Highly Specialist Practitioner Psychologist In Cancer
5 days ago
London
This is an exciting opportunity for a candidate with a strong interest in working in a physical health setting to join the Psycho-Oncology Support Team (POST). Many people accessing our service will have severe and enduring mental health difficulties, past/current trauma, difficulties accessing lifesaving medical treatments, very short prognoses/facing end of life, complex risk and safeguarding needs and changing physical health conditions. This POST holder will hold key responsibilities for a number of core service delivery priorities including Specialist suicidal risk and safeguarding screening role component. The post holder will also support our early intervention post diagnosis pathway, which will focus on building pathways to ensure timely access for patients to information and psychoeducational input to facilitate self-management and access to psychological support as required. As well as the two key parts of the role, the post will provide one: one psychological therapy, Level 2 group supervision to AHP/CNS workforce, staff management and supervision of junior colleagues within POST. There will be opportunities to utilise research skills for audit, policy, service development and research. Our service is trauma informed and aims to provide patients with care that is safe, clear, consistent and relational. This POST holder will hold key responsibilities for a number of core service delivery priorities including Specialist suicidal risk and safeguarding screening role component We have seen an increase in people with significant mental health needs and other vulnerabilities, e.g. trauma, gender-based violence, substance misuse, isolation/homelessness, accessing our service. This role will cover supporting triage delivery where there is biopsychosocial complexity, risk of suicide and vulnerability. It includes direct contact with a patient & liaison with community/MDT services involved. You will contribute to delivering and shaping the triage components of the service. Psychological support for early diagnosis You will focus on building pathways to ensure timely access for patients to information and psychoeducational input to facilitate self-management and access to psychological support as required. You will bring your creativity, ideas skills and focus to inform, develop and deliver this work. You will work with others to create and build upon these new service developments, incorporating co-production. As well as the two key parts of the role, the post will provide one: one psychological therapy, Level 2 group supervision to AHP/CNS workforce, staff management and supervision of junior colleagues within POST. Dimbleby Cancer Care Dimbleby Cancer Care is a dedicated information and support service based at Guy's Cancer Centre, London and at Guy's Cancer at Queen Mary's Hospital, Sidcup. We are part of the Cancer a Surgery Clinical Group at GSTT. We provide a range of support for patients and significant others, including: • cancer information,, • psychological support,, • benefits advice and, • complementary therapies Our service is available for both outpatients and inpatients, and to those bereaved, and who have received support from our palliative care teams at Guy's and St Thomas.' As well as direct clinical work we also provide staff training, supervision and support. The service operates Monday to Friday. As well as, direct clinical work, we provide staff training, supervision, and support to ensure high-quality, compassionate service delivery. We are committed to providing a responsive and compassionate service which is inclusive and accessible for patients and their loved ones, and our staff. The Psycho-Oncology Support Team (POST). You would be a senior member of the POST team, a large group of psychological therapists including psychiatry, assistant psychologists, clinical and counselling psychologists and psychotherapists. We work from a range of psychological perspectives and approaches and value the richness of diverse ways of supporting patients. Clinical: • To be a key senior member of the triage team, with responsibilities including, • Supporting assistant psychologist/students in triage work, • Attending triage meetings and contributing to key decisions regarding patient referral management, eligibility, assigning priority and allocation to clinicians/pathways., • supporting triage delivery where there is biopsychosocial complexity, risk of suicide and vulnerability. This will include direct patient consultation/assessment and formulation, supporting decisions regarding who is best paced to meet clinical need and MDT liaison., • Liaison with community services, palliative care, GPs, internal referrals including medical MDTS, CNSs, AHPs, and other GSTT psychology pathways, • Supporting our admin/support colleagues regarding wait list management, patient queries and operational pathways as needed., • To provide specialist psychological assessments of patients referred to the team based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with patients, family members and others involved as necessary., • To collaboratively formulate and implement plans for the psychological management of a patients psychological adjustment and mental health problems using a range of approaches, based upon an appropriate conceptual framework of their problems, and employing methods based upon available current evidence of efficacy and effectiveness, across the full range of care settings., • To be responsible for implementing a range of psychological interventions for individuals, carers, families and groups, within and across teams employed individually and in synthesis, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses., • To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group., • To exercise autonomous professional responsibility for the assessment, treatment and discharge of patients whose problems are managed by creative and flexible psychologically based care plans., • To provide specialist psychological advice guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan., • To contribute directly and indirectly to a psychologically based framework of understanding and care to the benefit of all clients of the service, across all settings and agencies serving the client group., • To undertake risk assessment and risk management for individual clients and to provide advice to other professions on psychological aspects of risk assessment and risk management. You will support triage practices that adopts the principles recommended by Staying Safe from Suicide: Best Practice Guidance for Safety Assessment, Formulation and Mangement (NHSE 2025). It acknowlegdes that suicidal thoughts and behaviours fluctuate and can change quickly. The intention is to keeple people safe from suicide through collaborative engagement with the person, using a trauma informed, personalised and holistic approach., • To act as care coordinator of a persons psychological care in cancer, and consulting with internal; and external professionals/agencies to help support a persons mental health needs, • To communicate in a respectful, considered, timely, and sensitive manner, information concerning the assessment, formulation and plans of clients under their care and to monitor progress during the course of both uni- and multi-disciplinary care. Teaching, training, and supervision • To deliver training packages when indicated., • To support MDT/ referrers through consultation regarding individual patients care and contribution to learning/training sessions for referrers regarding POST processes and work., • To receive regular clinical professional supervision from a senior applied psychologist., • To gain any additional highly specialist experience and skills relevant to applied psychology and/or the service (as agreed with the professional psychology manager)., • To develop skills in the area of professional post-graduate teaching, training and supervision and to provide reflective practice or supervision to other members of the multidisciplinary team as appropriate., • To provide professional and clinical supervision of junior colleagues., • To contribute to the pre- and post-qualification teaching of clinical, health and/or counselling psychology, as appropriate., • To provide advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate. Management, recruitment, policy and service development • To support the early intervention part of our service: may include, • Develop and implement psychoeducation workshops for patients, • Support education and training for referrers, • Contribute to pathways that support referrers to complete Level 2 psychological assessment and make onward decisions around psychological support, • Contribute to resource development and co production of resources to support patients to navigate the challenges of a cancer diagnosis, treatment decisions and impacts of treatment/surgeries,, • Support triage SOP/process development and implementation including risk and documentation processes., • To contribute to the development, evaluation and monitoring of the teams operational policies and services, through the deployment of professional skills in research, service evaluation and audit., • To contribute to the consultation and engagement of service users in planning and developing the psychology service. Research and service evaluation • To contribute to the development of services, both locally and nationally, through initiating, undertaking and supervising complex service evaluation and audit., • To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members., • To undertake project management, including complex audit and service evaluation, with colleagues within the service to help develop service provision., • To ensure that comprehensive service evaluation is undertaken including ascertaining the views of service users and referrers to the service along with senior team., • To initiate, design and recruit to psychological research studies within the context of the Team and assist with writing up., • To disseminate research and service evaluation findings through publications in peer reviewed journals and oral presentations internally and at national and international conferences., • To utilise theory, evidence-based literature and research to support evidence based practice in individual work and work with other team members. General • To have established an area of specialist clinical or research skills relevant to work within the adult cancer setting through personal development plans agreed with the post-holders manager., • To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the post holders professional and service managers., • To have developed skills in clinical supervision, in selection and recruitment, and in other areas of service development appropriate to the post, through attending relevant courses and through collaboration with more senior colleagues., • To contribute to the development and articulation of best practice in psychology across the service, by continuing to develop the skills of a reflexive and reflective scientist practitioner, taking part in regular professional and clinical supervision and appraisal and maintaining an active engagement with current developments in the field of applied psychology and related disciplines., • To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice of the Health Care Professions Council, British Psychological Society, and Trust policies and procedures., • To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health. Person Specification Training & qualifications Essential • Doctoral level training in counselling/clinical psychology (or its equivalent) Registered with the Health and Care Professions Council (HCPC) as a Practitioner Psychologist Desirable • Specialist training in ACT, CFT and/or CBT EXPERIENCE Essential • Knowledge of how power may be exercised in discriminatory ways within healthcare, and to show skill in addressing acts of discrimination at the level of the individual and organisation., • Substantial experience of working at the highly specialist level with clients presenting with a range of psychological needs of a complex nature., • Experience of highly specialist psychological assessment and treatment of clients across the full range of care settings, (including outpatient, community, primary care and inpatient), life course and presenting problems., • The ability to maintain a high degree of professionalism in the face of highly emotive and distressing problems, and behaviours that may appear threatening or unsafe, • Experience of exercising full clinical responsibility for client's psychological care, using formulation and intervention in a thoughtful and timely way, and liaising with the wider medical teams when necessary. ., • Experience of managing a complex and busy caseload and responding to urgent requests for support/help from colleagues., • Experience of representing psychological therapy within an MDT, showing respect for different approaches and a desire to work to collaboratively and enhance team cohesion and support. Desirable • Experience of working in cancer and palliative care/or physical health care setting, • Experience of working with anticipatory grief, mourning and loss in a physical health context of care., • Experience of developing innovative, creative and inclusive patient resources, including patient inclusion initiatives Knowledge & skills Essential • Highly specialist knowledge of the literature and psychological problems associated with physical health conditions and/or mental health difficulties, • Skills in the use of complex methods of psychological assessment intervention and management frequently requiring sustained and intense concentration., • 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., • Skills and knowledge in managing complex safeguarding issues., • Ability to maintain boundaries and communicate with patients and referrers in a way that is assertive and compassionate regarding difficult decisions around triage outcomes/service provisions., • Skill to adapt psychological theory and practice flexibly within a cancer and palliative care context., • Ability to support patients to access healthcare where there is biopsychosocial complexity, risk of suicide and vulnerability. Including direct patient triage/consultation/assessment and formulation., • Experience of clinical triage and multi agency liaison/consultation to other professional and non-professional groups in general & regarding referral pathways and management Desirable • Knowledge of the theory and practice of specialised psychological therapies in relation to those who show chronic and complex inter-personal ways of relating that may make it difficult for them to engage with medical teams/receive medical treatment/care., • High level knowledge of the theory and practice of at least two specialised psychological therapies., • Knowledge of policy and guidelines within oncology and palliative care that highlight and inform psychological ways of working with both individuals living with cancer/palliative condition and the wider system supporting them (professionals and significant others)., • Ability and skills to set up, and deliver where indicated, group therapy and/or psycho-education programmes. Other Essential • Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings., • Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour., • Experience of working with people from culturally and ethnically rich and diverse communities., • Willingness to talk about death and dying using psychologically informed approaches both clinically, in supervision/training of others, • Good self-awareness and ability to reflect with others within a team, in supervision and management, with the aim of developing and learning from others. Desirable • Knowledge of the theory and practice of specialised psychological therapies in relation to those who show chronic and complex inter-personal ways of relating that may make it difficult for them to engage with medical teams/receive medical treatment/care. This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. 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 (Opens in a new tab). 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. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). #J-18808-Ljbffr
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