High Intensity IAPT Therapist

West London NHS Trust
£41,659 to £47,672 a year pa plus HCAS & 5% Golden Hello*
Closing date
7 Feb 2023

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CBT Therapist / Other
Band 7
Contract Type
Full Time
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This post attracts an additional 5% bonus payment for two years; this will be paid into your salary as monthly instalments.

(Example: HI therapist with 1 years' experience: Basic salary including 15% HCAS £46,065 plus bonus payment £2303.25 total annual salary, £48,368.25)

Ealing IAPT was one of the first IAPT services to launch in 2008, and is one of the three services provided by West London NHS Trust. We are a large team of over 70 members of staff and are currently working on further expansion. Our main base is in Ealing where we have access to over 16 clinic rooms and two open plan offices. In addition to this, we run clinics at GP surgeries across the borough, covering areas such as Southall, Acton, and Chiswick. Our service is well-established and many of our staff have been with us since the beginning.

Clinical and line management supervision is part of our success, and as a qualified high intensity therapist you will benefit from weekly clinical supervision, monthly line management supervision, and monthly step 3 clinical skills. In addition to this, we operate a duty system on a daily basis with daily debrief to make sure that all new assessments are discussed promptly.

Ealing IAPT is passionate about offering a great quality therapy to our patients and we are very proud to be able to consistently offer all the IAPT-approved therapies, such as EMDR, DIT, IPT, BCT, and CfD.

Main duties of the job

To that effect, we are committed to Continuing Professional Development (CPD) of our staff and training in additional IAPT modalities is highly encouraged. We have close links with our neighboring services (H&F and Hounslow) and share our CPD events with them, providing an opportunity to link up with our colleagues across the Trust. Over the last year, our staff have attended in-house training in complex PTSD, LTC, OCD, perinatal, and many others. In addition to the standard talking therapies, our service is one of only two IAPT services in London that offer an exercise group for our patients (Running to Better Health), which is consistently achieving high recovery rates and is highly regarded.

The management team at Ealing IAPT is committed to staff wellbeing and we have recently commissioned a QI project on staff wellbeing, led by staff across the different staff groups within the team. As a result, we are now offering small, confidential reflective groups for our staff alongside many other exciting wellbeing initiatives. To that effect, Ealing IAPT recently won team of the month (February, 2020) in the Trust.

We are passionate about engaging all groups of our community, and as such, we operate evening clinics (up until 8pm) Monday - Thursday. The post holder will be required to work one evening shift a week (12-8pm).

We think Ealing IAPT would be an ideal place for you to work a high intensity therapist

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 a qualified specialist CBT service to clients from Ealing IAPT service. These clients are primarily suffering mild to moderate mental health problems, including anxiety and depression. This involves providing specialist CBT assessment and therapy.

  • To provide advice and consultation on clients psychological care to non-psychologist colleagues and to other, non-professional carers. It will involve supervision of other colleagues including trainee HI therapists and PWPs, as well as trainees from other professional groups as appropriate.

  • The post involves being able to work flexibly and to be able to work at least one evening session (i.e. 12am 8pm one day). The sessions would be based within the borough of Ealing; this could be either at one of our two main sites either in Southall or Ealing and other Health centres / GP surgeries

  • The post holder works autonomously within professional guidelines and within the overall framework of the teams policies and procedures. To utilise research skills for audit, policy and service development and research within the area served by the team/service.

Key Result Areas & Performance:


  • To provide specialist CBT assessments of clients referred to the Ealing IAPT service based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological 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.

  • To work with clients with a range of mild to moderate mental health problems.

  • 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, adjusting and refining psychological formulations and drawing upon different explanatory models. To be able to use Cognitive Behavioural Therapy (CBT) at a specialist level in assessments and interventions.

  • 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.

  • 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 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 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 communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor and evaluate progress during the course of both uni- and multi-disciplinary care. To assess and deliver highly complex, sensitive and contentious information.

  • To provide expertise, advice and support to facilitate the effective and appropriate provision of psychological care by all members of the treatment team.

  • To provide medico-legal reports, and reports where appropriate.

  • To attend serious incident (SI) meetings as needed.

  • To work clinically with interpreters.


  • 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 Ealing IAPT service come via GPs. Other referral sources are self-referrals or via other agencies.

  • The post holder will receive weekly individual clinical supervision from a BABCP accredited CBT therapist. Also line management supervision once a month


  • No budgetary responsibilities


Communications and Relationships

  • 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/or contentious information in possible hostile, antagonistic and emotional settings, e.g. deciding whether clients are suitable or unsuitable for particular services, having to break confidentiality at times e.g. referring clients to Social Services regarding safeguarding issues.

Teaching, training, and supervision

  • To receive regular clinical professional supervision from a qualified IAPT HI therapist and, where appropriate, from other professional colleagues.

  • To develop skills in the area of professional post-graduate teaching, training and supervision, as appropriate.

  • To provide professional and clinical supervision to other members of the team, including PWP and Assistant Psychologists. Where appropriate, to provide this to trainee IAPT workers, Clinical/counselling team and other clinical staff.

  • To contribute to the pre- and post-qualification teaching of staff, as appropriate.

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

Management, recruitment, policy and service development

  • To contribute to the development, evaluation and monitoring of the 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 assistant and psychologist and other team members , within the framework of the team/services policies and procedures.

IT responsibilities

  • To create or format databases or spread sheets using computerised systems where appropriate, such as SPSS, Excel spread sheets and other packages.

  • To enter and retrieve data using the IAPTUS system

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 and provide research advice to other staff undertaking research.

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

Person Specification Qualifications Essential
  • Post-graduate doctoral level training in clinical or counselling 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 a post graduate diploma or higher degree in CBT. Professional registration with the appropriate Health Professions Council (HPC) And/or: To be accredited by the BABCP as a provisionally or fully accredited practitioner, or to be able to achieve provisional practitioner accreditation with the BABCP within six months of starting in post.
  • Pre-qualification training and qualifications in research methodology, staff training and/or other fields of applied psychology
  • Fully accredited with the BABCP
Experience Essential
  • Experience of specialist psychological assessment and treatment of clients within an IAPT service
  • Experien

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