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Senior Practitioner Psychologist

London North West University Healthcare NHS Trust
£49,178 to £62,785 Per annum
Closing date
21 May 2024

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Job Details

The Regional Hyper-acute Rehabilitation Service includes a specialist in-patient neuro-rehabilitation unit (RHRU) based at Northwick Park Hospital in Harrow, and a community outreach service which spans a large area of London and the home counties.

It is a 24 bed unit and one of five of London's five Level 1 specialised neuro-rehabilitation services. It provides hyper-acute and post-acute, complex, specialised, in-patient rehabilitation, primarily for working age adults with severe complex neuro-disability, whose needs are beyond the scope of their local rehabilitation services. The RHRU covers a large supra regional area with a population in excess of five million.

Programmes include:
  • Short term assessment and advice
  • Hyper-acute rehabilitation -step down from high dependency units or intensive care units
  • Post-acute intensive rehabilitation
  • Complex disability management / care planning -including specialist support for patients in long term nursing home placements
  • Assessment and management of patients in prolonged disorders of consciousness (PDOC)
  • Support to patients requiring neuro-palliative intervention.

The RHRU Psychology Service operates within a highly integrative and interdisciplinary model of goal-orientated rehabilitation working collaboratively alongside patients, families and health and social care professionals including a 75-strong team of doctors, nurses and allied health professionals. Specifically, the post holder will:

*** While this is a Band 8a post, we also welcome applications from trainees and candidates at a Band 7 level who would progress on a development/preceptorship scheme to 8a, typically over a 12 to 24 month period ***

If you are keen to use and develop your clinical neuropsychology skills in the dynamic, interdisciplinary field of acquired brain, working with survivors and their families, we are excited to invite you to join our growing psychological services network within LNWUH. We are welcoming applications form clinical psychologists and those still in training, to join our friendly, high-performing and dynamic team on the Regional Hyper-acute Rehabilitation Unit (RHRU) as a permanent full-time band 7 or 8a clinical psychologist.

Qualifying trainee clinical psychologists will be given the opportunity to progress to the 8a post through a one to two year preceptorship model. The Trust is making significant investments in developing its psychology services and the successful candidate would benefit from strong links to psychology colleagues in other teams at the hospital.The LNWUH Psychology Network provides enhanced opportunities for more recently qualified psychologists who wish to gain experience across other physical health and neuro settings. Personalised development plans are established from recruitment onwards.

We are also likely to be advertising equivalent posts in inpatient and community stroke settings imminently and we encourage interested candidates to apply for these posts too.

Main duties of the job

  • Provide a highly specialist psychology service to patients with acquired brain injury and their families including specialist assessment, treatment planning, implementation and monitoring of outcomes.
  • Contribute to enabling other staff, service users and carers from diverse backgrounds to flourish by working to create a psychologically safe and informed environment
  • Initiate and collaborate in service evaluation, audit and research.Provide clinical supervision, consultation and training, functioning as a lead specialist in the provision of psychological care including neuropsychological assessment and rehabilitation
  • Work as an autonomous professional within the guidelines and policies of the BPS, HCPC and LNWH, taking responsibility for interpreting policies within defined parameters.
  • Agree outcomes/results with clinical/professional lead and to decide how they are best achieved.

Beyond the RHRU, the Psychology Service is part of the wider LNWH Psychological Services Network (PSN) that brings together psychological specialists from across the Trust. This role includes participation in the teaching, support and service development activities of PSN.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:
  • Northwick Park Hospital: home to one of the busiest emergency departments (A& E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
  • St Mark's Hospital: an internationally renowned specialist centre for bowel disease
  • Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
  • Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job description

Job responsibilities

Clinical Care
  • Provide highly specialist psychological assessments, formulations and culturally appropriate interventions for RHRU patients and if required, their significant others, including neuropsychological assessment and intervention, and specialist assessment of patients in prolonged disorders of consciousness.
  • Exercise full responsibility and autonomy for the assessment, intervention and discharge of patients.
  • Use autonomous judgement in relation to all professional practice, taking responsibility for ones own practice.
  • Provide culturally appropriate psychological interventions with carers or families as required.
  • Assess and monitor risk, and develop appropriate risk management plans.
  • As required, act as a keyworker taking responsibility for initiating, planning and reviewing psychosocial care plans and as required, co-ordinating multidisciplinary meetings with professionals from within and outside of LNWH.
  • Utilise formulation skills to provide psychological hypotheses at different levels of practice (individual, family, group and system). As appropriate, share these formulations with the wider MDT in an accessible and helpful format.
Team or Service Functioning
  • Contribute to the effective working of the RHRU and to provide a psychologically informed framework for the wider RHRU team.
  • As required, act as a keyworker, collaborating with MDT colleagues to ensure that care plans are developed, implemented and updated.
  • Where direct clinical work is not indicated, guide and support colleagues from other disciplines (e.g., AHPs, nursing, medicine) to conduct assessments, co-construct formulations and deliver/monitor/refine psychologically informed interventions.
  • Contribute to the Services delivery of accessible and acceptable services to diverse local communities.
  • Be proactive in challenging discrimination and support the development and delivery of inclusive and culturally competent services.
  • Liaise with referrers, GPs and other professionals concerned with patient care in order to develop and review care plans.
  • Advise other members of the MDT on specialist psychological care of patients and their significant others.
  • Utilise theory and evidence-based literature to support service level formulation and intervention.
  • Be familiar with and adhere to the RHRUs operational policy, highlighting issues that may detract from achieving Key Performance Indictors (KPIs), and contributing to regular reviews.
  • Promptly implement management requests to deviate from normal working practices when variations in capacity (e.g., extended staff absence) and/or demand (e.g., increased volume of referrals) occur.
  • Model reliability and punctuality. With the exception of unpredictable clinical emergencies, scheduling activities in a realistic fashion based on experience of the acute setting, and its culture. Sensitively promoting an understanding that consistency and predictability are important components of psychological safety.
  • Develop and maintain a good working knowledge of clinical and operational structures/processes/developments within the wider healthcare team/service.
  • Highlight concerns relating to staff wellbeing.
  • Work within Trust and PSN guidelines, to contribute to staff support activities whilst maintaining appropriate boundaries (e.g., not providing formal 1-2-1 support to colleagues) and liaising with Occupational Health Psychology as appropriate.
Policy and Service Development
  • Implement policies, procedures and standards in own area of work, and to propose improvements or beneficial changes.
  • Contribute to the consultation and engagement of service users in planning and delivering services which meet the needs of local communities.
  • Contribute to service development through undertaking and participating in project work as directed by the service lead.
Care or Management of Resources
  • Take care of, and use carefully, the Trusts equipment and physical resources.
  • Ensure that oneself has sufficient resources by estimating future needs and requesting or ordering supplies as needed.
Management and Supervision
  • Be responsible for the allocation and/or clinical supervision of the work of less senior psychologists (pre and post accreditation) with support from a more senior psychologist.
  • Supervise trainee psychologists within own area of specialism.
  • Contribute to the appraisal of less senior psychologists as appropriate.
  • Contribute to the recruitment of less senior psychologists as appropriate.
  • Provide supervision for the psychological work of other multi-disciplinary staff as appropriate.
  • As required, contribute to out-of-speciality PSN supervision.
Teaching and Training
  • Disseminate research and service evaluation findings through presentations and published articles.
  • Undertake occasional teaching and training of pre and post-qualification psychologists and specialist training to other professions as appropriate.
  • As required, provide specialist clinical placements for trainee practitioner psychologists and where appropriate, trainees/students from other psychological professions (e.g., counselling).
  • Contribute to the development of the knowledge and skills base within the RHRU by maintaining an active awareness of current developments in applied psychology and neurorehabilitation as a medical/surgical specialty and by implementing knowledge gained in practice.
Record-keeping and Information Governance
  • Ensure that all information generated by own work is recorded in a timely fashion as required by Trust policies, local and PSN procedures/standards.
  • Maintain the highest standards of clinical record keeping and report writing, according to professional, PSN and Trust guidelines, including electronic data entry.
Research and Development
  • Initiate, undertake, support and supervise regular complex service evaluation and audits.
  • Initiate and carry out appropriate research.
  • Provide expertise in a specialist research area contributing to the advancement of neuropsychological assessment and intervention approaches within acquired brain injury rehabilitation.
  • Initiate and collaborate in the development and implementation of assessment and outcome measures, and assist other staff in the implementation of same.
Maintaining Professional Standards and Continuing Professional Development
  • Receive regular clinical and professional supervision from a more senior psychologist according to HCPC and PSN guidelines.
  • Self-reflect in response to distressing or concerning circumstances and when needed, seek ad hoc support and advice from clinical supervisor as part of good self-care.
  • Ensure own Continuing Professional Development in line with BPS and Trust Personal Development Plan requirements and the HCPC Standards for Continuing Professional Development.
  • Maintain an up-to-date knowledge of current developments in professional and clinical practice and of relevant legislation and policies.
  • Comply with the HCPC Standards of Conduct, Performance and Ethics and Standards of Proficiency, and ensure professional development in line with these.
  • Adhere to the BPSs Professional Practice Guidelines, Trust policies/procedures and adhere to PSN practice standards.
  • Model self-reflection and the ability to incorporate this understanding when formulating and intervening at the individual, interpersonal and system level.
  • Represent Psychology in a positive and professional manner at all times during interagency, multi-professional and external forums, networks and conferences.
  • Actively engage with ongoing developments in information technology that can or could enhance clinical, service and professional activities.
  • Identify relevant personal development needs in relation to information technology and agree appropriate educational plans with line management.
  • Participate in Trust/sector wide activities, reporting to the Head of Psychological Services, up to an annualised 5% of contracted working hours. With the exception of clinical emergencies, giving this work equal priority to all other aspects of the role.
  • Travel to all LNWH hospital sites when required.
  • Be aware of risk relating to aggressive and challenging behaviour amongst the client group, and follow Trust policies relating to its management.
  • Respond appropriately and professionally to emotionally distressing situations and to support others involved in such situations.
  • In exceptional circumstances (e.g., emergencies, significant incidents or public health crises) prioritise requests from the Head of PSN to contribute to Trust-wide clinical activities, supporting staff, patients or families.
  • Actively network and liaise with other psychological sp
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