An exciting opportunity for an experienced Registered Mental Health Nurse (RMN) to join a developing Assertive Outreach pathway within the Westminster Community Mental Health Hub. The role focuses on engaging adults with severe mental illness (SMI) who are at risk of disengagement, with the aim of stabilising care, reducing risk, and preventing crisis.
The successful candidate will be an enthusiastic, proactive, and highly organised mental health professional, capable of delivering high-quality, evidence-based nursing care. They will demonstrate strong skills in assessment, care planning, and treatment, with a commitment to supporting individuals with complex mental health needs within a community setting.
The Assertive Outreach Worker will deliver time‑limited and intensive support to adults with severe mental illness (SMI) who are at risk of disengaging from care. This role will involve delivering person-centred care, including assessment, care planning, risk management, and therapeutic interventions to individuals with complex needs.
The service will be delivered in close collaboration with colleagues from partner agencies. Therefore, the ability to work both independently and as part of a multidisciplinary team is essential.
The postholder will:
Provide assertive, flexible, and persistent outreach, including home visits, community‑based contacts, and phone/text engagement
Act as a consistent keyworker, building therapeutic relationships with individuals who find it difficult to engage with services.
Work within a stepped 6‑month model of intensive support, transition, and reintegration into routine CMHH care.
Deliver holistic, person‑centred interventions addressing mental health, physical health, housing, substance use, and social needs.
Work collaboratively with the CMHH MDT, crisis services, inpatient wards, and external agencies to ensure continuity of care and safe transitions.
This role requires strong clinical skills, excellent risk management, and the ability to work autonomously in the community.
You will be in a friendly and supportive environment, where we encourage personal and professional development.
You will be based within the Community Mental Health Hub within a large multi-disciplinary team.
There is access to inhouse and Trust wide training to support you in developing clinical and leaderships skills.
We have community mental health hubs based in the North (Woodfield Road) and South (Nightingale place) of the borough. The team will work across both sites dependent on need.
Maintain accurate clinical records, care plans, and reports
Supervise Band 4 staff
Work both autonomously and collaboratively
Core function
You will act as a dedicated Assertive Outreach keyworker, holding a small caseload (10–15 patients) and delivering intensive, time-limited support over a structured 6‑month model:
First 3 months: high-intensity engagement (≥3 contact attempts/week)
Next 3 months: step-down and transition phase (≥2 attempts/week)
Focus on reintegrating patients into routine CMHH care
Key responsibilities
Outreach & engagement
Deliver assertive, flexible, and persistent outreach (home visits, community contacts, phone/text)
Maintain a “no discharge for DNA” approach
Build strong therapeutic relationships using empathy and trauma-informed care
Clinical care
Provide comprehensive mental health nursing care, including:
Assessment and formulation
Care planning and treatment
Evidence-based interventions (e.g. CBT-informed approaches)
Address holistic needs: mental and physical health, housing, substance use, and social factors
Risk management
Conduct robust initial and ongoing risk assessments
Manage and escalate risk appropriately
Work within Mental Health Act (MHA), Mental Capacity Act (MCA), and safeguarding frameworks
Care coordination & MDT working
Collaborate closely with:
CMHH multidisciplinary team (MDT)
Crisis services and inpatient wards
Statutory and voluntary agencies
Coordinate interagency care plans and safe transitions
Lead on step-down and discharge planning
Documentation & leadership
Key skills & requirements
Essential
Registered Mental Health Nurse (RMN) with post-registration experience
Strong skills in:
Assessment, care planning, and therapeutic engagement
Risk assessment and management
MDT and interagency working
Knowledge of MHA, MCA, NICE guidelines, and safeguarding
Ability to prioritise workload and work independently
Excellent communication, empathy, and resilience
Desirable
Non-medical prescribing
Clinical skills (e.g. venepuncture, ECG)
Experience working at Band 6 level
Experience delivering evidence-based intervention
Use therapeutic engagement to support patients to engage.
Supervision of band 4 support staff
To hold case load of 10-15 patients
