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Job overview
This is an opportunity to join a ground-breaking team in SWLSTG Trust, delivering Structured Clinical Management (SCM). This is an evidence-based approach for working in a community setting with adults with Complex Emotional Needs/ a diagnosis of personality disorder. You will receive training and ongoing supervision to ensure that you develop and maintain the necessary skills for working with this client group. Supervision will be provided by a Clinical Psychologist within the team. We are keen to receive applications from Social Workers, Occupational Therapists, Nurses, Clinical associates in psychology, and Mental Health and Wellbeing Practitioners. You will need to have a distinct interest in working with this client group to get the most from this position.
We are very keen to receive applications from those who are from a BAME background, or have protected characteristics, who are under-represented in this sector.
Main duties of the job
You will hold dual team membership. You will be based in Richmond Integrated Recovery Hub (IRH- a community care team) at Livingston House, Teddington, and line-managed in this setting. However, your clinical duties will fall under the SCM Team, where you will receive your clinical supervision. You will need to travel to Springfield hospital around once per month for meetings, and some training. In the SCM team you will be part of a group of staff who are highly motivated to support clients with Complex Emotional Needs/ a diagnosis of personality disorder, and to do so compassionately and creatively. You will be involved in the assessment and treatment of clients, providing individual and group-based interventions within the SCM framework. You will hold your own caseload, and provide telephone coaching to clients between session, as necessary (within working hours). You will receive training and supervision in SCM and other key clinical approaches/ techniques.
Detailed job description and main responsibilities
- To implement, in conjunction with other members of the team, plans for the formal psychological treatment and/or management of a patient’s mental health problems using SCM.
- To exercise autonomous professional responsibility for the assessment and treatment of allocated patients within the service model.
- To participate in clinical and managerial supervision.
- To be responsible for the flexible management of a defined caseload designed to meet the individual needs of the client and carers.
- To work within policy, professional and legal frameworks at all times and have a clear understanding of ones Code of Professional Conduct, risk assessment and safeguarding children protocols, Mental Health Act and CPA, and Trust clinical policies
- To ensure effective communication within the team and share relevant information as required.
- To implement and/or participate in crisis intervention measures with the client/family or in conjunction with other agencies.
- To supervise and monitor the therapeutic effects and side-effects of prescribed medication providing the client with clear advice and information.
- To maintain accurate clinical documentation in line with Professional and Trust’s record keeping standards.
Person specification
Skills and Abilities
Essential
- Able to provide quality care that is responsive to service user’s needs, without close supervision
- Skills in clinical assessment/baseline mental health assessment
- Skills in risk assessment and risk management and crisis management
- Resilient: able to cope with difficult interpersonal situations
Desirable
- Problem solving, ability to identify problems, review options and take appropriate action without a predetermined framework
- Group facilitation skills
Experience and Knowledge
Essential
- Experience of reflective practice, e.g. understanding and ability to use supervision to reflect on skills, attitude and knowledge and develop these by using evidence-based practice
- Significant relevant clinical experience
- Knowledge of clinical governance and audit
- Knowledge of relevant professional and clinical national policy/ legislation, specifically for clients with a diagnosis of personality disorder
Desirable
- Experience of managing a caseload
- Experience of working in the community
Education and Qualification
Essential
- Current professional registration (Nurse, Occupational Therapist, Social Worker, Clinical/ Counselling Psychologist) OR Clinical Associate Psychologist OR undergraduate degree plus post-graduate practitioner diploma in psycho-social interventions or a related field
Desirable
- Training in SCM or other evidence-based intervention for this client group
- Post-registration qualification/ accreditation relevant to the post
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Applying for this NHS job
This advert is for Structured Clinical Management (SCM) Practitioner with South West London and St George's Mental Health Trust NHS Trust in London, London, England. It is listed as a Band 6 Nurse practitioner role. The advertised salary is £45,953 - £54,254 per annum inclusive of outer London HCAS. The contract type is Secondment: 18 months (or Fixed Term). The application deadline is 30 Jul 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (23 Jul 2026) to decide whether this role fits your current NHS job search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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