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Lead Clinical Neuropsychologist

3 months ago

Warrington, United Kingdom Bridgewater Community Healthcare NHS Foundation Trust Full time

Job summary

An exciting opportunity has arisen for a Band 8D Neuropsychologist tojoin our team, to lead the provision of Psychological Services acrossWarrington and Halton for adults with complex neurological rehabilitation. Yourcaseload will include clients with: ABIs, Strokes and long term neurologicalconditions.

Thepost holder will be supported to undertake research and with professionaldevelopment including further qualifications in clinical neuropsychology.

You will be based at the Orford Jubilee Hub and Halton ILC delivering adomiciliary and clinic based service, working alongside physiotherapists,occupational therapists, nurses, and assistants with administrative support. Thereis free onsite parking.

Main duties of the job

The successfulapplicant will provide specialistneuropsychological and psychological assessments for patients with neurological conditionsin Warrington and Halton, based upon the appropriate use, interpretation and integration ofhighly complex psychological data from a variety of sources. As well asformulate, develop and implement plans for the formal psychological treatmentand/or management of patients neuropsychological and/or mental healthproblems, based upon an appropriate conceptual framework of the patientsproblems, and employing methods of proven efficacy, across the full range ofcare settings.

This will include the undertaking of risk assessments and riskmanagement strategies as appropriate.

The job requires an integrated MDT approach with an emphasis oncollaborative working.

The post holder will be required to take substantial professionalresponsibility and exercise autonomous judgement in their professionalpractice, as well as provide the MDT with a formulation led biopsychosocialframework.

About us

Flexible working will be considered for all roles.

Unfortunately, we do not hold a sponsor licence for working Visas.

At Bridgewater, our PEOPLE values shape how we deliver ourNHS services in your local community.

They help us deliver our mission to improve local health andpromote wellbeing in the communities we serve.

After all, values are about people and they werecreated in partnership with our staff to reflect what they felt was importantto them

Here at Bridgewater our shared values flow through the organisation.

P - Person-centred-We are passionate about individual needs andpromote independence in the healthcare we provide..

E - Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.

O - Open and Honest -We behave in a way that develops relationshipsbased on trust, openness, honesty and respect.

P - Professional-We support our people, so everyone has the rightskills and training to deliver outstanding patient care.

L - Locally Lead -We are always learning about our communities andshow great pride in being a local provider of health and care.

E - Efficient -We use our resources wisely to providesustainable and value for money healthcare for our patients.

Job description

Job responsibilities

Job Purpose:

Toensure the systematic provision of a high quality clinical neuropsychologyservice within a highly specialist service area, across all sectors of theorganisation.

Topractice as an autonomous independent specialist professional clinicalpractitioner and assume continued responsibility for a caseload of clients withthe most complex difficulties, exercising full clinical responsibility fortheir psychological care both as a clinician and supervisor for otherprofessionals.

Towork within professional guidelines and exercise responsibility for thesystematic governance of psychological practice within the service/team and toensure that systems are in place and working effectively for the clinical andprofessional supervision and support of all other psychologists within theservice/sector for which the post holder has designated professionalresponsibility, including clear systems for professional appraisal, and theidentification of CPD needs across the service/sector.

Asa major requirement of the job to act as a highly specialist resource to thewider professional community and to carry out audit, policy and servicedevelopment and research activities and/or programmes.

Topropose and implement policy and service development changes within the areaserved by the team/service.

Tobe a Mental Capacity Lead in the Trust, providing guidance on implementation ofpolicy and pathways.

Duties and Responsibilities:

ClinicalDuties:

1. Working within a highly specialised clinical area, toprovide highly developed specialist neuropsychological assessments of clientswith neurological conditions based upon the appropriate use, interpretation andintegration of complex data from sources including psychometrics, scans,medical reports, neuropsychological tests, self report measures, psychologicalmodels, direct and indirect structured observations and semi-structuredinterviews with clients, family members and others involved in the clients care,and decide upon treatment options taking into account both theoretical andtherapeutic models and highly complex factors concerning neurological,historical and developmental processes that have shaped the individual, familyor group.

2. To work with a vulnerable group including individuals withlong term health conditions, severe and enduring mental health difficulties,challenging behaviours, family breakdown and victims of child sexual abuse andformulate plans for the formal psychological treatment and/or management basedupon an appropriate conceptual framework of the clients problems, andemploying methods based upon evidence of efficacy, across the full range ofcare settings.

3. To utilise advanced specialist assessments and diagnostictechniques based on acute medical data (Glasgow Coma Scale, PTA),neuroanatomical, neurophysiological, psychometric and psychosocial factors andformally make a diagnosis in conditions which require a specialist assessmentof developmental, medical, psychological and cognitive histories, includingoffering a specialist second opinion and/or independent advice.

4. To communicate using the highest level of interpersonal andcommunication skills, in skilled and sensitive manner, highly complexinformation about cognitive functions and neurological diagnosis, to patientsand their families as well as communication regarding clinical consequences andrestrictions due to acquired disability. Due to the nature of theinformation and the client group, this can be in a hostile, antagonistic ormore frequently, highly emotive situations (patients with mental illness,challenging behaviours, physical illness and psychological trauma). This may bewithin the context of out-patient clinics, day care services, specialist units,prisons and patients own homes.

5. To utilise the highest level of communication skills todeliver and manage diagnosis and prognosis around terminal and degenerativediseases, which may require end of life planning with acute services, communityfacilities and specialist agencies such as hospices and palliative care. Thisinvolves supporting the family and care staff, as well as clinical casemanagement in supporting staff delivering palliative care plans where care isdelivered in the community.

6. To undertake first line risk assessment for relevantindividual clients and to provide both general and specialist advice forpsychologists and other professionals on psychological aspects of riskassessment and management. This may include individuals who may be inpost-traumatic amnesic states and therefore aggressive, agitated or sexuallydisinhibited, presenting with challenging behaviours or those with severelycompromised capacity. Also devise appropriate risk management for individualclients and to provide general advice to other professionals on psychologicalaspects of risk assessment and management within a complex patient group withelevated levels of risk associated with impulsive verbal and physicalaggression/ violence and self-harm.

7. To actively manage high level risks for the most complexpatients within the community including holding full clinical responsibilityfor managing the risk of suicide, risk to children, verbal and physicalaggression/ violence, risk of abuse/ exploitation to and by others, andforensic recidivism through analysis, interpretation, and comparison of a rangeof management options.

8. To formulate and implement complex and highly specialistplans for the formal psychological treatment and/or management of a clientscognitive, behavioural and emotional sequelae in clients with a neurologicaldiagnosis. To formulate an appropriate conceptual framework of the clientsproblems, employing methods based upon evidence of efficacy, across the fullrange of care settings. Emotional management includes therapy for child sexualabuse, suicidal ideation, personality disorders and severe and enduring mentalhealth difficulties.

9. To be responsible for implementing a range of highlyspecialist psychological interventions for individuals, carers, families andgroups, within and across teams employed individually and in synthesis,adjusting and refining psychological formulations drawing upon extensiveknowledge of different explanatory models and maintaining a number ofprovisional hypotheses, using expert models such as Cognitive BehaviouralTherapy, Psychodynamic therapy, Cognitive Analytical Therapy and SystemsTherapy.

10. To be an accredited practitioner in the administration,interpretation, and supervision of others, with regards to NeuropsychologicalTests, Psychometric assessments of psychopathology and Risk. This would includeapproved registration at Level C or above for agencies that monitor the use ofpsychometrics, such as Harcourt and the Psychological Corporation.

11. To provide specialist neuropsychological and psychometricassessments, and provide written reports to help inform diagnosis, formulation,and intervention in all aspects of health care.

12. To be responsible for leading and advising on the provisionof clinical care/goal setting to meet clients needs, co-ordinating the work ofothers involved with care, arranging clinical reviews as required andcommunicating effectively with the client, his/her family and all othersinvolved in care; and to monitor progress during the course ofmulti-disciplinary interventions.

13. To advise Responsible Medical Officers and specialistconsultants in issues with direct regard to neuropsychological aspects of thepatients condition and treatment.

14. To be independently responsible for providing, developing,implementing, and managing complex systematic neuropsychological Care Plans,involving Acute, Post- Acute, and Community Health Services, as well as SocialCare and the Voluntary Sector, in line with national guidelines.

15. To exercise full responsibility and autonomy for theacceptance, treatment of and discharge of clients whose problems are managed asa psychologically based standard care plan, ensuring appropriate assessment,formulation and interventions, communicating with the referral agent and othersinvolved with the care on a regular basis.

16. To ensure that all members of the clinical team have accessto a psychologically based framework for the understanding and care of clientsof the service, through the provision of advice and consultation and thedissemination of psychological knowledge, research, and theory.

17. To influence decision making about allocation of resources( funding) to ensure appropriate care/treatment of the client is secured.This can involve presentations to large multidisciplinary panels, managers,commissioners, and external agencies.

18. To provide a specialist clinical opinion and formal reportsin the review of residential placements within and out of area, informingfunding managers and commissioners to provide feedback and advice on suchclients progress and ongoing needs.

19. To highly undertake specialist assessments of mentalcapacity in the most complex cases, where statements are made around issuessuch as treatment, residence, best interest and financial capacity. These willoften involve being the official signatory on legal forms which are taken up bythe Court of Protection, High Court, and other legal authorities.

20. To be formally trained in skills such as Care and Restraintor similar, for physical strategies in managing physical violence and risk toself.

21. To frequently sit in a restricted fashion for purposes ofdelivering therapy and psychometric assessment. This requires extended periodsof intense concentration for patient interaction, responding and recordinginformation for up to two to three hours at a time.

Please see full Job Description attached.

Person Specification

Qualifications

Essential

Doctoral level training in clinical psychology (or equivalent) as accredited by the HCPC, including specifically models of psychopathology, clinical psychometrics /neuropsychology, two or more distinct psychological therapies and lifespan developmental psychology. Post-doctoral qualification or progress towards qualification in the specific area of formal clinical neuropsychologist qualification (Practitioner Full Member) Undertaken training in the supervision of Trainee Clinical Psychologists. Accreditation in the use, interpretation, and application of psychometrics. Chartered Clinical Psychologist eligible/ HPC statutory regulation eligible

Experience

Essential

Relevant post qualification experience. Formally assessed experience of working as a qualified clinical neuropsychologist at Senior/ Principal level, including significant post-doctoral qualification experience within neuropsychology. Experience of autonomously exercising full clinical responsibility for clients psychological care and treatment, both as a care co-ordinator, team member, supervisor of others and as an autonomous practitioner. Experience of management and supervision of qualified and pre-qualified clinical psychologists. Experience of working with a wide variety of client groups, across the whole life course and presenting with the full range of clinical severity across the full range of care settings including outpatient, community, primary care, in-patient and residential care settings including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse. Experience of working with multi-professional teams or services. Experience of teaching, training and/or professional and clinical supervision. Experience of the application of Psychology in different cultural contexts. Experience of representing the profession in local and national policy forum

Skills and Knowledge

Essential

Doctoral level knowledge of clinical psychology including highly developed knowledge of lifespan developmental psychology, models of psychopathology, clinical psychometrics and neuropsychology, and two or more distinct psychological therapies. Experience of professional management of qualified and pre-qualified clinical psychologists. Skills in the use of complex methods of neuropsychological assessment, psychological formulation, intervention, and management frequently requiring sustained and intense concentration. This requires the use of highly developed analytical and judgement skills. A high-level ability to communicate effectively at both a written and oral level complex, highly technical, contentious, highly distressing and clinically sensitive information to clients, their families, carers and a wide range of lay and professional persons within and outside the NHS. Skills in individual and group work and programme planning Skills in self-management including time management. Skills in planning and organising for caseload management. Skills in providing consultation to other professional and non-professional groups. Highly developed understanding of other professionals theoretical perspectives of this client group. Doctoral level knowledge of research design and methodology, including complex multivariate data analysis as practised within the field of clinical psychology. Knowledge of legislation and its implications for both clinical practice and professional management in relation to the client group and mental health. Developed awareness of relevant national policies in neuropsychology and their implications for service development across all specialities. Evidence of continuing professional development as recommended by the BPS. Knowledge of the requirements of the profession in relation to clinical practise. Formal training in supervision of other psychologists. Advanced keyboard skills.

Personal

Essential

Excellent and highly developed interpersonal and communication skills enabling the formation of networks with professionals within the Trust and from other agencies to promote effective team-working with clients. Great enthusiasm for developing the work of clinical neuropsychology in a broad range of settings. A strong interest in models of service delivery, and an ability to articulate the value added by clinical psychology services within the context of multi-disciplinary mental health services. Ability to contain and work with organisational stress and ability to hold the stress of others. Ability to contain and work with high levels of distress from clients and their families. Interpersonally calm and able to diffuse difficult, volatile situations. Able to tolerate ambiguity and to take decisions in situations of incomplete information. A commitment to the evaluation of services, enthusiasm for both multi-professional and uni-professional audit, and a wish to continue to develop expertise in the service area. Ability to demonstrate leadership and management skills and enthuse others. Good organisational skills. Motivated towards personal and professional development with a strong CPD record. Ability to exercise appropriate levels of self-care and monitor own state, recognising when it is necessary to take active steps to maintain fitness to practice.

Additional Criteria

Essential

Ability to identify provide and promote appropriate means of support to carers and staff exposed to highly distressing situations and severely challenging behaviours. Experience of working within a multi-cultural framework. Ability 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. Ability to develop and use complex multi-media materials for presentations in public, professional and academic settings. Ability to articulate and interpret clearly the role of the profession of clinical [neuro]psychology based upon a good understanding of the framework of government and national professional policy. Ability to tolerate prolonged periods of sitting and sustained attention. Ability to assess and manage risk. Ability to recognise and challenge discrimination in all its forms

Desirable

Experience of professional management of qualified and pre-qualified clinical psychologists. Record of having published in either peer reviewed or academic or professional journals and/or books.

Job Specific Requirements

Essential

The ability to travel independently across the Trust The ability to work flexibly in accordance with service needs

Right to Work / Relationships

Essential

Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable) If you are related to a director, or have a relationship with a director or employee of an appointing organisation, please state the relationship: