Lead Clinical or Counselling Psychologist
The closing date is 02 August 2026
Chelsea and Westminster Hospital NHS Foundation Trust has been commissioned to provide TransPlus at 56 Dean Street, the first integrated gender, HIV and sexual health service by NHS England.
The post holder will work with clients accessing the TransPlus service in gender healthcare in a Lead Clinician role. The post holder would be expected to provide gender incongruence assessments. The post holder will provide teaching, training, line management and supervision to other members of the service and appropriate stakeholders when needed.
Main duties of the job
To perform a lead clinician role in the assessment of gender incongruence and subsequent treatment planning and oversight as part of a multi‑disciplinary service.
To provide specialist psychological assessment and recommendations for further intervention to the trans and gender diverse people accessing the service.
To co‑design, supervise and lead on the provision of psychosexual and psychological interventions provided by other clinicians working with therapy models as part of a job share.
As well as offering advice and consultation on clients’ psychological care to non‑psychologist colleagues and to other, non‑professional carers; working autonomously within professional guidelines and the overall framework of the team’s policies and procedures.
To lead on the evaluation of interventions provided within the talking therapies service, with a focus on providing quality, timely healthcare.
Job responsibilities
- To provide specialist psychological assessments and intervention plans based on a comprehensive psychosocial assessment.
- To provide good quality assessments/formulations/diagnoses of gender incongruence.
- To formulate and implement plans for the treatment of gender dysphoria and provide regular professional oversight of this plan in conjunction with the MDT.
- To be responsible for the talking therapies service successful implementation of a range of psychosexual and psychological interventions to supplement gender care.
- To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group.
- To exercise autonomous professional responsibility for the assessment, treatment and discharge of clients.
- To provide specialist psychological advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan.
- To contribute directly and indirectly to a psychologically based framework of understanding and care to the benefit of all clients of the service, across all settings and agencies serving the client group.
- To undertake risk assessment and risk management for individual clients and to provide advice to other professions on psychological aspects of risk assessment and risk management.
- To contribute to multi‑disciplinary team meetings; to communicate and reflect using a psychologically based framework.
- To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor progress during the course of both uni‑ and multi‑disciplinary care.
Person Specification
Essential and Desirable Criteria
- Doctoral level training in clinical psychology, including specifically models of psychopathology, clinical psychometrics and neuropsychology, two or more distinct psychological therapies and lifespan developmental psychology as accredited by the BPS.
- Training and qualifications in sexual function and gender identity healthcare
- Experience of providing specialist psychological assessment and treatment of clients across the full range of care settings, including outpatient, community, primary care and in patient settings.
- Experience in undertaking leadership roles within the NHS and in contributing to the development, implementation and evaluation of strategies and clinical policies in multi‑disciplinary/ multi‑agency contexts.
- Experience of line management of qualified psychologists
- Doctoral level knowledge of research methodology, research design and complex, multivariate data analysis as practiced within the clinical fields of psychology.
- Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and challenging behaviour.
- Specific knowledge and experience of providing psychosexual therapy.
- High level knowledge of the theory and practice of at least two specialised psychological therapies.
- Experience of working within a multicultural framework.
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.
Employment is subject to a six‑month probation.
Some roles may require weekend shifts at multiple sites.
About us
Our Trust is one of England’s top‑performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award‑winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
£75,328 to £86,114 a year pro rata per annum incl. HCAS – pro rata
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