The Dual Diagnosis and Outreach Team ( DDOT) was created with Community Mental Health Transformation funding in 2021 to improve access to mental health services for clients with serious mental illness and multiple, complex needs who struggle to gain access to mental health services via more formal routes.
The DDOT is a small team with a Team Lead, a senior nurse and 2 support workers. The team are an outreach arm of the Primary Care Mental Health Service (PCMHS) which works closely with GPs to ensure that people can access appropriate mental health care.
The DDOT are based in the Peterborough Town Hall but most of their work is out and about in Peterborough, joining the Rough Sleeper Outreach team for their shifts on the streets, mingling with staff and clients in the Garden House, the local drop-in centre for rough sleepers, or at the headquarters for Aspire which provides support for those clients with addictions to drugs and alcohol.
The applicant will be joining a vibrant and well-integrated community of services who work well together and who are passionate about their work. They will also be joining at a time when services for people with severe multiple disadvantages are expanding. An outreach psychological service is being set up in Primary Care, a new mobile unit is being bought by the Garden House, the outreach teams are expanding and a dedicated GP post for this cohort is being invested in.
The opportunities for career progression are also numerous with a significant number of senior nursing posts built into the new Peterborough Stepped Care Model. We are introducing more senior nursing roles because we want to promote a wealth of clinical experience in CPFT to promote clinical excellence and better patient care throughout Peterborough.
Regular clinical supervision will be offered by the DDOT team lead and there will also be opportunities to learn from the regular MDT clinical meetings with the PCMHS and training and case discussion sessions with the senior Lead Nurse Specialist for Personality Disorder and the Lead Primary Care Psychologist.
Successful applicants will need to be strong team workers with demonstrable commitment and enthusiasm for working with this client group. This is an exciting opportunity to work with a busy and innovative team on a pilot whose aim is to enhance the chances of local people achieving and maintaining optimal mental health within Peterborough.
Cambridgeshire and Peterborough NHS Foundation Trust is a health and social care organisation dedicated to providing high-quality care with compassion to improve the health and wellbeing of the people we care for, as well as supporting and empowering them to lead a fulfilling life.
Our clinical teams deliver many NHS services, not only via inpatient and primary care settings, but also within the community. These services include children's, adult and older people's mental health, forensic and specialist mental health, learning disabilities, primary care and liaison psychiatry, substance misuse, social care, research and development.
To achieve our goal, we look to recruit high-calibre candidates who share our vision and values. As an equal opportunities employer, we encourage applications from all sectors of the community, particularly from under-represented groups including people with long term conditions and members of our ethnic minority and LGBTQ+ communities.
Please be advised we reserve the right to close adverts earlier than the closing date should we receive sufficient applications.
Regrettably, we cannot offer sponsorship for all our job roles. If you apply for a role that we cannot offer sponsorship for, unfortunately, your application form will be rejected from the process.
For further information on CPFT, please visit our website at
Please refer to the attached job description and person specification for full details of responsibilities
• Work closely with Aspire, the Garden House and PCMHS teams to identify those with significant unmet mental health needs.
• Work in partnership with service users in this dual diagnosis group, many of whom may be living in hostels or on the streets to provide personalized assessment and plans of care.
• To undertake assessments of risk for this group in order to consider access or re-access to secondary care services.
• To support this group of service users into appropriate treatment pathways either via GP, PCMHS or directly to the PCN lead Psychiatrists and Social Workers.
• Support CGL staff and Garden House staff in managing clients experiencing acute mental health issues via the acute pathways.
• Provide a link between CGL Aspire staff and teams working with people living in hostels and on the streets in Peterborough around increased understanding of mental health illness, presentation and management.
• Provide a link between CGL Aspire, PCMHS, social and housing services and primary care.
• Provide a link with HMP Peterborough when clients are released with a dual diagnosis.
• Support community navigator roles within PCNs to support these clients who are not taken on by secondary care to attend appointments, access services and engage with treatment.
Please note for this role you will be required to travel independently around the county meeting strict time deadlines. You will need to hold a full UK driving licence* and have use of a vehicle. You cannot use public transport for this role as this is not a reliable form of transport and will not allow you to meet service needs. Please confirm in your application that you meet the specified criteria.
*DVLA have a number of reciprocal arrangements with overseas countries, for further information please visit the DVLA website
This advert closes on Wednesday 18 Feb 2026