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CNWL NHS Foundation Trust; Netherfield; Remote; GBP 49,000 - 57,000; Full time

Job summary

CNWL NHS Foundation Trust in Milton Keynes is recruiting a High Intensity CBT Therapist/Clinical or Counselling Psychologist to join our expanding East of England Gambling Service, delivering mainly online care with some face-to-face appointments.

The post involves assessing and treating gambling harms, delivering high‑intensity CBT and Motivational Interviewing, and offering supervision and consultation within a multi‑disciplinary team.

Qualifications

• Fully BABCP accredited.
• Experience delivering high-intensity CBT in NHS, social care or private sector.
• Experience with gambling-related mental health presentations is desirable.

Responsibilities

• Assess and treat gambling harms and co-occurring needs, and maintain records.
• Provide high-intensity, evidence-based psychological interventions (CBT and MI).
• Provide consultation, liaison, and supervision to other professionals.
• Undertake clinical audit and service evaluation activities.
• Promote knowledge in gambling treatment and support research projects where appropriate.

Skills

High Intensity CBT

BABCP Accredited

NHS Experience

Job description

High Intensity CBT Therapist / Clinical Psychologist

Company: CNWL NHS Foundation Trust

Salary: £49,387 - £56,515 per annum (pro rata if P/T)

Hours: Full-time

Job type: Permanent

Location: Netherfield, MK6 4JH; Various working locations and remote working across the East of England. Some evening work will also be required.

Posting date: 6 Oct 2026

Closing date: 5 Nov 2026

A vacancy at Central and North West London NHS Foundation Trust.

CNWL NHS Foundation Trust works in partnership with Inclusion (Midlands Partnership NHS Foundation Trust) to provide The East of England Gambling Service.

We are seeking a High Intensity CBT Therapist/ Clinical or Counselling Psychologist to join our dynamic team. This is a fantastic opportunity to work in a unique branch of mental health at a time of unprecedented expansion and growth. The post holder will have the chance to make a significant difference to residents in the East of England and to be part of the development of the expansion of our service.

The successful candidate will be an energetic and robust individual with sophisticated and sensitive clinical skills, and a proven track record of delivering high quality services in either the NHS, social care or the private sector.

The post holder will provide evidence-based psychological therapy to people who experience gambling harms in line with the NICE guidelines. The service covers the South West of England and the majority of our work is completed online (although face to face appointments may be required depending on service needs).

• Assess and treat people experiencing gambling harms and co-occurring needs, and maintain associated records on the electronic patient record system.
• Provide high-intensity, evidence-based psychological interventions; these will include at least Cognitive Behavioural Therapy and Motivational Interviewing for people with a broad range of needs.
• Provide consultation, liaison, and, where appropriate, clinical supervision to other professionals, including less experienced therapists, Assistant Psychologists, and Trainee Clinical Psychologists.
• Undertake clinical audit and service evaluation activities to support the development of services relevant to client needs.
• Develop best-practice knowledge in working with people who gamble and promote expertise in this area, including supporting research projects where appropriate, with the guidance of the Clinical Lead.

In order to be shortlisted for this post, applicants must be qualified and FULLY accredited with the British Association for Behavioural and Cognitive Psychotherapies (BABCP).

The working environment will be a specialist NHS gambling Service staffed by a multi-disciplinary team working with outpatients. Although working as part of an MDT team, the post holder will be required to deliver specialist evidence-based psychological treatments that address the client’s gambling problems and co-morbid health conditions.

The post-holder will have a working base at Milton Keynes but the role is likely to be largely remote working. There will be an expectation of delivering services in other locations across the East of England region to be agreed once demand is clear.

Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.

1. To provide specialist psychological 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 tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with young people, family members and others involved in the client’s care.
2. To formulate and implement plans for the formal psychological treatment and/or management of a client’s gaming problem and/or 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.
3. To work specifically with clients of the East of England Gambling Service contributing to the delivery of individual and group-based psychological treatment programmes (rooted in MI/CBT principles as well as other evidence-based approaches) in conjunction with other Psychologists in the team.
4. To be responsible for implementing a range of psychological interventions for individuals 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.
5. 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.
6. To liaise and share risk management information with the MDT and other professionals involved in clients’ care.
7. To discern in collaboration with the MDT when it is appropriate to refer to and/or consult with other agencies such as social services, CMHTs and other specialist agencies.
8. 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.
9. To provide specialist psychological advice, guidance and consultation to other professionals contributing directly to clients’ formulation, diagnosis and treatment plan.
10. 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.
11. To act as care coordinator, where appropriate, taking responsibility for initiating planning and review of care plans including clients, their carers, referring agents and others involved in the network of care.
12. 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 treatment.

Our advert closes on Tuesday 20 Oct 2026

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