Band 8d Divisional Head of Therapies and Clinical Quality Improvement

Avon & Wiltshire Mental Health Partnership NHS Trust
£78,192 to £90,387 a year per annum
Closing date
26 Jun 2022

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Senior Manager
Band 8D
Contract Type
Full Time
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Bath, Swindon and Wiltshire Divisional Head of Therapies Full time 8d

Are you committed and enthusiastic about the provision of therapies in mental health and passionate in the delivery of demonstrable clinical improvement?

We are recruiting to an exciting new opportunity to strategically and clinically develop and lead therapy services within the Banes, Swindon and Wiltshire (BSW) division and the associated Integrated Care System that it serves. The Community Mental Health Framework (CMHF) gives us a unique opportunity to work collaboratively with system partners to think differently and innovatively to expand access to evidence based interventions and this post will be pivotal in achieving this goal. In BSW the model is founded on principles of needs-led intervention that is coordinated and delivered to the person where they are, removing the expectation that they must travel across different pathways and services to access the support and intervention they need.

At AWP we actively encourage applicants from all backgrounds; we are particularly keen to encourage applications from people from Black, Asian and minority ethnic backgrounds, those with disabilities and from the LGBTQ+ community. We want people to bring their unique blend of experiences, backgrounds, perspectives and knowledge to AWP, as diversity makes us stronger.

Interview date: 08/07/22

Main duties of the job

The post holder will be responsible for the leadership, development and implementation of the measurable impact of CMHF developments and new ways of working by all BSW partners, on the quality of services including the experience of service users.

The applicant will be a very experienced psychological therapist who has worked in senior managerial positions as well as having experience of working in specialist mental health services. The post will be of particular to those with experience of working across organisations including with commissioning colleagues. You must have demonstrable experience of leading complex system change and leadership in the delivery of clinical improvement and clinical outcomes in services.

About us

We are AWP (Avon and Wiltshire Mental Health Partnership NHS Trust) a diverse organisation with over 5,000 dedicated staff providing inpatient and community-based mental health care.

We provide services from a range of locations to approximately 1.8 million people living in Bath and North East Somerset (B&NES), Bristol, North Somerset, South Gloucestershire, Swindon, across the county of Wiltshire and in parts of Dorset.

Our outstanding people promote mental health and wellbeing. The expertise and resources within AWP are dedicated to a person-centred approach for those who use our services and for all employees. We recognise that happy and fulfilled employees give better care.

Job description Job responsibilities


To provide professional leadership to the Divisional Therapies Services, ensuring that everyone receives support, supervision, annual appraisals and a development plan which ensures on-going service development that fits the needs and priorities of each sector.

To work with the Clinical Director, locality Clinical Leads and Heads of Therapy to ensure good governance of these services.

To strategically lead the planning and development of BSW Therapy Services working with other senior managers and Clinicians to ensure that these services meet the ambitions of the 10 year plan.

To work with system partners to ensure a whole system approach to the provision of therapeutic interventions, training, supervision, clinical outcomes and service evaluation.

To liaise with the Clinical Director, Division and Locality Managers/ Leads to ensure that an appropriate range of services and interventions are provided by psychological therapists within community teams and inpatient services, including IAPT.

To take a lead role in service/business development and performance and clinical outcome monitoring of therapy services across BSW. This includes horizon scanning for new service development opportunities which support the Divisional Business Plan, especially those working with system partners and Primary Care.

To identify gaps in service provision and also to seek opportunities for the development of Therapy Services in the BSW Division within defined frameworks.

To lead the redesign of therapy services across BSW division and work with the locality managers and leaders to redesign services promoting the development of services in line with national guidance. This includes ensuring that therapy services are integrated across care pathways so that interventions can be provided where the person is in their care.

To be a source of clinical expertise to managers, professional colleagues and leaders within the Trust and across the BSW system on both public and internal matters.

To deal with complaints and disciplinary matters in liaison with other managers and professional leads both within and outside of Therapies, especially those of a particularly complex nature.

To support the negotiation of innovative, integrated ways of working with system partners to ensure service developments in the area of therapies are driven by population need.

To convene and chair regular therapy meetings in the Division and across the BSW System to improve integration, monitor performance and outcome measures, share learning from experience and coordinate integrated approaches to quality improvement.

To establish a framework for effective management of therapy staff in the Division.

To ensure that Trust Health and Safety Regulations are adopted within the Therapy Services.

To identify appropriate staffing levels and skill mix for Psychological Therapies, drawing on advice from relevant colleagues as required and promoting innovation.

To promote the Trust in professional networks and to ensure that other Therapy staff do likewise in specific situations relevant to their posts and responsibilities.

To manage senior clinical staff in divisional roles e.g. Personality Disorder Lead.

To participate in the Senior Out of Hours on call Rota.

CLINICAL (Note therapy covers Psychology, CBT/ IAPT, Arts Psychotherapy , Psychotherapy, Family Therapy Occupational Therapy, Physiotherapy, Dietetics )

To provide a highly developed, evidence based clinical care comprising assessment, formulation and therapy, consultation and teaching and supervision. This should account for 0.2 WTE of the role.

To formulate plans for the treatment and/or management of a clients mental health problems based upon an appropriate conceptual framework, and employing methods based upon evidence of efficacy, across the full range of care settings.

To be responsible for implementing a range of therapeutic interventions for individuals, carers, families and groups, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses.

To make highly skilled evaluations and 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.

To be responsible for ensuring that all members of the therapy services have access to a psychologically based framework for the understanding and care of clients of the service, through the provision of advice and consultation and the dissemination of expert knowledge, research and theory.

To communicate in a highly skilled and sensitive manner, complex information concerning the assessment, formulation and treatment plans of clients under their care to clients, carers, relatives and other staff and respond appropriately in situations where there is hostility or a highly charged emotional atmosphere.

To receive appropriate Clinical and Caseload supervision for all aspects of clinical work.

To fully implement the Integrated Care Programme Approach in all aspects of clinical work.

To carry a small highly complex caseload.


To fully observe relevant Professional Practice Guidelines.

To work with Professional Leads to maintain and further develop high standards of practice, through co-operative work and peer supervision with other Therapy staff within and outside the Trust.

To be aware of and adhere to Trust policies and procedures.


To support the AWP Head of Psychological Therapies/ the AHP Lead in the development and implementation of effective Clinical Governance across the Therapy Services.

To participate in Quality and Clinical Governance processes in the Division and across the Trust.

To strategically lead on the following on behalf of the Division across all services

Quality Improvement

Innovation and care pathway/service model transformation and/or advancement

Research and Audit

To Lead on Service evaluation including measurement of outcomes expected as part of the 10 year Plan

Reporting to commissioners and partners within the BSW ICS/ICSs , NHSE and Local Authorities as required

The implementation, embedding and monitoring of clinical outcome measures of PROMS, PREMS and Co-Production across all services

To lead and assure on the delivery of effective, evidence-based therapy and therapeutic interventions (e.g. as recommended by NICE) across services in the division and across the BSW system.


To provide advanced training for specialist practitioners within the Trust and to related agencies where agreed.

To promote the Trust by developing a specialist profile through publications, national and international conference presentations and the provision of specialist training to various groups nationally.

With the, Professional leads, Managers and the Learning & Development Team, to ensure a training plan is in place to meet the needs of Therapy staff and others including system partners.

To work with the professional lead to ensure that all psychological therapists in the Area have an on-going training plan with annual appraisals based on the KSF.

To agree a plan for personal development with the SBU Head of Psychological Therapies and professional lead and participate in an Annual Review.

To support the development of training and supervision mechanisms to train a range of other professional groups in the delivery of psychological interventions as dictated by the SBU redesign project.


To support, facilitate and supervise R&D activities by Therapy staff.

To undertake research in topic areas relevant to the work of the service and to initiate and implement project management, including complex audit and service evaluation, with colleagues within and across the service to help develop and improve services to service users and their families.

To work with the R&D department to promote opportunities for participation in research activities on behalf of the Division


To use IT equipment to delivery services, prepare reports, for teaching presentations, to record activity data and for the analysis of data from research and audit.

To maintain skills in IT, updating where necessary, in order to carry out the tasks in 2 above effectively.


To be responsible for establishing good working relationships and communications with Therapy staff, staff from other professions, and other agencies.

To establish effective working relationships in the Area and across the DivisionDivisional Directors and the Operations DirectorateLocality Managers, Clinical Leads and Therapy ManagersAll relevant partners in the BSW ICA/ICSs and Local AuthoritiesUsers/Carers RepresentativesPolice, Probation ServiceCorporate Trust Services: NQD, Medical Directorate, HR, Finance, etc

Person Specification Education & Qualification Essential
  • Specialist therapy qualification e.g. Doctorate in Clinical Psychology.
  • Registered with the HPC
  • Advanced Specialist clinical qualification in addition to core professional training
  • Management/Leadership training
  • Substantial relevant post qualification experience.
  • Experience of working in Third Sector organisations
Skills Essential
  • Excellent communication and inter-personal skills in highly complex situations.
  • Well organised with good administration skills.
  • Excellent relational/engagement skills with the client group who present severe and complex mental health problems.
  • High level of emotional maturity. Ability to tolerate, reflect upon and transform highly traumatic material and hostile behaviour.
  • Ability to cope with extreme workload pressure/prioritise workload.
  • Effective negotiation/mediation skills.
  • Planning a

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