# Multi Professional Approved Clinician MPAC > NHS job listing from Job Clerk for Livewell Southwest. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/multi-professional-approved-clinician-mpac/d6f642c9-f942-4bce-9113-4427a1a7995e - **Markdown:** https://www.jobclerk.com/job/multi-professional-approved-clinician-mpac/d6f642c9-f942-4bce-9113-4427a1a7995e.md ## Summary - **Status:** Live - **Employer:** Livewell Southwest - **Town:** Plymouth - **Region:** South West - **Country:** England - **Profession:** Nurse (adult and children) - **Grade:** Band 8 - **Salary:** £79,504 to £91,609 a year - **Contract type:** Permanent - **Employment type:** Part-time, Job share, Flexible working - **Closing date:** 2026-08-10T23:59:00.000Z - **Posted:** 2026-07-10T10:23:07.211Z - **Source information URL:** https://www.jobs.nhs.uk/candidate/jobadvert/B9832-2026-NN-10289?employerCode=B9832 - **Application URL:** https://www.jobs.nhs.uk/candidate/application/B9832-2026-NN-10289/pre-application-questions-pause?referrer=jobadvert&ref=B9832-2026-NN-10289 ## Job Content ### Job summary Approved Clinician & Multi-Professional Approved Clinician MPAC Band 8C Adult Mental Health Rehabilitation Services Livewell Southwest Hours: 30 hours per week 0.8 WTE, flexible working arrangements will be considered. Are you ready to shape the future of mental health services while delivering transformational, person-centred care? This is an exciting opportunity for an Approved Clinician to work within The Cove, a rehabilitation and recovery in-patient service with individuals with complex and severe mental illness. We are looking for an Approved Clinician to provide clinical leadership for the 6 step-down beds within the unit. The size of the service enables highly personalised care, strong therapeutic relationships and meaningful multidisciplinary team working. This is more than a clinical role. This is a unique opportunity to shape a newly developing service, lead at consultant level, and make a lasting impact on the lives of people with complex mental health needs. If you are looking for an innovative and dynamic role, with flexible working conditions within one of the countries most beautiful counties, we would love to hear from you. Applications are welcomed from Approved Clinicians from all eligible professional backgrounds.This role may not be eligible for sponsorship under the Skilled Worker route. Please note that we may close the job advertisement earlier than the specified deadline. For role enquiries: liam.newton@nhs.net or colin.turner@nhs.net ### Main duties of the job The Role Lead, Decide, Transform As an Approved Clinician you will hold a pivotal leadership position across the recovery inpatient pathway, with responsibility that goes far beyond individual caseload management. You will Provide Exercise Consultant-Level Clinical Authority Act as Responsible Clinician (RC) for patients detained under the Mental Health Act Hold full accountability for complex, high-risk clinical decisions and outcomes Lead on assessment, formulation, and delivery of highly specialised interventions Provide expert evidence at tribunals, courts, and statutory hearings Lead Recovery Focused Care Clinically lead care within male step-down beds at The Cove Promote trauma informed, person centred & evidence-based practice Support patients to achieve meaningful recovery goals and increased independence Work collaboratively with families, carers and partner agencies Facilitate successful discharge planning and community reintegration Work across the Mental health System Develop strong partnerships with Community Mental Health Teams Maintain effective links with acute inpatient services Collaborate with housing providers, social care and voluntary sector partners Support seamless care pathways and effective patient flow Contribute to pathway development across inpatient and community services All staff are expected to be able and willing to work across a 7 day service. Please note that we may close the job advertisement earlier than the specified deadline. ### About us Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs. As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve. We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives. We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation. Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert. ### Details - Date posted: 10 July 2026 - Pay scheme: Agenda for change - Band: Band 8c - Salary: £79,504 to £91,609 a year pa, pro-rata - Contract: Permanent - Working pattern: Part-time, Job share, Flexible working - Reference number: B9832-2026-NN-10289 - Job locations: Livewell South West, The Cove, Mount Gould Hospital Site, Plymouth, Devon, PL4 7PY, United Kingdom ### Job responsibilities **For Full JD please see attached documents Provide strategic professional leadership across teams and services. Lead workforce development strategy. Design and deliver specialist education and training. Create a high-performance, psychologically safe culture aligned with organisational values. Promote the workplace as a learning environment, promoting learning opportunities for all staff and encourage enquiry both within and external to the team/organisation. Influence senior stakeholders including Executive Directors and system partners. Contribute to a safe working environment for both the person, carer and staff. Organise meetings/groups to support clinical work and CPD. Practice autonomously, demonstrating a self-directed approach to the delivery of high quality, safe and effective care within the context of a multi-disciplinary team. The post holder will ensure that personal practice and the practice of those s/he supervises adheres to relevant Codes of Conduct, legislation and policies and procedures. Work with the Executive Directors and Clinical Director to deliver the clinical standards, clinical quality objectives and priorities, in partnership promoting a service model which is clinically led and operationally supported. Contribute to enabling other staff, service users and carers from diverse backgrounds to flourish by working to create a psychologically safe environment. Contribute to service line financial planning and resource allocation decisions. Lead on identifying efficiency, productivity and value-based care opportunities. As a senior leader in the service, we expect you to contribute to maintaining the financial viability of the service including where necessary looking at efficiencies and income generation. Ensure that the service delivers evidence-based practice interventions within budget, and to have joint responsibility with professional and managerial peers to maintain a healthy budget on a consistent basis. Have a personal duty of care to ensure all equipment is used safely and effectively, following manufacturers instructions, immediately reporting any defects in accordance with local procedures. To be mindful to the overall environment reporting appropriately all health and safety concerns. In the absence of suitable materials to develop resources such as information leaflets, pathways, self-help booklets, assessment forms, clinical tools and guidelines to support such service practice development. Provide strategic oversight of clinical governance, quality and safety across the service. Lead serious incident reviews and organisational learning. Liaise with MHA office to ensure all paperwork related to a patients detention under the MHA (1983) is up to date, correct and reflects their current legal status. Engage in CPD in line with requirements for AC/RC role and Professional registration. Actively participate in development activities including appraisal, clinical supervision and peer review of own practice. Practice effective time management to respond to competing priorities, balancing a clinical caseload and other responsibilities such as team education, service development and research. Provide clinical leadership to ensure effective MDT based practice leading to sustainable, safe and effective service delivery. Responsible for documenting plans of care and for ensuring that plans remain current and ensuring high standards of record keeping. Seek support and advice from senior clinicians in respect of issues or challenges with individual patients. Ensure compliance with regulatory standards (CQC, NICE) at service and system level. Exercise full Responsible Clinician duties with authority over complex, high-risk and high-profile cases. Lead on reducing admissions, improving flow and developing alternatives to inpatient care. Drive patient-centred innovation and co-production approaches. Demonstrate the eight core competencies of an Approved Clinician and exercise the role of Responsible Clinician adhering to the MHA and MHA Code of Practice. Making highly skilled evaluations and decisions about treatment options, taking into consideration both theoretical and therapeutic models, and factors concerning historical and developmental processes that have shaped the individual, family, or group. Contributing to decisions about admission to other services through the completion of pre-admission assessments. This includes reducing the risk of admission through crisis care offers, responding to risk proactively to reduce hospital attendance and reviewing clinical risk formulation to manage patients safely in the community. Provide expert testimony at tribunals and courts as a senior authoritative voice. Provision of statutory reports as and when required. Exercise all responsibilities in statutory decision making in regard to patient care. Identify patients that may require Mental Health Act Assessment and coordinate assessments. Provide advanced specialist and highly expert advice, guidance and consultation contributing directly to clients diagnosis, formulation, and intervention plan. Assess health care needs, based on highly developed skills and knowledge. Plan and coordinate the physical healthcare needs of patients. Plan, develop and manage specialist packages of care, using PCF. Draw on a diverse range of knowledge in making decisions to determine evidence-based therapeutic interventions. Provide highly specialist advanced practice level contribution to risk assessment, risk management and the development of multidisciplinary treatment plans and take responsibility for ensuring necessary documentation is completed as a means to improve health, safety and improve practice. Use professional judgement in managing highly complex and unpredictable care events and capture the learning from these experiences. Lead formal MDT reviews for patients and lead/contribute when necessary to multi-disciplinary and agency meetings. Support service users to make informed choices about their plan of care. Ensure that health promotion and prevention activities factor in an individuals plan of care. Identify, minimise and report risks of danger, harm or abuse. Responsible for ensuring the delivery of high standards of care through employing appropriate clinical governance frameworks. Share information relating to assessment and care plans with clients, carers and families in a responsive, empathic manner. Ensure a safety culture which assures adherence to organisations values. Providing an evidence-based treatment pathway for Adults of Working Age. Ensure that all services provided are acceptable and accessible to the diverse communities which make up the clients of this service. Ensuring an equitable service which meets patients needs and develop additional treatment packages within the treatment strategy to meet those needs. Where decisions need to be made about psychotropic medication outside the competency of the post holder, this should be referred to a medical Approved Clinician (AC) who will assume responsibility for that decision in collaboration with the Responsible Clinician (RC) or to another appropriately competent prescriber. Support the Medical Director, senior managers and directorate manager on information to assure that learning arises from patient feedback, compliments, complaints, concerns and untoward incidents. Responsibility for implementation of policy and/or service developments. Lead major service transformation programmes across recovery services. Shape and implement Trust and system-wide strategy aligned with NHS priorities. Influence Integrated Care System (ICS), commissioners and regional partners. Develop new models of care and pathways beyond the organisation. Contributing to the development and implementation of evidence-based protocols, documentation processes, standards, policies and clinical guidelines. Use expert knowledge to inform and develop treatment protocols. As a Consultant level senior staff, the post holder will contribute to organisational strategies and policies and implement the organisational systems. Undertake research and development activities within the recovery services and MPAC role. Regularly undertakes audit activities. Where possible, clinical practice is based upon research evidence and disseminated to other staff. Evaluate information and make appropriate judgements regarding its appropriateness for integration into practice. Post holder to provide advice, consultation and assessment across the organisation. Continually evaluate/audit ones own practice and that of others. Review decisions made concerning seclusion and long-term segregation of those detained in hospital, reconciling inter and intra professional differences of opinion, judgements on complex clinical issues. Promote and provide evidence of assurance of a learning environment culture, which can evidence implementation of national and local recommendations. Promote and engage in a positive, open and transparent culture, to support and enable the delivery of Livewell Southwest Strategic Objectives. This will include coaching as a senior clinician. Provide a strategic response and contribution to the development of procedures, monitor compliance, and provide service line assurance that clinical standards are being met in mental health practice. This will include advising on remedial action should standards not be being achieved consistently. Contribute to the development, delivery and evaluation of the strategic objectives, to ensure that services are patient-centred and accessible. Ensure that any complaints and significant events are investigated in full, preparing detailed reports with action plans in liaison with Patient Safety Team, Directorate Managers or Heads of Service. ## Person Specification ### Knowledge **Essential** - KnowledgeExpert knowledge in mental state and or physical examination and assessment - Extensive knowledge of current issues relating to health needs of patients in the field of practice, regionally and nationally - To have an applied working knowledge of Mental Health Legislation, related codes of practice and national and local policy and guidance including MHA MCA and associated guidance NICE and national policy. - Advanced knowledge in the psycho-social treatment. Highly developed knowledge of the care of difficult to treat groups e.g. dual diagnoses, additional disabilities or severely challenging behaviour. forensic MH patients, including theory, evidence based and application of such knowledge. - Advanced knowledge of cultural and diversity issues related to the assessment and treatment of good quality MH care. - Audit and research methodology - Detailed understanding of Safeguarding and its application in practice. - Clinical Risk Assessment and Management and its application in practice. - Understanding of psychological models of care and treatment depending on specialist area - Knowledge and theory of clinical leadership. - Knowledge and skills of Clinical Governance and the Quality Improvement agenda - Demonstrate evidence of leading clinical strategic change initiatives - Evidence of previous / current advanced clinical practice in Community mental health Service. - Post qualification training, e.g.: Complex trauma - Structured clinical judgment risk assessment. - Assessment & treatment of offending behaviours, MH law - Significant experience in Transforming Care and Quality Improvement in this strategic direction of national policy. - Experience of organisational change management and fostering a culture of patient safety - Demonstrate awareness and knowledge of wider patient experience agenda. **Desirable** - KnowledgeExpert knowledge in mental state and or physical examination and assessment - Extensive knowledge of current issues relating to health needs of patients in the field of practice, regionally and nationally - To have an applied working knowledge of Mental Health Legislation, related codes of practice and national and local policy and guidance including MHA MCA and associated guidance NICE and national policy. - Advanced knowledge in the psycho-social treatment. Highly developed knowledge of the care of difficult to treat groups e.g. dual diagnoses, additional disabilities or severely challenging behaviour. forensic MH patients, including theory, evidence based and application of such knowledge. - Advanced knowledge of cultural and diversity issues related to the assessment and treatment of good quality MH care. - Audit and research methodology - Detailed understanding of Safeguarding and its application in practice. - Clinical Risk Assessment and Management and its application in practice. - Understanding of psychological models of care and treatment depending on specialist area - Knowledge and theory of clinical leadership. - Knowledge and skills of Clinical Governance and the Quality Improvement agenda - Demonstrate evidence of leading clinical strategic change initiatives - Evidence of previous current advanced clinical practice in Community mental health Service. - Post qualification training, e.g.: Complex trauma - Structured clinical judgment risk assessment. - Assessment & treatment of offending behaviours, MH law - Significant experience in Transforming Care and Quality Improvement in this strategic direction of national policy. - Experience of organisational change management and fostering a culture of patient safety - Demonstrate awareness and knowledge of wider patient experience agenda. ### Experience **Essential** - ExperienceExperience of working as an AC to meet the requirements for accreditation via the portfolio route. - Extensive experience working with patients with complex needs in the specialist field - Extensive experience working with patients who display risk behaviours - Clinical risk assessment and management and its application in practice - Demonstration of using expert practice in a governed therapy advanced clinical qualification - Demonstration of advanced transformational leadership knowledge, skills and competencies - Able to demonstrate having worked in an autonomous expert role utilising clinical assessment skills in highly complex situations - Extensive experience in leading MDT/risk and other forms of meetings - Extensive experience of working as a senior practitioner across a range of mental health settings. - Experience of taking full clinical responsibility for patients service users as an AC with a range of serious mental health problems within the context of multidisciplinary care including those with personality disorder complex trauma. - Experience of working with a wide variety of patients service users presenting problems that reflect the full range of clinical severity, including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse. - Significant experience and expertise in the training of others. - Significant experience in providing supervision and consultations to staff using a range of clinical models. - Quality improvement activities - Have engaged in research and clinical audit activity - Designed and delivered teaching or education packages to patients, carers and health care staff - Detailed knowledge of policy, learning disability, mental health and substance misuse Care co-ordination experience - Experience of representing the organisation/professional regionally nationally - Recognised locally nationally and have a proven track record of work and expertise within your field of practice and specifically with this population. This will be evidenced by roles held including voluntary positions, publications, teaching and links to professional and special interest groups. **Desirable** - ExperienceExperience of working as an AC to meet the requirements for accreditation via the portfolio route. - Extensive experience working with patients with complex needs in the specialist field - Extensive experience working with patients who display risk behaviours - Clinical risk assessment and management and its application in practice - Demonstration of using expert practice in a governed therapy advanced clinical qualification - Demonstration of advanced transformational leadership knowledge, skills and competencies - Able to demonstrate having worked in an autonomous expert role utilising clinical assessment skills in highly complex situations - Extensive experience in leading MDT risk and other forms of meetings - Extensive experience of working as a senior practitioner across a range of mental health settings. - Experience of taking full clinical responsibility for patients service users as an AC with a range of serious mental health problems within the context of multidisciplinary care including those with personality disorder complex trauma. - Experience of working with a wide variety of patients service users presenting problems that reflect the full range of clinical severity, including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse. - Significant experience and expertise in the training of others. - Significant experience in providing supervision and consultations to staff using a range of clinical models. - Quality improvement activities - Have engaged in research and clinical audit activity - Designed and delivered teaching or education packages to patients, carers and health care staff - Detailed knowledge of policy, learning disability, mental health and substance misuse Care co-ordination experience - Experience of representing the organisation professional regionally nationally - Recognised locally nationally and have a proven track record of work and expertise within your field of practice and specifically with this population. This will be evidenced by roles held including voluntary positions, publications, teaching and links to professional and special interest groups. ### Qualifications **Essential** - QualificationsEducated to master's level or significant relevant experience in relevant topic - Postgraduate training to doctoral level (or equivalent), with substantial relevant experience in clinical, counselling, or forensic psychology as recognised by the BPS; or additional postdoctoral training in one or more specialist areas. - Current professional registration - Evidence of continued personal development. - Trained in clinical supervision and the supervision of doctoral trainees - Trained in care co-ordination - Registration with BPS - Evidence of senior leadership training or equivalent experience - Independent and supplementary prescribing qualification - Trained and registered as an Approved Clinician - Full and active Responsible Clinician qualification **Desirable** - QualificationsEducated to master's level or significant relevant experience in relevant topic - Postgraduate training to doctoral level (or equivalent), with substantial relevant experience in clinical, counselling, or forensic psychology as recognised by the BPS; or additional postdoctoral training in one or more specialist areas. - Current professional registration - Evidence of continued personal development. - Trained in clinical supervision and the supervision of doctoral trainees - Trained in care co-ordination - Registration with BPS - Evidence of senior leadership training or equivalent experience - Independent and supplementary prescribing qualification - Trained and registered as an Approved Clinician - Full and active Responsible Clinician qualification ### Specific Skills **Essential** - Specific skills - Expertise in the assessment of mental health including a bio-psycho-social-cultural; approach. - Ability to understand and assess a range of clinical risk issues with specific focus on risk of violence to others and risk of deliberate self-harm. - Expert knowledge awareness of relevant MH, MCA & DOLS legislation. - Expertise in understanding the care coordination process alongside coordinating complex care packages. - Communicate highly complex, highly sensitive and highly contentious information effectively, to a wide range of people - Undertake complex multiagency working and liaise with multiple systems - Ability to work within a team and when appropriate lead a team as well as work independently. - To be able to produce highly complex written information in a variety of formats e.g., letters, reports to a range of audiences patient, family, courts - Ability to interpret and analyse a range of highly complex data and highly risk information in order to identify a range of solutions to complex clinical or organisational problems. - Experience in managing a complex caseload. - Ability to assume leadership responsibilities alongside ability to lead cultural and organisational improvement. - Well-developed prioritisation, planning and negotiation skills to manage team and caseload needs ### Additional Requirements **Essential** - Able to work in accordance with the organisations Values and Behaviours. - As well as being able to demonstrate respect and compassion, build trust, remain responsive, listen. - Lead with positivity and dignity, support, engage and encourage others. Value learning and innovation. - Able to engage with vulnerable people and work effectively in highly distressing and challenging circumstances. - Able to work flexibly and co-operatively as part of a team - Able to use own initiative and make decisions independently - Committed to continual quality and service improvement - Self-aware and committed to professional and personal development. - Able to accept and respond positively to feedback from supervision. - Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport. - This post is subject to a satisfactory Disclosure and Barring Service check. ## Documents - [Full JD and Spec (DOCX, 94 KB)](document:2986847) - [Identification Guidance (DOCX, 64 KB)](document:2986849) - [Applicant Guidance on the Use of Artificial Intelligence (PDF, 121 KB)](document:2986848) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.