Senior CBT Therapist

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Barnet, Enfield and Haringey Mental Health NHS Trust provides local, regional and national award-winning healthcare services. We have more than 3.300 staff working out of 20 main sites serving a population of 1.2 million people. We provide community health services and mental health services for young people, adults and older people. Our North London Forensic Service treats and cares for people in the criminal justice system who have mental health conditions. We also provide one of the largest eating disorders services in England, as well as drug and alcohol services.

We are an organisation that is passionate about equality, diversity and inclusion; one that prides itself in developing the leadership capabilities of its employees, looking after their health and wellbeing, creating safe spaces for staff to speak up and providing opportunities to mentor and be mentored. Our employees are the reason for delivering Good CQC ratings, excellent outcomes and outstanding patient experiences, so it is our aim to create a happy and healthy working environment where you can thrive and succeed.

Job overview

Enfield Talking Therapies (formerly Lets Talk Enfield IAPT) is looking to recruit a senior CBT therapist to join our current senior staff team. This is a new post created to support team expansion, delivery of new national key performance indicators and support the needs of a diverse workforce and the communities we serve.

We are looking for enthusiastic and accredited CBT therapists who have substantial experience of working in Talking Therapies (formerly IAPT) and who are interested in further expanding their leadership and supervisory skills.

Candidates must have experience in the formal supervision and line management of Talking Therapies practitioners, and of leading on areas of service development . We are particularly looking for applicants who have experience of and an interest in EDI and who would be able to provide leadership and support for these initiatives already underway within the team.

The postholder will work alongside an experienced senior staff team, and report to and be supported by the Clinical Lead and Deputy Clinical Lead for Enfield Talking Therapies.

Applicants are informed that we operate a hybrid working system in line with the Trust's agile working policy which means postholders are expected to come on site to our bases (at least 2 days a week currently) and combine this with remote working in accordance with service needs. Hours worked must cover core service hours, including senior cover for evening clinics upto 8.00 pm once a week.

Main duties of the job

1. To work as part of the Senior Management Team , providing clinical supervision, line management and service development support.
2. To provide line management and clinical supervision to staff, this also includes monitoring, managing and supporting performance.
3. To carry a small clinical caseload, and provide specialist assessments and treatments
4. To lead on areas of service development, particularly on initiatives to improve access to underrepresented groups, and also EDI (Equality, Diversity and Inclusion) initiatives within the team.
5. To provide senior management cover for triage screening and supervision, on site cover and also evening clinics running upto 8.00 pm on a rota basis.

Working for our organisation

Working for North London Mental Health Partnership

The partnership between Barnet, Enfield and Haringey Mental Health NHS Trust (BEH) and Camden and Islington NHS Foundation Trust (C&I) is going from strength to strength since it was originally established in 2021 forming the North London Mental Health Partnership.

Why choose to join the Partnership?

• We believe that by working together, our two Trusts can achieve more for the residents of North Central London and our patients than we can by working apart.
• Deliver the best care using the most up-to-date practise in supporting those with mental health illnesses.
• Transforming and creating a positive environment for our service users, staff and visitors.
• Creating and working together to become a great place to work for all our staff.
• We offer flexible working, a wide range of health and wellbeing initiatives, NHS Pension and so much more.
• Generous Annual Leave Allowance
• NHS Discounts in a large variety of retail stores and services.
• We have excellent internal staff network support groups.

The postholder will need to be comfortable working in an environment of complex matrix management arrangements and will at all times behave and align with our Trusts' values and cultural pillars:

Detailed job description and main responsibilities

Clinical:

1. To work as part of the Senior Management Team lead by the Clinical Lead, ensuring that the service continues to deliver excellent clinical services across the borough.

2. To provide line management and clinical supervision to the service unit as required.

3. To provide specialist assessments of clients referred to the team based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the client's care.

4. To formulate and implement plans for the psychological treatment and/or management of a client's emotional and mental health problems, based upon an appropriate conceptual framework of the client's problems, and employing methods based upon evidence of efficacy, across the full range of care settings.

5. To be responsible for implementing a range of psychological interventions for individuals, groups families and carers , adjusting and refining psychological formulations, drawing upon different explanatory models and maintaining a number of provisional hypotheses.

6. 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.

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

8. To provide specialist psychological advice and consultation regarding psychological therapy to other members of staff, and to clients contributing directly in formulation, diagnosis and treatment plans when required.

9. 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.

10. 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.

11. To communicate highly complex and potentially highly contentious information in a highly skilled and sensitive manner in situations with patients who may be extremely hostile or highly emotional requiring the highest level of communication skills. 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.
Teaching, training, and supervision
1. To receive regular clinical professional supervision from the team leader and, where appropriate, other senior professional colleagues.

2. To gain additional highly specialist experience and skills relevant to CBT as agreed with the head of service.

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

4. To provide professional and clinical supervision to qualified PWPs and/or High Intensity/CBT therapists, trainees and assistant clinical/counselling psychologists.

5. To contribute to the pre- and post-qualification teaching of other staff as appropriate.

6. To provide advice, consultation and training in CBT to staff working with individuals and groups across a range of agencies and settings, where appropriate.

Management, recruitment, policy and service development

1. To provide direct line management of a unit of team members as delegated by the Clinical Lead

2. To provide clinical supervision for the unit, or as required by the Clinical lead.

3. To contribute to the development, evaluation and monitoring of the team's operational policies and services, through the deployment of professional skills in research, service evaluation and audit.

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

5. To facilitate the effective management of the clinical workloads of staff, trainees and honorary staff, within the framework of the team/service's policies and procedures.

6. To be involved, as appropriate, in the shortlisting and interviewing of other clinical staff.

IT Responsibilities

1. To collect patient data as requested by the team leader as compatible with the IAPT minimum data set.

2. To use computers to write reports and record data, including the use of statistical packages as part of psychological testing, research and assessment when needed. To be able to use research databases and advanced tools for analysis at both quantitative and qualitative levels.

3. To support other team members to collect and input IAPTUS data correctly.

4. To assist the team leader and head of service in the collection and analysis of service output and outcome data
Research and service evaluation

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

2. To undertake appropriate research and provide research advice to other staff undertaking research.

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

General

1. 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 holder's professional and service manager(s).

2. To contribute to the development and articulation of best practice in psychological therapies 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 psychological therapies and related disciplines.

3. 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 BACBP, NMC, BACP, HPC and Trust policies and procedures.

4. 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.

To be noted:
• This is not an exhaustive list of duties and responsibilities, and the postholder may be required to undertake other duties which fall within the grade of the job, in discussion with the manager.
• This job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.
• The post holder is expected to comply with all relevant Trust policies, procedures and guidelines, including those relating to Equal Opportunities, Health and Safety and Confidentiality of Information.

Person specification

Training and Qualifications

Essential criteria

• Core training in CBT evidenced by completion of CBT diploma from BABCP Level 2 accredited course
• BABCP Accreditation

Desirable criteria

• Additional training in specific areas such as Long term health conditions, EMDR, Couples therapy, IPT or other IAPT approved treatment modalities

Experience

Essential criteria

• Demonstrable experience of working in Talking Therapies, in providing CBT assessments and treatments across a range of severities and presentations
• Wide range of clinical experience across different client groups
• Training in and experience of providing formal supervision, case management and line management in a Talking Therapies setting

Desirable criteria

• Experience of working within a multicultural framework

Knowledge and Skills

Essential criteria

• Skills in the use of complex methods of psychological assessment intervention and management frequently requiring sustained and intense concentration
• An ability to formulate and provide NICE compliant treatment for clients with moderate-severe mental health difficulties and those with complex presentations.
• 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 and experience in providing consultation to different groups including other services and the voluntary sector

Desirable criteria

• Knowledge of the theory and practice of specialised psychological therapies in primary care and step2/step 3.
• High level knowledge of the theory and practice of CBT and NICE recommended treatment models.

Other

Desirable criteria

• Knowledge of key aspects of clinical governance as relating to NHS Talking Therapies and NHS practice more generally.

References will be required to cover your last 3 years of employment/training. One has to be from your current or most recent employer and the others from your previous employer. The references should be from persons with management responsibility or HR.

If you have been unemployed for a period of four years or more, please give the details of your last employer and one character referee of your choice (not members of your family). If more applicable, references will be requested from your teacher or head of faculty. Please ensure you provide full contact details.

Vacancies that are advertised as Fixed Term Contracts will also be available as secondment opportunities for substantive internal staff.

Please be aware that your documents eg. Passport/NI Card, will be electronically scanned using Home Office accredited Verification System.

Due to the high number of applications that are received for some posts, we will close vacancies before the stated closing date once the first 50 applications are received. Therefore, please apply as soon as possible.

All non-medical posts with the Trust are subject to a probationary period of six months, during which time you will be required to demonstrate to the Trust's satisfaction, your suitability for the position in which you will be employed.

Should you not hear from us within three working weeks of the closing date for this post, then regretfully in this instance, you have not been shortlisted.

By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at improving efficiencies within the NHS both to make costs savings for NHS organisations but also to save you time when your employment transfers.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Job description and Person Specification (PDF, 840.3KB)
• Functional Requirements (PDF, 258.2KB)
• Applicant Information Pack (PDF, 1.6MB)