We will shortly be taking expressions of interest from Partnerships interested in taking on Children’s Wellbeing Practitioner (CWP) posts for the third cohort beginning in January 2019.
Please note that priority will be given to those partnerships that are able to demonstrate:
- Strong sustainability plans beyond the training year – with evidence that these new roles have been discussed with commissioners and strategies put it place to sustain these posts using local funding. Innovative approaches to retention and sustainability will be favoured.
- Clear supervisory arrangements
- Comprehensive implementation plans – thinking particularly about ways in which this new workforce will be integrated with and compliment other teams/networks within the partnership
The national programme was established in 2017 as a response to the target for offering an evidence based intervention to 70,000 more children and young people annually by 2020, by training up 1700 new staff in evidence based treatments, outlined in Implementing the Five Year Forward View for Mental Health. From April 2017, 15 CYP IAPT Partnerships were involved in the pilot; employing and training (in conjunction with UCL and KCL) a total of 60 CWPs across the London and the South East collaborative. During the second cohort, from April 2018, 21 Partnerships were involved in the programme; training up an additional 60 CWPs.
Providers (NHS, LA, VS) and CCGs can apply in partnership for funding to create up to 4 CWP training posts at band 4, which will come with resource to provide intense supervision and support. It is also possible for partnerships to apply for less than 4 posts, therefore, the proforma will ask partnerships to state if they would like to take on less than 4 CWPs and, if so, how many.
These posts will constitute a sub-service, equipped to see young people who wouldn’t otherwise reach local thresholds for CAMHS; they will be distinct roles, and not assistants to existing therapists.
CWPs will undertake certificate level training for 1 year, hosted by either University College London (UCL) or Kings College London (KCL), anticipated to begin in January 2019 and subject to confirmation from HEE.
The CWPs will be trained over the course of a year to offer brief, focused evidence- based interventions in the form of low intensity support and guided self-help to young people who demonstrate mild/moderate:
- Anxiety (primary and secondary school age)
- Low mood (adolescents)
- Common behavioural difficulties (working with parents for under 8s)
During the first term, CWPs will receive an initial three days a week of University led training, with a further two days a week allocated to work within their service under close supervision. During the second term, this reduces to one/two days a week University training, with three/four days for CWPs to put their skills into practice within their service, supported by local supervisors and service development leads.
Funding arrangements are currently being confirmed by HEE for year 3. However, it is anticipated that salary support will be available up to mid-point band 4 for each trainee (in addition to on costs and high-cost living area weighting where applicable), at £21,052 per CWP.
Placement support funding will also be available for the recruitment of a CWP supervisor and service development lead (see below).
Supervision and Service Development
In order to ensure that CWPs are supported during their first year in post, each partnership will need to ensure that appropriate supervisory arrangements are in place in time for the start of the programme in January 2019. During year 1 and 2, HEE provided £12,000 per CWP as ‘placement support’ funding for each service to recruit a CWP Supervisor/Service Development Lead (SSDL) to provide intense supervision and support for 1 day a week per CWP within their service. The SSDL will be required to attend workshops throughout the year, led by Duncan Law, to support them in setting up the new service. SSDLs will also be required to attend skills training session with their CWPs to support learning.
When qualified, CWPs will see a high volume of children and young people. This reflects the relatively low level of need that will be addressed and the brief nature of the work that is intended.
During their training year the CWPs are expected to increase from a caseload of around 12 CYP at the very beginning of the training (post block-teaching period) to a caseload of 25-30 towards the end of the course, with the HEI stipulating the number of clinical hours required to for the practitioner to complete the training. Upon completing the first year of training, it is anticipated that CWPs will see approximately 90 cases during their first year as qualified CWPs, with the hope that this will continue to grow as they gain more experience within the role.
CWPs are trained in a method of guided self-help for common mental health problems for children and young people and their parents. This approach uses evidence-based methods of intervention. Crucial to this approach is the need for the young person or parent to be able to track their progress against agreed goals. This is fundamental to the whole approach and contributes to the effectiveness of the intervention itself. Each session delivered by a CWP involves inviting young person to track progress by completing standard measures online so that this can be scored and fed back to them in the session. This contrasts with previous methods of using paper-based outcome measures which were routinely completed but not scored in the session and often the client did not receive feedback on the information obtained by the measure.
It is necessary for all CWP s in training to have the facility to be able to feed back in session to the client. In London and the South East, this function has been supported by the use of POD, an online system which has been developed by UCL/AFNCCF. Feedback from CWPs and young people is that this system works very well. Alternative systems may be considered by Partnerships, but we would want them to ensure that alternative systems have the following capacities:
- Collect measures on phones or tablets in the session
- To provide immediate feedback the client
- To be able to aggregate individual outcomes with outcomes for the whole service.
- To be able to extract CWP data from whole service datasets.
- To be able to format data in such a way that it can contribute to national evaluation of the CWP programme.
The POD system also supports the CWP trainees to monitor their own learning goals and outcomes by tracking their self-rating of CWP competencies. This provides the CWPs with real time feedback within their training which mirrors the feedback that young people and parents would receive within their sessions. Overall POD is not just an outcomes monitoring tool for services. It is an integral part of the intervention and crucially provides outcomes for the clients themselves.
All new CWP partnerships will be given the opportunity to trial POD for the CWP programme for one year, free of charge. Beyond the first year of involvement, partnerships are able to continue to use POD for an annual license fee of £1000 per partnership (further details to follow).
Checklist of requirements
Before submitting an application for places on this programme, please ensure that you have read the checklist of requirements below and are happy that you can meet these requirements prior to the start of training in March 2018.
- Provision of a video camera and SD card for recording sessions
- Provision of an encrypted memory stick
- Access to a tablet or laptop for each CWP (or the ability to purchase one in time for the start date)
- Please note this year’s salary support arrangements (as specified under ‘funding’). Additional costs for travel and equipment, etc, will need to be discussed and managed locally.
- Agreement from providers and commissioners within the local system as to where the CWP will be placed within the local context.
- A discussion locally as to how this new post will be funded beyond the first year – this should be discussed with commissioners and integrated into Local Transformation Plans.
- Read and agreed to the terms laid out in the CWP Memorandum of Understanding
- Read and agreed to the guidance laid out in the CWP Operational Guidance for London and SE
If your partnership is successful in their application for CWPs this year, more details about the recruitment process will be sent out once your places have been confirmed. Candidates who apply for the CWP role will need to submit an application for both the university course and the job role within the partnership simultaneously and a link to apply to the CWP university course (hosted by either UCL or KCL depending on allocation) should be embedded into the partnership job advert. Once confirmed as successful, each partnership will be sent all of the information they need to include in their advertisement relevant to the HEI application process.
In order for candidates to be considered for the role as CWP, they must meet the HEI’s minimum entry requirement to the course:
- A minimum of a second-class Bachelor’s degree from a UK university or an overseas qualification of an equivalent standard in a relevant subject (e.g. psychology)
- Motivation to undertake and complete the course
- If candidate’s education has not been conducted in the English language, they will be expected to demonstrate evidence of an adequate level of English proficiency
How to apply
First, please read the CWP Operational Guidance for London and SE
Please then complete and return the following documents to Louise.Ellis@annafreud.org:
The deadline for expressions of interest will be the 15th July 2018.