An exciting opportunity has arisen to work within the CNWL eating disorders service. We are recruiting new Psychologists/Therapists to join our team. We are open to receiving applications from Clinical/Counselling Psychologists or CBT Therapists.

The majority of the work will be with outpatients - our team works flexibly between remote and face to face contact - although there will be some work with patients in transition across our in patient ward and day-programme. The post forms part of a large multi-disciplinary team consisting of Psychiatry, Nursing, Occupational Therapists, Psychologists, Dietetics, CBT Therapists, CAT Therapists.

You would be joining our therapy team in the provision of specialist therapies to patients attending the clinic. Our team provides CBT-ED, CBT-T, MANTRA and CAT to our patients. There are training opportunities within these models, an internal Continued Professional Development training programme and scope to support with relevant research, service development (e.g. teaching and training in and across profession) and supervision opportunities.

We are happy to consider applications from trainees due to qualify later this year.

Main duties of the job

The post holder will carry out clinical duties, clinically-relevant audit and research (as appropriate), and relevant administrative duties. The successful applicants will have a high level of knowledge, training, skill and experience in delivering evidence based treatment to patients with eating disorders. He or she will be encouraged to develop his or her academic and clinical knowledge in the context of service-related continuing professional development. There will also be opportunities for group work, teaching and supervision.

Vaccination

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

CNWL provides the eating disorder service for a local catchment area that includes the boroughs of Westminster, Kensington & Chelsea, Hammersmith & Fulham, Brent, Harrow, Ealing, Hillingdon, and Hounslow. In addition the service accepts national referrals for specialist in-patient and day-patient care.

Job description Job responsibilities

To provide assessments of clients referred to the team, based upon the appropriate use, interpretation and integration of complex data from a variety of sources

To diagnose patients eating and related psychiatric problems

To formulate and implement plans for treatment and/or management of a clients mental health problems, based upon an appropriate conceptual framework of the clients problems, and employing methods based upon evidence based models for eating disorders

To be responsible for implementing interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis

To evaluate and make 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.

To integrate (with the psychological formulation) an understanding of the medical aspects of the eating disorders and associated medical conditions

To liaise with other clinicians involved in the patients care, in order that appropriate physical checks and interventions are carried out to ensure the patients physical safety

To understand the role of relevant physical treatments (e.g. nutrition, pharmacology)

To exercise autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically based standard care plans

To provide psychological advice, guidance and consultation to other professionals contributing directly to clients formulations, diagnoses and treatment plans

To contribute directly and indirectly to a psychologically based framework of understanding and care to the benefit of all clients of the service, across all settings and agencies serving the client group

To undertake risk assessment and risk management for individual clients, and to provide advice to other professions on psychological aspects of risk assessment and risk management

To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor progress during the course of both uni- and multi-disciplinary care

To act as care coordinator where appropriate, taking responsibility for initiating planning and review of care plans under CPA (to include clients, their carers, referring agents and others involved the network of care)

Teaching, training, and supervision: 1. To receive regular clinical professional supervision from senior clinician and, where appropriate, other senior professional colleagues.

To attend Staff Group with other colleagues in the service

To provide professional and clinical supervision of junior colleagues and trainees, as appropriate

To contribute to the pre- and post-qualification teaching of other professionals, as appropriate

To provide advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate

To undertake all mandatory training that is relevant to the post, including updates

Management, recruitment, policy and service development:

To advise both service and professional management on those aspects of the service where psychological and/or organisational matters need addressing.

Research and service evaluation

To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members

To undertake appropriate research/audit and provide research advice to other staff and clinical trainees undertaking research

To undertake project management, including complex audit and service evaluation, with colleagues within the service to help develop service provision

To familiarise themselves with, and to comply with, the Trusts requirements on research governance.

IT responsibilities (other than those used for research)

The post holder will input and maintain, appropriate computer and manual clinical records and statistical data and provide this to the Service Manager/Head of Speciality when necessary

The post holder will engage in relevant computer and IT training as required.

General

To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the postholders professional and service managers

To contribute to the development and articulation of evidence-based and evidence-generating psychological practice across the service, by continuing to develop the skills of a reflexive and reflective scientist practitioner, taking part in regular professional supervision and appraisal, and maintaining an active engagement with current developments

To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of the relevant professional body and with Trust policies and procedures

To maintain up-to-date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health.

Person Specification Education and Qualifications Essential

• An upper second class honours degree or higher in a subject relevant to mental health and higher level postgraduate training in an applied clinical field that includes models of psychopathology and distinct psychological therapies.
• Clinical/Counselling Psychologist registered with the HCPC or CBT therapist- Must be fully or provisionally accredited with the BABCP or have completed a BABCP accredited high intensity CBT course or diploma programme.
• Clinical experience of delivering CBT and/or MANTRA or CAT in a relevant psychological post

Desirable

• Post-qualification training in CBT, CAT or MANTRA for eating disorders.
• ADOS trained
• MANTRA trained

Previous Experience Essential

• Extensive experience of psychological assessment and evidence-based treatment of clients across the full range of care settings, including outpatient, community, primary care and in patient settings.
• Substantial experience of working within a CBT and/or MANTRA or CAT framework with patients who present with problems that reflect the full range of clinical severity.
• Supervised experience of delivering evidence-based therapies for the eating disorders and common comorbid conditions.
• Experience of interdisciplinary working within the NHS.

Desirable

• Supervised experience of delivering other treatments for the eating disorders, including motivational work.
• Experience of teaching, training and/or supervision.
• Experience of the application of CBT in different cultural contexts.

Skills and Knowledge Essential

• Knowledge of the theoretical and evidence base for understanding, formulating and treating the eating disorders.
• Skills in the use of complex methods of psychological assessment, intervention and management, frequently requiring sustained and intense concentration.
• 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.
• Skills in providing consultation to other professional and non-professional groups.
• Knowledge of research methodology, research design and complex, multivariate data analysis as practiced within the field of mental health.

Desirable

• Knowledge of the theory and practice of CBT in specific difficult-to-treat groups (e.g. personality disorder, dual diagnoses, people with additional disabilities etc).
• High level knowledge of the theory and practice of cognitive-behavioural therapy.
• High level knowledge of the theory and practice of at least one other specialised psychological therapy.
• Knowledge of legislation in relation to the client group and mental health.
• Publication and presentation of clinical research in the field of the eating disorders or associated areas of mental health.

Attitudes, aptitudes, personal characteristics Essential

• Maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse.

Other Essential

• 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 teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings.

Desirable

• Personal experience (direct or indirect) of mental health problems.
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