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Central and North West London NHS Foundation Trust
About
Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.
As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit: www.cnwl.nhs.uk
(source: Central and North West London NHS Foundation NHS Trust website)
Contact
- Address
- 350 Euston Road
- Regent's Place
- London
- London
- NW1 3AX
- Contact Number
- 02032145700
Specialist Mental Health Practitioner
Accepting applications until: 06-Apr-2026 23:59
Vacancy status: Open
Accepting applications until: 06-Apr-2026 23:59
Key details
Location
- Site
- Fairfield House
- Address
- Fairfield Crescent
- Town
- Kingsbury, London
- Postcode
- NW9 0PS
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
Salary
- Salary
- £44,485 - £52,521 pa inc HCAS
- Salary period
- Yearly
- Grade
- (NHS AfC: Band 6)
Specialty
- Main area
- OT, Mental Health nursing , and social worker
CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.
We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page
Become part of our team. We care for you as much as you care for others.
CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.
Job overview
Be part of an exciting new initiative in Brent – the Older Adult Urgent Care, Flow & Frailty Service – designed to transform care for older adults with complex mental health needs, frailty, and dementia. As a Band 6 Mental Health Specialist Practitioner, you will play a pivotal role delivering specialist input across community settings, supporting individuals without a requirement for routine hospital-based working.
You will work closely with emergency departments, care homes, community teams, primary care, and voluntary sector partners to ensure timely, preventative, and person-centred support that makes a meaningful difference to patients and their families. Your focus will be on coordination, clinical decision-making, and proactive intervention to help individuals access the right care at the right time.
In this innovative service, you will contribute to care planning, early intervention, and crisis prevention, supporting safe discharge pathways and ongoing community-based care. You will provide guidance to Band 4 colleagues and work collaboratively with carers, families, and partner organisations to enhance the patient experience.
Your work will be instrumental in reducing avoidable hospital admissions, improving system flow, and strengthening integrated, community-based support for older adults in Brent. This is a unique opportunity to be at the forefront of a new, transformative service, shaping how mental health care is delivered for older adults in the borough.
Advert
The postholder will provide specialist mental health assessment, intervention, and care coordination for older adults and people living with dementia across community, care home, and home settings. This includes holistic assessments, risk management, medication review, crisis de-escalation, short-term stabilisation, and development of personalised care plans. The role supports safe discharge, continuity of care, and preventative interventions to reduce avoidable hospital admissions, integrating mental health within frailty management.
The practitioner will participate in Integrated Neighbourhood Teams and multidisciplinary forums, providing specialist guidance to colleagues, supporting care homes and primary care, and leading evidence-based cognitive and social interventions. They will utilise digital tools for monitoring and follow-up, maintain strong communication with internal and external partners, contribute to governance, audit, and service development, and maintain professional standards and registration to deliver high-quality, person-centred care.
Working for our organisation
Joining CNWL means becoming part of a leading mental health and community health organisation that is committed to delivering high-quality, person-centred care. In the Brent Older Adults Mental Health Service, you will work within a supportive, multidisciplinary team focused on improving outcomes for older adults with complex mental health and frailty needs.
CNWL values innovation, professional development, and collaborative working. You will have the opportunity to work across community, care home, and home settings, contribute to integrated neighbourhood initiatives, and help shape preventative, high-quality mental health services. The Trust provides access to professional supervision, reflective practice, and continuous learning opportunities, ensuring that you can develop your skills while making a real difference to the lives of older adults and their carers in Brent.
Detailed job description and main responsibilities
Please refer to the attached Job Description and Person Specification on this advert for further info.
MAIN DUTIES:
Key Responsibilities
Clinical Responsibilities
· Undertake holistic assessments of older adults and people living with dementia across physical, cognitive, functional, emotional and social domains in patients’ homes, care homes and community settings.
· Provide timely response including triage, de-escalation, medication review and clinical decision-making to prevent escalation and hospital admission.
· Assess, plan, implement and evaluate evidence-based interventions and personalised care plans that promote independence, recovery and self-management.
· Identify and manage risks associated with frailty and mental health, including falls, delirium, polypharmacy, cognitive impairment, depression, psychosis, anxiety, self-harm risk and carer strain.
· Monitor medication compliance and side effects, maintaining up-to-date pharmacological knowledge relevant to older adults and people living with dementia .
· Contribute to Comprehensive Geriatric Assessment (CGA)-informed care planning, ensuring mental health is integrated into holistic frailty management.
· Support safe discharge planning and continuity of care through proactive follow-up and coordination with neighbourhood partners to prevent readmission.
· Participate in duty systems including triage and allocation of referrals based on urgency and complexity.
· Maintain accurate, timely documentation and contribute to audit, data collection and service evaluation
Integrated Neighbourhood & Admission Avoidance Responsibilities
· Participate in Integrated Neighbourhood Team (INT) meetings and multidisciplinary forums, contributing specialist assessment, risk formulation and preventative planning.
· Provide proactive case management for high-risk individuals identified through neighbourhood risk stratification or frequent attender data.
· Deliver rapid response assessments within agreed timeframes to prevent avoidable Emergency Department attendance.
· Support care homes and primary care colleagues with specialist advice to reduce emergency presentations.
· Implement short-term stabilisation and safety-netting arrangements to prevent crisis escalation.
· Contribute to digital-enabled follow-up and remote monitoring to support continuity of care.
· Lead and implement evidence-based cognitive and social interventions to support people living well with dementia, provide guidance to colleagues on strategies to reduce the risk of progression in individuals with mild cognitive impairment, and evaluate outcomes to inform care planning and service development.
Use of Artificial Intelligence (AI)
AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success.
We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.
Vaccination
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
- Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
- Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system
- Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
- If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.
Applicant requirements
Person specification
Education
Essential criteria
- Professional Registration (OT, social work/ nursing)
- Mentorship/Practice Supervisor or Practice Assessor training
- Willingness to undertake further specialist training as required
Desirable criteria
- Postgraduate qualification in frailty, older adult mental health, or community health)
- Leadership or management training
- Frailty-specific training (e.g., CGA, dementia care, falls prevention)
Experience
Essential criteria
- Significant post-registration experience in community mental health, frailty, older adults, or long-term condition management
- Experience supervising or supporting junior staff, HCAs, or students
- Experience conducting holistic assessments and developing person centred care plans
Desirable criteria
- Experience in leadership or coordination within community or frailty services.
- Experience in care home liaison or hospital discharge pathways
- Experience leading small projects, audits, or service improvements
- Experience conducting holistic assessments and developing person centred care plans Experience delivering frailty education or training to others
Knowledge
Essential criteria
- Strong understanding of frailty, ageing, multimorbidity, cognitive decline, delirium and polypharmacy
- Knowledge of safeguarding, Mental Capacity Act, and DoLS
- Understanding of risk assessment, clinical governance, and quality improvement.
- Awareness of long-term condition management and prevention of avoidable admissions
Desirable criteria
- Knowledge of local community frailty pathways and integrated care systems
- Awareness of national frailty frameworks and best practice guidance
- Knowledge of digital frailty tools or remote monitoring technologies
- Understanding of care home regulatory frameworks
Documents
- JD (PDF, 320.6KB)
- Person spec (PDF, 432.6KB)
- Accommodation Information for New Starters (PDF, 120.6KB)
- CNWL Staff Networks (PDF, 320.0KB)
- CNWL Values (PDF, 182.9KB)
- CNWL Reward and Wellbeing Handbook 2020 (PDF, 1.1MB)
- CNWL Staff Charter (PDF, 684.7KB)
- CNWL Culture SCARF Behaviour Framework (PDF, 710.2KB)
Further details / informal visits contact
- Name
- Carol Howells
- Job title
- Operational manager
- Email address
- [email protected]
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