CEN Pathway Clinical Lead

NHS; Wolverhampton; On-site; GBP 46,000 - 53,000

Job description

Black Country Healthcare NHS Foundation Trust

As part of Community Transformation, a Complex Emotional Needs Pathway has been developed across the four areas of the Black Country. It focuses on improving experiences and outcomes for our service users who primarily attract a diagnosis of Personality Disorder. They frequently present with histories of severe trauma and secondary diagnoses that add to their complexity. Generic services struggle to engage them, and they present with high risk, leading to repeated and sometimes long-term use of urgent care and in-patient services. We have designed an innovative and psychologically-led virtual multi-disciplinary team, who will both work closely together but also be fully integrated into the local CMHTs. We are not a 'Functional' team, who accept referrals, but offer 'WRAP' around care boosting the provision to these service users. We will also have close links with our four DBT Teams, the Community Enablement and Recovery Team, Assertive Outreach Practitioners and the Recovery College. We are looking to recruit a new Band 7 CEN Clinical Lead to cover the Wolverhampton locality. This is a fantastic opportunity for a registered mental health professional (CPN, OT or Social Worker) to work at a senior level, be involved in service development, leadership whilst sustaining a strong clinical focus.

Main duties of the job

You will be responsible for targeting and identifying highly complex and risky service users. You will be responsible for developing high quality, detailed and formulation-driven risk management and care plans. Your work will be a combination of engaging with service users themselves and leading and supporting the B6 CEN Practitioners and Recovery Workers. You will liaise tightly with CMHT colleagues to ensure that positive risk management strategies and care plans are carried out with support of our Key Workers. The intensity and frequency of contacts is likely to be high and therefore caseloads low. You will have the opportunity to focus creatively on individuals on your caseload, both receiving and offering supervision and reflective practice and training. You will be expected to engage in regular supervision and be able to tolerate and work with feedback. You will be expected to take up training opportunities in relevant approaches, such as Structured Clinical Management, CBT or DBT. You will be an essential member of the CEN Pathway leadership team, focusing on developing operational, clinical and strategic direction of this new Pathway. In the future, you may be asked to contribute to out of hours working to meet the needs of clients, but this would be realistic and done with agreement, but currently, this role is Monday - Friday 9am to 5pm.

About us

Black Country Healthcare covers three towns and one city, and is home to a highly diverse population, with areas of socio-economic deprivation. We aim to recruit a workforce that is representative of our population and inclusive practice is at the heart of our Trust values, with the aim that everyone has a voice that needs to be heard. We believe in a culture of compassion and strongly promote staff Wellbeing initiatives.

Job responsibilities

Clinical Practice and Clinical Leadership - You will be responsible for targeting high frequency users who have CENs, re-assessing their needs from a Bio-Psycho-Social perspective, working alongside psychologists in formulating their difficulties and developing bespoke and complex risk and safety plans. You will engage service users in 'assertive stabilisation' initially which will often mean being appropriately responsive to crisis situations and tightly liaising with the wider CMHT to ensure a consistent agreed response. You will also be supporting CEN B6 Practitioners, CMHT staff and CEN Recovery Workers engage with service users according to the care plan thus ensuring progress and goals are achieved.

Team Working - You will be part of a Trust-wide 'virtual' CEN Team but also be integrated into the two CMHTs in your local area. You will attend MDTs, professionals meetings and case conferences as required, including in-reach to hospital. You will need good communication and people skills and be able to work creatively on improving interface issues whilst managing the pressures this can bring.

Training and Supervision - As part of your job plan, you will be required to offer supervision to staff, reflective practice and Trust-wide training to support the upskilling of staff in CEN specific ways of working, particularly in addressing stigma.

Leadership & Service Development - You will be integral to the continued development of this new Pathway. This will involve being attuned to the difficulties on the ground, dealing with any complaints, developing and reporting evaluation results, reporting back and being fully involved in the growth of the Pathway, in terms of its clinical and strategic focus.

Person Specification

Education, Qualifications and Registration

• AHP, Social work or nursing training at degree level, plus appropriate registration, PIN with Nursing Midwifery Council, HCPC registration
• Training in CEN specific approaches or therapies, Master qualifications in nursing approaches, Non-medical prescribing etc.

Experience and Knowledge

• Years of experience, experience of working with risk in the community, experience of working with personality disorder.
• Experience of working using PD specific interventions, e.g. SCM or DBT, or working in PD specific services or having had a previous leadership role.

Skills, Personal Attributes and Trust Values

• Attitudes to working with CENs, good understanding and ability to embody Trust values, suitable character traits appropriate for leadership role and working with Teams and supporting colleagues and carers.
• Extra qualifications in coaching, supervision, previous training role. Specific role with working with carers. Lived experience of mental health.

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.

Black Country Healthcare NHS Foundation Trust

Consultant Clinical Psychologist CEN Pathway Lead

£46,148 to £52,809 a year AfC Band 7 2025 pay point according to experience.