Depot-Clozapine Community Mental Health Nurse

CompanyCentral and North West London NHS Foundation Trust

LocationLondon, England, United Kingdom

Posted At1/21/2026

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Occupation Type

Registered mental health nurses

Occupation Code Skill LevelHigher Skilled

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Description

Job Overview

This is an exciting opportunity for a motivated clinician to play a key role in shaping and delivering high-quality clozapine and physical healthcare across North Westminster community services. The postholder will lead the Clozapine Clinic for the North Westminster teams for two days per week, providing expert oversight and continuity of care for service users prescribed clozapine.

For the remainder of the week, the role will be based within the Queens Park and Paddington Community Mental Health Hub, holding a small caseload of stable depot patients with a clear focus on recovery, optimisation of treatment, and planned transfer back to primary care where appropriate.

In addition, the postholder will act as the team’s Physical Health Lead, working collaboratively with multidisciplinary colleagues to ensure annual physical health checks are completed, results are reviewed, and appropriate follow-up interventions are implemented. This role offers the chance to influence quality, improve physical health outcomes, and support integrated care pathways within the service.

Main duties of the job

The postholder will be a qualified Mental Health Nurse with substantial post-registration experience and a strong commitment to delivering high-quality, recovery-focused care. They will demonstrate a clear interest in improving the physical health outcomes of people with severe mental illness and working proactively to address

health inequalities. Where appropriate, the successful applicant will be supported to develop their practice further, including the opportunity to undertake non-medical prescribing training.

Working for our organisation

This post is based within the Queens Park and Paddington Community Mental Health Team in North Westminster, a welcoming and supportive service with a strong sense of community and collaborative working. The team values mutual support, shared learning, and high-quality patient care.

The base is ideally located beside the canal, offering a pleasant working environment alongside excellent transport links into central London. Westbourne Park Underground station is within easy walking distance, and the area is well served by multiple bus routes, making the service readily accessible.

Detailed Job Description And Main Responsibilities

North Westminster Clozapine Clinic Lead

To safely and effectively carry out the operation of the Clozapine Clinic for North Westminster two days per week, including the use of POCHI blood testing system.
To ensure the delivery of a service within the Clozapine Clinic which adheres to the Clozapine and POCHI operational policies and is in line with evidence-based practice.

To prioritise time and workload, in a flexible manner to meet clozapine clinic and community caseload responsibilities.

To be trained up to take bloods from patients when required

To liaise with identified Care Coordinators/Responsible Clinicians for service users who attend the Clozapine Clinic as required.

To offer in-house training in POCHI operation as required.

To attend and contribute to Trust wide Clozapine development meetings.

To assess and review health and social care needs (Referring/Sign posting to relevant team for more complex issues including accommodation, finances, and support in accessing education, training or employment) and negotiate care plans with service users and their carers.

To participate in relevant meetings and effectively develop personal skills knowledge and experience through supervision and training.

Depot Lead

To lead and participate in the running of the weekly depot clinic, communicating any issues or concerns about depot patients with the relevant members of staff in the team
Work closely with the team pharmacy lead in liaising with GP colleagues to agree the transfer of medication or the transfer of patients back to primary care. Support primary care staff to feel comfortable with the use of the depot medications

Work to develop a speciality in depot administration sharing knowledge of this to upskill other nurses in the team

Deliver training to other staff and students on the delivery of depots.

Develop a process to ensure patients under depot-only provision are accessing medical reviews when required

Stocktake medication usage to ensure all medications are ordered and available. Ensure medications are used within their use-by dates to minimise medication wastage. Ensure medication orders are paused or cancelled when no longer required

Manage the live depot spreadsheet to ensure depots are given to service users in the team on time

General

To be responsible for managing the care of patients allocated to the depot and clozapine clinics
To participate in relevant meetings and effectively develop personal skills knowledge and experience through supervision and training.
To undertake risk assessments, according to Trust policy.
To engage with service users within the clinic setting, to assess mental state, physical health, monitor treatment, support concordance and ensure prompt action is taken to alleviate unwanted effects of prescribed medication.

To assess physical health and deliver interventions to promote optimal physical wellbeing (i.e. smoking, weight and lifestyle issues).

To help clients gain fair and equal access to services, through choice and social inclusion and being sensitive to age, culture, ethnicity and gender, sexuality and disability.

To ensure delivery of care plans in partnership with multi-disciplinary colleagues and a range of health and social care agencies.

To ensure CNWL Child Protection Guidelines and Safeguarding Children and Adult procedures are fully understood by self and others. To ensure the safety needs of children and adults are met at all times and take appropriate action when a child or adult is felt to be at risk or in need.

To provide interventions and to work with other disciplines/agencies/teams in the care of service users experiencing co-morbid problems with substance use/misuse.

To ensure a coordinated response for people presenting to the clinic in crisis

To deliver a flexible and responsive service through working practices that are dictated by service user/carer need and contribute to the provision of service continuity including outside normal working hours when necessary.

To support the safe step down of patients not currently requiring mental health services, with a focus on enabling GP practices to provide effective, continuing care and to ensure access to support in terms wider social and social inclusion/self-management needs.

To maintain standards of professional conduct at all times and observe the legal requirements of the MHA (1983), its Code of Practice, The Children Act (1989) The Mental Capacity Act (2005), Care Act (2014) and other relevant legislation and guidance.

COMMUNICATION

To use excellent communication skills and to develop and maintain therapeutic relationships with service users and their families and carers who may at times be in situations of emotional distress.

To be aware of how your verbal and non-verbal communication can be interpreted by others and ensure a polite approach is maintained at all times.

To develop and maintain effective working relationships and networks with colleagues within mental health services, primary care, voluntary agencies and other partner agencies to ensure well - co-ordinated care.

To actively participate in Inpatient and Community team meetings and clinical reviews, as required, to help promote team cohesiveness, multidisciplinary working and collaboration with colleagues in all parts of the Trust.

To use these forums to problem-solve and identify risk and concerns with the team and ensure agreed decisions are implemented and documented.

To ensure that views of all service users are effectively sought, channelled and acted upon, including the efficient processing of complaints or untoward incidents in accordance with the Trust policy.

To maintain accurate and up-to-date records utilising electronic media as necessary, and ensuring any hand written documentation is legible and in accordance with professional guidelines and best practice.

To maintain statistical information records required by the Trust for reporting on Performance Management.

To complete agreed audit and evaluation measures and provide and collate information relevant to performance management as requested.

TRAINING

To participate actively in clinical supervision, as well as in management supervision and annual appraisal with line manager, and to pursue further professional development and training appropriate to the age range covered by the team, according to a Personal Development Plan
To maintain up to date knowledge through networking, training and reading, and to comply with professional requirements for the maintenance of professional registration.
To participate in and contribute to induction and training within the team, act as mentor or supervisor to students and junior staff, and to support the development of a working environment conducive to learning.
Seek appropriate opportunities to contribute to mental health education within the community.
Attend conferences and workshops associated with mental health and psychiatry or related topics and keep abreast of developments by reading professional journals etc.

TRAINING

To participate actively in clinical supervision, as well as in management supervision and annual appraisal with line manager, and to pursue further professional development and training appropriate to the age range covered by the team, according to a Personal Development Plan

To maintain up to date knowledge through networking, training and reading, and to comply with professional requirements for the maintenance of professional registration.

To participate in and contribute to induction and training within the team, act as mentor or supervisor to students and junior staff, and to support the development of a working environment conducive tolearning.

Seek appropriate opportunities to contribute to mental health education within the community.

Attend conferences and workshops associated with mental health and psychiatry or related topics and keep abreast of developments by reading professional journals etc.

Person specification

Education And Qualifications

Essential criteria

Registered Mental Health Nurse (RMN) with substantial post-registration experience
Mentorship qualification

Desirable criteria

Non Medical Prescribing qualification or willingness to undertake training
Venepuncture qualification or willingness to undertake venepuncture training
ECG recording and basic interpretation training, or willingness to undertake training

Clozapine/Potchi trained

Experience

Essential criteria

Experience of working in multidisciplinary mental health team with clients with acute/severe and enduring mental health problems

Desirable criteria

Work with clients with acute/severe and enduring mental health problems who are homeless/rootless
Work with people experiencing mental health crisis.
Supervision of students and junior staff.
Audit and research; Teaching; Working with people who use substances

Skills and knowledge

Essential criteria

Ability to assess physical health and implement appropriate interventions for people with severe mental illness.
Competence in the safe administration of intramuscular depot medication, in line with Trust policy and best practice.
Sound knowledge of psychotropic medications used in the treatment of severe and enduring mental illness, including indications, side effects, monitoring requirements, and risk management.
Excellent verbal and written communication skills, including report writing and presentations / IT skills.

Can demonstrate understanding of psychosis and its impact on service users and carers.

Skills in psychosocial interventions.

Desirable criteria

Ability to work effectively within a multidisciplinary team and communicate clinical concerns appropriately.Ability to work effectively within a multidisciplinary team and communicate clinical concerns appropriately.
Knowledge of clozapine monitoring requirements and associated physical health considerations.
Familiarity with depot medication protocols and shared-care arrangements with primary care.
Experience in supporting clients with dual diagnosis
Ability to motivate others, use initiative and manage change.