Black Country Healthcare NHS Foundation Trust
Band 7 Community Mental Health Nurse HaHT
The closing date is 26 November 2026
Job summary
To work as a highly skilled member of a multi-professional service which includes urgent referral triage to the Trust and the assessment and treatment of people who are experiencing significant/urgent mental health needs.

The post holder will exercise a high degree of professional autonomy and critical judgement, make professionally autonomous decisions by utilising knowledge, skill and attitudes gained through studying and experience and by maintaining competencies via medical/nursing supervision. This post aims to provide people with alternatives to hospital admission, reduce unnecessary onward referrals, signpost effectively to other agencies, reduce A&E attendances and reduce inpatient length of stay. The post holder will be responsible for the provision of referral triaging, crisis response (between the hours of 8.00am to 6.00pm) and assessment and treatment of older adult mental health conditions across the Black Country.

• To undertake Independent Prescribing where clinically appropriate, utilising NICE guidance and Trust prescribing policy.
• To independently prescribe, adjust, and discontinue medication within an agreed scope of practice.
• To undertake structured medication reviews, monitoring effectiveness, side effects, adherence, and ongoing clinical need.
• To undertake deprescribing where risks outweigh benefits, particularly in older adults with frailty, dementia, or multimorbidity.

Main duties of the job
The post holder will provide expert clinical assessment and first line treatment as appropriate for those presenting with a Mental Health need. The post holder will provide strong and effective clinical leadership, providing specialist mental health skills, advice and guidance to nurses and where needed initiate change because of audit and evidence-based research. The post holder will operate as a member of a multidisciplinary team dedicated to supporting individuals experiencing mental health crises. To provide high quality mental health and physical health assessments, risk formulations and care planning to people who are experiencing a mental health crisis.

• Will demonstrate excellent assessment and risk formulation skills ensuring safe and effective management of needs in line with best practice.
• Will be responsible for carrying out Hospital at Home functions of the service including: Shift coordination/duty worker role, Gatekeeping responsibilities, Key worker responsibilities, Screening, triage and allocation of referrals, First line treatment including independent prescribing (IPS), Inpatient in-reach duties to facilitate early discharge.

About us
A new and exciting opportunity has arisen for 2 x Band 7 Community Mental Health Nurse Practitioners to work with the newly developed Older Adult Hospital at Home Team Trust Pan wide Service.
You will be supported in this new role by colleagues both clinical and operational to deliver the highest quality of care to patients presenting with an acute Mental Health need.
You will have access to Clinical Supervision, Reflective Practice and development opportunities.

Details
Date posted: 12 November 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 285-6717-MH
Job locations: Quayside House Black Country Health Care NHS Trust, Rounds Green Road, Oldbury, B69 2DG, United Kingdom

Job description
Job responsibilities
The post holder will ensure that record keeping standards are maintained. It is vital that events are promptly and accurately recorded to facilitate effective management of unstable/crisis situations. The objective is to facilitate their ability to remain within their local communities and networks or to provide referrals to the most appropriate services to address their specific needs.

• To practice within the NMC code of conduct and adhere to all Trust policies and procedures.
• To provide supervision and clinical leadership to junior nursing staff and work in a mentorship role with student nurses, to ensure effective delivery of programmes of care for the patients on the caseload.
• To document all information on the Trusts Electronic Patient Record and/or Incident & Safeguarding Reporting system in a timely and accurate manner following each assessment, risk formulation and care planning episode and to share with other professionals the outcomes and follow-up arrangements/recommendations on the day the assessment is undertaken to ensure safe discharge or on-going care and treatment.
• Will act in an advisory and consultative capacity to medical, nursing and other professionals and will participate as an effective member of the multi-professional team.
• Will develop and maintain confidentiality in accordance with the data protection act and professionals code of conduct.
• Will be responsible for the provision of referral triaging and crisis response across the Black Country and will ensure a timely response to all referrals received as per service Operational Policy. The duty role/crisis response/triage provision involves triaging of referrals, crisis de-escalation, assessment, signposting, psychoeducation and mental health support.
• Will administer, store and order medications in line with Trust policy and monitor and report to the prescriber the effects of the medication.
• Ability to use physical health skills such as administration of depot injections, phlebotomy, undertake ECG readings, baseline observations and demonstrate knowledge of how to escalate concerns where necessary.
• Will provide daily handover of information in regard to current caseload and coordination of visits utilising the RAG system.
• Will promote patient, carer and/or relatives involvement whenever feasible throughout episodes of care.
• Will provide a high level of communication and relationship skills with patients, carers and other professionals internal and external to the Trust, including the conveyance of distressing or urgent information.
• The post holder will provide specialist mental health advice, support and education to service users with complex care needs. This may range from supporting care planning for individual patients to providing education and practice development with referrers.
• To work as an autonomous practitioner, providing expert clinical care to patients and advice, mentorship and supervision to clinical colleagues. Including the support and supervision of independent nurse prescribing.
• To carry out duties in a non-discriminatory manner and to always treat patients and their carers and/or family members with dignity and respect.
• Will be conversant with and practice within the Mental Health Act Code of Practice and the Mental Capacity Act.
• Will accurately maintain and monitor clinical documentation in accordance with local policies.
• To promote, maintain and monitor best practice in health, safety and security of self and others in own work area as identified in local policies. Will adhere to the Trusts Lone Working Policy.
• Will contribute and promote quality improvement initiatives and undertake audits as required.
• To allocate, delegate and supervise the work of junior team members as appropriate to their level of ability.
• To participate in regular management and clinical supervision and provide supervision to junior staff where necessary.
• To attend training courses that are mandatory, indicated in personal development plans or required by the needs of the service.
• To participate in meetings relevant to the operation of the service.
• The post holder will be a qualified Independent Prescriber, having successfully completed an approved Independent Prescribing (V300) programme.
• The post holder will practise as an Independent Prescriber, prescribing autonomously within their professional scope of practice, in accordance with Trust medicines management policies, NICE guidance, the British National Formulary, and the Royal Pharmaceutical Society competency framework to optimise patient outcomes and improve access to timely, evidence-based treatment.
• To recognise own limitations and seek advice or refer appropriately when prescribing decisions fall outside scope or competence.
• To maintain accurate, timely, and legally compliant prescribing records using approved Trust systems.
• To issue prescriptions using Trust-approved prescribing systems and stationery, including electronic prescribing systems and FP10 prescription forms where authorised.
• To accept full professional and legal accountability for all independent prescribing decisions.
• To participate in clinical supervision with medical colleagues and other independent prescribers in line with Non-Medical Prescribing policy.
• To maintain and formally review the scope of prescribing practice at least annually, in accordance with Trust Non-Medical Prescribing policy. To maintain evidence of prescribing competencies in line with the Royal Pharmaceutical Society competency framework and submit this as required by the Trust.

Person Specification

• RMN (Essential)
• Independent Prescriber or Willingness to undertake Training (Essential)
• Advanced Knowledge of Older Adult Mental Health Disorders (Essential)
• Formulating individual intervention and safety plans in collaboration with service users (Essential)
• Effective risk assessment and management skills (Essential)
• Detailed knowledge of NHS and other legislation and policy pertinent to community service (Desirable)

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

UK Registration
Applicants must have current UK professional registration. For further information please see the NHS Careers website.

Employer details
Employer name: Black Country Healthcare NHS Foundation Trust
Address: Quayside House, Rounds Green Road, Oldbury, B69 2DG, United Kingdom
Employer's website: https://www.blackcountryhealthcare.nhs.uk/

Employer contact details
For questions about the job, contact: Operational Manager ECMHT Older Adults, Colleen Coley, Colleen.Coley2@nhs.net, 07971073195

Applicants are asked to apply via the company portal.