Job summary
Due to the ongoing Community Transformation, a new post has been created for a Highly Specialist Clinical Practitioner. The Enfield PD Pathway sits within the Complex Emotional Needs (CEN) arm of the Enfield Community Integrated Psychological Pathways alongside the Complex PTSD Pathway. The PD Pathway offers evidence-based treatment for patients with Cluster B and Cluster A Paranoid Personality Disorder.
The post holder is required to have direct experience of delivering Dialectical Behaviour Therapy (DBT) and/or Mentalisation-Based Therapy (MBT) and awareness of Structured Clinical Management (SCM). The post holder will also have a high level of training and experience in developing and maintaining a therapeutic relationship. This role requires a very high degree of mental effort and highly developed communication skills, empathy and sensitivity to the patient. It also requires a well-developed ability to maintain boundaries.
The post holder will contribute to providing senior clinical oversight in the PD Pathway in support of the Enfield Personality Disorder Pathway Lead.
Main duties of the job
The role will require the post holder to:
- To maintain a clinical caseload of highly complex and demanding psychological interventions, leading by example in assessment, treatment and consultation, formulating and implementing appropriate treatment plans.
- To work autonomously within professional guidelines and exercise responsibility for the systematic governance of clinical practice in collaboration with the PD Pathway Lead.
- To support the PD Pathway Lead in implementing clear systems for effective supervision for both group and individual work using Structured Clinical Management, (SCM), Dialectical Behaviour Therapy (DBT) and Mentalisation Based Therapy (MBT) approaches.
- To support the PD Pathway Lead in ensuring that clinical governance structures are in place.
- To support the PD Pathway Lead in the recruitment.
- To carry out audit, policy and service development and research activities and/or programmes in line with development and vision of the PD Pathway with PD or other Psychology colleagues.
- To teach in the treatment and clinical management of personality disorder to mental health colleagues in Enfield and externally as required.
- To deputise for the PD Lead at meetings in their absence, take up delegated responsibilities for presenting the pathway as needed.
About us
At Barnet, Enfield, and Haringey NHS Community and Mental Health Trust our staff and service users have worked closely to create a set of values that make sure people who use our services get the best possible chance of a rapid recovery.
The Trust's values are:
- Compassion
- Respect
- Being Positive
- Working together
By coming to work at Barnet, Enfield and Haringey NHS Trust you will be joining a multiple award-winning, combined mental health (MH) and community Trust providing local, regional and national healthcare services. We are one of the largest employers in North London with over 3000 staff delivering a range of mental health and community services to a population of over one million.
As part of the national transformation programme within the NHS, BEH Community Mental Health services are in the process of transforming. There may, therefore, be some changes to this post as part of the transformation.
Job description
Job responsibilities
For a detailed job description and main responsibilities, please refer to the 8a - Highly Specialist Clinical Practitioner - Enfield Personality Disorder (PD) Pathway JD/PS document uploaded.
Job description
Job responsibilities
For a detailed job description and main responsibilities, please refer to the 8a - Highly Specialist Clinical Practitioner - Enfield Personality Disorder (PD) Pathway JD/PS document uploaded.
Person Specification
Education & Qualifications
Essential
- oCore health professional qualification (Psychology, Nursing, Social work, Occupational Therapy)
- oRegistration with the appropriate professional body (HCPC, NMC, Social Work England etc).
- oBasic Training Certificate in Mentalisation-Based Therapy (MBT) or in Dialectical Behaviour Therapy (DBT)
Desirable
- oWorking towards Accredited Practitioner Status in MBT or DBT
- oRecognised training in teaching, mentorship, supervision
Experience
Essential
- oMinimum of three years post qualification experience
- oMinimum of two years' experience of working directly with patients with Personality Disorder, including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse.
- oExperience of facilitating psychoeducational and psychotherapy groups for service users.
- oExperience of working with carers and family members
- oExperience of multi-disciplinary team working and involvement in developing risk management plans and Care Plans
- oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker and also within the context of a multi-disciplinary care plan.
- oExperience of working within a multicultural framework.
Desirable
- oExperience of working from a perspective of recovery
- oExperience of participating in service development projects.
- oConfidence in implementing Safeguarding processes
Skills & Knowledge
Essential
- oSkills in the use of complex methods of psychological assessment intervention and management frequently requiring sustained and intense concentration.
- oWell-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to patients, their families, carers and other professional colleagues both within and outside the NHS.
- oSkills in providing consultation to other professional and non-professional groups
- oAbility to contain, explore and formulate an understanding of high levels of distress both directly with patients and indirectly via supervision of other staff, both individually and in an organisational context.
- oEvidence of continuing professional development as recommended by the post-holder's professional body
Desirable
- oHighly developed knowledge of Clinical Governance and approaches for the pursuit of continuous service and clinical improvement.
- oEnthusiasm about evidence-based practice and about using patient feedback as well as team performance data to develop service as best suited for the needs of our patient population.
Personal Qualities
Essential
- oAn enthusiasm and commitment to the psychological treatment of Personality Disorder
- oAbility to work independently, reliably, and consistently with work agreed and managed at regular intervals.
- oAbility to maintain professional boundaries and form positive therapeutic relationship with service users and carers
- oAbility to contain and work with organisational stress and ability to "hold" the stress of others
- oAbility to demonstrate BEH Trust Values
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
Other Requirements
Essential
- oAbility to identify provide and promote appropriate means of support to carers and staff exposed to highly distressing situation and severely challenging behaviours
- oAbility to identify, and employ, as appropriate, clinical governance mechanisms for the support and maintenance of clinical practice in the face of regular exposure to highly emotive material and challenging behaviour
- oAbility to develop and use complex multi-media materials for presentations in public, professional and academic settings.
Person Specification
Education & Qualifications
Essential
- oCore health professional qualification (Psychology, Nursing, Social work, Occupational Therapy)
- oRegistration with the appropriate professional body (HCPC, NMC, Social Work England etc).
- oBasic Training Certificate in Mentalisation-Based Therapy (MBT) or in Dialectical Behaviour Therapy (DBT)
Desirable
- oWorking towards Accredited Practitioner Status in MBT or DBT
- oRecognised training in teaching, mentorship, supervision
Experience
Essential
- oMinimum of three years post qualification experience
- oMinimum of two years' experience of working directly with patients with Personality Disorder, including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse.
- oExperience of facilitating psychoeducational and psychotherapy groups for service users.
- oExperience of working with carers and family members
- oExperience of multi-disciplinary team working and involvement in developing risk management plans and Care Plans
- oExperience of exercising full clinical responsibility for patients' psychological care and treatment, both as a named/key worker and also within the context of a multi-disciplinary care plan.
- oExperience of working within a multicultural framework.
Desirable
- oExperience of working from a perspective of recovery
- oExperience of participating in service development projects.
- oConfidence in implementing Safeguarding processes
Skills & Knowledge
Essential
- oSkills in the use of complex methods of psychological assessment intervention and management frequently requiring sustained and intense concentration.
- oWell-developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to patients, their families, carers and other professional colleagues both within and outside the NHS.
- oSkills in providing consultation to other professional and non-professional groups
- oAbility to contain, explore and formulate an understanding of high levels of distress both directly with patients and indirectly via supervision of other staff, both individually and in an organisational context.
- oEvidence of continuing professional development as recommended by the post-holder's professional body
Desirable
- oHighly developed knowledge of Clinical Governance and approaches for the pursuit of continuous service and clinical improvement.
- oEnthusiasm about evidence-based practice and about using patient feedback as well as team performance data to develop service as best suited for the needs of our patient population.
Personal Qualities
Essential
- oAn enthusiasm and commitment to the psychological treatment of Personality Disorder
- oAbility to work independently, reliably, and consistently with work agreed and managed at regular intervals.
- oAbility to maintain professional boundaries and form positive therapeutic relationship with service users and carers
- oAbility to contain and work with organisational stress and ability to "hold" the stress of others
- oAbility to demonstrate BEH Trust Values
Desirable
- oA commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit
Other Requirements
Essential
- oAbility to identify provide and promote appropriate means of support to carers and staff exposed to highly distressing situation and severely challenging behaviours
- oAbility to identify, and employ, as appropriate, clinical governance mechanisms for the support and maintenance of clinical practice in the face of regular exposure to highly emotive material and challenging behaviour
- oAbility to develop and use complex multi-media materials for presentations in public, professional and academic settings.
Disclosure and Barring Service Check
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 (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
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 (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
