Job summary
Complex Emotional Needs Pathway Clinician- London Borough of Westminster
An exciting opportunity has arisen for a clinician with core profession to work in the innovative and dynamic Westminster Complex Emotional Needs (CEN) Pathway.
The post is suitable for an individual with general experience in secondary mental healthcare and an interest in working with people with Complex Emotional Needs (often diagnosed with personality disorder).
You will work as part of the Community Mental Health Hub at Queens Park and Paddington (based at Woodfield Road), and on in-patient wards at St Charles' Hospital providing consultation
You will have opportunity to train in Dialectical Behavioural Therapy (DBT), Mentalisation Based Treatment (MBT), and brief therapies (Structured Psychological Support SPS) specifically designed for this client population.
This post is available due to the current postholder relocating.
You will be part of the Westminster CEN pathway team which consists of an Advanced Lived Experience practitioner, one other CEN Pathway Clinician, and a part-time Consultant Psychiatrist in Psychotherapy as Clinical Lead.
Main duties of the job
Apart from the opportunity to train and deliver DBT, MBT and SPS in the community, you will gain experience in consulting to and supporting inpatient teams. You will have regular clinical supervision from the Consultant Psychiatrist in Psychotherapy and Clinical Lead for the CEN Pathway, who also leads the Waterview Centre (Specialist Personality Disorder Service).
The CEN Pathway was established in 2020 and recently was Highly Commended at Positive Practice in Mental Health Awards. The service operates across the three Westminster Community Mental Health Hubs, providing timely and accessible interventions to service users presenting primarily with personality-related difficulties. You will work amongst and consult to Hub team members, creating an environment that supports patient-centred and evidence-based care for this client population. You will also work closely with the Waterview Centre , to ensure smooth transitions and co-working for those clients at of high risk and complexity who may require the higher intensity treatment offered there.
As part of the inpatient interface, you will provide consultation and support to inpatient staff in the case management of service users, discharge planning and complex case reviews specifically in relation to personality disorder.
About us
We are looking for a highly motivated individual, with excellent communication and interpersonal skills who can work flexibly to meeting the demands of this exciting and varied position.
Job description
Job responsibilities
To provide consultation and support to inpatient staff in the case management of service users, discharge planning and complex case reviews specifically in relation to personality disorder.
To work as a key CEN pathway consultative and support professional for the Inpatient Services based at St. Charles, for service users within the Kensington & Chelsea and Westminster catchment population.
Guide referrals direct from inpatient via an agreed route, promote early assessment/treatment and ensure robust relationships and links with community based CEN Pathway Services.
Work closely with colleagues in inpatient services to ensure smooth transitions between teams and services to improve access to evidence based interventions.
Work closely and to provide day to day support and guidance to in patient connecting people to community and voluntary sector support (Step 1) where CEN/Waterview is not appropriate.
Community:
To deliver care and treatment for service users under integrated mental health hub setting, within Westminster CEN Pathway.
To work as a key liaison and outreach clinician between the Waterview Centre and QPP mental health Hub.
To provide clinical supervision, consultation and training to staff in the case management of service users, specifically in relation to Complex Emotional Needs.
Job description
Job responsibilities
To provide consultation and support to inpatient staff in the case management of service users, discharge planning and complex case reviews specifically in relation to personality disorder.
To work as a key CEN pathway consultative and support professional for the Inpatient Services based at St. Charles, for service users within the Kensington & Chelsea and Westminster catchment population.
Guide referrals direct from inpatient via an agreed route, promote early assessment/treatment and ensure robust relationships and links with community based CEN Pathway Services.
Work closely with colleagues in inpatient services to ensure smooth transitions between teams and services to improve access to evidence based interventions.
Work closely and to provide day to day support and guidance to in patient connecting people to community and voluntary sector support (Step 1) where CEN/Waterview is not appropriate.
Community:
To deliver care and treatment for service users under integrated mental health hub setting, within Westminster CEN Pathway.
To work as a key liaison and outreach clinician between the Waterview Centre and QPP mental health Hub.
To provide clinical supervision, consultation and training to staff in the case management of service users, specifically in relation to Complex Emotional Needs.
Person Specification
Education and Qualifications
Essential
- Core Profession (Mental Health Nurse, OT, Social Worker, Clinical or Counselling Psychologist) and current live registration
- Mentor/Supervisor qualification
- Further training relevant to the care of clients with Personality Disorder
Desirable
- Degree or Diploma relevant to the field of Personality Disorder
- Knowledge of the MBT model
- CBT / DBT for Personality Disorder
Clinical Experience
Essential
- Extensive post-qualifying NHS experience
- Experience of working therapeutically with people with Personality Disorder or challenging behaviour
- Experience of using CBT/DBT/MBT interventions with people with Personality disorder
- Experience of conducting psychologically informed assessments, group work, risk assessment , and crisis intervention
- Experience of managing co-existing issues (depression, anxiety, substance misuse, trauma, eating disorders, psychosis)
- Experience of supervising staff and students
- Experience of teaching / training others
- Experience of working as part of a multi-disciplinary team
- Active participation in service planning and delivery
Desirable
- Knowledge of Psycho-education and Problem Solving
- STEPPS programme
- PEPS programme
Skills, knowledge and abilities
Essential
- Knowledge of, and ability to operate within professional and ethical guidelines
- Knowledge of, and the ability to work with, issues of confidentiality and consent
- Knowledge of, and ability to assess, capacity
- Demonstrate clear verbal and written communication skills
- Demonstrate skills in conducting, evaluating, audit, research and/or clinical governance projects
Aptitudes, attitudes and personal characteristics
Essential
- Ability to collaboratively engage clients with the treatment model & options
- To show an advance understanding of risk management practice involved with clients who have a diagnosis of Personality Disorder.
- Show a sophisticated level of interpersonal skills
- Demonstrate the ability to tolerate and manage own anxiety and stress when working autonomously
- Emotional intelligence and reflectivity with ability to work effectively with others to bring about change in a complex and dynamic organisation
- Demonstrate the ability to tolerate and manage the anxiety and of colleagues
- Demonstrate the ability to tolerate and manage the anxiety and of colleagues
- Ability to deliver group-based interventions
- Ability to assess, plan, implement and evaluate care-pathways
- Ability to understand and respond to emotional content of sessions
- Ability to manage endings and service transitions
- Experience and skill in undertaking an completing clinical audits
- Good IT skills
- Experience and skills in teaching at team level
- Ability to prioritise workload and ensure all documentation is current and up-to-date.
- Ability to respond to and manage crises
- Ability to work using own initiative
- Ability to treat Service Users with respect and dignity adopting a culturally sensitive approach which considers the needs of the whole person
Person Specification
Education and Qualifications
Essential
- Core Profession (Mental Health Nurse, OT, Social Worker, Clinical or Counselling Psychologist) and current live registration
- Mentor/Supervisor qualification
- Further training relevant to the care of clients with Personality Disorder
Desirable
- Degree or Diploma relevant to the field of Personality Disorder
- Knowledge of the MBT model
- CBT / DBT for Personality Disorder
Clinical Experience
Essential
- Extensive post-qualifying NHS experience
- Experience of working therapeutically with people with Personality Disorder or challenging behaviour
- Experience of using CBT/DBT/MBT interventions with people with Personality disorder
- Experience of conducting psychologically informed assessments, group work, risk assessment , and crisis intervention
- Experience of managing co-existing issues (depression, anxiety, substance misuse, trauma, eating disorders, psychosis)
- Experience of supervising staff and students
- Experience of teaching / training others
- Experience of working as part of a multi-disciplinary team
- Active participation in service planning and delivery
Desirable
- Knowledge of Psycho-education and Problem Solving
- STEPPS programme
- PEPS programme
Skills, knowledge and abilities
Essential
- Knowledge of, and ability to operate within professional and ethical guidelines
- Knowledge of, and the ability to work with, issues of confidentiality and consent
- Knowledge of, and ability to assess, capacity
- Demonstrate clear verbal and written communication skills
- Demonstrate skills in conducting, evaluating, audit, research and/or clinical governance projects
Aptitudes, attitudes and personal characteristics
Essential
- Ability to collaboratively engage clients with the treatment model & options
- To show an advance understanding of risk management practice involved with clients who have a diagnosis of Personality Disorder.
- Show a sophisticated level of interpersonal skills
- Demonstrate the ability to tolerate and manage own anxiety and stress when working autonomously
- Emotional intelligence and reflectivity with ability to work effectively with others to bring about change in a complex and dynamic organisation
- Demonstrate the ability to tolerate and manage the anxiety and of colleagues
- Demonstrate the ability to tolerate and manage the anxiety and of colleagues
- Ability to deliver group-based interventions
- Ability to assess, plan, implement and evaluate care-pathways
- Ability to understand and respond to emotional content of sessions
- Ability to manage endings and service transitions
- Experience and skill in undertaking an completing clinical audits
- Good IT skills
- Experience and skills in teaching at team level
- Ability to prioritise workload and ensure all documentation is current and up-to-date.
- Ability to respond to and manage crises
- Ability to work using own initiative
- Ability to treat Service Users with respect and dignity adopting a culturally sensitive approach which considers the needs of the whole person
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.
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.
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).
