Job summaryThis is a new consultant post created to provide medical leadership to Hammersmith & Fulham's new Complex Psychosis Team, which brings together the existing Community Rehabilitation Service (CRS) and a new Assertive Outreach (AO) function under a single clinical and operational structure, each delivered as a distinct "arm" of one team with a single Service Manager. The post holder will hold overall medical responsibility for both arms, working closely with a 0.5 WTE Specialty (SAS) Doctor whose recruitment is running in parallel with this post.
Because the AO function is a new, NHS England-mandated service still in its mobilisation phase, this post carries a genuine and time-limited service development component: helping to finalise the tri-borough clinical model, establishing pathways and standard operating procedures, and shaping caseload and workforce arrangements as the service beds in. This is reflected explicitly in the job plan (Section 9)
Main duties of the job- Direct clinical care across the CRS and AO arms: new assessments, ongoing reviews, medication management, CTO reviews, and Mental Health Act assessments as required.
- Assertive, community-based contact with the AO cohort, including home visits and joint visits with care co-ordinators, reflecting the AO model's emphasis on engagement as a therapeutic intervention.
- Weekly multidisciplinary team meeting for the Complex Psychosis Team (both arms), plus daily flagging/triage of urgent concerns.
- Support to the team's duty function for urgent risk and safeguarding concerns.
- The post holder will be an Approved Clinician under the Mental Health Act and to hold Section 12 approval, consistent with the clinical responsibilities of this role.
- No dedicated outpatient clinic ratio applies in the traditional sense; clinical contact is organised around MDT review clinics, home/community visits and duty cover, as set out in the job plan (Section 9). There are no inpatient beds or day-patient services attached to this post.
- Be professionally accountable to the Clinical Director - H&F and the H&F Clinical Lead for Community Mental Health Services, and operationally accountable to the Clinical Director - H&F and the Service Manager for the Complex Psychosis Team.
- Be a member of the H&F Medical Advisory Committee (MAC), contributing to operational and strategic matters and to discussion of major service developments.
About usWest 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.
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' overallby 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.
DetailsDate posted: 30 September 2026
Pay scheme: Hospital medical and dental staff
Grade: Consultant
Salary: £113,565 to £150,569 a year
Per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 222-MED-601
Job locations: Community Rehabilitation Service, 179-183 Fulham Palace Road, London, W6 8QZ, United Kingdom
Job descriptionJob responsibilitiesThe Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Person SpecificationQualificationsEssential- MBBS or equivalent medical qualification
Desirable- MRCPsych
- Additional clinical qualifications
- Qualification or higher degree in clinical research or management
EligibilityEssential- Fully registered with the GMC with a licence to practice at the time of appointment
- GMC Specialist Register or within six months
- Approved clinician status OR able to achieve within 3 months of appointment
- Good standing with GMC with respect to warning and conditions on practice
- Approved under S12 OR able to achieve with 3 months of appointment
Academic skills and lifelong learningEssential- Excellent written and oral communication skills
- Participation in continuing professional development
- Active participation in clinical audit/quality improvement
- Ability to deliver undergraduate or postgraduate teaching and to supervise junior/SAS medical staff
Desirable- Experience of clinical research or service evaluation
- Evidence of achievement in education, research, audit or service improvement
Clinical knowledgeEssential- Excellent clinical skills, with experience relevant to complex psychosis, rehabilitation and/or assertive outreach
- Able to meet duties under MHA and MCA
- Excellent knowledge in speciality
Desirable- Experience of working with patients who disengage from services / experience of assertive engagement approaches
Disclosure and Barring Service CheckThis 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 SponsorshipApplications 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).
UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer detailsEmployer name: West London NHS Trust
Address: Community Rehabilitation Service, 179-183 Fulham Palace Road, London, W6 8QZ, United Kingdom
Employer's website: Apply through our website
Employer contact detailsFor questions about the job, contact: Clinical Lead, Dr George Coates, george.coates@nhs.net
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). 