Mental Health Complex Case Manager

at  East Lancashire Hospitals NHS Trust

The post holder will assist and provide a proactive and efficient case management for adult mental health patients across all ELHT hospital sites. They will provide education and advice to maintain a high standard of discharge planning processes and work to support the patients onward and ongoing care plans. As a case manager in the Integrated Discharge Service, they will promote the timely access to health, mental health and social care resources to enable the safe and effective discharge of patients from hospital. To work in partnership with other interdependent teams and services across the Health and Social Care Economy that are involved in the discharge planning of patients.

• To provide clinical advice and guidance to professionals within Integrated Discharge Service.
• To support patients identified to have psychological and mild to moderate mental health needs associated with long term physical conditions.
• To conduct assessments required for discharge.
• To triage and signpost patients to the appropriate service within their locality.
• Develop robust care plans in conjunction with the patient and wider multi- disciplinary teams, to enable the patient to manage their mental health condition more confidently, which will enhance the ability to manage their long-term conditions.
• Provide data that analyses the impact of mental health provision within the Integrated Discharge Service.

At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.

• Tools will include 6CT, PHT9, GAD7.GDS15, MoCA, DASS21. Trusted Assessment Document, LAS, MCA
• Point of the assessment will include setting realistic and achievable goals.
• To look at Emotional and psychological needs associated with the person’s ability to manage their own long-term condition.
• Future interventions – Pilot Patient Actuation Model.
• Risk assessment to ascertain suicidality, risk to self or others, with intervention of stepping up to secondary MH services and discussion with GP.
• Brief summary of visit/intervention or plan to be documented on EMIS.
• More detailed assessment and summary documented in patient notes.
• Discussion and future care needs taken to INT meeting to monitor other professionals’ involvement and progress of patients’ motivation and engagement with others to support future progress for both in-patients and community-based residents.
• Attend ward-based discharge planning meetings/best interests’ meetings.

Key Relationships

• Senior and Network Management Team
• Primary Care, LSCFT, GP’s.
• Clinical Services
• Trust staff and general public/External stakeholder/commissioner organisations.

Please refer the Job description for details