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Job description

We are looking for a full-time or part-time High Intensity Therapist [CBT Therapist/Counselling Psychologist/Clinical Psychologist] to join the CNWL Talking Therapies Harrow team. The full-time will be a permanent contract, and the Part-Time will be for a 9-month remote only contract.

The team hub is based at 12-14 Station Road, Harrow, HA1 2SL.

The successful applicant may have contact with patients or service users. 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.

The post holders will be expected to provide psychological treatment for common mental health problems at step 3 level and carry out other duties such as triage and provision of clinical supervision to low intensity workers, trainees, assistants and other staff as required. We are looking for applicants who have enthusiasm for working in a primary care setting, who are adaptable, enjoy variety, and working independently as well as within a team context.

This post would be suitable for experienced practitioners or newly qualified High Intensity therapists. In order to be shortlisted for this post, applicants must be BABCP accredited or have attended a BABCP accredited CBT training course and working towards their accreditation.Applicants who are within 3 months of completion of high intensity training will also be considered provided they meet shortlisting criteria and can demonstrate that they are on target to complete their course requirements, including passing assignments and having the required number of clinical and supervision hours- this will be checked at interview.

The post holder will be expected to participate in extended hours clinics offered by the service which include early morning and late evening clinics. Ability to deliver therapy in local language is desirable.

We are a well-established service that is responsible for the provision of Low intensity and High Intensity therapies within the standards of stepped care model at steps 2 and 3. Alongside high and low intensity CBT interventions, the CNWL Talking Therapies Harrow service also has a counselling service at step 3. Individual and group-based treatments are provided at step 2 and step 3 levels.

The Service is currently offering a combination of face-to-face and remote working (delivered either via home working or from our office base). We offer agile working opportunities to all of our staff, which would enable you to work flexibly from home for a good proportion of your week and have a work pattern that suits your lifestyle.

The team consistently meets its access and recovery targets and undertakes further projects and service innovation work to meet new demands and needs of the local population. We offer outreach programmes and webinars to our local community that focuses on improving psychological wellbeing. There are clear and well-defined systems for triaging and screening of incoming referrals, allocation of clients to step 2 and step 3, management of waiting lists and stepping up and stepping down clients as appropriate. We also have good links and clear set pathways with local Health Psychology, Perinatal, and Community Mental Health Teams.

The post holders will be expected to provide psychological treatment for common mental health problems at step 3 level and carry out other duties such as triage and provision of clinical supervision to low intensity workers, trainees, assistants and other staff as required.

The post holders will receive regular supervision and support from a Senior Clinician as well as benefit from peer support and guidance from other team members. The CNWL Talking Therapies Harrow Service has close links with Talking Therapies teams within CNWL and there are opportunities for further development. We have good links with and have trainees from all the Regional training courses and there would be opportunities to mentor and supervise Trainee Clinical or counselling Psychologists, High Intensity Trainees and others as appropriate.We offer excellent CPD programmes in CBT which involves liveworkshops and webinars from world leaders in their fields across the range of IAPT presentations. For more experienced clinicians, we are able to offer training in other models of care such as IPT, BCT, and MBCT. Our clinicians also have opportunities to develop expertise in their area of interest, such as, Long-term Health Conditions (Long-Covid, Diabetes, COPD, etc.) Perinatal, Older Adults, Learning Disabilities, Autism, LGBT, BME, Young People, etc. We also offer regular monthly session on staff well-being.

Contact person details: Amyas Doulton (Deputy Clinical Lead)

Overview of Main Responsibilities

1.0 CLINICAL
1.1 Provide specialist psychotherapeutic assessment of patients referred to the Harrow IAPT Service 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.
1.2 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 postholder will treat patients across the range of severity.
1.3 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 hypothesis. Whilst maintaining ethical and legal standards.
1.4 Comply with caseload and set activity requirements for an HI post as per IAPT national guidelines and Local IAPT implementation board.
1.5 Regular and prompt entry of clinical data relating to patients on caseload and make it available for supervision and for the patient as required.
1.6 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.
1.7 Evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical, developmental and cultural processes and systems, which have shaped the individual.
1.8 Include family members and others involved in clients’ problems in therapy programmes, where necessary.

1.9 Assess and deliver therapy programmes in the community or GP Surgery and other settings within the Harrow IAPT Service, as necessary.
1.10 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 professional involved as appropriate.
1.11 Exercise autonomous professional responsibility for the assessment, treatment, discharge and onward referral of patients whose problems are managed by psychotherapeutic interventions.
1.12 Assess and manage clinical risk to self and others. Involve other agencies as appropriate.
1.13 Adhere BABCP, HPC BPS and other relevant professional codes of conduct, policy and guidance.
1.14 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.
1.15 Exercise responsibility for professional self-governance in accordance with the HPC, BPS and BABCP and other relevant professional codes of practice and conduct and Trust policies and procedures.
1.16 Develop and maintain knowledge of local resources and relationships with relevant statutory, voluntary and community groups and organisations.
1.17 Develop and propose innovative responses to identified needs of the diverse and multicultural community the service serves in collaboration and consultation with colleagues from Harrow IAPT service and other relevant teams and agencies.

2.0 PROFESSIONAL RESPONSIBILITIES
2.1 To maintain relevant professional registration and BABCP accreditation.
2.2 To maintain CPD portfolios and to attend in-house and external CPD activity as appropriate as agreed with the manager.
2.3 To fulfil responsibilities towards the Health and Safety at Work Act 1974.
2.4 To comply with HPC, BABCP and other relevant professional Codes of Practice.