Maxine Tilstone

• Deliver comprehensive nursing assessments for complex referrals within allocated timeframes. Evaluate physical state, including, blood analysis, blood pressure, weight, Blood sugars and recorded height. Compute BMI to guide risk thinking and inpatient admission recommendations. Using MEED (medical emergency eating disorders) guidelines and risk formulation. Use NICE guidelines to set intervention plans and implement them consistently. Determined alternative therapeutic options and coordinated appropriate intervention delivery to meet patient needs. Provide evidence-based interventions to meet complex needs and improve engagement. Including CBT Therapy, SSCM, MANTRA therapy. Assumed CPA care co-ordinator responsibility as key worker, ensuring adherence to policy and continuity of care. Lead liaison with relevant agencies and professionals for specialist advice. Own responsibility for a complex eating-disorder caseload across pathways. Contribute to supervision to maintain standards, accountability, and reflective practice. Direct referrals to specialist inpatient services when clinical criteria apply. Maintain compliant client records in line with Electronic Patient Records, (lorenzo) policy requirements. Coordinated carer meetings to provide support strategies. Represent service views in users and carers forum discussions. Coordinated daily care contributions within multi-disciplinary team to enhance collaboration and patient outcomes.
• Supervised junior staff, providing training and mentorship to enhance skills and improve patient outcomes.
• Responded to medical emergencies, applying critical thinking and clinical skills to deliver prompt, effective care.
• Supported patients with complex needs, employing empathy and communication skills to build trust and rapport.

• Led and managed MDT team specialising in mental and physical health services. Owned day-to-day governance of care environment and structures for consistent delivery. Directed stakeholder liaison with departments, agencies, and external bodies to enhance collaboration and service delivery. Accounted for integrated, person-centred MDT work across professional and organisational boundaries. Set communication standards through active collaboration with all stakeholders. Drove practice quality through implementation of NICE guidance and Core 24, ensuring compliance at local and national levels. Provided leadership on performance monitoring and outcome reporting from team data. Aligned operational and clinical performance through partnership with performance team. Held responsibility for staff wellbeing via supervision, caseload management, PDR, and 1:1s. Established collective accountability by fostering an open and honest culture, facilitating continuous improvement initiatives. Owned delivery of trust training on suicide prevention and parental mental health.
• Developed and delivered comprehensive training programmes, improving team skills and performance.
• Evaluated staff performance regularly to identify areas for improvement. and developed improvement plans.

• Promoted collaborative working and fostered positive, professional relationships within the team. Triage and independently assess referrals for individuals suspected of having mental health needs who presented at the emergency department at UHNM. Supported the MHLT team by providing immediate advice and interventions, and formulating care and risk management plans. Also offer immediate side by side assessments collaboratively to offer a joint expert opinion. This would often include collaborative working with appropriate specialists and agencies needed to manage complex clinical risk presentation. The clinical lead role has a strong focus on Evidence based practice and aligning practitioners' practice to ensure practice remain abreast of new developments and to develop and maintain standards and implement change in respect of this. Supported quality of care by delivering a biopsychosocial model, tailoring treatment models to meet individual patient needs. Delivered specific therapeutic interventions to patients and modelled best practices during assessments for team members. My role was also to provide training in mental health related issues particularly to University of North Staffordshire NHS staff members. Alongside delivery of suicide prevention and parental mental health for NSCHCT
• Maintained cleanliness and organisation of workspaces to ensure a safe and welcoming environment., handling linens, clothes washing and basic housekeeping.
• Facilitated engaging activities, such as reading and games, to promote client mental well-being. with reading, games and activities.
• Organised schedules of medications, meals, medical appointments.

• Managing Harplands PICU (Psychiatric Intensive Care Unit). The management of PICU is a speciality, within mental health inpatient services, for adult patients who are experiencing an acutely disturbed phase of a serious mental disorder.
• Managed treatment for patients requiring rapid assessment and stabilisation, utilising an MDT approach and adhering to NAPIU and local trust guidelines to ensure patient safety. Focused on staff well-being in an intensive environment, collaborating with local PICU @ Stafford to incorporate specialist knowledge into team practices and working with NHS England and commissioning managers for complex cases requiring specialist secure care.
• Directed clinical and operational development initiatives, enhancing unit operations and promoting effective service delivery.
• Consulted with senior management to identify and address operational and facilities needs, providing ongoing support to ensure effective unit management.
• Conducted performance reviews, identifying areas for development and rewarding high achievers.
• Cultivated a work environment focused on personal responsibility, continuous improvement and delivering high-quality results.

• Managed a team of nurses and healthcare assistants, providing leadership and fostering professional development.
• Conducted performance appraisals for nursing staff, identifying areas for improvement and career progression opportunities.
• Coordinated with medical professionals to facilitate interdisciplinary team meetings for enhanced patient outcomes.
• Conducted regular staff meetings to discuss ward performance, patient care improvements, and team objectives.
• Supervised ward hygiene and infection control measures, reducing incidence rates of hospital-acquired infections.
• Analysed patient feedback and implemented changes to enhance service delivery and patient satisfaction.
• Managed services to provide equal access to different groups and promote inclusion in healthcare.
• Directed recruitment, training, and development of administrative staff, fostering a supportive work environment.

• I also delivered training in Venepuncture. This Role was a new role for the trust, i designed my own training and utilised specialist experts when needed. it allowed me to transfer my knowledge and skills around the emerging issues relating to patient deterioration of mental and physical health.
• Conducted community workshops for HCSWs on recognising signs and symptoms of deteriorating patients, including training on NEWS (early warning signs) and equipment usage to monitor physical health, ensuring connection with mental health needs.
• Delivered individual and group sessions focused on physical and mental health, emphasising parity of esteem to enhance staff understanding and integration of holistic patient care.
• Participated in professional conferences to gain insights on current research trends to learn about new research and present findings.
• Supervised student projects, facilitating progress and encouraging deeper learning through application.

• Facilitated day-to-day management, quality, and performance of service, ensuring delivery of high standards while identifying areas for service development in line with trust and team requirements.
• Supported ward management and patient care by deputising for manager, ensuring continuity of service.
• Demonstrated clinical nursing skills in patient care settings. and acted as clinical advisor and educator to junior staff. I acted as a named nurse for patients and provided supervision to the staff
• . Participated in providing therapeutic interventions to support patient recovery. in delivering therapeutic interventions to patients and liaised regularly with other professionals regarding progress and outcomes

• Improved patient care by coordinating named nurse roles within MDT approach.
  Reduced clinical risk by administering medication and reviewing daily observations.
  Strengthened safeguarding by writing personalised care plans and individual risk plans.
• Provided emotional support to patients and their families, helping them cope with illness and recovery.
• Worked with a consistently positive, friendly bedside manner to enhance patient experiences during difficult times.
• Assessed and recorded vital signs by measuring blood pressure, pulse, and temperature, while administering medication according to medication management policy and procedures.
• Performed wound care procedures, applying dressings and monitoring for signs of infection to promote healing.
• Collected blood samples for accurate diagnostic testing, demonstrating strong phlebotomy skills.

Coordinated crisis intervention and emergency shelter services for clients.

• Liaised with external agencies, including healthcare and social services, to coordinate comprehensive support for individuals.
• Collaborated with colleagues to create a multidisciplinary approach to welfare, enhancing service provision.
• Managed confidential case files for individuals, providing tailored support and guidance to enhance welfare.
• Participated in initial resident interviews to formulate agreed personal development plans.
• Coached clients to implement life-changing behaviours, demonstrating empathy and active listening skills.
• Supported service users in developing skills for independence through personalised activities.

• Provided care and support to young disabled adults aged 18-25 years daily.
  Delivered independent living skills to promote empowerment across supported students.
  Supported structured activities, self-care needs, and key-working attendance at team meetings.
• Liaised with external agencies, including healthcare and social services, to coordinate tailored support for individuals, ensuring comprehensive care.
• Collaborated with colleagues to develop a multidisciplinary approach to welfare, improving service provision and client outcomes.
• Developed and implemented policies on safeguarding, equality, and diversity, promoting a safe and inclusive environment.

• Welcomed guests and clients warmly, creating a positive first impression.
• Greeted visitors warmly, providing a professional first impression of the organisation.
• Delivered polite, professional customer service to enhance business reputation through positive first impressions.
• Met incoming customers with a professional approach and provided friendly, knowledgeable assistance.
• Managed incoming telephone calls, accurately taking messages and relaying to personnel for prompt communication.
• Ensured a clean and orderly reception area to enhance visitor experience.
• Handled confidential documents with discretion, following data protection guidelines to safeguard information.