Central and North West London NHS Foundation Trust

Complex Emotional Needs Pathway Clinician

Information:

This job is now closed

Job summary

Are you looking for an opportunity to work within a dynamic and forward thinking team, whilst developing skillsacross specialities, such asDBT, MBT?

The Westminster Complex Emotional Needs (CEN) Pathway was Highly Commended at Positive Practice in Mental Health Awards 2021. 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 be part a 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.

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 (Specialist Personality Disorder Service), to ensure smooth transitions for those clients at of high risk and complexity who may require the higher intensity treatment offered there.

The post is suitable for an individual with experience in secondary mental healthcare and an interest in working with people with CEN. You will have opportunity to train in DBT, MBT, and brief therapies (Structured Psychological Support SPS) specifically designed for this client population.

You will have regular clinical supervision from the Consultant Psychiatrist in Psychotherapy and Clinical Lead for the CEN Pathway.

Main duties of the job

1. Key Clinical Duties:

  • To lead on triaging, signposting and coordinating referrals to the Hub, specifically in relation to the CEN Pathway
  • To conduct Psychologically informed assessments, care planning and considering treatment options, in collaboration with service users, carers and the multi-disciplinary team, in accordance with the stepped care model.
  • To deliver brief interventions, such as Psychoeducation Groups and Structured Psychological Support (SPS) for people within the CEN Pathway.
  • To provide time limited case management for a small caseload of service users.
  • To provide clinical supervision and consultation training to staff in delivering structured clinical management for people with CEN
  • To provide consultation to GPs in the management of people with CEN, as and when indicated
  • To be able to provide crisis intervention to service users as and when indicated
  • To be involved in co- delivering structured group based treatments, e.g MBT or DBT groups, as indicated.
  • To be able to receive clinical supervision from multi-disciplinary team and clinical supervisors.
  • To use reflective practice with colleagues and in clinical supervision, to process the emotional impact of the work and remain consistent and constant in the treatment process.
  • To keep accurate written and electronic records, Including care documentation and risk assessment, and write reports.
  • To Identify safeguarding issues and demonstrate an understanding of safeguarding legislation and its implementation.

About us

We are looking for a highly motivated individual, with excellent communication and interpersonal skills who can work flexibly to meet the demands of this exciting position.

If you are interested in the post, feel you meet the requirements and would like to discuss further, get in touch. Informal enquiries are welcome.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Details

Date posted

23 February 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,036 to £55,049 a year pa inc

Contract

Permanent

Working pattern

Full-time

Reference number

333-J-WE-0562

Job locations

Woodfield Road

Westminster

W9 2NW


Job description

Job responsibilities

  1. Team Responsibilities

  • To work independently as well as in collaboration with the multi-disciplinary team
  • To work along other senior team members in the Community Mental Health Hub to coordinate the day to day work, specifically in relation to the CEN Pathway.
  • To work as a key liaison and outreach clinician between the Waterview Centre and the Hub
  • To contribute to the strategic development of the CEN Pathway.
  • To attend specific team meetings, supervision and staff support.
  • To work in partnership with other agencies (e.g in patient units, A and E department, Home Treatment Teams, etc) in planning and delivering care

  1. Management, Supervision and Accountability

  • To have a valid Professional registration and adhere to professional Codes of Conduct of professional bodies
  • To work with the Community Mental Health Hub Manager, Clinical Lead for CEN Pathway, Waterview Team Manager and other senior staff to ensure that there is clear communication and co working within the CEN Pathway and with other services.

  1. Confidentiality

  • All information concerning patients/clients and staff must be treated as strictly confidential at all times.

  1. Safeguarding

  • All staff have a duty to safeguard and promote the welfare of children and adults at risk of abuse.
  • Staff should be aware of local safeguarding procedures and how to contact named professionals for advice and support as well as reporting any concerns.
  • Staff are supported with the supervision and training needed to recognise and act on welfare concerns and to respond to the needs of children and adults.
  • Staff have a responsibility to ensure they are up to date with any safeguarding training.

Job description

Job responsibilities

  1. Team Responsibilities

  • To work independently as well as in collaboration with the multi-disciplinary team
  • To work along other senior team members in the Community Mental Health Hub to coordinate the day to day work, specifically in relation to the CEN Pathway.
  • To work as a key liaison and outreach clinician between the Waterview Centre and the Hub
  • To contribute to the strategic development of the CEN Pathway.
  • To attend specific team meetings, supervision and staff support.
  • To work in partnership with other agencies (e.g in patient units, A and E department, Home Treatment Teams, etc) in planning and delivering care

  1. Management, Supervision and Accountability

  • To have a valid Professional registration and adhere to professional Codes of Conduct of professional bodies
  • To work with the Community Mental Health Hub Manager, Clinical Lead for CEN Pathway, Waterview Team Manager and other senior staff to ensure that there is clear communication and co working within the CEN Pathway and with other services.

  1. Confidentiality

  • All information concerning patients/clients and staff must be treated as strictly confidential at all times.

  1. Safeguarding

  • All staff have a duty to safeguard and promote the welfare of children and adults at risk of abuse.
  • Staff should be aware of local safeguarding procedures and how to contact named professionals for advice and support as well as reporting any concerns.
  • Staff are supported with the supervision and training needed to recognise and act on welfare concerns and to respond to the needs of children and adults.
  • Staff have a responsibility to ensure they are up to date with any safeguarding training.

Person Specification

Education and Qualifications

Essential

  • Core Profession (Mental Health Nurse, OT, Social Worker, Clinical or Counselling Psychologist) and current live registration; OR Training and Accreditation in a relevant evidence-based therapy and registration with a recognised professional body e.g. UKCP, BABCP.
  • Further training relevant to the care of clients with Personality Disorder
  • Mentor/Supervisor qualification i.e. 998 or equivalent

Desirable

  • Degree or Diploma relevant to the field of Personality Disorder
  • Knowledge of the Mentalization Based Treatment model
  • CBT / DBT for Personality Disorder

Clinical Experience

Essential

  • Extensive post qualifying experience in the NHS
  • 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
  • Ability to work as part of a team and operate within and across organisations
  • 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

Other

Essential

  • Sickness (or attendance) record that is acceptable to the Trust: to be checked at interview. Declared medically fit by the Occupational Health Department to perform the duties of the post.
Person Specification

Education and Qualifications

Essential

  • Core Profession (Mental Health Nurse, OT, Social Worker, Clinical or Counselling Psychologist) and current live registration; OR Training and Accreditation in a relevant evidence-based therapy and registration with a recognised professional body e.g. UKCP, BABCP.
  • Further training relevant to the care of clients with Personality Disorder
  • Mentor/Supervisor qualification i.e. 998 or equivalent

Desirable

  • Degree or Diploma relevant to the field of Personality Disorder
  • Knowledge of the Mentalization Based Treatment model
  • CBT / DBT for Personality Disorder

Clinical Experience

Essential

  • Extensive post qualifying experience in the NHS
  • 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
  • Ability to work as part of a team and operate within and across organisations
  • 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

Other

Essential

  • Sickness (or attendance) record that is acceptable to the Trust: to be checked at interview. Declared medically fit by the Occupational Health Department to perform the duties of the post.

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

Central and North West London NHS Foundation Trust

Address

Woodfield Road

Westminster

W9 2NW


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

Woodfield Road

Westminster

W9 2NW


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Lead for CEN Pathway

Dr Marcella Fok

marcella.fok@nhs.net

07725547189

Details

Date posted

23 February 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,036 to £55,049 a year pa inc

Contract

Permanent

Working pattern

Full-time

Reference number

333-J-WE-0562

Job locations

Woodfield Road

Westminster

W9 2NW


Supporting documents

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