Mental Health Matters Job Description Job Title: Principal Clinician (IAPT) Responsible to: Talking Matters Manager Reporting to: Talking Matters Manager Key Relationships: GPs and clinical commissioners MHM Clinical Hub Secondary care mental health services Social services Local community and support groups Function of the post: The post holder will be the clinical face of Talking Matters Kent, being accountable for all clinical delivery within Kent. During our ramp-up period, the post holder will play a key part in the implementation of Improving Access to Psychological Therapies (IAPT) service, leading work-streams as required, and will provide high intensity interventions and initially some low intensity interventions. The post holder will work with clients who have a range of largely, Anxiety and Depression related problems for which CBT, in particular, is demonstrated to be clinically effective. The post holder will line manage clinical staff based in Kent, and will be accountable for clinical outcomes delivered by those staff. The post holder will work with people with different cultural backgrounds and ages, using interpreters when necessary and should be committed to equal opportunities Main Duties and Responsibilities: 1. Clinical 1.1. Accept referrals received into the Talking Matters Clinical Hub which have been assessed for suitability for psychological interventions 1.2. Make decisions on suitability of new referrals, adhering to the Talking Matters referral protocols, and refer unsuitable clients on to the relevant service or back to the referral agent as necessary. 1.3. Formulate, implement and evaluate therapy programmes for clients. 1.4. Use highly developed communication skills in working with people to understand their personal and often very sensitive difficulties 1.5. To exercise autonomous professional responsibility for the assessment and treatment of clients in line with the service. 1.6. Educate and involve family members and others in treatment as necessary 1.7. Adhere to an agreed activity contract relating to the number of client contacts offered, and clinical sessions carried out per week in order to minimise waiting times and ensure treatment delivery remains accessible and convenient. 1.8. Participate in multi-disciplinary meetings relating to referrals or clients in treatment, where appropriate. 1.9. Complete all requirements relating to data collection within the service. 1.10. Keep coherent records of all clinical activity in line with service protocols 1|P a g e Principle Clinician JD – November 2013 1.11. Work closely with other members of the team as it develops, ensuring appropriate step-up and step-down arrangements are in place to maintain a stepped care approach. 1.12. Assess and integrate issues surrounding work and employment into the overall therapy process 1.13. Carry out clinical audits of service performance, including service user surveys and evaluations, and help to collate and disseminate the results for feedback. 1.14. Liaise with other health and social care staff from a range of agencies in the care provided clients. 1.15. Provide specialist advice and consultation to other professionals, services and individuals as appropriate 2. Training and Supervision 2.1. As an accredited supervisor, provide appropriate supervision to staff in the service. 2.2. Ensure that clinical staff based within Kent are receiving appropriate Supervision that supports clinical and operational practice 2.3. Provide appropriate training and work with the Talking Matters Manager to identify training needs within the service 3. Professional 3.1. Ensure the maintenance of standards of practice according to the employer and any regulating, professional and accrediting bodies (e.g. BPS, UKCP, BABCP), and keep up to date on new recommendations/guidelines set by the Department of Health (e.g. NHS plan, National Service Framework, National Institute for Clinical Excellence). 3.2. Ensure that client confidentiality is protected at all times and that all staff are Information Governance trained 3.3. Be aware of, and keep up to date with advances in the spheres of CBT and other psychological therapies. 3.4. Ensure clear professional objectives are identified, discussed and reviewed with for practitioners and therapists in the service 3.5. Attend clinical/managerial supervision on a regular basis as agreed with the Head of Service. 3.6. Participate in individual performance review and respond to agreed objectives. 3.7. Keep up to date all records in relation to CPD and ensure personal development plan maintains up to date specialist knowledge of latest theoretical and service delivery models/developments. 3.8. Attend relevant conferences / workshops in line with identified professional objectives. 3.9. Participate in service improvement by highlighting issues and implementing changes in practice. 4. Leadership/Management 4.1. Be the primary point of contact for clinical matters related to the Kent IAPT service 4.2. Promote and maintain links with Primary Care and Secondary Care Staff to help coordinate the provision of an effective Psychological Therapies Service. 4.3. Be accountable for the clinical outcomes of interventions delivered within Kent 4.4. Liaise with Service Manager and Clinical Lead in the Clinical Hub to ensure that communication and protocols between Kent and the Clinical Hub are robust and that patients experience a seamless service 4.5. Carry out all day to day and line management duties including annual appraisal and performance management of clinical staff based in Kent 2|P a g e Principle Clinician JD – November 2013 5. General 5.1. To lead the development of best practice within the service, in line with MHM practices and developments. 5.2. To maintain up-to-date knowledge of legislation, national and local policies and procedures in relation to IAPT provision. 5.3. All employees have a duty and responsibility for their own health and safety and the health of safety of colleagues, patients and the general public. 5.4. All employees have a responsibility and a legal obligation to ensure that information processed for both patients and staff is kept accurate, confidential, secure and in line with the Data Protection Act (1998) and Security and Confidentiality Policies. 5.5. It is the responsibility of all staff that they do not abuse their official position for personal gain, to seek advantage of further private business or other interests in the course of their official duties. 5.6. This Job Description does not provide an exhaustive list of duties and may be reviewed in conjunction with the post holder in light of service development. Core Competencies – job specific Ability to explain complex clinical practice to non-specialists in a positive and clear way Excellent verbal and written communication skills Ability to motivate individuals and teams Good understanding of performance within a clinical environment with the ability to set, measure and improve both operational and clinical performance Ability to work with others to find solutions to problems All employees have a responsibility to undertake training and development as required. They also have a responsibility to assist, where appropriate and necessary, with the training and development of fellow employees. All employees have a responsibility of care for their own and others health and safety. You are required to make positive efforts to maintain your own personal safety and that of others by taking reasonable care, carrying out requirements of the law and following recognised codes of practice. You are also required to be aware of and comply with Mental Health Matters policies on health and safety, etc. In the course of your employment with Mental Health Matters you may handle confidential personal information concerning either service-service-user, staff or company intellectual property. You must not read, discuss, disclose or pass on confidential information unless it is necessary in the pursuance of your legitimate duties. Unauthorised disclosure of such information will be treated as a serious disciplinary matter. In addition it is important that you realise that if this confidentiality is breached, this may result in civil proceedings or a criminal prosecution. This confidentiality must continue at all times and this agreement will continue beyond your period of employment with Mental Health Matters. This job description is not exhaustive and is subject to continuous change, in consultation with the postholder. Please note this job description gives a statement of the general purpose of the job and provides an outline of the duties and responsibilities involved. This does not constitute a contract of employment. Approved: Job Title: Date: Approved: Date: 3|P a g e Principle Clinician JD – November 2013 Job Title: 4|P a g e Principle Clinician JD – November 2013 This section is required for all Managerial IAPT roles Core Competencies These will include being able to demonstrate knowledge of: How to be non-judgemental How to promote anti-discriminatory practice How to maintain confidentiality How to promote equality and diversity How to engender empowerment and well-being How to promote equal opportunities How to ensure service users are treated with dignity and respect as part of ethical practice General: 1. To actively promote a positive image of Mental Health Matters. 2. To actively promote mental health issues positively 3. To ensure good communications both within Mental Health Matters and external agencies. 4. To attend all supervision sessions or notified meetings where relevant. 5. To attend all mandatory training sessions. 6. To contribute to the development of best practice within the service. 7. To maintain up-to-date knowledge of legislation, national and local policies and procedures in relation to Mental Health and Primary Care Services. 8. All employees have a responsibility and a legal obligation to ensure that information processed for both patients and staff is kept accurate, confidential, secure and in line with the Data Protection Act (1998) and Security and Confidentiality Policies. 9. It is the responsibility of all staff that they do not abuse their official position for personal gain, to seek advantage of further private business or other interests in the course of their official duties. 10. To promote and implement MHMs Equality Policy in all aspects of employment and service delivery. 11. To maintain the confidentiality of all electronically stored personal data in line with the provision of the Data Protection Act. Finance: 1. To ensure that all authorisation procedures are adhered to in line with Mental Health Matters finance authorisation procedures. 2. To ensure the flow of relevant information to the Finance Department. Communication & administration: 1. To keep all relevant records and information pertaining to area of responsibility and report information, where necessary your line manager, whilst working within the agreed administration procedures. 2. Ensure that your line manager is fully informed of any issues, which may effect the quality of service provision. 3. To attend all relevant meetings both internally and externally. 4. To provide reports as and when required. Risk Assessment: 1. Must follow all risk assessments planning protocols and incident reporting 2. Must report any area of risk and/or changes or concerns 3. Must review and update all risk assessments 4. Must liaise with third parties regarding risk and risk assessments. 5. Support the development of effective risk assessments 6. Agree and authorise all service-user risk assessments and risk management plans 7. Inform line management of heightened risk/significant changes in risk 8. To complete a risk register on a monthly basis and return to Central Office 9. To monitor compliance to risk assessment management procedures and report any discrepancies/concerns to line management Guardian 24: 1. You must register with Guardian 24 (G24) and use in every lone working situation 2. You must report immediately any faults, problems or concerns regarding G24 to your line manager. 5|P a g e Principle Clinician JD – November 2013 3. Responsible to ensure that all staff line managed follow G24 procedure and responsibility for ensuring that all staff are registered and use the system. 4. Must monitor compliance and activity on a weekly basis of the registered staff 5. Acts as the system administrator and updates G24 information on a monthly basis and reports compliance in the monthly report. 6|P a g e Principle Clinician JD – November 2013 Personal Specification Qualification Essential Qualification from High Intensity IAPT Course (Post Graduate Diploma) Desirable Relevant experience in Primary Care treating anxiety and depression. OR Accredited Supervision training for Low Intensity Practitioners Equivalent: e.g. A recorded/registered doctoral level qualification in clinical or counselling psychology/ a recorded/registered qualification in one of the following - nursing, social work, occupational therapy, arts therapy or a psychological therapy – plus further post graduate qualification training in a psychological therapy which may be CBT or another IAPT appropriate evidence based therapy (i.e. IPT) to at least equivalent of a post graduate diploma Assessment Method Application Form Management Qualification AND significant experience working as a psychological therapy practitioner and demonstrating the competences as required. Accredited IAPT supervision training for High Intensity workers Experience Accredited with BABCP Demonstrable experience of working in primary care mental health services Application Form Interview Ability to meet agreed/specified service targets Worked in a service where agreed targets in place demonstrating clinical outcomes Ability to manage own caseload and time Interview Demonstrates high standards in written communication Application form / test Able to write clear reports and letters to referrers Portfolio / test Experience with routine outcome monitoring Experience of teaching and 7|P a g e Principle Clinician JD – November 2013 liaising with other professional groups Interview Experience of managing people Application Skills & Competencies Full range of skills and competencies as laid out in the competence framework for CBT (Roth and Pilling 2007) Interview Computer literate Interview question /portfolio Well developed skills in the ability to communicate effectively, orally and in writing, complex, highly technical and/or clinically sensitive information to clients, their families, carers and other professional colleagues both within and outside the NHS Interview / application/portfolio /test Has received training (either formal of through experience) and carried out risk assessments within scope of practice Interview Interview / Reference Able to develop good therapeutic relationships with clients Application Trained in provision of supervision for CBT Application Accredited with a professional psychological therapy organisation Application Completed clinical audits within a service Knowledge Demonstrates an understanding of anxiety and depression and how it may present in Primary Care Interview question Demonstrates a knowledge of the issues surrounding work and the impact it can have on mental health / benefits & employment systems Interview question Knowledge of medication used in anxiety and depression and other common mental health problems Interview question Demonstrates an understanding for the need to use evidence based psychological therapies 8|P a g e Principle Clinician Interview question JD – November 2013 and how it relates to this post Training Other Requirements Knowledge of child protection issues and other relevant legislation Interview question Good record of Continuing Professional Development and willingness to continue this Application / Interview High level of enthusiasm and Motivation. Interview Advanced communication skills Interview Ability to work within a team and foster good working relationships Interview / reference Ability to use clinical supervision and personal development positively and effectively Application form/ interview Ability to work under pressure Interview test Regard for others and respect for individual rights of autonomy and confidentiality Interview Ability to be self reflective, whilst working with service users, & in own personal and professional development and in supervision Interview The ability and skills to act as an advocate for a new service, to engage and foster good professional relationships with all health professionals in promoting the good integration of this service with the wider health care system Interview Car driver and/or ability and willingness to travel to locations throughout the organisation Interview Fluent in languages other than English Experience of working with diverse communities and within a multicultural setting Application / Interview Interview Review date: Reviewed by: 9|P a g e Principle Clinician JD – November 2013