High Intensity CBT Therapist

Central and North West London NHS Foundation Trust; Greater London; Hybrid; GBP 42,000 - 54,000; Part time

Benefits offered by this job

27 days annual leave + bank holidays

NHS discount

Career progression

13-week probation

Job summary

Central and North West London NHS Foundation Trust's Westminster Talking Therapies Service is seeking an experienced, BABCP-accredited CBT Therapist to join the Step 3 team. You will manage a caseload of anxiety and depression, deliver NICE-guided CBT, provide supervision to Step 2 trainees, and participate in reflective practice and regular MDT meetings.

The role offers flexible working with on-site and remote options, opportunities for specialist supervision (e.g.

Qualifications

• BABCP accreditation or have completed a BABCP-accredited CBT training course.
• Experience in an IAPT service or primary care mental health setting.
• Ability to deliver therapy in local languages is desirable.
• Experience in supervision/training within CBT.

Responsibilities

• Provide specialist CBT assessment and treatment for patients referred for CBT according to NICE guidance.
• Deliver CBT interventions for individuals and groups and monitor outcomes.
• Provide supervision to Step 2 team and supervise CBT trainees on placement.
• Contribute to duty referrals screening and regular team meetings; participate in reflective practice.
• Deliver services with flexible working, including on-site and remote clinics, and occasional extended hours.

Skills

BABCP accreditation or BABCP-accred

IAPT CBT experience

Supervision & training delivery

Multidisciplinary teamwork

Job description

Job Overview

This is a fantastic opportunity for an experienced and passionate CBT Therapist to join Westminster Talking Therapies Service (IAPT) located in the diverse and vibrant community of the London borough of Westminster. Our team is key in the work we do and service provided to the population of Westminster.

Job Overview

You will have opportunities for regular clinical supervision from the senior leadership team, specialist supervision for PTSD and training opportunities, such as Behavioural Couples Therapy and LTC. You will provide clinical supervision to our Step 2 team, including qualified and trainee psychological wellbeing practitioner and will receive supervision training to equip you in doing this. Our Step 3 team also provide supervision for our trainee clinical psychologists and CBT trainees on placement with our service. Wellbeing is important within our service, and we are a diverse, collaborative and cohesive team. We offer flexible working patterns including onsite and remote working. Main duties of the job You will hold a Step 3 caseload of anxiety disorders, and depression and offer CBT treatment in line with NICE guidance. At Step 3 we offer treatment digitally and face‑to‑face in order to best meet the needs of our service users. In your role you will be involved with our duty team and screening referrals, have regular supervision, regular reflective practice, monthly team CPD and monthly sub‑team and wider team meetings, a chance to be involved in areas of interest including perinatal, community outreach, young adults, older adults, long‑term health conditions, and LGBTQ+.

There are opportunities for training, plus career progression within the team. The ability to deliver therapy in local languages in desirable.

You must be BABCP accredited or have attended a BABCP accredited CBT training course to be eligible for this post. If you working towards accreditation, you will also be considered for the post as long as you meet the shortlisting criteria and can demonstrate you are on track to meeting the course requirements.

You will be expected to participate in extended hours clinics offered by the service which include evening clinics.

Working for our organisation The catchment area of the post is the London borough of Westminster. We have two main hubs that we work from, one is in Victoria and one is near Paddington. We operate an agile working policy where staff combine remote working and being on‑site to deliver face‑to‑face appointments and other service commitments that require a hub‑based presence. The post‑holder will work part‑time hours and may be required to work at any times between 8am and 8pm on weekdays including up to two evening clinics as required by the service.

Benefits of working for CNWL

• 27 days of annual leave, plus bank holidays, with an increase to 33 days with continuous service (pro‑rated)
• NHS discount
• Opportunities for career progression
• New starters will have a 13‑week probation period which is a supportive process to allow individuals to learn and work within the key aspects of their role over a period of time

If you would like to see what it's like to work for CNWL please have a look at https://talkingtherapies.cnwl.nhs.uk/work

Detailed Job Description And Main Responsibilities

1.0 Provide specialist psychotherapeutic assessment of patients referred for CBT, based upon the appropriate use, interpretation and integration of complex psychological data from a variety of quantitative and qualitative sources including self‑report measures, rating scales, direct and indirect structured observations and semi‑structured interviews with patients and others involved with their care. Ensure the outcome of assessment is communicated to the referring agent and other professionals involved. Determine suitability of the approach and refer on unsuitable individuals to appropriate agencies and/or provide advice, including psycho‑education, as appropriate.

1.1 Formulate and implement plans for the specialist psychotherapeutic treatment and/or management of patient’s mental health problems, based upon an appropriate conceptual framework of those problems derived from a broad theoretical knowledge of cognitive behaviour therapy, and employing methods based upon evidence of proven efficacy within modality. It is expected that the post‑holder will treat patients across the range of severity.

1.2 Be responsible for implementing a range of specialist cognitive behavioural therapy interventions for individual patients and groups. Adjusting and refining psychotherapeutic formulations as practice and experience demand and drawing upon different explanatory models and objective cognitive behaviour therapy measures to maintain a number of provisional hypotheses, whilst maintaining ethical and legal standards.

1.3 Regularly monitor and evaluate therapy programmes and progress, using objective measures where appropriate, and communicate this to referring agent and other professionals involved as appropriate.

1.4 Evaluate and make decisions about treatment options considering both theoretical and therapeutic models and highly complex factors concerning historical, developmental and cultural processes and systems, which have shaped the individual.

1.5 Include family members and others involved in clients’ problems in therapy programmes where necessary.

1.6 Assess and deliver therapy programmes in the community or GP Surgery and other settings as necessary.

1.7 Discharging patients as appropriate and arrange follow‑up as appropriate on completion of therapy. Ensure outcome and follow‑up of treatment is communicated to the referring agent and other professionals involved as appropriate.

1.8 Exercise autonomous professional responsibility for the assessment, treatment, discharge and onward referral of patients whose problems are managed by psychotherapeutic interventions.

1.9 Assess and manage clinical risk to self and others. Involve other agencies as appropriate.

1.10 Adhere to the BABCP and other relevant professional codes of conduct, policy and guidance.

1.11 Maintain the highest standards of clinical record keeping including electronic data‑entry and recording, report writing for the purposes of personally generated clinical, audit, teaching and research information.

1.12 Exercise responsibility for professional self‑governance in accordance with BABCP and other relevant professional codes of practice and conduct and Trust policies and procedures.

1.13 Develop and maintain knowledge of local resources and relationships with relevant statutory, voluntary and community groups and organisations.

1.14 Develop and propose innovative responses to identified needs of the diverse and multi‑cultural community the service serves in collaboration and consultation with colleagues and other relevant teams and agencies.

Rider Clause

This is an outline of the post holder’s duties and responsibilities. It is not intended as an exhaustive list and may change from time to time to meet the changing needs of the Trust and Department.

Supplementary Information

Job Flexibility

The post holder will be required to work flexibly, providing assistance as and when necessary, which may involve them in a developing role. The role will involve working some out‑of‑hours shifts.

Working Relationships

The working relationship between all members of staff should be mutually supportive, with staff deputising and covering for each other when appropriate.

Health and Safety

Central and North West London Mental Health NHS Trust has a Health and Safety Policy applicable to all employees. Employees must be aware of the responsibility placed on them under the Employment Rights Act 1996, to ensure that agreed safety procedures are carried out, and to maintain a safe environment for employees, patients and visitors.

Improving Working Lives

Central and North West London Mental Health NHS Trust is committed to the principles of Improving Working Lives and all managers are encouraged to follow Improving Working Lives practices. Consideration will be given to all requests for flexible working in line with Trust policy.

Staff Involvement

Central and North West London Mental Health NHS Trust is committed to involve staff at all levels in the development of the organisation. Managers should ensure that staff are encouraged and involved in organisational and service developments including business planning and they are able to influence discussions, which affect them and their working conditions. All managers should engender a culture of openness and inclusion so that staff feel free to contribute and voice concerns. They should develop and implement communication systems that ensure staff are well informed and have an opportunity to feedback their views.

Smoking

Central and North West London Mental Health NHS Trust acknowledges its responsibility to provide a safe, smoke free environment to its employees, patients and visitors. In expressing its commitment to the prevention of smoking related diseases, the Trust has a ‘Non Smoking Policy’ and all Trust buildings and vehicles are designated as smoke free areas.

Alcohol

Employees are expected to be aware of and understand that Central and North West London Mental Health NHS Trust has a policy on alcohol and the consumption of alcohol. Alcohol is not permitted whilst on duty.

Confidentiality

Employees should be aware that the Trust produces confidential information relating to patients, staff and commercial information. All employees have a responsibility for ensuring the security of information and to comply with the Data Protection Acts, Access to Health Records and Computer Misuse Act. Disclosure of personal, medical, commercial information, systems passwords or other confidential information to any unauthorised person or persons will be considered as gross misconduct and may lead to disciplinary action which may include dismissal.

Equal Opportunities

All employees of Central and North West London Mental Health NHS Trust are expected to be aware of, and adhere to, the provision of the Trust’s Equal Opportunities Policy, and to carry out their associated duties and responsibilities under this policy. As users of the disability symbol, the Trust guarantees to interview all disabled applicants who meet the minimum essential criteria for a vacant post.

Grievances, Disputes, Disciplinary And Other Industrial Relations Procedures

Central and North West London Mental Health NHS Trust has grievance, disputes, disciplinary and other industrial relations procedures. Employees are required to make themselves aware of these procedures, copies of which are available on the Trustnet, from your manager and the Human Resource Directorate.

Personal Development

The post-holder is expected to co‑operate in activities which line management believes will contribute to personal and/or to team growth. This includes attending supervisory sessions and training modules, both at their work base and other selected venues of instruction.

Conflict of Interest

Employees are expected to declare any private ‘interest or practice’, which might conflict with their NHS employment, and be perceived to result in actual or potential financial or personal gain.

Working Time Regulations

The Working Time Regulations 1998 require that you should not work more than an average of 48 hours each week i.e. no more than 816 hours in a 17‑week period. To work more than 48 hours you must have management authorisation and you will be required to sign an opt out agreement. The Trust policy has a limit of 60 hours per week and all staff must ensure a 24 hour rest period is taken in every 7 days.

Conditions of Employment

The Trust will screen all staff who will be working with children and police checks will be carried out on all staff appointed to posts which have access to children. This will also apply if role develops to include access to children.

Terms and Conditions

The terms and conditions of service associated with this position are those agreed by the Trust.

Person specification

Education And Qualifications

Essential criteria

• Substantial specialist knowledge, theory and skills of Cognitive Behaviour Therapy acquired through diploma / degrees with BABCP accreditation
• Must be fully or provisionally accredited with the BABCP or have completed a BABCP accredited high intensity CBT course or diploma programme
• Critical understanding of the relevance of studies of human development, psychopathology, psychology, social issues and evidence‑based practice.

Desirable criteria

• Supervisor qualification from a substantial Counselling and/or IAPT modality supervision course, as a supervisor for Counselling, CfD, DIT, IPT, Couples Therapy, EMDR or CBT
• Additional training in specialist areas related to primary care mental health eg LTC, Perinatal, CBT principles, clinical risk assessment

Other

Essential criteria

• Ability to produce highly‑quality professional results to specified deadlines and other time constraints
• Ability to manage effectively frequent exposure to highly distressing/emotional circumstances.
• 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

Desirable criteria

• To work effectively and compassionately within a large team

Previous Experience

Essential criteria

• Experience or knowledge of community liaison and working within diverse communities and groups within the Westminster Borough including with people from Black and Ethnic minority backgrounds and with various stakeholders
• Experience or knowledge of working with vulnerable people and/or communities and those experiencing loss, bereavement and mental health difficulties
• Experience of working in an IAPT service or other primary care setting
• Specialist experience acquired through having conducted 200 hours of supervised assessment and therapy during training
• Experience of teaching, training and supervision
• Experience of specialist cognitive behavioural psychotherapeutic assessment and treatment of adult patients in a mental health setting and presenting with problems that reflect the full range of clinical severity

Desirable criteria

• Specialist psychotherapeutic working experience.
• Experience of working within a primary care/community setting
• Research skills and knowledge and aptitude.
• Experience of the application of psychotherapy in difference cultural contexts

Skills, Knowledge & Abilities

Essential criteria

• Skills in the use of methods of cognitive behavioural therapy assessment, intervention and management including the use of theoretical models to analyse information and to develop formulations upon which to base treatment.
• Well‑developed skills in the effective communication of highly technical and/or clinically sensitive information to a wide variety of recipients in a range of settings within and outside the NHS, including the ability to produce comprehensive and coherent letters, reports and associated documentation.
• Knowledge of the psychotherapeutic role
• Highly developed communication skills at overcoming barriers to understanding and acceptance
• Skills in working in multidisciplinary settings
• Skills in providing advice and consultation to other professional and non‑professional groups
• Ability to work as a lone practitioner
• To plan, organise and prioritise own work and patient caseload
• Ability to record, monitor and report on clinical information as required
• Competence in basic IT systems including keyboard skills
• Awareness of potential impact of discrimination and disadvantage on mental health

Desirable criteria

• Ability to contain and work with organisational stress and able to hold the stress of others
• Knowledge of the theory and practice of specialised psychotherapy in specific difficult‑to‑treat groups (e.g. complex needs, personality disorder, somatoform disorders, persons with additional disabilities etc)
• Awareness of other models of Psychotherapy
• Knowledge of the academic literature of the speciality
• Knowledge of the legislation in relation to the speciality and mental health generally
• Ability to provide a culturally competent and non stigmatising service
• Working knowledge of the practices and approaches of other key disciplines, professions and agencies involved in the care and management network, including medical, employment, social, educational and criminal justice systems