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Senior Clinical Nurse Specialist

West London NHS Trust
£58,698 to £65,095 per annum inclusive of 20% HCAS
Closing date
28 May 2024

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Band 8A
Contract Type
Full Time
This is an exciting opportunity to join and help shape a new service. West London NHS Trust is recruiting to a new Dialectical Behaviour Therapy Service for Hounslow, Ealing and Hammersmith & Fulham CAMHS. The team will undertake Intensive DBT training together in November 2024, provided by British Isles DBT.

The service will provide assessment, treatment training and consultation in relation to young people aged 12 to 18 who present with persistent self-harm and suicidal behaviour, which may be in the context of emotional dysregulation. Many of the young people seen will present with complex needs including high risk behaviours. All young people seen will have a comprehensive assessment to inform decision making and planning for the future. Each team member will have a small caseload and the team will support each other via consultation meetings and supervision.

Within the DBT service each clinician will play an active role in all aspects of theservice, including assessment, treatment (individual therapy, skills group, phonecoaching) teaching, training, research, and service development.

Main duties of the job

To provide specialist DBT to the service users of the WL CAMHS DBT Service, including specialist assessment and intervention for young people referred to the service. Contribute to service evaluation, policy development, audit, evaluation, and research in the area of self-harm and emotional dysregulation. Provide clinical supervision, teaching and consultation as appropriate.

To use and maintain skilled standards of professional clinical practice in the treatment modalities required by the children and young people attending the DBT service and be a resource to the whole service in maintaining the skills of others.

To manage their own caseload and provide specialist DBT interventions for young people. They will be responsible for the provision of skills training groups for young people and parents/carers.

To work in partnership with schools, social services departments, as well as local and national services to support integrated practice and service delivery.

About us

West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.

Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ 4,500 staff, of whom 56% are BME. Our turnover for 2023-24 is �426m.

The Trust is rated as 'Good' overallby the Care Quality Commission. Forensic services are rated as 'Outstanding'.

The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.

Job description

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Qualifications and Training


  • Degree/diploma in Nursing
  • Professional registration with the Nursing Midwifery Council (NMC) RMN.
  • Evidence of accredited courses in child and adolescent mental health practice
  • MSC level training in a relevant specialist field or appropriate experience
  • Mentorship/ teaching and assessing qualification


  • Relevant management training/ qualification
  • Qualifications/ training in specialist skills e.g. systemic therapies, CBT, Family Intervention. Evidence based group work e.g. DBT
  • Non-Medical Prescribing Qualification



  • Extensive post qualifying experience of working within a multidisciplinary CAMHS at Band 7 or above.
  • Experience of working in a number of ways i.e. assertive outreach, clinic based settings, home, school or other appropriate environments
  • Experience of assessing risk and formulating safe and effective risk management plans
  • Experience of managing and supervising others in a clinical and performance management context including appraisals
  • Experience of developing operational protocols
  • Experience of teaching other professionals
  • Experience of delivering mental health awareness and bespoke CAMHS training to non CAMHS professionals
  • Experience of working with highly complex children and adolescents who self-harm and/or have suicidal ideation
  • Experience of management of child protection emergencies
  • Experience of providing consultation/teaching/ training


  • Experience of audit and/or research
  • Experience of contributing to and implementing new service developments

Core Competencies


  • Able to confidently and competently undertake generic and emergency CAMHS assessments
  • Able to confidently and competently undertake specialist assessments relevant to area of practice and develop formulation/understanding of presenting difficulties and strengths by drawing on theoretical models
  • Understands developmental issues for children and able to adapt interventions accordingly
  • Understands the need for and able to competently assess risk
  • Understands individual and service safeguarding responsibilities, policy and procedure
  • Understands the elements of effective engagement and can apply these to working practice
  • Demonstrates excellent written and verbal communication
  • Able to foster strong therapeutic alliances
  • Understanding of and commitment to the principles and practices of evidence based interventions
  • Understanding of and commitment to service user involvement, patient led care and choice
  • Understands the need for and has experience of undertaking family and parenting work as part of CAMHS support
  • Understands the importance of assessment that explores and considers individual cultural identity and associated support needs
  • Experience of providing consultation and liaison support to colleagues, referral agencies and services responsible for the care, support and wellbeing of service users and their families/carers
  • Able to promote self-management and recovery by working with service users and their families to understand their condition and identify and reinforce strengths, resources and coping skills
  • Able to work effectively as part of a multi-disciplinary team, actively engaging in and supporting duty and emergency rotas, peer support, training and skills development
  • Able to build strong partnerships with external agencies and develop
  • Able to confidently and safely plan for and manage change and transition
  • Actively uses supervision and opportunities for development of skills

Specialist Competencies


  • Experience of undertaking specialist assessment at a level appropriate to the job
  • Specialist assessment and treatment of specific groups (e.g. Neuro-development disorders)
  • Understanding of need for and ability to form effective working partnerships with internal and external partners
  • Ability to develop and implement clear and robust operational policy and protocol
  • Ability to lead the development and implementation of new structures and process that impact on staff at all levels


  • CBT
  • DBT
  • Family Therapy
  • Group Therapy

Administration and Record Keeping


  • Competent in the use of clinical recording systems such as RIO, JADE and COMMIT
  • Understands the process for keeping safe, secure and relevant clinical records
  • Understands and is able to use online incident reporting systems.
  • Able to use email to support effective communication in line with WLMHT policy
  • Able to use Microsoft PowerPoint and other communication methods to support the delivery of high quality, engaging training and presentations

Attitude, Aptitude and Personal Characteristics


  • Able to build constructive relationships with warmth and empathy, using good communication skills
  • Treats service users with respect and dignity at all times
  • Enthusiastic, flexible and confident approach to working
  • Able to prioritise own workload
  • Willingness and ability to learn new skills and adapt to change
  • Honesty, enthusiasm and a sense of loyalty
  • Conducts self in a professional, courteous manner at all times and able to maintain professionalism in an often

Employer details

Employer name

West London NHS Trust


Bridge House Centre for Health

1 Broughton Road Approach



Any attachments will be accessible after you click to apply.


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