West London NHS Trust
Senior Clinical Practitioner (Nurse)

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Mental Health Single Point of Access
The Mental Health Single Point of Access is at the centre of urgent and crisis mental health care across Ealing, Hammersmith & Fulham and Hounslow. Alongside our 24/7 SPA, the team also delivers NHS 111*2 mental health provision and Mental Health Urgent Community Response, creating a unique service where senior clinicians can work across telephone triage, urgent response, crisis pathways and system-wide decision-making.
Role Overview
We are looking for an experienced and dynamic Band 7 Senior Clinician who enjoys challenge, autonomy and leading from the front. You will make complex clinical decisions, support staff in real time and help shape how people access the right care at the right time.
This is a role for someone who wants more than a traditional clinical post. You will influence pathways, lead practice across a fast-moving service and play a key role in the continued development of urgent and crisis mental health care
Responsibilities
As a Band 7 Senior Clinician, you will be one of the key clinical leaders within SPA, NHS 111*2 and MH UCR. You will provide senior oversight of complex referrals, telephone triage, urgent and crisis presentations and professional-to-professional contacts, supporting the team to make safe, confident and proportionate decisions.
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You will lead the service clinically and operationally on shift, providing immediate support with risk, escalation and complex pathway decisions while maintaining oversight of service pressures and patient flow.
You will supervise and develop staff, contribute to quality improvement, audit and performance and work closely with CATT, primary care, ambulance services, police and wider partners. You will have the opportunity to influence practice, develop new ways of working and help shape a service that sits at the heart of urgent mental health care across three boroughs.
About West London NHS Trust
West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.


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Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ over 5,000 staff, of whom 59% are BME. Our turnover for 2024-25 is over £500m.
The Trust is rated as ‘Good’ overall by the Care Quality Commission. Forensic services are rated as ‘Outstanding’.
The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.
Contact Information
For further details / informal visits contact:
- Name: Sarah Rexon
- Job title: Service Manager
- Email address: sarah.rexon@nhs.net
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