SPA/Out of Hours Crisis Response (OOHCR) Practitioner: Sponsorship Available

Central and North West London NHS Foundation Trust

Job summary

We’re offering a unique opportunity to join our Single Point of Access (SPA) team — a service at the forefront of digital innovation and urgent mental health care within the Jameson Urgent Care pathway. As our service continues to evolve, SPA now provides Out of Hours face-to-face crisis assessments overnight (8pm-8:30am), supporting people across London when they need us most.

We’re looking for motivated Band 6 clinicians (nurses, social workers, occupational therapists) or Band 5 practitioners seeking a supported development pathway — who want to build confidence, autonomy and specialist skills in crisis assessment and community-based urgent care. You’ll be part of a dynamic, multidisciplinary team based at the Gordon Hospital in Victoria, working with London’s richly diverse population and gaining experience with both first-time mental health presentations and complex, severe mental illness.

SPA operates 24 hours a day, 7 days a week, 365 days a year. We provide telephone triage, advice, signposting and support for patients, carers, GPs and referrers, alongside our overnight crisis response function. As part of the Out of Hours team, you’ll travel across Brent, Harrow, Hillingdon, Kensington & Chelsea and Westminster to carry out timely crisis assessments, arrange appropriate support, and help reduce avoidable Emergency Department attendance by keeping people safely supported in their communities.

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.

This role offers a rare chance to develop high-value clinical skills in crisis work, risk assessment, autonomous decision-making and culturally competent practice — all within a supportive team committed to learning, reflection and continuous improvement. Postholders will work a flexible pattern across day and night shifts and preferably hold a valid UK driving license.

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

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 (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 Registration

Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).

Closing Date: 11 October 2026

To apply for this job please visit apps.trac.jobs.