Job overview
Job Description
Job Title: Clinical/Counselling Psychologist – Older Adult Frailty Services (Band 8a)
Service: Older Adult Frailty Pathway / Integrated Frailty Team
Accountable to: Consultant Clinical Psychologist / Professional Lead
Location: Across community, acute, and primary care settings as required
Hours: Full-time
Main duties of the job
To provide a highly specialist clinical psychology service to older adults within the Frailty Pathway, including comprehensive psychological and cognitive assessment, formulation, intervention, and outcome evaluation.
To work collaboratively with the multidisciplinary Frailty Team and wider system partners to enhance psychological wellbeing, reduce avoidable hospital admissions, and support safe, person‑centred care.
To offer specialist consultation and supervision to colleagues, supporting psychologically informed practice across frailty, community, and acute care settings.
To contribute to service evaluation, audit, and research within the Older Adult Frailty Service.
To work autonomously within professional guidelines (HCPC, BPS) and Trust policies, interpreting these within the context of complex clinical presentations such as dementia, delirium, multimorbidity, and carer stress.
To agree outcomes with the clinical/professional lead and determine how best to achieve them.
Working for our organisation
Be part of a new Trauma Informed service that improves the lives of those living in our community. The work is varied, and no two days are the same. The work is equally rewarding in playing a part in the lives of experienced people. You will be working alongside a Team who are committed to CPD for your growth andprofessional training. We also encourageresearch and creative community approaches to meet the diverse needs of our culturally rich borough of Harrow.
Members of our team have contributed to literature and research on antiracist practice, DIT with Older People, Inpatient Formulation and psychological approaches for hoarding disorder, amongst others.
Working as part of CNWL NHS Trust will also open other opportunities for internal and external CPD offered as part of your career progression. We have a range of live and on-demand CPD available at your convenience to all our Psychology Staff.
The opportunity to work more hours may be available in the future as we look to combine posts within other services.
We welcome an informal conversationabout this roleprior to applying, please emailin the first instance.
Detailed job description and main responsibilities
To provide highly specialist psychological assessments for older adults presenting with frailty, cognitive impairment, dementia, delirium, complex physical health needs, and associated psychological distress.
To deliver evidence‑based psychological interventions tailored to older adults, including those with cognitive impairment, sensory loss, or communication difficulties.
To provide culturally sensitive psychological support and interventions for carers and families, including psychoeducation, coping strategies, and emotional support.
To assess and manage clinical risk, including self‑neglect, vulnerability, safeguarding concerns, and behavioural and psychological symptoms of dementia (BPSD).
To act as a keyworker or care co‑ordinator where appropriate, contributing to care planning, review processes, and multidisciplinary decision‑making.
To support early identification of psychological needs within the frailty pathway to prevent deterioration and reduce unnecessary hospitalisation.
Use of Artificial Intelligence (AI)
AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success.
We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.
Vaccination
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
1. Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
2. Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the
3. Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.