Placement Overview
| Placement Title | North Manchester Early Intervention Service |
| Trust | GMMH |
| Your Placement Contact | Alison Jones, Louise Morton – Send Email |
| Placement Contact’s Role | Alison Jones – Manager, Louise Morton – PEL |
| Placement Address | 11th Floor Hexagon Tower Crumpsall Vale Crumpsall Manchester M9 8GQ |
| Placement City/Town: | Manchester |
| Placement Phone | 0161 271 0296 |
| Your University Contact: | – Send Email |
About this placement
What is organised for students on commencement of placement?
Students should contact the team to confirm that they will be starting placement with the team and they should be able to have the name of the Assessor/ Supervisor who is allocated to oversee them whilst they are on placement. On the first day you will need to attend Hexagon Tower, 11th Floor for an induction to the building. Parking is via a ANPR so you will need to buzz the intercom first day until we can get you registered on the system.
What are the arrangements for mentors/assessors?
Usually the PEL will have allocated an assessor/supervisor once they receive the list of students due on placement. The allocation of assessors/supervisors is on a rota basis between all the nurses in the team. If your allocated team member is on leave or works part time you may find that you have more than one person looking after you.
What shift patterns are students allocated for learning?
Early:
Late:
Night:
Shift Notes:
We are a Monday to Friday 9-5 service. Each student can speak to their allocated assessor/supervisor if they prefer to work alternative hours but we cannot accommodate any one who wants to work after 5pm due to staff lone working systems.
What patient care situations are available in this placement?
We are a specialist service working with individuals who are felt to be experiencing first episode of psychosis. The duration of their untreated psychosis must be less than 2 years for those over 35 and less than three years for those under 35. We can work with individuals for up to 3 years. The team has clients who are at different stages of their journey into services such as clients whom are suspected to be suffering from psychosis to those who have been in the team for some time. We work within Care Programme Approach and NICE guidelines for first episode psychosis and deliver both medication and therapy options. We have Employment Support; Housing and Welfare Rights specialists linked into our service.
Each day in EIS is different and the role of the care co-ordinator is mainly to monitor mental health and risk as well as supporting with practical issues, employment, benefits etc. We often have to ensure that clients are started on medication as soon as possible and work closely with our medical collegues.
As well as Care Co-ordination you may also be able to observe initial assessments for EIS; Medical Reviews; Physical Health Checks; and understand the Triage Worker role which is around managing referrals into the service.
What nursing model is used for planning care?
We do not follow any set nursing model as we are a multi-disciplinary team and would follow Care Programme Approach and NICE guidelines when planning care.
What core clinical skills can be learnt?
Understand importance of the Early Intervention Service
Communicating with members of MDT
Engage with patients & their relatives
Assessment & allocation process
Assessment of clinical risk
Assessment of mental state
Role of Care Co-Ordinator
Groups of medication
Side effects of medication
Knowledge of BNF limits (Nursing Students)
Preparation & administration of depot (Nursing Students)
IAT assessment & Care Act outcomes
Care Plans: planning, implementation & evaluation
Effective/ defensive documentation skills
Understanding & application of Mental Health Act (2007)
Legal/ ethical boundaries
Discharge/ referring on process
Delegation/ co-ordinate tasks
Demonstrate an understanding of accountability and responsibility in clinical practice
What additional clinical skills can be learnt?
Administration of long acting depot injections.
Chairing zoning meetings.
What resources are available to help students learning?
Student Welcome pack.
Booklets on EIS and psychosis that we give to new clients.
Clients and their carers.
MDT – including IPS; Welfare Rights, Housing Workers; Psychological Therapists.
What research and practice development activities are being undertaken?
There are various research projects in EIS and your assessor/supervisor will be able to advise you about these during your placement.
Spoke Placements
If you feel that you would benefit from completing a SPOKE placement this should ideally be a place that is part of the client’s journey through the service. If you have particular learning needs that cannot be provided by the team, please discuss these with your assessor/supervisor.
Additional Information
EDIT
The EDIT Team are under the same service as EIS but are a separate and distinct pathway. They work with individuals who are at risk of developing psychosis as identified through the assessment tool, the CAARMS. Typically people will present with hallucinations which are infrequent or not fully formed (noises, mumbling, just their name being called, seeing shadows), beliefs with an unusual quality but which aren’t held to 100% conviction and a low level disruption to their cognitions and thought processes. The client also has to have experienced a 30% reduction in social functioning in the past 12 months or demonstrate chronic low functioning. This is a purely psychologically based pathway where clients are offered CBT and follow up to ensure that there experiences have not transitioned into psychosis; in such an eventuality they would be transferred over to EI for Care Coordination.
EAP
Following initial assessment, if it still remains unclear as to whether an individual meets the service criteria they will be allocated on EAP (Extended Assessment Pathway) to a Care Coordinator for a period of longer assessment lasting up to 6 weeks. This may be for a number of reasons, such as being unable to establish their DUP, collateral information conflicting from their first person accounts, needing to conduct more assessment around a particular set of experiences, or needing to obtain a more detailed developmental history. As part of EAP a medical review or assessment by a psychologist may also be indicated. This pathway is not Care Coordination and we do not offer any support as part of this. The only things which we would become involved in are child and adult safeguarding’s/MHRTs, as these are a statutory duty. At the point of a decision being made this should be discussed with your team manager and the client either closed if not suitable or an email sent to your Team Manager and admin advising that the client is transitioning from EAP to FEP where Care Coordination and intervention can commence.
FEP
This is a pathway of up to 3 years and is a package of NICE Concordant Care delivered through Care Coordination and CPA. It is ‘up to’ 3 years as discharge may be facilitated early according to clinical presentation, client request or a change in the formulation of a persons difficulties as not being related to psychosis. As such, we do not orientate new allocations to expect to receive a full 3 years from the onset. Their 3 year pathway begins from the referral into Early Intervention (if it is a transfer of care from another EI Team we are still counting from the original referral).
Practice Education Facilitator –
Email: