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Thursday, 23 January 2014

Career Profile - Mental Health Nurse

Written by The Editorial Team

If you're a good communicator and want to help people with mental health problems, a job in mental health could be perfect for you.

Mental health nurses work in hospitals and the community to support people with a range of mental health issues. They aim to build good relationships with clients and their families so that everyone is involved in the therapy process.

A mental health nurse has to be sympathetic and non-judgmental. You will need to be able to gain a patient’s trust. You’ll also need to manage emotional situations.

To work as a mental health nurse, you will need to complete a Nursing and Midwifery Council approved degree in nursing.


The work

As a mental health nurse, you would support people who have conditions such as:

  • anxiety
  • depression
  • stress-related illnesses
  • personality disorders
  • eating disorders
  • drug and alcohol addiction.

You could work with a variety of clients, or specialise and work with a particular group, like adolescents or offenders. Your duties could involve:

  • assessing and supporting patients
  • encouraging patients to take part in role play, art, drama and discussion as therapies
  • physical care, if the patient is too old or ill to look after themselves
  • giving medication to patients.

You would work closely with support workers, psychiatrists, clinical psychologists and health visitors. You may also help clients if they need to deal with social workers, the police, relevant charities, local government and housing officials.


Hours

You would normally work 37.5 hours a week. This could include evenings, weekends, night shifts and bank holidays, as care could be needed any time. Part-time work or extra hours may also be available.

You could be based at a day hospital, outpatients department, community healthcare centre or specialist unit (for example for drug dependency). If you work with offenders, you could work in a secure unit or special hospital.

In the community, you would mainly work day shifts. However, some NHS trusts operate an on-call rota system for emergencies, which you may need to be part of.


Income

Nurses can earn between £21,388 and £27,901 a year. Experienced nurses working as advanced practitioners, clinical specialists or nurse team managers can earn from £25,500 to around £40,500. Nurse consultants can earn between £39,000 and £67,000 a year.

Extra allowances may be paid to those living in or around London.

Figures are intended as a guideline only.


Entry requirements

To qualify as a mental health nurse you will need to study for a degree in mental health nursing leading to registration with the Nursing and Midwifery Council (NMC).

To do a degree, you will normally need:

  • at least five GCSEs (A-C), including English, maths and a science
  • two or three A levels, including at least one science or health-related subject
  • good references.

You will also need to pass occupational health checks and background checks by the Disclosure and Barring Service (DBS). See the DBS website for more information.

Contact course providers for exact entry requirements, as other qualifications may also be accepted, such as an Access to Higher Education or Level 3 Diploma in Health and Social Care. If you already have a health-related degree, you may be able to join a nursing degree on the second year of a course at the course provider's discretion.

You can find course providers on the Universities and Colleges Admissions Service (UCAS) and NHS Careers websites. The NMC website also includes application advice.

Please note: the Advanced Diploma/DipHE in Nursing is no longer open for applications. All applicants must now complete a degree.

When applying for a course, it may be helpful if you have some relevant paid or voluntary experience. You can check the Do-it website and also contact the voluntary services coordinator at your local NHS Trust for information about volunteering opportunities.

Alternative entry routes

You could prepare for entry to a nursing degree by doing an Apprenticeship in healthcare. Schemes vary between NHS Trusts, but will normally include clinical placements and working towards a qualification like the Level 3 Diploma in Clinical Healthcare Support.

To find out more visit the Apprenticeships website and contact your local NHS Trust.

Nursing cadet schemes also offer on-the-job training, which could be used as entry to a nursing degree although most have now been replaced by the Apprenticeship route.

If you are an experienced healthcare assistant or mental health support worker with a level 3 qualification and you have the support of your employer, you may be able to complete a part-time nursing degree by applying for a secondment. Check with your employer for details about secondments.

Funding

You may be eligible for NHS funding to do a nursing degree, which would include course fees and a bursary to help with living expenses. Full-time students will receive a non-means tested grant of £1,000, an additional means tested bursary of up to £4,395 a year (£5,460 for students in London) and can apply for a non-means tested loan. Check with NHS Student Bursaries for full details.

Nurses trained outside the UK

If you are a qualified nurse from a country inside the European Economic Area (EEA), you can apply to register with the NMC. You may need to take further NMC-approved assessments or training before you can register, depending on your qualifications and experience.

If you qualified outside of the EEA, you may need to complete the Overseas Nurses Programme before you can work as a nurse in the UK. Check with the NMC for details.


Training and development

Once you have started a nurse training programme, you will divide your time between university study and supervised work placements in hospitals and in the community. Most courses are full-time and take three years to complete.

A mental health nursing degree will cover many areas, including:

  • foundations and theory of mental health nursing
  • developing observation, communication and teamworking skills
  • physiology
  • safeguarding
  • counselling and therapeutic relationships
  • medicine management
  • care planning and partnership working
  • professional standards and code of practice.

Throughout your course, you will have the opportunity to develop your knowledge and skills by working in a variety of settings from a supported housing complex to a ward clinic for dementia.

Your progress through the course would be measured through a combination of coursework, assessment, exams and project work.

With further study (for example to masters degree level) you may be able to apply for advanced nurse practitioner (ANP) and clinical nurse specialist (CNS) posts. Experience in these roles can lead to a nurse consultant job. Nurse consultants work directly and independently with patients, carry out research and deliver training.

Professional registration

As a qualified nurse you must renew your professional registration with the NMC every three years. To renew, you need to have worked a minimum of 450 hours and completed at least 35 hours of professional development training during the three-year period. Check with the NMC for details.

If you are already a registered nurse and want to move into a different branch of nursing, you may be able to apply for a shortened 18-month training programme.

Return to practice

If you are a former registered nurse wanting to return to the profession, you can take a return to practice course to bring your skills and knowledge up to date. See the NMC website and contact your local NHS Trust for more details.


Skills, interests and qualities

To become a mental health nurse, you will need to have:

  • an understanding, sympathetic and non-judgmental manner
  • excellent communication and listening skills
  • the ability to gain a patient’s trust
  • an understanding of body language and other non-verbal communication
  • the ability to empathise and relate to people of all ages and backgrounds
  • the ability to stay calm and in control in difficult situations
  • an ability to manage emotional situations
  • the ability to work as part of a team
  • a persuasive manner, with the ability to encourage patients to follow treatment plans
  • assertiveness and the ability to represent patients’ interests.

You may need a driving licence to work in the community.


More information

Nursing and Midwifery Council (NMC) (Opens new window)
23 Portland Place
London
W1B 1PZ
Tel: 020 7333 9333
www.nmc-uk.org

NHS Careers (Opens new window)
PO Box 2311
Bristol
BS2 2ZX
Tel: 0345 60 60 655
www.nhscareers.nhs.uk

Health Learning and Skills Advice Line (Opens new window)
Tel: 08000 150850

Queens University of Belfast (Opens new window)
School of Nursing and Midwifery
Medical Biology Centre
97 Lisburn Road
Belfast
BT9 7BL
Tel: 028 9097 2233
www.qub.ac.uk

University of Ulster at Jordanstown (Opens new window)
School of Nursing
Shore Road
Newtownabbey
Co Antrim
BT37 0QB
Tel: 08700 400 700
www.ulster.ac.uk

National Leadership and Innovation Agency for Healthcare (Opens new window)
Innovation House
Bridgend Road
Llanharan
CF72 9RP
Tel: 01443 233 333
www.nliah.wales.nhs.uk/

Skills for Health (Opens new window)
Goldsmiths House
Broad Plain
Bristol
BS2 0JP
Tel: 0117 922 1155
www.skillsforhealth.org.uk


Opportunities

You will find most jobs in the NHS. You can also work in the private sector, for the prison service, with local authority social services or with mental health charities.

With experience you could progress to sister, ward manager or team leader, responsible for running a ward or team of nurses in the community. You could go on to become matron or director of nursing.

With further study (for example to masters degree level) you may be able to apply for advanced nurse practitioner (ANP) and clinical nurse specialist (CNS) posts. Experience in these roles can lead to a nurse consultant position. Consultants work directly and independently with patients, carry out research and develop and deliver training.

You could also train in health visiting, become self-employed or work overseas.


Related industry information

Industry summary

The health sector is represented by Skills for Health Sector Skills Council, which comprises three sub‐sectors:

  • National Health Service (NHS)
  • Independent Healthcare Sector (such as private and charitable healthcare providers)
  • Third Sector (healthcare) (such as small local community and voluntary groups, registered charities, foundations, trusts, social enterprises and co‐operatives)

The health sector is made up of hospitals, doctors’ surgeries, dental practices, the ambulance service, nursing homes, residential care homes, complementary medicine and a huge range of other health related activities, from sight tests in opticians to research in medical laboratories. Most people in the health sector work in the publicly funded National Health Service (NHS), which includes:

  • primary care (organisations which the public goes to first) – Doctors/General Practitioners (GPs), NHS Walk in Centres, NHS Direct, Out of Hours Emergency Care
  • secondary care (organisations which the public are referred onto) – Ambulance Trusts, NHS Trusts/hospitals, NHS Foundation Trusts/hospitals, Mental Health Trusts, Care Trusts (provide joint health and social care activities)

NHS policy in England is directed from the centre by the Department of Health. Local organisations, known as Primary Care Trusts (PCTs), are in charge of providing and commissioning services, controlling the majority of the budget. PCTs are overseen by 10 regional organisations called Strategic Health Authorities (SHAs).

The independent sector includes companies and charities that offer hospital and specialist services usually after referral from a doctor. Operations and other work are carried out in private hospitals, independent treatment centres, mental health units and hospices.

Key facts:

  • The health sector is the largest employer in the UK, representing 5.5% of the working age population of the UK and 7.3% of the working age population that are currently in employment.
  • It is estimated that the sector employs over 2 million people, including:
    • over 1.5 million people in the NHS (72%)
    • over 0.5 million people in the Independent Healthcare sector (26%)
    • almost 40,000 in the voluntary sector (2%)
  • 56% of the workforce has a higher education qualification (or equivalent).
  • The age profile for the sector shows an older than average workforce, which is due in part to the fact that it takes some professions a long time to train and can mean that people enter the sector later.

There is a varied list of jobs in the sector ranging from a diverse number of clinical roles, to support and infrastructure staff, for instance: Allied Health Professionals (AHPs); Ambulance Staff; Dental Staff; Doctors/Medical staff; Nursing staff; Midwifery Staff; Healthcare Scientists; Health Informatics Staff; Management; Wider Healthcare Team; Complementary Therapists.


Further sources

NHS Careers has sections on:

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