CRHT Senior Nurse Practitioner

Black Country Healthcare NHS Foundation Trust is growing and changing. We provide specialist mental health, learning disability and community services across Dudley, Sandwell, Walsall and Wolverhampton. We’re looking for people who care about others, take responsibility, treat people with respect and have the confidence to speak up and shape what comes next.

We’re focused on the future, with a clear Trust Strategy and our Best for the Black Country programme driving improvement across our services and communities.

What we do

· Adult and older adult mental health

· Children and young people’s mental health

· Specialist learning disability services

· Community healthcare for children, young people and families in Dudley

Why join now

We’ve got real momentum. Clear priorities and our Best for the Black Country work mean things are moving in the right way, fast.

Our culture is built around being compassionate, accountable, respectful and empowering each other - you’ll see this in how teams support patients and colleagues every day.
You’ll be looked after. Flexible working, family-friendly policies, supportive teams, proper wellbeing support and opportunities to learn and develop.

There’s room to grow. A wide range of services, space to try ideas and a voice that’s heard.

It’s a great place to live. Diverse communities, good transport links, strong schools and green space, with a lower cost of living than many city regions.

What it’s like to work here

You’ll join friendly, skilled teams who look out for each other. We plan together, share pressures and celebrate wins. You’ll be encouraged to take ownership, speak up and learn from experience. New starters get a warm welcome and clear induction; early careers colleagues have preceptorship and buddying; experienced staff can lead, teach and innovate.

Who we are

We’re 4,000+ colleagues from many backgrounds, committed to improving health and wellbeing for our communities and for each other. If you’re interested in the role but don’t meet every requirement, please apply — we value potential, different perspectives and people who want to grow.

As part of our commitment to fairness, transparency, and personal integrity, we ask all applicants to ensure that their job applications reflect their own experiences, skills, and motivations. While AI tools can support spelling, grammar, or formatting, we expect that the content of your application—especially personal statements and responses to role-specific questions—is written by you. This helps us get to know the real you and ensures that our recruitment process remains equitable and meaningful for everyone.

Armed Forces Community

Black Country Healthcare NHS Foundation Trust is proud to support the Armed Forces Covenant. We welcome applications from veterans, reservists, service leavers, military spouses and members of the wider Armed Forces community. We recognise the valuable skills, experience and attributes developed through military service and are committed to supporting the Armed Forces community in their careers.

Job overview

We are seeking an enthusiastic, experienced and compassionate mental health practitioner to join the Crisis Resolution and Home Treatment Team within Black Country Healthcare NHS Foundation Trust. The team provides timely, intensive, person-centred assessment and treatment for adults experiencing an acute mental health crisis, supporting people safely in their own homes wherever clinically appropriate and helping to prevent avoidable hospital admission or enable earlier discharge.

Working as part of a skilled multidisciplinary team, you will assess mental health presentation and dynamic risk, contribute to collaborative care and safety planning, deliver evidence-based interventions, and work closely with service users, carers and partner services. You will need sound clinical judgement, effective communication skills and the ability to respond calmly and flexibly in a fast-paced environment.

In return, you will join a supportive and inclusive service committed to compassionate care, least restrictive practice, professional development and continuous improvement. The post involves working across a 24-hour, seven-day service, including evenings, weekends and bank holidays, in accordance with the requirements of the role.

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· Complete comprehensive mental health, risk, safeguarding and physical health assessments in community settings.

· Coordinate intensive home treatment, developing and reviewing person-centred care and safety plans with service users and carers.

· Use sound clinical judgement to manage changing presentation and risk, including crisis triage and admission gatekeeping.

· Deliver evidence-based interventions and support safe medicines management within professional scope and Trust policy.

· Work collaboratively with inpatient, community, primary care and partner services to prevent admission and support timely discharge.

· Provide clinical leadership and support to colleagues, maintain high-quality records, contribute to service improvement and participate in the 24-hour, seven-day rota.

Working for our organisation

At Black Country Healthcare NHS Foundation Trust, we’re building a high-calibre, diverse and inclusive mental health workforce. One that will give talented professionals like you the opportunity to shape an outstanding service that will transform community mental healthcare and deliver happier and healthier lives all across our communities.

The Trust is rated ‘Good’ from CQC (Care Quality Commission) and will become the lead provider for mental health services across The Black Country . We have recently invested in newly created clinical divisions and are currently developing new models of integrated primary and secondary care for adults and older adults, as well launching a far-reaching inpatient strategy, working to eradicate dormitories and building new facilities.

This ambitious model is multi-agency and multi-disciplinary, opening the door for you to work in a collaborative and flexible way with partners, service users, carers and their families.

Detailed job description and main responsibilities

As a Band 6 practitioner, you will work with a high degree of professional autonomy and accountability, taking a lead role in the assessment, formulation and delivery of care for people experiencing an acute mental health crisis.

Main duties include:

· Act as an autonomous practitioner, undertaking timely, comprehensive mental health assessments in the community and formulating presenting needs, mental state, capacity, physical health, safeguarding concerns and dynamic risk.

· Being an active participant in a shared caseload during episodes of intensive home treatment, developing, delivering and reviewing collaborative, recovery-focused care and safety plans with service users and, where appropriate, carers.

· Use advanced clinical judgement to deliver evidence-based interventions, monitor response to treatment and adapt plans promptly when presentation or risk changes.

· Undertake crisis triage and contribute to gatekeeping assessments for psychiatric admission, ensuring that viable alternatives are considered and that decisions are clearly documented, defensible and based on the least restrictive safe option.

· Make and communicate sound clinical decisions in complex or rapidly changing situations, escalating significant concerns appropriately and supporting coordinated responses with emergency and statutory services.

· Administer, monitor and promote the safe use of medicines, and undertake relevant physical health assessment and monitoring within professional scope, competence and Trust policy.

· Coordinate care across the multidisciplinary team, inpatient wards, community services, primary care, social care, emergency services and voluntary-sector partners to support admission avoidance, continuity of care and timely discharge.

· Maintain accurate and contemporaneous clinical records, provide clear handovers and reports, and contribute actively to multidisciplinary reviews, safeguarding processes and Mental Health Act pathways.

· Provide day-to-day clinical leadership, advice and role modelling to junior colleagues, students and support staff; contribute to induction, supervision, reflective practice and the development of a positive learning culture.

· Participate in implementing clinical audit action plans, being an agent for change in quality improvement and service development projects, applying learning to improve safety, experience and outcomes.

· Coordination of the shift as allocated duty worker, prioritising workload and supporting safe allocation of team resources.

· Participate in the 24-hour, seven-day rota, including evenings, nights, weekends and bank holidays, in line with service requirements.

Applying and timelines

We may close this advert early if we receive a high volume of applications, so please apply soon. We shortlist after the closing date and will contact shortlisted candidates usually within two weeks. If you haven’t heard by then, you haven’t been shortlisted. Please check your email for updates and contact Recruitment for feedback.

As part of our commitment to fairness, openness and accountability, we ask all applicants to ensure that their job applications reflect their own experiences, skills and motivations. While AI tools can support spelling, grammar or formatting, we expect that the content of your application especially personal statements and responses to role-specific questions is written by you.

Pay and contracts

Most NHS roles are paid under NHS Agenda for Change. With us, your starting point is set against the advertised band and your relevant NHS service, with progression through annual increments.

Medical and Very Senior Manager roles follow separate national pay frameworks, not Agenda for Change. Details are provided in each advert and during recruitment.

Standards and checks

· Clinical posts up to and including Band 4 are expected to hold the Care Certificate. If you don’t have it yet, we’ll support you to complete it in post.

· Some roles require a Standard or Enhanced DBS check under part V of the Police Act 1997. Having a criminal record won’t automatically prevent employment - we consider the role and individual circumstances.

· We are an equal opportunities employer, offer flexible working, and are a smoke-free Trust.

Inclusion, equality and adjustments

· We are an equal opportunities employer and are committed to creating an environment where everyone is treated with dignity, feels respected and is able to thrive.

· We are an anti-racist, disability-inclusive and LGBTQ+-inclusive Trust.

· We welcome applications from under-represented groups and people with lived experience relevant to our services.

· Disabled applicants can request consideration under our Guaranteed Interview Scheme where essential criteria are met, and you can ask for reasonable adjustments at any stage.

Our culture and values

Best for the Black Country is our improvement journey. Our values Compassionate, Accountable, Respectful and Empowered guide how we work every day.

That means:

• taking time to understand people and respond with kindness
• being open and taking responsibility for our actions
• listening and valuing different perspectives
• supporting each other to speak up, improve and make a difference

You’ll see this in how teams work together and in the impact you can have on local people.