Staff Choice Awards 2018/19
Clinical Achievement Award

Lucy Prime

Is a finalist for this award

Job title
Approved Mental Health Practitioner / Community Mental Health Nurse 
Children, Families and Young People’s Services 
Central Norfolk 

The nomination said...

Lucy works as a case manager within the Youth Team, supporting young people between the ages of 14 and 26, their families and carers. The majority of her allocated caseload are young people transitioning from Children’s Services to Adult Services at the age of 18 who, in some instances, have been inpatients since early childhood or who have been in care for many years. This transition is often difficult for all those involved and can cause a great deal of distress to the young person in particular.

Lucy works in a truly inclusive way, ensuring that the young person’s views and opinions are acknowledged and heard. This is of particular importance when the young people have come from a care system background. She achieves this by promoting engagement and choice whenever possible. She manages complex presentations with ease and confidence which in turn influences the clinical team around her positively.

Lucy is able to form therapeutic relationships quickly. She is able to engage young people in honest discussions about risk behaviours to consider alternative ways to keep them safe. Due to her approach, young people in turn feel cared for and reassured during transitions. Her years of experience as a mental health nurse and as a mother to three grown-up children have given Lucy the ability to make her clients feel empowered and gives them the belief that they can achieve any of their goals they set in life.

Lucy has worked with a young person for the past five years who had been an inpatient under the Mental Health Act since the age of 11. This young person has just turned 20. Lucy started working with the client and their family, in-reaching to the hospital ward, when there had been no clear plan for discharge. The young person presented with an eating disorder, severe self-harming behaviours and a complex family background. She has recently been diagnosed with Emotionally Unstable Personality Disorder.

Lucy continuously aims to improve the quality and safety of care for the young people she works with by removing obstacles, focusing on the purpose and being aware of their impact. This was even more of a priority to her when working with this case as she was aware of the impact that any treatment and interventions would have in regards to attachment, emotional development to the young person and life skills.

While the young person was in hospital, Lucy worked systemically with the family to ensure that an holistic approach to treatment was carried out in preparation for discharge back to the family home. Although the Youth Service works with the young person until their 26thbirthday, this client was having to transition at the age of 18 from a children’s hospital to an adult acute ward. This case caused a lot of conflict between Children’s Services and the Acute Services as there were many differing opinions as to what would be best for the client and who should take clinical responsibility. Lucy remained the core clinician throughout the patient’s journey, ensuring that she put the young person’s needs first and put quality of care and safety at the heart of service delivery.

Although the young person has had short admissions since discharge from the child inpatient unit due to high-risk behaviours, Lucy has remained consistent with her support to the family and her clinical treatment plans. She shows compassion and understanding to the young person’s needs which allows for trust and acceptance from a young person who has already been through such emotional complexity in her short life.

Lucy is an experienced Approved Mental Health Practitioner. Although she practises in this capacity away from her usual team, her experience and clinical knowledge is felt by the clinical teams around her. This is most evident in clinical discussions about young people considered to be at risk. Her knowledge of legal and social care systems is reassuring and she is able to share information in such a manner that team members will seek her out to help problem-solve complex cases.

Lucy has many years’ experience as a mental health nurse and has worked in a variety of nursing roles, acute settings, dementia care, community services and now with the Youth Service. Her knowledge and training, combined with that as an AMHP, are huge assets to her and her colleagues. Lucy is a trained systemic practitioner and embeds this into her day-to-day working with her clients and their families. She is a highly respected mentor to student nurses and is also shown great respect within her current work team due to her ability to teach and mentor new members of staff and consistently support her colleagues.

Lucy has been a trained mental health nurse for many years and although she “jokes” about retiring, she is always looking for the next challenge and ways to develop in her career. She is a trusted friend and colleague to many staff, in past and current teams, and will always seek to help anyone in need.

Lucy deserves to be recognised for the work she has done and continues to do within NSFT. Her experience and knowledge are hugely valued by NSFT staff and people who work alongside her outside of the Trust.