within a defined caseload
- • Ability to work proactively with A&E, ERAS, GPs, and Social Care colleagues to prevent hospital admission
- • Ability to assess and plan individual care needs in partnership with patients/their carers and MDTs
- • Ability to work across the multi-disciplinary health and social care team
- • Ability to case manage for patients/individuals with complex needs
- • Ability to make decisions autonomously but liaise closely with other care providers within the sector
- • Ability to give clear and concise reports against performance targets
- • Ability to handle distressing situations with sensitivity and empathy
- • Ability to prioritise work/response/triage referrals and messages effectively
- • Psychological Assessment Skills
- • Clinical Leadership Skills
- • Data Collection & Analysis
- • IT Skills
Personal Qualities & Attributes
Essential criteria
- • Enthusiastic and motivated
- • Demonstrable ability to meet Trust values
Others
Essential criteria
- • Car Driver with current UK License
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Vinny Carpenen
- Job title
- Clinical & Operational Lead
- Email address
- [email protected]
- Telephone number
- 02045535698
- Additional information
Any CHAT Mental Health Specialist Nurse can advise about role or arrange a shadow session prior to application/interview should you wish.
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