Oxleas NHS Foundation Trust
Mental Health Practitioner
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Senior Clinician – Home Treatment Team (Bexley)
Location: Bexley, Kent Hours: 7 days a week, 21-hour shifts / 7-day roster
The Bexley Home Treatment Team (HTT) is a multidisciplinary service offering 24-hour crisis intervention to individuals in severe mental health distress, with the core aim of providing a safe alternative to inpatient admission. Working intensively in the community, we deliver rapid, short-term mental health support to prevent crises escalating or facilitate early discharge from inpatient units—including our own 72-hour follow-up service for newly discharged patients.
Our team supports individuals in the following ways:
- Providing complex acute assessments in the home to determine suitability for community-based care or inpatient admission
- Delivering intensive therapeutic interventions (e.g., CBT, crisis counselling) to stabilize risks and improve symptom management
- Co-ordinating multi-agency responses with Assessment & Admission Avoidance (AAA) Teams, Mental Health Liaison (MHL) Teams, community mental health services, local authorities, and statutory/voluntary partners
- Supporting safe transitions (e.g., from wards to community care)
- Contributing to crisis relapse prevention planning
Key Responsibilities
As a Senior Clinician (e.g., Consultant Psychologist, Nurse, Psychiatrist or Advanced Practitioner) within our HTT, you will:
- Gatekeep admissions, using advanced risk-work to make evidence-based, time-sensitive decisions under pressure.
- Lead complex consultations and collaborative care discussions involving families, carers, agencies and other professionals.
- Ensure robust clinical governance, practice variation checks and continuous reassessment for safeguarding vulnerabilities (including Information Sharing Level (ISL 5 & 6)).
- Promote clinical excellence by modelling effective, evidence-based care and enhancing expertise across the team.
- Provide clinical supervision & appraisal to junior members of staff, fostering professional development.
- Engage in multi-agency learning opportunities, including contributing to Mental Health Crisis Pathway Improvements.
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Person Specification
- Qualification & Experience: Regulated professional registration within healthcare or social work (e.g., Nursing, Psychology, Social Work, Occupational Therapy). Demonstrable leadership experience in acute mental health crisis care. Strong risk assessment and therapeutic engagement skills, particularly with complex cases susceptible to rapid deterioration. At least 2 years’ experience in a senior/mid-banding crisis role (FHTT, CCFR, inpatient liaison roles acceptable).
- Coordinated Working: Experience working with multi-disciplinary teams, including liaising with police/social workers and collaborating in urgent settings.
- Continuing Professional Development: Commitment to reflective practice & integrating NICE/GSCC guidance into local practice
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*Skills
- Excellent verbal & written communication (including clarity & concision under stress).
- Resilience, flexibility and the ability to operate within a fast-paced, unpredictable service.
- Problem-solving and the capacity to simplify complex scenarios for ALL stakeholders.
- Demonstrated leadership in training/evaluating clinicians
About Oxleas NHS Foundation Trust
Oxleas is a person-first NHS Trust serving London & South-East England with a commitment to public health excellence. Our 4,300+ staff work across:
- Inpatient & community mental healthcare (including Bracton Centre), learning disability services, and incluldesive community mental health.
- Prison health (25 prisons across Kent, Devon & South London).
- Discipline hubs: AssFrutcure, District Nursing, Speech & Language Therapy.
Our Culture: Driven by the trust’s four core values: "We're Kind, We're Fair, We Listen, We Care" We prioritise earned trust, teamwork and patient-first collaboration, with a proactive focus on innovation in crisis care pathways.
Next Steps
Local Line Manager: Liese Dallarda, Manager – Bexley Home Treatment Team Email: Liese.dallarda@nhs.net Direct: +0777 576 1242
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