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Senior CBT Therapist/Clinical or Counselling Psychologist

West London NHS Trust
£47,126 to £53,219 a year per annum plus HCAS
Closing date
8 Aug 2022

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CBT Therapist / Other
Band 8A
Contract Type
Full Time
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Back on Track is the IAPT service for the borough of Hammersmith & Fulham. We are seeking to recruit a Senior High Intensity Therapist to join our team. This post is suitable for a qualified and experienced Clinical/Counselling Psychologist, Clinical Health Psychologist, High Intensity Therapist or CBT Therapist.

Back on Track is a well-established and high performing IAPT service provided by West London NHS Trust in partnership with West London Centre for Counselling and Richmond Fellowship. You will work in a very friendly, supportive and well resourced service with close links to Clinical Psychology Doctorate and IAPT training programmes. The service places a particular emphasis on supporting all clinicians and there is a dedicated programme to promote and improve the wellbeing of the team members.

Our primary therapy is CBT, but we also offer IAPT's centralised training in secondary modalities (such as DIT, EMDR, IPT or BCT), specialist MBCT, PTSD, LTC and Supervisor training, plus our own in-house masterclasses, such as on imagery rescripting, BDD and cross-cultural therapy.

Main duties of the job

The post will involve a mix of direct clinical work, clinical supervision and taking a key role in the leadership and operational management of the service. The post holder will also provide direct line management to team members, including High and Low Intensity therapists and trainees.

We have received positive feedback from staff for our approach in supporting staff who are working parents or carers. Our service has won awards for its focus on wellbeing and we have a sociable and friendly team. As a result, we develop long-lasting and committed relationships with our staff.

Posts available are Full Time or Part Time positions with a requirement to work at least one evening session per week (12pm - 8pm) and to occasionally provide additional evening cover as required.

The Trust welcomes applications from all sections of the community who fulfill the criteria for the post. We are keen to ensure that our workforce reflects the community it serves, particularly in terms of ethnicity, gender, disability and experience of mental illness.

If you are interested in applying for this post and would like to discuss this opportunity in more detail then please contact Natalie Vrahimides (Joint Clinical Lead) on 0300 123 1156 or or Mark Howell (Deputy Clinical Lead)

*Full/part-time options available. We welcome applicants who wish to apply on a fixed-term as well as permanent basis*

About us

West London NHS Trust is one of the most diverse providers of mental health, community and social care in the UK.

Our 3,982 staff care for people in hospital and in the community, helping them to recover and go on to lead full and productive lives. We aim to be the best organisation of our kind in the country.

We provide care and treatment for more than 800,000 people living in the London boroughs of Ealing, Hammersmith & Fulham and Hounslow, delivering services in the community (at home, in GP surgeries and care homes), hospital, specialist clinics and forensic (secure) units.

We'rerated good overall by the Care Quality Commission (CQC).

Together, we're committed to promoting hope and wellbeing, working with patients, service users, carers, families and partners across the communities we serve.

We are keen to ensure that our workforce reflects the community it serves, particularly in terms of ethnicity, gender, disability, LGBTQ+ and experience of mental illness.

Job description Job responsibilities

  • To provide specialist psychological assessments of clients referred to H&F IAPT based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological and neuropsychological tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the clients care. Additional information regularly needs to be sought from a range of sources, e.g. GP, other services, referrer, and the information combined to determine the most appropriate service for the client to be seen in.
  • To achieve agreed targets for the number of hours of direct clinical contact per week, number of new assessments per week and the percentage of service users who recover in accordance with centrally defined IAPT targets
  • To formulate and implement plans for the formal psychological 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 of efficacy, across the full range of care settings
  • To be responsible for implementing a range of psychological interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses
  • To assess, generate formulations and intervene using different theoretical frameworks, as appropriate. To be able to use Cognitive Behaviour Therapy at a highly specialist level in assessment and interventions
  • To work with complex, chronic and co-morbid psychiatric disorders
  • 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, family or group. The job requires the ability to develop specialist programmes of care, e.g. when planning treatment for an individual patient, both to deal with short-term and longer-term difficulties, with an overview of problems and an end point in mind. Expected results in terms of client outcome of treatment, or service targets are defined but post-holder decides how best achieved. This would mean the post-holder decides the overall plan and also detailed strategies in the psychological treatment. This is within guidelines laid down by service management.
  • 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 specialist psychological advice guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan
  • To contribute directly and indirectly to a psychologically based framework of understanding and care to the benefit of all clients of the IAPT 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 work with clients who are at current risk of suicide or self-harm
  • To work clinically with translators.

  • To exercise autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically based standard care plans.
  • The majority of referrals to the H&F IAPT service come via GPs. Other referral sources are self-referrals or via other agencies.
  • The postholder will receive fortnightly individual clinical supervision from a BABCP accredited CBT therapist.

  • Contribute to the responsible management of equipment and resources required for the ongoing provision of a high standard of psychological service to the directorate.

  • To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care. To assess and deliver highly complex, sensitive and contentious information in a hostile, antagonistic and emotional atmosphere, e.g. deciding whether clients are suitable for particular services, or explaining to families about the prognosis, or explaining that a service is not available for a client, or having to break confidentiality and refer them to Social Services because of concerns about harm to children.

Teaching, training, and supervision
  • To gain additional highly specialist experience and skills relevant to the service (as agreed with the professional psychology manager)
  • To develop skills in the area of professional post-graduate teaching, training and supervision and to provide supervision to other MDT staffs psychological work as appropriate
  • To provide professional and clinical supervision of Band 7 IAPT therapists, trainee IAPT workers both High Intensity and Psychological Wellbeing Practitioners and Clinical/Counselling Psychologists as appropriate and volunteers
  • To contribute to the pre- and post-qualification teaching of IAPT staff and Clinical and/or Counselling psychology, as appropriate. To lead training seminars on psychological interventions for trainees and qualified staff
  • To provide advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate. To supervise other professionals in a specialist method, e.g. CBT, as appropriate (e.g. Psychiatry SHOs)

Management, recruitment, policy and service development
  • To provide some direct line management of team members as delegated by the Clinical Lead
  • To contribute to the development, evaluation and monitoring of the IAPT teams operational policies and services, through the deployment of professional skills in research, service evaluation and audit
  • To advise both service and professional management on those aspects of the service where psychological and/or organisational matters need addressing
  • To manage the workloads of IAPT staff, within the framework of the team/services policies and procedures
  • To be involved, as appropriate, in the short listing and interviewing and management of the recruitment of IAPT clinical and administrative staff
  • To be involved in referrals co-ordination and liaison with other agencies
  • To support the H&F IAPT team members to achieve service targets.

IT responsibilities
  • 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 British Psychological Society and WL NHS Trust policies and procedures
  • To create or format databases or spreadsheets using computerised systems where appropriate, such as SPSS, Excel spreadsheets and other packages. To input data and generate reports. To use literature search systems.

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 initiate and undertake appropriate research. To provide research advice to other staff undertaking research and ensure that they have an understanding of the research registration and governance processes when starting a project. To present research findings to professional audiences
  • To undertake project management, including complex audit and service evaluation, with colleagues within the service to help develop service provision
  • To act as a field supervisor for trainees research, as appropriate.

  • 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 post holders professional and service manager(s)
  • To contribute to the development and articulation of best practice in CBT 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 in the field of IAPT and related disciplines
  • 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 BAPCP and 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 Qualifications and Training Essential
  • Post-graduate doctoral level training in clinical or counseling psychology (or its equivalent for those trained prior to 1996) as accredited by the BPS, or post graduate training in another core mental health profession (nursing, Occupational therapy) plus l post graduate diploma or higher degree in CBT. OR Accredited as a cognitive behavioural psychotherapist by the British Association of Cognitive & Behavioural Psychotherapies (BABCP) or nearing completion of accreditation process.
  • Professional registration with the appropriate Health and Care Professions Council, if applicable to core professional training.
  • Pre-qualification training and qual

    Any attachments will be accessible after you click to apply.

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