Barnet, Enfield & Haringey Mental Health NHS Trust

Complex PTSD pathway lead (Psychologist, Mental Health Practitioner)

Information:

This job is now closed

Job summary

An exciting opportunity to be at the forefront of health care for people with Complex Post Traumatic Stress Disorder (cPTSD).

As lead of the cPTSD pathway you would be part of a leadership team alongside a deputy and senior psychiatrist, closely supported by a Consultant Clinical Psychologist.

You would oversee a supportive, reflective and creative MDT providing a phased treatment programme for service users with complex, comorbid PTSD symptoms.

The team offers a variety of interventions - therapeutic groups and individual psychological, psychologically informed and social interventions, including behavioural activation, group stabilization, trauma focused therapies (Narrative Exposure Therapy, EMDR and Trauma Focused CBT) and relational approaches (STAIR group). Service users may have experienced extreme, ongoing trauma, are refugees or have a history of childhood abuse. We prioritise the therapeutic relationship and a trauma-informed approach and emphasise shared responsibility - risk issues and clinical decisions are held as a team with multiple team weekly forums.

We welcome application from clinicians from a variety of psychotherapeutic/mental health backgrounds with cPTSD specialist skills. We would consider a secondment and candidates who would like to step up to a leadership role and be supported in this.

Main duties of the job

The role involves taking lead role in maintaining a Borough-wide evidence based therapies programme within the complex Post Traumatic Stress Disorder (cPTSD) pathway/team, including:

  • managing and supervising the work of clinical staff within the pathway including the provision of reflective practice
  • maintaining the smooth running of the programme for service users under the pathway
  • direct provision of therapies supported by NICE guidelines (including EMDR, CBT, and other appropriate models and model-informed treatments) to individuals or groups with a highly complex mental health issue
  • specialist assessment in line with a core discipline
  • providing advice and consultation on service users' psychological care to non-psychological therapist colleagues individually and in group
  • supervising and supporting the psychological assessment, therapies and interventions provided by other psychological therapists, clinical members of the team and trainee psychological therapists
  • developing and delivering expert cPTSD training and pre- and post-qualification training (CPD) and clinical professional supervision to prequalification and qualified psychological therapists and other MDT professionals
  • supporting the implementation of systems for the evaluation, monitoring and development of services.
  • involvement in research, policy and service development

About us

Working for North London Mental Health Partnership

The partnership between Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) and Camden and Islington NHS Foundation Trust (C&I) is going from strength to strength since it was originally established in 2021 forming the North London Mental Health Partnership.

Why choose to join the Partnership?

  • We believe that by working together, our two Trusts can achieve more for the residents of North Central London and our patients than we can by working apart.
  • Deliver the best care using the most up-to-date practise in supporting those with mental health illnesses.
  • Transforming and creating a positive environment for our service users, staff and visitors.
  • Creating and working together to become a great place to work for all our staff.
  • We offer flexible working, a wide range of health and wellbeing initiatives, NHS Pension and so much more.
  • Generous Annual Leave Allowance
  • NHS Discounts in a large variety of retail stores and services.
  • We have excellent internal staff network support groups.

The postholder will need to be comfortable working in an environment of complex matrix management arrangements and will at all times behave and align with our Trusts' values and cultural pillars.

Details

Date posted

15 February 2024

Pay scheme

Agenda for change

Band

Band 8b

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Part-time

Reference number

306-BEH-1742

Job locations

St Anns' Hospital

St Anns' Hospital

London

N15 3TH


Job description

Job responsibilities

Relationships/Communications

  • establish and maintain positive interpersonal relationships with staff members characterised by trust, mutual respect, and open, honest communication. These will include, but are not limited to:

Internal Relationships

  • cPTSD Pathway colleagues
  • Other Complex Emotional Needs pathways (Personality Disorder & Mood Anxiety and Personality) staff
  • Core Team Clinicians
  • Senior Management
  • Trust Services

External Relationships

  • Haringey Council
  • Housing Associations
  • Primary Care
  • Voluntary/Community Sector Organisations
  • Other NHS Trusts
  • Charities
  • Placements Training Institutions

Key Responsibilities

  • Managing and supervising the work of clinical staff within the pathway including the provision of reflective practice
  • maintaining the smooth running of the programme for service users under the pathway
  • direct provision of therapies supported by NICE guidelines (including EMDR, CBT, and other appropriate models and model-informed treatments) to individuals or groups with a highly complex mental health issue
  • specialist assessment in line with a core discipline
  • providing advice and consultation on service users psychological care to non-psychological therapist colleagues individually and in group
  • supervising and supporting the psychological assessment, therapies and interventions provided by other psychological therapists, clinical members of the team and trainee psychological therapists
  • developing and delivering expert cPTSD training and pre- and post-qualification training (CPD) and clinical professional supervision to prequalification and qualified psychological therapists and other MDT professionals
  • supporting the implementation of systems for the evaluation, monitoring and development of services.
  • involvement in research, policy and service development

Communication

Communicate complex and potentially contentious information in a highly skilled and sensitive manner, in situations with service users who may be extremely hostile or highly emotional requiring the highest level of communication skills.

Communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor and evaluate progress during the course of both uni- and multi-disciplinary care.

Manage potentially complex staff issues or work planning/scheduling.

Work effectively as one member of the tripartite management structure within the South East Locality Team. This involves close working with the Team Manager and Consultant Psychiatrist to ensure the smooth running of the South East Locality Team and the provision and management of psychological therapies within the team.

Patient/Customer Care (both direct and indirect)

Responsible for the smooth running of the cPTSD Pathway, which involves responsibility for the screening, assessment, treatment and discharge of service users within the pathway.

Responsible for the screening, assessment and treatment planning of service users in cPTSD pathway requiring psychological support for complex, non-psychotic psychological difficulties.

Formulate and implement plans for the formal psychological treatment and/or management of a clients mental health problems, based upon an appropriate conceptual framework of the clients problems, and employing methods of proven efficacy, across the full range of care settings.

Be responsible for implementing a range of psychological interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses.

Evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group.

Exercise autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically based standard care plans.

Provide specialist psychological advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan.

Ensure that all members of the treating team have access to a psychologically based framework for understanding and care of clients of the service, through the provision of advice and consultation and the dissemination of psychological research and theory.

Undertake risk assessment and risk management for individual clients and to provide general advice to other professionals on psychological aspects of risk assessment and management.

Provide expertise, advice and support to facilitate the effective and appropriate provision of psychological care by all members of the treatment team.

Resource Management

Exercise delegated responsibility for managing the psychological resources available to a team, whether in the form of additional qualified and unqualified graduate psychology staff, or in the form of psychological materials employed in the assessment and treatment of patients.

Financial responsibility

Contribute to decision making around how psychological pathway budget is used

Responsibility for Human Resources

Use a broad theoretical knowledge base and specialist clinical skills to train and support qualified psychological therapists, other clinical and MDT staff including Assistant Psychologists, AMHWs and community nurses, honoraries and trainees through teaching, supervision and consultation.

Provide advice, consultation, training and clinical supervision to other members of the team for their provision of psychologically based interventions to help improve clients functioning.

Maintain and develop skills in the area of professional pre- and post-graduate training and clinical supervision. To develop and maintaining knowledge of local resources and develop working relationships with relevant statutory, voluntary and community groups and organisations.

Responsibility for Administration

Work alongside administration managers to contribute to the smooth delivery of admin provision to the pathway/team

Responsibility for IT and Digital Systems/Services

  • send and receive email, including attachments.
  • competently use a word processing package
  • use a database package.
  • use computers to write reports and record data, including the use of statistical packages as part of psychological testing, research and assessment when needed. To be able to use research databases and advanced tools for analysis at both quantitative and qualitative levels

Policy / Service Development

Participate, as a senior clinician, in the evaluation, monitoring and development of the teams operational policies, through the deployment of professional skills in research, service evaluation and audit and ensuring incorporation of psychological frameworks for understanding and provision of high quality care.

Utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members.

Undertake appropriate research and provide research advice to other staff undertaking research.

Initiate project management, including complex audit and service evaluation, with colleagues within and across the service to help develop and improve services to clients and their families.

Service Development

Participate as a senior clinician in the development of a high quality, responsive and accessible service including advising both service and professional management on those aspects of the service where psychological and/or organisational matters need addressing.

Exercise responsibility for the systematic governance of psychological practice within the service/team.

Participate, as appropriate, in staff recruitment, both in the short-listing process and as a member of interview panels for assistant, trainees, qualified clinical psychologists and other clinical staff.

Research And Development

Maintain professional standards of CPD/development and contribute to the learning of others

Contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes.

Ensure the development and articulation of best practice in psychology within the service area and contribute across the service by exercising the skills of a reflexive and reflective scientist practitioner, taking part in regular professional supervision and appraisal and maintaining an active engagement with current developments in the field of clinical psychology and related disciplines.

Maintain and promote the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of the British Psychological Society and Trust policies and procedures.

Maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health.

General

All staff are responsible for the continual compliance with CQC standards and outcomes.

The postholder must be aware of, and work in line with, the Trusts Safeguarding Adults and Children procedures.

Personal Development

All staff are required to be appraised by their line managers at least once a year at a personal development review meeting where progress made over the last year is discussed and agreed. Focus on the following years departmental and personal objectives will be identified, discussed and agreed. Where necessary, help and support will be provided and development opportunities agreed in line with service provision and the knowledge and skills competency framework.

Job description

Job responsibilities

Relationships/Communications

  • establish and maintain positive interpersonal relationships with staff members characterised by trust, mutual respect, and open, honest communication. These will include, but are not limited to:

Internal Relationships

  • cPTSD Pathway colleagues
  • Other Complex Emotional Needs pathways (Personality Disorder & Mood Anxiety and Personality) staff
  • Core Team Clinicians
  • Senior Management
  • Trust Services

External Relationships

  • Haringey Council
  • Housing Associations
  • Primary Care
  • Voluntary/Community Sector Organisations
  • Other NHS Trusts
  • Charities
  • Placements Training Institutions

Key Responsibilities

  • Managing and supervising the work of clinical staff within the pathway including the provision of reflective practice
  • maintaining the smooth running of the programme for service users under the pathway
  • direct provision of therapies supported by NICE guidelines (including EMDR, CBT, and other appropriate models and model-informed treatments) to individuals or groups with a highly complex mental health issue
  • specialist assessment in line with a core discipline
  • providing advice and consultation on service users psychological care to non-psychological therapist colleagues individually and in group
  • supervising and supporting the psychological assessment, therapies and interventions provided by other psychological therapists, clinical members of the team and trainee psychological therapists
  • developing and delivering expert cPTSD training and pre- and post-qualification training (CPD) and clinical professional supervision to prequalification and qualified psychological therapists and other MDT professionals
  • supporting the implementation of systems for the evaluation, monitoring and development of services.
  • involvement in research, policy and service development

Communication

Communicate complex and potentially contentious information in a highly skilled and sensitive manner, in situations with service users who may be extremely hostile or highly emotional requiring the highest level of communication skills.

Communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor and evaluate progress during the course of both uni- and multi-disciplinary care.

Manage potentially complex staff issues or work planning/scheduling.

Work effectively as one member of the tripartite management structure within the South East Locality Team. This involves close working with the Team Manager and Consultant Psychiatrist to ensure the smooth running of the South East Locality Team and the provision and management of psychological therapies within the team.

Patient/Customer Care (both direct and indirect)

Responsible for the smooth running of the cPTSD Pathway, which involves responsibility for the screening, assessment, treatment and discharge of service users within the pathway.

Responsible for the screening, assessment and treatment planning of service users in cPTSD pathway requiring psychological support for complex, non-psychotic psychological difficulties.

Formulate and implement plans for the formal psychological treatment and/or management of a clients mental health problems, based upon an appropriate conceptual framework of the clients problems, and employing methods of proven efficacy, across the full range of care settings.

Be responsible for implementing a range of psychological interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses.

Evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group.

Exercise autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically based standard care plans.

Provide specialist psychological advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan.

Ensure that all members of the treating team have access to a psychologically based framework for understanding and care of clients of the service, through the provision of advice and consultation and the dissemination of psychological research and theory.

Undertake risk assessment and risk management for individual clients and to provide general advice to other professionals on psychological aspects of risk assessment and management.

Provide expertise, advice and support to facilitate the effective and appropriate provision of psychological care by all members of the treatment team.

Resource Management

Exercise delegated responsibility for managing the psychological resources available to a team, whether in the form of additional qualified and unqualified graduate psychology staff, or in the form of psychological materials employed in the assessment and treatment of patients.

Financial responsibility

Contribute to decision making around how psychological pathway budget is used

Responsibility for Human Resources

Use a broad theoretical knowledge base and specialist clinical skills to train and support qualified psychological therapists, other clinical and MDT staff including Assistant Psychologists, AMHWs and community nurses, honoraries and trainees through teaching, supervision and consultation.

Provide advice, consultation, training and clinical supervision to other members of the team for their provision of psychologically based interventions to help improve clients functioning.

Maintain and develop skills in the area of professional pre- and post-graduate training and clinical supervision. To develop and maintaining knowledge of local resources and develop working relationships with relevant statutory, voluntary and community groups and organisations.

Responsibility for Administration

Work alongside administration managers to contribute to the smooth delivery of admin provision to the pathway/team

Responsibility for IT and Digital Systems/Services

  • send and receive email, including attachments.
  • competently use a word processing package
  • use a database package.
  • use computers to write reports and record data, including the use of statistical packages as part of psychological testing, research and assessment when needed. To be able to use research databases and advanced tools for analysis at both quantitative and qualitative levels

Policy / Service Development

Participate, as a senior clinician, in the evaluation, monitoring and development of the teams operational policies, through the deployment of professional skills in research, service evaluation and audit and ensuring incorporation of psychological frameworks for understanding and provision of high quality care.

Utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members.

Undertake appropriate research and provide research advice to other staff undertaking research.

Initiate project management, including complex audit and service evaluation, with colleagues within and across the service to help develop and improve services to clients and their families.

Service Development

Participate as a senior clinician in the development of a high quality, responsive and accessible service including advising both service and professional management on those aspects of the service where psychological and/or organisational matters need addressing.

Exercise responsibility for the systematic governance of psychological practice within the service/team.

Participate, as appropriate, in staff recruitment, both in the short-listing process and as a member of interview panels for assistant, trainees, qualified clinical psychologists and other clinical staff.

Research And Development

Maintain professional standards of CPD/development and contribute to the learning of others

Contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes.

Ensure the development and articulation of best practice in psychology within the service area and contribute across the service by exercising the skills of a reflexive and reflective scientist practitioner, taking part in regular professional supervision and appraisal and maintaining an active engagement with current developments in the field of clinical psychology and related disciplines.

Maintain and promote the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of the British Psychological Society and Trust policies and procedures.

Maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health.

General

All staff are responsible for the continual compliance with CQC standards and outcomes.

The postholder must be aware of, and work in line with, the Trusts Safeguarding Adults and Children procedures.

Personal Development

All staff are required to be appraised by their line managers at least once a year at a personal development review meeting where progress made over the last year is discussed and agreed. Focus on the following years departmental and personal objectives will be identified, discussed and agreed. Where necessary, help and support will be provided and development opportunities agreed in line with service provision and the knowledge and skills competency framework.

Person Specification

Education

Essential

  • Core health professional qualification (clinical or counselling psychology, psychotherapy, nursing, social work, occupational therapy)
  • Registration with the appropriate professional body (NMC, UKCP, HCPC etc).
  • Training in Trauma focused models of therapy (particularly Trauma focused CBT, EMDR or Narrative Exposure Therapy)
  • Experience of working in a core psychological therapy profession (e.g. qualified clinical/counselling psychologist/systemic therapist/psychotherapist/suitably skilled psychological therapist) and as a PTSD specialist.

Desirable

  • Post graduate training in one or more additional specialised areas of psychotherapy practice

EXPERIENCE AND KNOWLEDGE

Essential

  • Experience of working in a core psychological therapy profession
  • Experience of providing psychological therapies to clients with a wide range of mental health problems
  • Experience of working with a wide variety of client groups, across the whole life course and presenting with the full range of clinical severity across the full range of care settings

Desirable

  • Experience of assessing and treating clients across the full range of care settings
  • Experience of the application of psychology in different cultural contexts

Skills and Abilities

Essential

  • Well-developed skills in the ability to communicate effectively, orally and in writing, highly technical, and clinically sensitive information to clients
  • Skills in providing consultation to other professional and nonprofessional groups
  • Formal training in supervision of other psychologists
Person Specification

Education

Essential

  • Core health professional qualification (clinical or counselling psychology, psychotherapy, nursing, social work, occupational therapy)
  • Registration with the appropriate professional body (NMC, UKCP, HCPC etc).
  • Training in Trauma focused models of therapy (particularly Trauma focused CBT, EMDR or Narrative Exposure Therapy)
  • Experience of working in a core psychological therapy profession (e.g. qualified clinical/counselling psychologist/systemic therapist/psychotherapist/suitably skilled psychological therapist) and as a PTSD specialist.

Desirable

  • Post graduate training in one or more additional specialised areas of psychotherapy practice

EXPERIENCE AND KNOWLEDGE

Essential

  • Experience of working in a core psychological therapy profession
  • Experience of providing psychological therapies to clients with a wide range of mental health problems
  • Experience of working with a wide variety of client groups, across the whole life course and presenting with the full range of clinical severity across the full range of care settings

Desirable

  • Experience of assessing and treating clients across the full range of care settings
  • Experience of the application of psychology in different cultural contexts

Skills and Abilities

Essential

  • Well-developed skills in the ability to communicate effectively, orally and in writing, highly technical, and clinically sensitive information to clients
  • Skills in providing consultation to other professional and nonprofessional groups
  • Formal training in supervision of other psychologists

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

St Anns' Hospital

St Anns' Hospital

London

N15 3TH


Employer's website

http://www.beh-mht.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

St Anns' Hospital

St Anns' Hospital

London

N15 3TH


Employer's website

http://www.beh-mht.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Consultant Clinical Psychologist

Dr Anne Whelan

Anne.Whelan1@nhs.net

02087026210

Details

Date posted

15 February 2024

Pay scheme

Agenda for change

Band

Band 8b

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Part-time

Reference number

306-BEH-1742

Job locations

St Anns' Hospital

St Anns' Hospital

London

N15 3TH


Supporting documents

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