Senior Cbt Therapist

Mind In Bexley And East Kent; Bexleyheath; On-site; GBP 47,000 - 48,000; Full time

Job summary

Mind in Bexley and East Kent is seeking an experienced CBT clinician to lead Step 3 High Intensity therapy within the NHS Talking Therapies service. You will deliver NICE-aligned CBT to adults with depression and anxiety, maintain a clinical caseload, and supervise trainees and therapists.

You will drive service development, governance, and outcome measurement, working with GPs and secondary care to ensure safe, effective care.

Qualifications

• Post-qualification CBT experience in adults with anxiety and depression.
• Experience supervising or supporting CBT trainees or qualified therapists.
• BABCP accreditation or eligibility and ongoing CPD.

Responsibilities

• Provide clinical leadership and supervision for Step 3 CBT therapists.
• Deliver CBT interventions for adults per NICE guidance.
• Maintain an active clinical caseload with risk management.
• Lead service development, workforce planning, and pathway improvements.
• Monitor outcomes using ROMs and audits; ensure data standards.

Skills

Advanced CBT skills

Supervision

Leadership

Data analysis

Education

BABCP-accredited CBT

BABCP accreditation

CPD evidence

Supervision course

Tools

IAPTUS

Job description

Job Purpose

Provide clinical leadership and oversight for Step 3 High Intensity Cognitive Behavioural Therapy (CBT) provision within the Talking Therapies service at NHS Bexley Talking Therapies. Ensure safe, effective, and recovery-focused delivery of NICE-recommended CBT interventions. Support the development, supervision, and performance of High Intensity CBT Therapists and Trainees. Contribute to service quality improvement, data quality and the ongoing development of evidence-based practice.

Main duties of the job

We are seeking an experienced and accredited CBT clinician to provide clinical leadership, supervision, and high-quality therapeutic interventions within our Talking Therapies service. The postholder will deliver evidence-based CBT interventions for adults experiencing depression, anxiety disorders and long-term health conditions, ensuring treatment is provided in line with NICE guidance and national Talking Therapies standards. Maintaining a specialist clinical caseload, you will undertake comprehensive assessments, formulation, treatment planning and risk management, while providing expert oversight for complex presentations. A key aspect of the role involves delivering individual and group supervision, supporting trainee and qualified therapists. You will play an integral role in service development, leading Step 3 therapy pathways, contributing to workforce planning, recruitment, pathway improvement and collaborative working with physical and mental health services. Working closely with senior leaders, you will monitor clinical outcomes, support performance improvement, undertake audits, and ensure compliance with governance and quality standards. You will provide senior input on risk assessment, safeguarding and discharge planning, working collaboratively with GPs, secondary care services and partner agencies to ensure safe, effective and person-centred care.

About us

At Mind in Bexley, we believe that everyone deserves support on their mental health journey. Whether you are facing challenges yourself or caring for someone who is, we are here to provide compassionate guidance and resources that empower you to take charge of your wellbeing. Founded in 1986, Mind in Bexley has evolved into a cornerstone of mental health support in the London Borough of Bexley. With a comprehensive range of services, we are dedicated to fostering resilience, understanding, and hope within our community. The charity is part of a federation of 100 local Minds across the country collaborating with national Mind.

Details

Salary: £47,000 to £48,296 a year

Contract: Permanent

Working pattern: Full-time

Location: 2a Devonshire Road, Bexleyheath, DA6 8DS

Key Responsibilities

• Deliver specialist and routine CBT in line with NICE guidance for adults with depression and anxiety disorders.
• Maintain an active clinical caseload while modelling best practice in sessional adherence, risk management, and outcome measurement using established measures as required by the national Talking Therapies framework.
• Conduct comprehensive assessments, formulations, and treatment plans.
• Provide clinical oversight on complex cases, including co-morbidity and risk‑related presentations.
• Provide one to one and group supervision to Talking Therapies Team.
• Provide ad‑hoc supervision and perform the role of a risk escalation and safeguarding as part of the duty supervision rota.
• Ensure high standards of clinical documentation and adherence to Talking Therapies data standards.
• Provide specialist Long Term Conditions supervision to clinicians within the service.
• Support in the allocation of clients and management of waiting lists for Step 3 modalities.

Leadership and Service Development

• Provide clinical leadership for Step 3 therapy pathways.
• Provide line management for other members of Talking Therapies Team.
• Participate in service-wide meetings, audits, and performance reviews.
• Contribute to equitable access, workforce planning, and pathway efficiency.
• Contribute to recruitment and induction for the Talking Therapies Team.
• Attend meetings with other physical and mental health teams in regards to areas of shared interest and to maintain development of joint pathways.
• Support clinical lead and deputy clinical lead in the management of complaints from clients.
• Manage queries from clients in therapy or on waiting lists.

Clinical Supervision and Training

• Deliver regular case supervision, skills supervision, and reflective practice for qualified and trainee High Intensity Therapists.
• Support trainee progression, marking of CTS‑R, and competency‑based development.
• Provide consultation across the service to colleagues on CBT‑informed care.

Quality and Performance

• Monitor clinical outcomes, recovery rates, and therapist performance using ROMs (e.g: PHQ‑9, GAD‑7, disorder‑specific tools).
• Support therapists to meet activity, recovery, and throughput targets while maintaining clinical quality.
• Undertake clinical audits, contribute to national audits, and produce reports for management as required.
• Ensure adherence to national Talking Therapies manual, governance, and fidelity standards.

Risk Management and Safeguarding

• Provide senior‑level input on risk assessments and crisis planning.
• Liaise with GPs, secondary care, safeguarding teams, and other agencies as required.
• Support safe and effective discharge planning.

Person Specification

Essential Qualifications and Training

• Postgraduate Diploma in CBT accredited by BABCP.
• Full BABCP accreditation (or eligible to apply).
• Evidence of CPD consistent with maintaining BABCP accreditation.
• Completion of a supervision course for CBT in line with NHS Talking Therapies supervision.

Desirable Qualifications and Training

• Qualification in other high intensity modalities (e.g., IPT, EMDR DIT etc.)
• Experience of working as a psychological wellbeing practitioner or counsellor.
• Further training in adapted CBT for long term health conditions.

Essential Knowledge and Experience

• Post‑qualification experience delivering CBT for a range of anxiety disorders and depression.
• Experience supervising or supporting CBT trainees or qualified therapists.
• Strong understanding of the Talking Therapies model, including Stepped care, performance and outcome frameworks.
• Experience of working with risk and safeguarding.

Desirable Knowledge and Experience

• Experience delivering service development projects.
• Experience working with complex cases or special interest groups (e.g., LTC pathways, cases where safeguarding concerns are present, perinatal, older adults, diversity‑focused interventions).
• Experience of the completion of clinic audits.

Skills and Competencies

• Advanced CBT skills and ability to manage complex clinical presentations.
• Skilled in delivering both individual and group CBT.
• Ability to provide high-quality supervision and feedback.
• Strong leadership, communication, and organisational skills.
• Ability to analyse data, interpret outcomes, and use these to improve service delivery.
• Competent IT and data‑entry skills aligned with Talking Therapies digital systems (IAPTUS).

Personal Attributes

• Compassionate, reflective, and committed to evidence-based practice.
• Able to work autonomously and as part of a multidisciplinary team.
• Flexible, resilient, and adaptable to service needs.
• Commitment to equality, diversity, and inclusive practice.

Additional Requirements

• Enhanced DBS clearance.
• Willingness to work flexible hours to meet service needs (e.g., early evening clinics).
• Available to work from our base in Bexleyheath, three days per week.
• Commitment to ongoing CPD and supervision requirements.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.