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Job Description: Positive Behaviour Support (PBS) Lead Job Title: PBS Lead Location: Birmingham (with travel across Midlands & national packages) Reporting To Head of Clinical Contract Full-time 1. Role Purpose: The PBS Lead is responsible for leading the delivery, quality, and continuous improvement of Positive Behaviour Support across all services. This role focuses on stabilising high-risk placements, reducing restrictive practices, and embedding evidence-based, person-centred approaches across complex Supported Living, Residential, and clinically-led packages. You will work across services supporting individuals with: • Learning disabilities, • Autism, • Mental health needs, • Trauma-related presentations, • Complex behavioural risk This is a hands-on, operational clinical role requiring direct involvement in high-risk placements alongside strategic oversight. 1. Key Responsibilities 2.1 Clinical Leadership & PBS Delivery • Lead the assessment, formulation, and implementation of PBS plans across all services, • Complete Functional Behaviour Assessments (FBA) and develop detailed behaviour support strategies, • Ensure all interventions are proactive, least restrictive, and outcome-focused, • Embed person-centred, trauma-informed approaches across services 2.2 Crisis Intervention & Placement Stabilisation • Provide direct support into services at risk of breakdown, • Lead behavioural crisis response, including:, • Aggression, • Self-harm, • Absconding, • Support teams to safely manage risk while reducing reliance on restrictive practices 2.3 Staff Training & Practice Development Deliver and oversee training in: • PBS frameworks, • De-escalation techniques, • Trauma-informed care, • Restrictive practice reduction Additional responsibilities include: • Coaching frontline staff (Support Workers, Senior Support Workers, Deputies) in real time, • Building internal capability to ensure consistent practice across all packages 2.4 Quality Assurance & Compliance Ensure PBS practices align with: • CQC regulatory standards, • Mental Capacity Act (MCA), • Deprivation of Liberty Safeguards (DoLS) Monitor and analyse: • Incident data, • Behaviour trends, • Restrictive practice usage Produce high-quality reports for internal governance and external stakeholders. 2.5 Multi-Disciplinary Working Work collaboratively with: • Clinical teams (nurses, psychologists), • Social workers, • Commissioners Additional responsibilities: • Contribute to MDT meetings, • Provide clear behavioural insight and recommendations 2.6 Service Development & Mobilisation Support mobilisation of new placements, including: • Environmental setup (low stimulus / low ligature), • Staff team readiness, • Risk planning Contribute to the development of PBS strategy across the organisation. 1. Person Specification Essential • Degree in Psychology, Behaviour Analysis, or related field, • Minimum 3–5 years’ experience working with complex behaviours (LD, Autism, MH), • Strong experience in Positive Behaviour Support and Functional Behaviour Assessment, • Experience working within high-intensity staffing models (2:1–4:1), • Proven ability to stabilise placements at risk of breakdown, • Strong understanding of:, • CQC regulations, • MCA / DoLS, • Safeguarding frameworks, • Experience delivering training and coaching staff teams, • Full UK driving licence Desirable • MSc in Applied Behaviour Analysis or related field, • BCBA, UKBA(cert), or equivalent qualification, • Experience within forensic or CAMHS settings, • Experience in crisis or hospital step-down placements 1. Key Competencies • Strong clinical judgement and risk management, • Ability to lead under pressure in high-risk environments, • Excellent communication and report writing skills, • Ability to influence and challenge practice at all levels, • Highly organised with strong attention to detail 1. Working Pattern • Primarily Monday–Friday, • Flexibility required to attend services as needed, including urgent or crisis situations 1. What Success Looks Like in This Role • Reduction in incidents and restrictive practices across services, • Stabilisation of high-risk placements, • Improved staff confidence and competency, • Positive feedback from commissioners and MDTs, • Strong, consistent PBS practice embedded across the organisation 1. Additional Information • This role involves regular travel to services, • Enhanced DBS required, • The role includes both strategic oversight and direct operational involvement

Following a significant redesign, and a new model of care which will support all children and young people to thrive, Jersey CAMHS we are looking to recruit an additional consultant Child and Adolescent Psychiatrist to join our multi-disciplinary team. The successful applicant will join the three existing consultants. This is an exciting time to join CAMHS with the launch of the service redesign and significant investment into the service. There is opportunity for private practice and a chance to make a real difference to patient outcomes. The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check. For an informal discussion please contact Dr Catherine Keep (Consultant and Clinical Lead) on 01534 445030 or email c.keep@health.gov.je or Dr Darren Bowring (Associate Director for Children's Mental Health and Wellbeing) on 01534 445030 or email d.bowring@health.gov.je or Richard Dyer (Head of Children's Mental Health and Wellbeing, CAMHS) on 01534 445048 or email r.dyer@health.gov.je. For a full job description please click here: _ And as with many aspects of Island life, our Healthcare system is familiar enough for comfort but offers variances that mean our Consultants and patients have a different experience. A small Island community, we have one main hospital that acts as a hub with a small number of offsite facilities and the geography of our Island means there is a shorter commute for you. Find out more about relocating to Jersey _ Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website here _ From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. GMC Registration Applicants must have full current GMC registration, with a licence to practice and have attained specialist registration. The post holders will be expected to take on the full range of duties including the routine and emergency diagnosis and management of children and young people with significant mental health problems (up to the age of 18), the support of other team members and providing consultation and advice to other agencies. Successful applicants will be encouraged to develop a special interest and could take a clinical lead in one of the following areas: • Eating Disorders, • Assessment & Crisis Intervention, • Neurodevelopmental Disorders, • Transition The service has expanded and continues to develop its service delivery to meet the needs of the community. As a senior clinician you will have opportunity to shape the service and influence child mental health more widely on the island. The CAMHS clinics are based at Liberte House, St Helier which is in main central parish. The post-holder may also be required to see Children and Young People who have been admitted to Jersey General Hospital or Orchard Ward (mental health in-patient facility). In-patient Provision There is no designated inpatient provision on island but the team provide flexible intensive packages of care for children and young people with severe or complex mental health difficulties. The packages of care can be provided both for assessment and treatment working jointly with other services including Paediatrics, Adult Mental Health and Children’s Services (Social Care). Both the paediatric ward (Robin Ward) and acute adult mental health ward (Orchard Ward) are used for young people who require admission to hospital. Robin Ward will admit young people up to their 17th birthday. The postholder will be clinically responsible for young people admitted to Robin Ward and Orchard Ward under their care and will be expected to undertake reviews of these patients. All those under 16, and most under 18 admitted to Orchard Ward are cared for separately to the other in-patients if possible or are under continuous observation for safeguarding reasons. When necessary young people can be transferred to the UK for inpatient treatment. Person specification Essential Criteria Recognised Primary Medical Degree Full GMC Registration & License to Practice Registered on the GMC Specialist Register or CCT in Child and Adolescent Psychiatry (or within 6 months of this at the time of interview) or equivalent (which must be confirmed by GMC) Higher speciality training or equivalent experience Eligibility for Section 12 approval (Mental Health Law Approval) Desirable MRCPsych or equivalent Relevant higher degree, e.g. MD. PhD, MSc or other additional clinical qualifications Section 12 approval or equivalent Dual accreditation e.g. Forensic, Learning Disability Responsibilities and Expectations of the Postholders The post holder will be expected to: • Work with children and young people with acute mental health presentations including self-harm, suicidal ideation, low mood and psychotic symptoms and providing support to other members of the team in managing this group during periods of crisis., • Diagnose and manage common psychiatric disorders using both psychological and pharmacological therapies., • Work with young people with mental health problems who have a history of alcohol and substance misuse., • Provide consultation and liaison to other medical specialities, Education, Social Services and other agencies., • Develop and deliver training programmes for a variety of disciplines aimed at improving the level of expertise and the standard of care within the mental health services., • Participate and contribute to the psychiatry teaching programme., • Provide supervision for mental health and other professionals, and receive clinical supervision, • Liaise and work effectively with others who provide services to children and young people as appropriate., • Comply with Health and Care Jersey agreed policies and procedures., • Work with managers and professional colleagues to ensure the efficient running of the services and to share with consultant colleagues the medical contribution to the management of the service., • Participate in clinical governance activities and Quality Improvement including audit There is no requirement for Section 12(2) status and/or Approved Clinician status and/or DOL assessment. However the postholder will be required to attend training to become an Approved Practitioner under the Mental Health (Jersey) Law 2016. Population and CAMHS Caseload • The population of Jersey at the end of 2024 was estimated to be 104,540 with approximately 22,910 under the age of 19., • The current number of cases open to CAMHS is 1885 end of 2025., • The total number of new referrals received in 2025 was 906, • The current postholder’s (locum) caseload is approximately 90. Most of the cases on the caseload will have an allocated care co-ordinator but there may be some exceptions to this. Most new assessments are undertaken by other members of the MDT, but some will require initial medical assessment. There are no fixed requirements for new assessments and follow up appointments. On average there maybe 1-2 new assessments per week and 15-20 follow up appointments, depending on the complexity of the cases and other commitments., • The postholder will be required to participate in the daytime (9am – 5pm) medical on call rota for 1-2 days per week. The initial duty response (including hospital liaison assessments) is made by the duty worker who will contact the doctor on call if required. With an expansion of our crisis services to cover the out of hours period there may be a requirement to provide medical cover for this in the future. Annual leave, Study leave and Job Plan • Consultants are entitled to 30 days of annual leave increasing to 32 days after 7 years’ service (at Consultant level) plus bank holidays., • Study leave for the purpose of professional development should be applied for through the Clinical Lead and is approved by the Director of Medical Education. There is a generous study leave budget and there is an entitlement of 30 days every 3 years., • All consultants have a 10 PA contract for public work, which is non-negotiable. The final job plan will vary according to the successful appointees and be agreed by the Clinical Lead and Chief of Service and ratified by the Group Medical Director. The post holder’s job plan will be reviewed annually and will be appraised according to the current guidance., • All timetables will adhere to current Royal College Guidelines, namely:- 7.5 clinical programmed activities (PAs) 1.5 - 2.5 supporting professional activities (SPAs) consisting of: • 1 SPA for clinical learning and preparation for appraisal (including audit, weekly teaching sessions, case presentations, mortality reviews etc), • 1 SPA for managerial activities, service development and quality improvement (subject to agreement), • 0.5 SPA for other SPA activities tba Some SPAs will be annualised rather than represented in the weekly timetable.

Clinical Psychologist – CAMHS Services We are seeking an experienced and highly motivated Clinical Psychologist to support the delivery of high-acuity CAMHS, complex care, and IMHS community placements across a growing specialist service. This role will provide psychological leadership and therapeutic oversight across multiple complex packages supporting children and young people with autism, ADHD, trauma, learning disabilities, emotional and behavioural needs, mental health presentations, and histories of placement breakdown. The successful candidate will work closely alongside Operations, Clinical Leads, Psychiatry, PBS, and frontline teams to ensure placements remain stable, therapeutic, and psychologically informed. Key Responsibilities • Lead psychological formulation for complex placements, • Provide therapeutic oversight and intervention planning, • Support reduction of incidents, restraints, self-harm, and placement breakdowns, • Deliver reflective practice and clinical debriefs for staff teams, • Support development of trauma-informed and neurodiversity-affirming environments, • Work collaboratively within MDT structures including Psychiatry, Nursing, PBS, and Operations, • Support service managers with behavioural and emotional risk management, • Contribute to clinical governance, restrictive practice reviews, and outcome tracking, • Deliver staff training around trauma, autism, attachment, emotional regulation, and behavioural distress, • Support transitions, stabilisation plans, and complex referrals Experience Required • HCPC Registered Clinical Psychologist, • Experience within CAMHS, complex care, forensic, residential, inpatient, or community services, • Strong understanding of autism, ADHD, trauma, attachment, and behavioural distress, • Experience supporting high-risk or high-acuity young people, • Ability to work within fast-paced and evolving complex care environments, • Strong MDT and communication skills Desirable • Experience within Tier 4 CAMHS or community step-down services, • Experience supporting DoLS or restrictive practice environments, • Knowledge of Positive Behaviour Support (PBS), • Experience supporting staff teams within residential or community settings What We Offer • Opportunity to shape and influence a growing specialist CAMHS and IMHS service, • Highly varied and rewarding role, • Opportunity to work alongside an experienced MDT, • Flexible working opportunities, • Ongoing professional development and progression, • Competitive salary dependent on experience For further information or a confidential discussion, please apply directly.

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