BELFAST HEALTH & SOCIAL SERVICES TRUST
DIRECT ENHANCED SERVICE FOR ADULTS WITH LEARNING
Title: Project Leader (Community Learning Disability Nurse) – Health
Grade: Band 7
The project leader will develop a health facilitation framework for people with
learning disabilities throughout Belfast. The post holder’s key role is to
provide strategic leadership on the planning, implementation and monitoring
of the direct enhanced service for people with learning disabilities in Belfast.
The project leader will manage a health check and health facilitation service
for clients and work towards ensuring all clients have health action plans.
The project leader will work in a person centred manner to ensure growth
independence, health, well-being and protection of people with learning
disabilities. He / she will develop through direct enhanced services a health
check and action plan framework, which is integrated within primary care
services and other specialist services. He / she will develop close
collaborative working with colleagues in Primary Care and acute areas of the
Belfast Trust, and the voluntary and community sector and will offer support in
identifying and meeting their training needs and the provision of specialist
Accountable to: Service Manager
Reports to: Operations Manager
Principal Duties and Responsibilities
PRINCIPLE DUTIES AND RESPONSIBILITIES
1. Client Care
1.1 To support the GP practices in the identification of clients with a
learning disability who live in Belfast.
1.2 To provide liaison within GP practices and relevant agencies/centres,
ensuring information is accessible to people with a learning disability and
1.3 To facilitate and promote people with learning disabilities understanding of
their own healthcare needs.
1.4 To identify barriers to accessing Health Care services for people with a
learning disability and plan action and initiatives to overcome and facilitate
easy access across multi-agency boundaries.
1.5 Provide health promotion workshops and educational sessions to groups
1.6 Ensure that healthcare advice, support and information to clients and their
carers are provided in accordance with their identified needs.
1.7 Develop the use of client held “personal health records” when clients
access primary and secondary healthcare services.
1.8 Work closely with the multi-disciplinary teams and primary care services, to
facilitate health checks for people with learning disability.
1.9 Develop close links with secondary care/acute hospital services to facilitate
access for planned treatment, effective care planning and comprehensive
discharge/aftercare for patients with a learning disability.
1.10 To develop, promote, and lead in local Health Action Planning for people
with a learning disability in Belfast.
1.11 To carry an identified caseload carrying out specialist assessments and
highly specialist interventions.
1.12 Ensure mainstream staff teams have access to information and contact
points to encourage collaborative working between specialist learning
disability team and other parts of the Trust including primary and acute care
2.1 Participate in regular clinical supervision sessions in order to receive
professional support and time to reflect upon practice.
2.2 Ensure that full and complete nursing records are maintained in
accordance with the NMC’s Standard for records and record keeping.
2.3 Ensure knowledge and actions are in accordance with NMC’s Codes of
Conduct and Practice.
2.4 Ensure client and personnel confidentiality at all times and store all
confidential information securely in line with Data Protection Legislation.
2.5 Act in accordance with appropriate Trust Policies and Guidelines.
2.6 Take responsibility for highlighting and planning professional development
3.1 Take responsibility for direct management of the project assistant and
other staff as required.
3.2 Allocate and delegation responsibilities and caseload work to other
3.3 Take overall responsibility for the supervision of any Student Nurses
allocated to the Service on placement.
3.4 Advise Line Manager and complete appropriate documentation in the event
of any untoward occurrences.
3.5 To set up a system to performance manage the direct enhanced service
4. Quality/Clinical Governance
4.1 Work with advocacy, carer groups to involve people with learning
disabilities and family carers in training programmes for health care
4.2 Ensure appropriate and effective user involvement mechanisms are
established to inform service developments and strategic planning.
4.3 Consult and involve people with learning disabilities and family carers in
the work of the post.
4.4 Develop, initiate and carry out various forms of audit and quality monitoring
mechanisms including client and carer satisfaction audits.
4.5 Develop local and regional support links and networks to ensure sharing of
best practice audit and research findings.
4.6 Provide clinical supervision to identified staff across multi-professional
4.7 Ensure practice is evidence based.
4.8 To develop and lead on Policies and Procedures pertinent to specialist
4.9 To undertake risk assessments and manage risk.
5.1 Identify the training needs of Primary and Secondary Care professionals
and support staff, including GP Receptionists, in respect of the needs of
patients with a learning disability across Belfast.
5.2 Plan and provide training and support sessions to meet highlighted needs
in line with conditions of direct enhanced service
5.3 Ensure Primary and Secondary Care staff have access to information and
contacts, which may assist them if collaborative working of specialist
referrals are required.
5.4 Provide learning opportunities theoretical and practical instruction for
Student Nurses, assessing learning outcomes and monitoring progress
5.5 Provide teaching and education to relatives/carers/social care staff and
other agencies in respect of supporting clients with health promotion and
ensuring proactive use and access to Primary and Secondary Health Care
5.6 To be available in a consultative capacity to other professionals/agencies
involved in the delivery of care to service users.
Demanding Nature of the Job
1.To work alone in a community setting.
2. To attend child protection and adult protection meetings.
3. To work with people with difficult behaviours and dual diagnosis.
4. Exposure to the potential for verbal and on occasions physical aggression.
5. Exposure to body fluids.
6. To challenge beliefs and working practices in order to promote the culture
of HF across multi agency boundaries.
There exists the potential for challenging behaviour, which can take the
form of physical and verbal aggression directed towards staff and
Potential employees should be aware of such problems, which can arise from
time to time and should be confident of their ability to cope in such
circumstances. The project leader will be expected to support clients and
others including staff though such incidents.
This job description is not meant to be definitive or restrictive and may
be modified by Management to meet changing needs within the Service.
Project Leader (Community Learning Disability Nurse)
Health Checks & Health Facilitation
Essential Desirable Identified By
1.1 Education Registered Nurse on part 1, 5 Teaching and Application Form
or 14 of Register assessing health,
1.2 Experience Minimum of 5 years post Working alongside Application Form.
qualifying experience. 3 primary/acute care
years of the last 5 years staff to deliver Interview References
must have been in a health initiatives
disability nursing role. Managing staff
knowledge of health Project
service provision for adults management
with learning disabilities
1.3 Knowledge A full understanding of the Knowledge and Application Form.
health and social needs of ability to conduct
people with learning clinical procedures Interview References
Disabilities related to health
An understanding of checks
government policy in
relation to the health
needs of people with
An awareness of the
barriers to health that exist
for people with Learning
Knowledge of Public
health needs and health
1.4 Skills A skilled Communicator Skilled in Application Form
and negotiator information
Good presentation and technology Interview References
teaching skills and has the
ability to present
information to all
Able to undertake
Personal Able to instigate and Application Form
Qualities monitor new initiatives
Leadership skills Interview References.
Full driving license
Flexible approach to