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Complex Emotional Needs Practitioner

West London NHS Trust
£35,392 to £42,618 a year plus HCAS
Closing date
30 Sep 2023

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Other Health Profession
Band 6
Contract Type
Full Time
An exciting opportunity has arisen to work as a band 6 practitioner in a newly developing Complex and Emotional Needs Service covering three London Boroughs - Hounslow, Hammersmith and Fulham and Ealing. This service will be for those experiencing difficulties with emotional instability and relationships who need to be supported by a tier 3 service.

This post will be open to people from a range of disciplines within the mental health care professions including social workers, nurses, OT's and psychologists. You will be expected to have significant experience of working with adults with mental health needs in the community and it would be desirable if you have experience of working with complex and emotional needs and had undertaken either DBT or MBT training.

Main duties of the job

The role will be focusing on clinical work and you will be expected to work closely developing the service and work with the band 7 Senior Practitioner and the Team Manager to ensure the efficient running of the clinical team. You support developing interfaces with multiple services and stakeholders. You will work closely with the MINT teams in providing a consultative role in working with clients with CEN and also support with interventions and sign posting.

You will contribute to effective and compassionate service development over the remaining years of the Long Term Plan for mental health, shaping this service according to population based needs. As well as contributing to the planning and delivery of service objectives, managing specific change projects as required, ensuring client focus, consistency, quality, and cost effectiveness.

As the band 6 practitioner you will be involved in screening referrals for the CEN, liaising with referrers, providing comprehensive assessments and formulations and also providing a consultative function to other services. This role working alongside the Mental Health Integrated Network Teams (MINT). You will be expected to hold a caseload of clients with CEN.

About us

West London NHS Trust is one of the most diverse providers of mental health, community and social care in the UK.

Our 3,982 staff care for people in hospital and in the community, helping them to recover and go on to lead full and productive lives. We aim to be the best organisation of our kind in the country.

We provide care and treatment for more than 800,000 people living in the London boroughs of Ealing, Hammersmith & Fulham and Hounslow, delivering services in the community (at home, in GP surgeries and care homes), hospital, specialist clinics and forensic (secure) units.

We'rerated good overall by the Care Quality Commission (CQC).

Together, we're committed to promoting hope and wellbeing, working with patients, service users, carers, families and partners across the communities we serve.

We are keen to ensure that our workforce reflects the community it serves, particularly in terms of ethnicity, gender, disability, LGBTQ+ and experience of mental illness.

The regulations mandating vaccination for in-scope roles in the NHS have now been removed. The Trust does however continue to encourage and support staff to be vaccinated as this remains the best line of defence against COVID19. Vaccination data will be collected by our recruitment team during your on-boarding if you are happy to provide a copy of your COVID pass.

Job description

Job responsibilities

This role entails providing a coordinated approach within a multi-disciplinary team delivering individual and group based interventions under Stepped Care. Experience of working with individuals who have experienced trauma and clients with a diagnosis of personality disorder is essential. DBT or MBT training is also desirable or willingness to train. You will be expected to hold a caseload of complex clients.

You will be expected to support and inform other services how to effectively work with clients who have experienced trauma.

Please refer to the JD for further info

Person Specification



  • Educated to degree/ diploma level with a relevant qualification or equivalent experience.
  • Core Mental Health Profession registered with an appropriate professional body (e.g., NMC, UKCP, HCPC or Social Work England
  • Clinical/post graduate management qualification or equivalent level of experience and proven ability to perform at this level
  • Post graduate qualification that includes supervised and assessed psychotherapeutic training OR Formal training in DBT (to intensive/upgrade level) or MBT (basic and certificate training) with 2 years of supervised experience


  • Qualification or equivalent experience in MBT practitioner level and willingness to train or DBT accreditation



  • Demonstrable experience of working with adults with mental health problems in a variety of community settings
  • Experience of multi-disciplinary team working
  • Experience of working with clients with a diagnosis of personality disorder
  • Experience and skills in risk assessment and management
  • Experience of working with diverse communities
  • Experience of working with people with severe and enduring mental health needs, working with people with personality disorder, co-morbidities and complex emotional needs


  • Experience of inter-agency working
  • Measurable track record in involving and motivating staff to improve performance.
  • Lived experience of mental health problems and involvement in coproduction.
  • Experience of delivery DBT, MBT or SCM treatment modalities and/or formally trained



  • Good knowledge of Risk Assessment procedures and skills to make significant clinical decisions based on this knowledge.
  • Ability to undertake complex assessments and develop comprehensive clinical formulations
  • Ability to reflect on personal experience. Demonstrates capacity and willingness to use clinical supervision.
  • Computer skills: advanced keyboard skills and ability to use software programmes including word processing and email.
  • Can plan, organise, and prioritise own workload. Ability to work flexibly with autonomy.
  • Well-developed skills in written and verbal communication.
  • Skills in the use of complex methods of assessment, intervention and management frequently requiring sustained and intense concentration


  • Knowledge of evidence-based practice, clinical governance and related knowledge for research and audit.
  • Good knowledge of legislation and its implications for both clinical practice and professional management in relation to relevant fields.
  • Well-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to clients, their families, carers and other professional colleagues both within and outside the NHS



  • Ability to provide and receive complex and emotive information with staff, service users, carers and other stakeholders
  • Able to hold professionals and peers to account
  • Ability to consider differences and equalities both in therapy and professional relationships. This includes age, disability, culture and race, sexual orientation and religion/belief systems.


  • Ability to present information clearly.
  • An understanding of effective systems for integrated governance and the management of clinical and non-clinical risks.



  • Mobility to travel across sites
  • Demonstrate support for the values and beliefs of the Care Group and those of the Trust
  • Resilient and self-motivated with drive and vision that is able to work on own initiative and manage a range of priorities across competing agendas
  • Commitment to the aims and values of the NHS combined with high personal integrity.
  • Empathy towards the needs of people using mental health and related services, and a vision of how services can make step changes for improvement.
  • Demonstrate an understanding of the practices of Human Rights in the delivery of this role



  • Ability to work with trauma and contain emotional impact through clinical supervision and team support systems.
  • Capacity to monitor and assess own emotional psychological and physical conditions in order to increase clinical efficiency and reduce clinical and personal risk
  • Ability to work flexibly with colleagues from a range of disciplines.
  • Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour


  • Ability to sustain concentration for sustained periods and where there are several simultaneous demands requiring in-depth mental attention combined with proactive engagement with a patient / group / multidisciplinary team.
  • Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings

Employer details

Employer name

West London NHS Trust


Complex Emotional Needs (CEN)

1 Armstrong Way



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