Central and North West London NHS Foundation Trust vacancy 2022 in London, England, United Kingdom – Consultant Lead Adult Psychotherapist

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About the job


Job Overview

We are seeking a Consultant Psychotherapist to lead the delivery of psychotherapy within our Brent Integrated Psychology and Psychotherapy Service, under the management of the Lead Psychologist for Brent and the professional support of the Trust Lead for Psychotherapy.

This role is key in leading the provision of high-quality psychotherapy to people experiencing severe and enduring mental health difficulties across our treatment pathways by ensuring that there are robust processes and governance in place that allow for safe, effective and timely delivery of psychotherapy within the Borough. The role is well supported by the pathway leads.

The postholder will work closely with other services within the Borough, such as IAPT and third sector organisations, with whom there are clear referral pathways and also positive relationships as well as joint working.

The post would suit an experienced clinician with proficiency and experience in NICE guideline-based treatments and HEE-supported therapies, who is able to lead, inspire and manage the psychotherapists within the service. The postholder will ensure that there are appropriate supervision arrangements for psychotherapy staff in the service. The post holder will be responsible for supporting staff in the team to achieve positive clinical outcomes which will be evidenced by performance indicators such as activity data, targets and outcome measures. The postholder would also have a clinical caseload within the service.

Main duties of the job

The successful applicant may have contact with patients or service users and we will therefore be seeking proof of vaccination or medical exemption during the recruitment process. 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.

  • To provide professional and clinical leadership, and line management support to Adult Psychotherapists in Training and Adult, Senior Adult and Principal Adult Psychotherapists employed within the Service; including regular clinical supervision to clinic staff in group and individual settings.
  • To participate in the strategic management of the Integrated Psychology and Psychotherapy Service and to take lead responsibility for key service issues that relate to psychotherapy
  • To ensure the systematic provision a highly specialist psychotherapy service to patients referred from all sectors of care.
  • To work autonomously as a Consultant Adult Psychotherapist, within professional guidelines and the overall framework of Trust policies and procedures
  • To maintain a strategic overview of recruitment, service delivery, teaching and training of psychotherapy within the Service
  • To facilitate and maintain a strong audit and research culture in the promotion of service and policy development
  • To offer highly specialist advice and consultation to managers and clinicians in other services.

Working for our organisation

The Brent Integrated Psychology and Psychotherapy team comprises psychologists and psychotherapists at all levels who offer a range of specialist assessment and evidence-based treatments. The team are actively involved in supporting service developments to improve access to psychological interventions based on the Long Term Plan objectives.

It is a particularly exciting time to join Brent as the service is implementing the Mental Health Transformation agenda and the delivery of a stepped care framework. The post holder will contribute to this by participating in service design and by enabling delivery of psychologically informed practice by a multi-disciplinary workforce. The Borough’s award-winning work in addressing health inequalities means there is opportunity for review and development of practice in the service to make it more accessible to our local population.

The post offers considerable scope for flexible working and continued professional growth and training with a strong emphasis placed on staff development.

Knowledge And Skills

Detailed job description and main responsibilities

  • Recognised qualification in a core mental health profession
  • Recognised advanced, post-registration training as a specialist psychotherapist with appropriate registration and accreditation as a specialist psychotherapist.
  • Supervision and Practitioner level training across a number of psychotherapeutic applications

Key Result Areas

1(a) Clinical Responsibilities

  • Be fully responsible for the treatment, by specialist psychotherapy, of patients with very severe and complex problems, and manage difficult emotional situations with sensitivity, skill and an understanding of unconscious processes. These patients will include those with severe and intractable difficulties who may require lengthy therapy.
  • Manage, independently and autonomously, the organisation of a highly complex clinical caseload.
  • Undertake highly specialised assessments of referrals for the Integrated Psychology and Psychotherapy service based upon knowledge, understanding, the integration of psychological concepts and evidence-based practice, and the range of treatments available. These will involve:-
  • Determining which form of psychological therapy would be an appropriate treatment
  • When Psychotherapy is deemed the treatment of choice, formulating a care plan that recommends a mode of treatment, i.e. group, individual, time limited psychotherapy
  • In the light of the assessment, making recommendations about treatment
  • Communicate to patients, in a highly skilled and sensitive manner, information concerning the assessment, including formulations of the patient’ difficulties and the basis for the treatment recommendations
  • Consult with and communicate to referrers and other clinicians a specialist psychotherapeutic formulation of the patient’s difficulties, as well as recommendations for their future management and treatment. Where this is appropriate, recommend alternative treatment and support, taking into account other treatment options and therapeutic models.
  • Undertake specialised risk assessments and risk management with individual patients and provide advice on aspects of risk to other clinicians and services, as necessary and based on psychotherapeutic understanding.
  • Provide expert clinical consultation and advice to clinicians, within the Service and elsewhere, regarding the psychotherapeutically informed care of patients.

1(b) Clinical Teaching, Training and Supervision

  • Maintain a strategic overview of teaching and training within the Service, ensuring that what is offered is appropriate and relevant to the needs of trainees at all levels of specialisation.
  • Provide clinical supervision and consultation for Trainee, Adult, Senior Adult and Principal Adult Psychotherapists, Psychologists and other clinicians employed within the service as required.
  • Provide advanced and highly specialised training for psychotherapists, including Trainee, Adult, Senior Adult and Principal Adult Psychotherapists and Specialist Registrars in Psychotherapy. This will include the provision of supervision and teaching.
  • Participate in the planning and organisation of advanced and highly specialist training and continuing professional development.
  • Overseeing the training experience of trainees to ensure that this is in line with the principles of psychodynamic psychotherapy and promotes learning for the highest standards of practice.
  • Manage the work of, and provide psychodynamically informed supervision (both individual and group) for visiting therapists, such as clinical psychologists and specialist registrars in psychiatry, who are undertaking training attachments within the Service. This includes ensuring that the work allocated to them is appropriate to their level of clinical skill and experience and that they are practising safely and appropriately.
  • Provide highly specialist supervision and consultation on therapeutic work undertaken across the Trust, Primary Care, Social Services and the Voluntary Sector as agreed with the service lead.
  • Offer consultation, support and advice to other clinical supervisors within the Service.
  • Plan and provide clinical seminars on aspects of psychotherapy to clinicians undertaking training attachments to the service.
  • Plan, organise, and lead other teaching and training activities of the Service, such as workshops, conferences and lectures.

1(c) Consultation and Liaison

  • Provide clinical consultations for clinicians when difficult and challenging issues of assessment, treatment and risk management arise.
  • Liaise, as appropriate, with clinicians and managers outside of the service over clinical and other issues, while remaining within the boundaries and parameters of psychodynamic psychotherapy.
  • Undertake highly specialist consultation regarding organisational dynamics of teams within the Trust.
  • Research and Service Development
  • To evidence a proven track record of service development.
  • Facilitate the development and maintenance of a strong research culture in order to encourage staff to evaluate their practice critically and undertake ongoing research.
  • Seek to develop and promote the evaluation of psychotherapy in the NHS setting in order to try to improve the range and quality of treatment offered to patients and to maintain the research profile of the service.
  • Utilise theory, current literature and research to support evidence-based practice in direct clinical work, and in supervision, teaching and consultations with other clinicians and staff groups.
  • Keep up to date with advances and specialist research in the field of psychotherapy regarding the understanding of human nature and development, and the principles of clinical practice, including recent developments in remote service delivery.
  • Communicate, disseminate and share research information, as appropriate, with medical students, Trainee, Adult, Senior Adult and Principal Adult Psychotherapists, and other clinicians, so that clinical practice is appropriately informed by current developments in the field.
  • Clinical Governance
  • Ensure the development, maintenance and dissemination of the highest professional standards of practice, through active participation in internal and external CPD, training and development programmes.
  • Initiate and participate in audit and service evaluation with colleagues within the service and the Trust to help develop and improve services to patients.
  • Work in accordance with the parameters of good practice, in accordance with the policies and procedures of the Clinical Governance Framework, and, where necessary, seek advice regarding these matters.
  • Maintain high standards of clinical and professional practice by undergoing Continuous Professional Development in accordance with the policy of the relevant psychotherapy registration body e.g. BPC/UKCP. This will include undertaking clinical supervision as necessary.
  • Management
  • Be a member of the senior management team of the Service.
  • Be responsible in conjunction with the Service Manager, Lead Psychologist and pathway leads, for the strategic planning of the Service, to establish its policy, priority setting and procedures and to formulate its development plans.
  • Investigate clinical complaints and report on these to the Consultant Clinician with operational responsibility for the service, where necessary making recommendations for disciplinary action and changes to the policies of the Service.
  • Be aware of policy developments in the Trust and the NHS to ensure that these are implemented in ways that are compatible with the principles and ethics of specialist psychotherapy.
  • Ensure that the Clinical Governance Feedback of the Service enables the development of policies and procedures that promote clinical effectiveness and are compatible with psychotherapeutic principles.
  • As a Consultant Lead and clinical specialist, ensure the development of a high quality, responsive and accessible service including advising clinicians and managers on aspects of psychotherapy when these interface with national and local organisational Trust policies and issues.
  • Ensure that there are procedures in place for the effective management of clinical risk within the Service.
  • Liaise with and provide supervision as required to the pathway leads.

  • 5 Working Relationships

    • Work with the Lead Clinician in Psychology and senior managers and clinicians within the wider mental health service and the Trust, in formulating policies for the Service, in accordance with Trust policies and objectives.
    • Work with the Lead Clinician in Psychology, the Consultant Psychiatrist in psychotherapy and other senior staff within the service, with regard to key service issues, service aims and objectives, service developments, and other managerial issues to ensure the effective operation of the Service.
    • Liaise with and participate in the work of national bodies in the field of psychotherapy in order to remain familiar with developments in the field, to ensure that the highest standards of contemporary practice are adhered to.
    • Liaise with the Service’s administrative staff, with regard to key service issues, service aims and objectives, service developments, and managerial issues to ensure that these matters are clearly understood and effectively realised.

    Responsibilities

    6 General Responsibilities

    • Work within the requirements of the service and be responsible for knowing and implementing its procedures and policies as required. This will include the maintenance of accurate record keeping including electronic data entry and report writing, with due regard to confidentiality and risk management.
    • Maintain the strictest standards of confidentiality, in accordance with the standards of psychotherapy and the policies of the Service and within the requirements of effective risk management.

    Person specification

    TRAINING AND QUALIFICATION

    Essential criteria

  • Professional qualification in a core mental health or social welfare discipline or an agreed equivalent
  • BPC/UKCP recognized advanced and highly specialist post-registration training in psychodynamic psychotherapy at a clinical doctorate level
  • Registration with BPC or appropriate section of UKCP.
  • Substantial post-qualification experience
  • Supervision qualification or agreed equivalent
  • Demonstrated record of CPD since qualification
  • Desirable criteria

    • Ability to provide supervision in HEE-supported therapies such as EMDR
    • Previous related Academic achievements

    Experience

    Essential criteria

  • Extensive experience in specialist psychotherapy assessment and treatment, including time-limited and long- term work with a wide range of complex patients.
  • Practitioner level training in a range of therapeutic applications such as EMDR, MBT or DIT.
  • Experience of clinically supervising trainees on introductory and intermediate level trainings in psychodynamic psychotherapy as well as qualified honorary psychotherapists.
  • Demonstrated capacity for managing wider service related systems
  • Lead responsibility for the operational management of an aspect of the service
  • The development and implementation of service and policies and procedures with respect to defined areas of the service
  • The operationalisation of Trust and NHS policies in ways that harmonise with clinical governance requirements.
  • Representing the service at service, Trust and regional level
  • Involvement in staff recruitment
  • Demonstrated ability to work collaboratively with colleagues from a range of therapeutic disciplines
  • Experience within a variety of multi-disciplinary team settings.
  • Clinical work with patients drawn from a wide range of diagnostic groups and ethnic backgrounds.
  • Demonstrated senior management and organizational experience
  • Experience of delivering relevant core mental health or psychotherapeutic training to different staff groups.
  • Initiation, planning and organization of research and service audit projects
  • Development and implementation of clinical governance policies and procedures
  • Leading and participating in CPD activities
  • Evaluating and researching the efficacy and practice of psychodynamic psychotherapy
  • Desirable criteria

    • Training in more than one psychotherapy modality.

    Knowledge

    Essential criteria

    • Comprehensive knowledge of trauma informed, psychoanalytic and attachment models of human development and psychopathology equivalent to the level of a clinical doctorate
    • Understanding of the importance of cross- cultural issues in the provision of both assessment and psychotherapeutic treatments
    • Comprehensive knowledge of current psychological theories of intervention and technique equivalent to the level of a clinical doctorate
    • Understanding of the role of psychological therapies and the bio/psycho/social model in a modern NHS mental health service.
    • Knowledge of psychiatric diagnoses and treatments
    • Comprehensive awareness of mental health provision in statutory and voluntary sectors
    • Knowledge of audit and research methodologies
    • Knowledge of legislation and policy in the psychological professions and their implications for clinical practice, professional management and service development

    Skills

    Essential criteria

    • Autonomously organise and manage a complex caseload of patients who are suffering from severe difficulties and who require highly specialist psychodynamic psychotherapy
    • Contain and manage high levels of emotional distress and disturbance in self and others
    • Remain calm and maintain an empathic approach under pressure
    • Undertake psychodynamic risk assessment and management with highly disturbed patients
    • Understand and interpret unconscious processes in a timely and sensitive manner
    • Highly developed skills in providing consultation to adult psychotherapists and other clinical and managerial groups
    • The ability to supervise the work of specialist dynamic psychotherapists working with patients suffering from the most complex and severe difficulties
    • The ability to lead seminars and lecture to trainees at all levels of specialisation
    • Oversee and advise concerning appropriate benchmarking for psychotherapy clinical caseloads
    • Organise and provide training courses
    • Organise and implement audit projects and research
    • Operationally manage a defined aspect of the Service
    • The capacity to bring high level skills to investigations, complaints and grievances, in accordance with service and Trust policies and procedures

    SPECIAL APTITUDES

    Essential criteria

    • Communicating clearly, effectively and sensitively with patients, particularly when presenting highly complex and contentious issues in a high- risk situation
    • Communicating effectively with colleagues, managers and others in both written and verbal forms, including the preparation of reports, investigations, plans and proposals, and responses to complaints
    • Communicating effectively and sensitively with colleagues who may require emotional support and or challenge to their working practice
    • Demonstrated ability to work effectively as team member and to fit into the existing clinical team
    • Willing and able to support the Head of Service in managing the Service
    • Willing to co-operate with and provide support for other members of the clinical and administrative team
    • Capacity to negotiate successfully with others
    • Capacity to be appropriately assertive with others in a constructive manner
    • Capacity and willingness to work within the parameters of good practice in psychodynamic psychotherapy and in accordance with the policies and parameters of clinical governance
    • Evidence of and commitment to continuing professional development
    • Capacity for strategic thinking about policy and service development
    • Ability to prioritise and organise clinical responsibilities and teaching
    • Ability to cope with tight deadlines and to work under pressure
    • Self-motivated with the capacity to motivate others
    • Capacity and willingness to operationally manage aspects of the Service
    • Capacity and willingness to contribute to policy development and implementation within the Service
    • Capacity to harmonise complex psychoanalytic principles with managerial imperatives that are sometimes in conflict with these
    • Capacity to implement NHS policies and procedures in ways that harmonise with the requirements of effective service delivery
    • Capacity to performance manage staff in an appropriate and sensitive manner

    Other

    Essential criteria

    • Awareness and appreciation of equality and diversity issues
    • Understanding of Confidentiality and Data Protection issues

    Company: Central and North West London NHS Foundation Trust

    Vacancy Type: Internship · Associate

    Job Location:  London, England, United Kingdom

    Application Deadline: N/A

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