Clinical Lead for Complex Presentations

Alliance Psychological Services Limited

The closing date is 05 July 2022

Job summary

Alliance Psychological Services is an independent provider of counselling and psychological therapy services based in the Tees Valley area and working across the North-East region. We are working in partnership with Middlesbrough & Stockton Mind to deliver the IMPACT on Teesside service, an innovative Psychological Therapies service offering a range of pathways and interventions that extends beyond standard IAPT therapies to enable us to meet the needs of people presenting with more complex needs.

Main duties of the job

We are currently recruiting for the role of Clinical Lead for Complex Presentations within our IMPACT on Teesside service. The successful candidate should have experience working within a Primary or Secondary Mental Healthcare setting, as you will be carrying out in-depth assessments and managing a caseload of complex presentations. An important part of the role is to network with a range of other services whilst developing and maintaining new and existing relationships. You will be responsible for coordinating and monitoring the delivery of a range of interventions to patients presenting with complex needs (step 3 +), in collaboration with the Clinical Director, Locality Managers and other Pathway Leads and Seniors including non-IAPT pathways and the Foundation & Recovery team. A good sound knowledge of more complex clinical presentations is required. We are particularly interested in people with experience in delivering DBT or similar group-based interventions.

Successful applicants will be employed by Alliance Psychological Services Ltd.

You must have right to work in the UK as we are currently unable to offer working via opportunities.

For more information on this post please contact Emma Hopson at

Closing date for applications: Tuesday 5th July 2022

Interview Dates: Thursday 14th July 2022

About us

Alliance offers first rate training and development opportunities, 38 days annual leave pro rata, rising 1 day every 5 years of service (as well as the option to purchase additional annual leave) EAP health scheme including costs towards eye tests/glasses, dental treatment, physio treatment and shopping discounts alongside a 3% contributory pension scheme. We also offer lots of health and wellbeing initiatives for our staff and promote flexible working for a positive work life balance.

Impact on Teesside has responsibility for safeguarding all children and vulnerable adults within our service, part of this is to follow safer recruitment of staff for all appointments. It is also a requirement that all staff understand it is each person’s individual responsibility and are committed to promoting and safeguarding the welfare of our clients.

Please note that due to the nature of the duties of these roles, an enhanced criminal records disclosure will be sought in the event of a successful application.

Job description

Job responsibilities

The post holder will offer a range of evidence-based psychological interventions within the framework of the Improving Access to Psychological Therapies (IAPT) Programme as part of IMPACT on Teesside’s Psychological Wellbeing Therapies (PWT) Service, in particular paying attention to the delivery of a 3+ pathway, and working within this team where they will provide assessment and evidence-based clinical interventions to patients presenting with more complex needs than standard step 3 presentations.

The post holder will work alongside the team in promoting and developing the 3+ pathway by liaising with GP practices, Tees, Esk & Wear Valley Foundation Trust (TEWV) and other external services. An important part of the role is to network whilst developing and maintaining relationships with other services.

The post holder will help to coordinate and monitor the delivery of a range of interventions to patients presenting with complex needs (step 3 +), in collaboration with the Clinical Director, Locality Managers and other Pathway Leads and Seniors including non-IAPT pathways and the Foundation & Recovery team. They will monitor referrals and waiting times and will liaise with staff to ensure timely transitions for patients from referral into treatment, or onward referral into other services. They will carry out in-depth assessments and work with a caseload of primarily complex presentations. They will also provide clinical supervision and line management as well as supporting and offering guidance to staff within Primary Care and other teams about the mental health needs of this patient group. A good sound knowledge of more complex clinical presentations is required.

This position may require flexible hours between 8am until 8pm weekdays.

Main Duties and Responsibilities

1. To work as a member of the Primary Care Psychological Wellbeing Therapies Service

  • To maintain effective working relationships within the PWT Team and elsewhere
  • To offer advice and support to other members of the wider Primary Care Team, including GPs and other Health Professionals, on mental health issues, and in relation to appropriate referral pathways for patients with mental health needs
  • To liaise effectively with Secondary Care and voluntary sector organisations and services
  • To attend meetings and provide reports as required
  • To assist in the development and promotion of the service pathway
  • To attend Primary Care huddle meeting with other services

2. To provide a range of therapeutic interventions

  • To provide assessment, including risk assessment, of clients referred for psychological therapy who may present with more complex issues (step 3+) not normally appropriate for a Primary Care pathway
  • To select and deliver a range of core IAPT and other appropriate therapeutic interventions in collaboration with the client and their psychological needs
  • To work within an appropriate time framework
  • To work with complex presentations of clients suitable for Step 3+ who may require a biopsychosocial framework of care to promote recovery
  • To be able to work well within a multidisciplinary approach which includes liaising with social care teams, physiotherapy, occupational therapy etc.
  • To make appropriate onward referrals following assessment for clients requiring other services, including statutory and voluntary agencies
  • To maintain clients’ confidentiality within agreed guidelines
  • To coordinate and support a small team working within the 3+ pathway

3. To manage a team of psychological therapists

  • To co-ordinate the activity of other psychological therapists delivering the service pathway within a designated geographical area
  • To provide management and caseload supervision for an assigned team of psychological therapists and to contribute towards clinical supervision within the wider service as appropriate
  • To take responsibility for the effective management of the service pathway meeting agreed performance targets and driving innovation, in order to assure a high-quality service.

4. To provide a professional and ethical service

  • To maintain appropriate records including all required assessment and evaluation tools
  • To undertake relevant Continuing Professional Development activities both as required for the purposes of continued professional accreditation or registration and as identified through Impact’s Professional Development and Appraisal System
  • To undertake an appropriate amount of clinical supervision from a qualified Clinical Supervisor within Impact’s Supervision Programme
  • To operate within agreed NHS, Impact and professional guidelines and Codes of Practice
  • To ensure a safe and secure working environment for self and others and to take action as necessary within Health and Safety and other guidelines
  • To adhere to all Impact Policies, Procedures and Guidelines
  • To promote and value the rights, responsibilities and diversity of people using the Service

5. Safeguarding

  • Responsible for safeguarding children and vulnerable adults by always promoting the welfare of service users and operating within local policies and procedures.
  • To adhere to all Policies, Procedures and Guidelines
  • To promote and value the rights, responsibilities and diversity of people using the Service

6. Confidentiality

  • In the performance of their duties, the post-holder may have access to confidential information relating to clients and their care, staff and others. They may also have access to information relating to Impact as a business organisation. All such information from any source is to be regarded as strictly confidential.

This job description is designed to identify principal responsibilities only. The post holder is required to be flexible in developing the role in accordance with changes in Impact’s organisational objectives and priorities.

Person Specification

Other Skills, Knowledge and Qualities


  • Skills in assessment, formulation and treatment of a range of psychological presentations including complex clinical presentations
  • Skilled working with disorder specific psychometric measures and formulations appropriate to clients clinical need
  • Skills in developing and implementing focused, time limited treatment plans
  • Excellent verbal and written communication skill
  • Good understanding of issues surrounding clinical risk and able to advise and assist in implementing risk management plans
  • Skills in managing a team of people and their workload
  • Ability to deal sensitively and appropriately with range of work-related issues raised by team in collaboration with Service Manager and HR Lead
  • High level of motivation
  • Advanced communication skills
  • Ability to work within a team and foster good working relationships
  • Ability to use clinical supervision and personal development positively and effectively
  • Ability to work under pressure
  • Regard for others and respect for individual rights of autonomy and confidentiality
  • Ability to be self-reflective whilst working with service users and in own personal and professional development and in supervision
  • The ability and skills to act as an advocate for the Primary Care service, to engage and foster good professional relationships with all health professionals of the service with the wider health care system
  • Act in ways that support equality and promotes diversity


  • Trained and experienced in groupwork
  • Experience of developing and implementing innovative projects or intervention programmes
  • Access to transport to travel to locations throughout the organisation with appropriate business insurance
  • Fluent in languages other than English



  • Experience of working in a primary care mental healthcare setting
  • Experience in a service where agreed targets are in place demonstrating clinical outcomes
  • Experience of managing or leading a team
  • Ongoing clinical supervision of therapeutic work
  • Up to date knowledge of therapeutic approach to be practised
  • Experience of working with target patient group
  • Awareness of a range of therapeutic approaches
  • Ability to meet agreed or specified service targets
  • Ability to manage own caseload and time
  • Demonstrates high standards in written communication
  • Able to write clear reports and letters to referrers
  • Demonstrates an understanding of a range of moderate to severe mental health problems including: anxiety and depression and the impact of childhood abuse and neglect and how it may present in primary care
  • Demonstrates a knowledge of the issues surrounding work and the impact it can have on mental health/benefits and employment systems
  • Demonstrates an understanding for the need to use evidence based psychological therapies and how it relates to this post


  • Experience of promoting or developing similar services



  • Post Graduate Diploma in High Intensity CBT or equivalent level of clinical training and/or qualified to deliver DBT and/or qualified RMN.
  • Membership or registration with an appropriate professional body
  • Evidence of using the career framework of training in mental health and experience working in a stepped care service for anxiety and depression
  • Good record of Continuing Professional Development and willingness to continue this


  • Accreditation/registration with BACP, BABCP, UKCP, BPS RCN or another recognised professional organisation
  • Certificate in High intensity CBT or Counselling Supervision.

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.

Employer details

Employer name

Alliance Psychological Services Limited


Alliance Psychological Services Ltd

24 Yarm Road



TS18 3NA

Employer's website (Opens in a new tab)

For questions about the job, contact:

Emma Hopson


Date posted

17 June 2022

Pay scheme



£40,000 a year Pro rata to hours worked



Working pattern

Full-time, Flexible working

Reference number


Job locations

Alliance Psychological Services Ltd

24 Yarm Road



TS18 3NA

Supporting documents

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