Central and North West London NHS Foundation Trust
SPA/Out of Hours Crisis Response (OOHCR) Practitioner
Closing date: 17 August 2026

Job summary
An exciting opportunity has arisen to join our Single Point of Access team, part of the Jameson Urgent and Emergency Care Service. The Team has now expanded to provide Out of Hours face to face crisis assessments overnight between 8pm and 8:30am.

We are looking for experienced and motivated Band 6 health care professionals (nurses, social workers or occupational therapists), or experienced Band 5 clinicians who are looking for a development opportunity, to become part of our dynamic service based in a convenient central London location in Victoria.

SPA is large multi-disciplinary team which provides a telephone triage, signposting, advice and support service, operational 24-hours a day, seven days per week, 365 days a year for patients, carers, GPs and other referrers; and also an out of hours / overnight crisis response function, providing triaging and face to face assessments. Postholders will be expected to work a flexible shift pattern across both day and night shifts, including night shifts in the Out of Hours service, where they will travel across Brent, Harrow, Hillingdon, Kensington & Chelsea and Westminster to conduct crisis assessments and arrange support for patients, with the aim of reducing avoidable attendance in EDs and keeping patients well supported in the community wherever possible.

Main duties of the job
As a SPA/OOH Practitioner you will work as part of a dynamic team, managing crisis calls into the service, undertaking a clinical triage and deciding on the correct care pathway for that caller, referring callers into secondary adult MH services where appropriate, or signposting callers into non-statutory, third sector services. You will also undertake initial triage and assessments for people referred into the service , signposting and referring on as appropriate. You will be expected to co-ordinate shifts and manage and supervise more junior staff within the team.

You will also work nights and undertake visits to assess patients in their homes, always working in pairs. The role will require skilled assessment, onward referrals to CNWL services indicated and signposting similar to the telephony work. Strong clinical risk assessment and formulation skills are essential for this role as well as an excellent understanding of the range of both statutory and non-statutory mental health services available.

The post holder must hold an up to date UK Driving License.

About us
The Single Point of Access service sits within the Urgent Care directorate and is uniquely situated as an access point into crisis support and mental health services across the whole trust.

Those in post will have the unique opportunity to expand and grow their knowledge of the organisation and the support it offers, and play a pivotal part in service users first contact with mental health services, or at the point of crisis and in need of urgent support. You will also be their lifeline in a time of crisis when they need professional support the most.

The service is committed, along with the Trust, to developing its workforce by delivering a robust package of education and training and ensuring the service delivers a trauma informed-based interventions at all times.

Details
Date posted: 31 July 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £47,951 to £56,863 a year per annum incl HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 333-J-UC-0048
Job locations: Gordon Hospital, Bloomburg Street, London, SW1V 2RH, United Kingdom

Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES
Central and North West London NHS Trust is committed to providing safe, effective services and providing patients and families with a positive experience. The SPA/OOHCR Practitioner will:

• Answer all calls to the SPA in a patient and courteous manner, and to screen and prioritise these appropriately.
• Undertake clinical triaging of all calls to the SPA, deciding on the correct care pathway for that call.
• Handle called from 111 option 2 where people use this function to call and report a mental health concern
• Refer callers onto secondary adult MH services where appropriate liaising with teams to ensure timely follow up support
• Signpost callers on as necessary into non-statutory, third sector services.
• Identify social care and safeguarding concerns through the clinical triage process and make referrals to statutory services where needed to support the patient. .
• Respond to calls within time limits set out in the SPA Operational Protocols, ensuring that where they cannot speak to a caller immediately, they are called back in timely manner.
• Take details of all callers, and to record details of all calls onto the relevant patient information system (ie.SystmOne).
• Undertake face to face assessments with patients in their own home to establish their mental health needs and ensure timely treatment and support.
• Maintain staff and patient safety through comprehensive risk assessment and adhering to trust policy on home visiting and lone working (all visits will be with 2 staff)
• Ensure strong working relationship with local HTTs at the beginning and the end of each night taking referrals and making referrals to HTTs as needed.
• Be fully conversant with statutory and non-statutory services across Brent, Harrow, Hillingdon, Kensington & Chelsea and Westminster, and the provision of CNWL services in each borough.
• Leading clinical handovers and coordinating shift to ensure safe allocation of all work and smooth running of service. With support from Team managers
• Ensure safe and effective delivery of care / advice to patients and their carers, utilising own knowledge and skills.
• Provide support, information and education to family members, carers and other professionals who may access the SPA.
• Build and maintain excellent working relationships with key stakeholders, such as GPs, the Police and LAS, taking and triaging referrals as appropriate.
• Maintain a good public image of the SPA by dealing with all calls and face to face interactions in a professional manner.
• Be aware of appropriate escalation procedures in relation to difficult calls, i.e.. A suicidal patient, etc.
• Demonstrate good risk assessment and management skills, ensuring that decisions made are in the interests of the individual patients needs and their safety.
• Participate in both clinical and managerial supervision in relation to role.
• Participate in ongoing training / teaching / reflective practice sessions as required.
• Ensure that all professional and Trust-wide clinical policies and procedures are adhered to.
• Be responsible for the maintenance of accurate patient records on relevant patient information system (ie. SystmOne).

Person Specification
Experience
Essential

• Previous experience as a clinician in an acute or community mental health setting

Knowledge and Skills
Essential

• Ability to communicate effectively in person, via telephone and in writing
• Assessing patients via telephone and in person, identify needs and implement treatment/support plans in a timely fashion.
• Strength in brief interventions and empowering service users to achieve their goals
• Have strong understand of safeguarding responsibilities and able to raise concerns with the appropriate statutory bodies where needed.
• Understanding how the Mental Health Act impacts on your work and the people you are working with
• Demonstrate sound knowledge of commonly prescribed psychiatric medications, side effects and contraindications

Education
Essential

• Current NMC/HCPC Registered as RMN, OT or SW - Professional Registration
• Evidence of relevant Continuous Professional Development

Desirable

• Practice Assessor/Supervisor qualification

Other
Desirable

• Holds a valid UK Driving License

Additional information
Disclosure and Barring Service Check
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.

Certificate of Sponsorship
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.

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.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Central and North West London NHS Foundation Trust
Address: Gordon Hospital, Bloomburg Street, London, SW1V 2RH, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact: SPA Service Manager
Gemma Morris
gemma.morris1@nhs.net
07725085648