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At Risk Mental State Practitioner -Development post band 6 to 7

Central and North West London NHS Foundation Trust
£40,701 to £55,492 per annum incl HCAS
Closing date
28 May 2024

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We are looking to recruit one mental health professionals at Band 6 in a development role to reach Band 7 on completion of a development plan, with an expectation of reaching Band 7 within 12 months of joining the team. You should have a relevant qualification as well as demonstrable experience in community mental health and an understanding of the Early Intervention model of care. We provide a bio-psychosocial approach in working with our patients, and the team works in strong multi-disciplinary approaches with colleagues in psychiatry, psychology, employment specialists, peer support, nursing, social work, occupational therapy, activity coordinators and administrative staff. The post can be challenging and hugely rewarding - you will be supported by your peers, colleagues and managers.

Please note that this is a fixed term contract for 12 months to provide training and support. Success will mean the following (as per Job description) and completion of the associated developmental plan.

If at the end of the 12-month period for development, the post holder is unable to demonstrate evidence that they are competent to the standards required by the Trust the contract will end.

The post holder may then be:

o Offered a band 6 role at any other part of the service which is immediately available

o A new FTC training contract is issued or

o There is no other form of employment offered

Main duties of the job

A qualified Cognitive Behaviour Therapist or qualifying within the next 9 months who has undergone additional training in Cognitive Behaviour Therapy for Psychosis (CBTp) is required to work in our Early Intervention in Psychosis service. There will be a particular focus on At Risk Mental State patient identification and CBT delivery, as well as management/resolution of any bio-psycho-social patient issues that arise outside of the CBTp sessions. The CBT therapist will also provide non-ARMS functions spread across the week and sites including but not limited to: CBT for non-ARMS patients supervision of prequalification staff on CBTp-related placements supervision of Assistant Psychologists. Contribution to daily whole EIS team multidisciplinary meetings and other non-ARMS functions as required by the EIS Team Manager. Applicants must have experience of delivering CBTp to NHS psychosis clients. The work locations are Hillingdon and Harrow.

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.

About us

We are committed to offering you an environment you can flourish in, which includes dedicated development opportunities as well as a healthier work life balance. We will offer you:

A 9-12-month developmental plan where if you successfully pass, you will become a Band 7 ARMS practitioner.

Free access to our Staff and Wellbeing services to ensure that you are always looking after yourself

Excellent staff benefits. Our benefit packages are amongst the best in London and include childcare vouchers, health and wellbeing services, season ticket loans, cycle to work schemes, blue light card discounts and much more.

Commitment to career mapping to ensure continuous professional development including opportunities within the Trust.

CNWL is very fortunate in having a long-established professional structure, including Trust-wide Professional Leads for all professional groups, and Borough and specialist professional leadership. This has the huge benefit of ensuring representation of our profession and therapies as a whole at all levels - both strategically and operationally.

We believe in creating an inclusive and diverse workplace, where everyone feels respected and valued. We are committed to creating a workplace that is welcoming and inclusive to everyone, regardless of race, ethnicity, gender identity, age, religion, or any other characteristic that makes you unique. Become part of our team. We care for you as much as you care for others.

Job description

Job responsibilities

To provide a clinical service. Primarily, support the Team in identifying, formulating, managing and intervening with Cognitive Behaviour Therapy for Psychosis for patients in an At Risk Mental State, as well as managing any bio-psycho-social patient issues that arise outside of the CBT sessions.You will require excellent engagement skills, demonstrating an anti-oppressive and enabling approach to co-production with your patients. You should be skilled in assessing mental health, creating risk assessments, safety plans and crisis and contingency plans.
  • Identify ARMS patients using the CAARMS-2023 and other assessment strategies
  • Intervene with ARMS patients using individual Cognitive Behaviour Therapy
  • Intervene with ARMS patients using group Psychoeducation and group CBT
  • Manage and resolve bio-psycho-social patient issues that arise outside of CBTp sessions
  • Intervene with non-ARMS EIS patients using individual CBTp
  • Joint supervise pre-qualification staff who are on non-ARMS CBTp training placements
  • Receive CBT supervision from the EIS teams CBTp Supervisor
  • Contribute to daily multidisciplinary meetings of the EIS team
  • To support the EIS Team Manager with the successful running of the EIS team
  • To have an active role with other senior colleagues in the continuing development of a high quality service that is underpinned by evidence based practice, care pathways and NICE guidance
  • Contribute to Quality Improvement projects
  • Deliver training specific to the role to members of the EIS MDT
  • Act as a role model to colleagues, always seeking to maintain the highest standards of professionalism
  • In delivering your duties you are expected to display behaviours that are aligned with the trusts core values.
  • In conjunction with other senior team members ensure that implementation of clinical/management supervision for Early Intervention team staff in line with the trust policy and appropriate professional guidelines
  • Make judgement on complex facts and situations which require analysis/ consideration of options.
  • Display intense concentration for long periods.

Person Specification



  • Qualified CBT Therapist eligible for BABCP accreditation (or Qualifying in 9 months)
  • A core profession e.g. nursing, social work, psychology or occupational therapy


  • BABCP Accreditation as a CBT Therapist

Knowledge and Skill


  • Knowledge of NICE guidelines relevant to ARMS, Early Intervention and Psychosis.
  • Highly developed specialist knowledge, both theoretical and practical, of CBT applied to clinical practice, particularly in respect of adults and young people with severe and enduring mental health disorders (including personality disorders).


  • Competency in CAARMS-2023
  • Risk identification and management in ARMS and the early course of psychosis



  • Experience of delivering CBTp to NHS clients
  • Experience working in an NHS Multidisciplinary team.


  • Experience of delivering CBTp in an Early Intervention in Psychosis Team
  • Experience of being a Care Co-ordinator for severe mental illness patients

Employer details

Employer name

Central and North West London NHS Foundation Trust


Mill House

38 Riverside Way



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