WorkWell Norfolk is recruiting a Mental Health and Work Specialist to sit inside a model built around short, work-focused clinical support for people whose mental health is interfering with employment. The post combines assessment, brief psychological intervention, triage advice, supervision, and partnership work across primary care, talking therapies, community mental health services, crisis pathways, and employers. It is designed for a service where mental health input has to be fast, practical, and tightly aligned to vocational recovery.

The role places assessment at the front of the pathway. Participants may be identified at triage, through Work and Health Coaches, or during multidisciplinary discussion when clinical mental health input is needed. Wherever possible, the specialist is expected to assess jointly with the participant’s Work and Health Coach so the person only tells their story once. In a service built around speed and continuity, that arrangement reduces repetition, preserves trust, and helps the team decide quickly whether WorkWell is the right place for the participant at that moment.

Mental Health Assessment, Risk, and the Limits of a Low-Intensity Model

Risk management sits at the center of the post. Participants who express thoughts of suicide or self-harm are not excluded from WorkWell, but they require careful assessment, a safety plan, and a judgment about whether the service can safely continue to offer support. If a participant’s needs exceed a low-intensity offer, the specialist must arrange a warm handover to the right service and follow through so the transfer is not lost between appointments or teams.

A one-sentence reality sits behind the job description: work-focused mental health care cannot function without reliable escalation pathways.

The post also calls for rapid triage advice to the ANP and SPOA for referrals with substantial mental health need, within the one-working-day standard on working days, with agreed clinical cover on non-working days. This is more than a scheduling detail. A person who is deteriorating, living with severe anxiety, or struggling with self-harm ideation cannot wait while systems decide who owns the next step. The role therefore depends on clear thresholds, rapid clinical judgment, and close integration with existing services.

The brief also recognizes neurodiversity and learning disability, requiring the specialist to adapt assessment and support accordingly. In practical terms, that means pacing conversations differently, checking understanding, and avoiding one-size-fits-all psychological language when cognitive style, communication needs, or sensory overwhelm may shape how symptoms are described and managed.

Eight-Week Caseloads and Brief Interventions Focused on Returning to Work

The clinical workload is intentionally limited and time-bound. Participants accepted into the model are expected to receive a small caseload of brief mental health intervention over an approximate eight-week period, with the exact caseload still to be confirmed. The structure favors low-intensity, evidence-based approaches such as CBT-informed interventions, behavioral activation, anxiety and stress management, sleep support, and self-management work delivered one to one or in groups.

The emphasis is not abstract symptom reduction alone. The interventions are framed around work: rebuilding confidence about returning, managing symptoms in the workplace, navigating disclosure, handling conversations with employers, and preparing for phased return or adjusted duties. That focus reflects a familiar problem in vocational mental health: many people can describe their symptoms, but fewer have the practical tools to stay in work, return gradually, or negotiate a safer pattern of duties without a relapse in distress.

The specialist is also expected to shape the participant’s personalized care plan and SMART goals, using Making Every Contact Count principles to reinforce self-management in ordinary clinical encounters. Outcome measures, including EQ-5D and the Attitudes to Work and Health questionnaire, are built into review and discharge decisions. In service terms, those tools provide more than paperwork. They track whether the intervention has changed function, confidence, and work readiness in ways that matter to the participant and the system.

Employer Advice, Fit Notes, and the Practical Interface With Occupational Health

The job goes beyond one-to-one therapy. Where clinically appropriate and professionally eligible, the specialist may certify fit notes under WorkWell care, following DHSC and DWP guidance, updating the clinical record and informing the GP. The role also includes advice to participants, coaches, and, with consent, employers on reasonable adjustments, phased returns, and changes to duties for people living with mental health conditions.

This is the point where clinical judgment enters workplace reality. A participant may not need specialist secondary care, but may still need concrete support to stay in employment: reduced workload, altered shifts, protected time for appointments, modified communication demands, or temporary changes to high-stress tasks. The specialist’s contribution is to translate distress into functional recommendations that employers can use without overstepping confidentiality or making assumptions about diagnosis.

Because the service is embedded in the employment and health interface, communication with GPs, existing mental health workers, and employers becomes part of the clinical work rather than an administrative extra. Plain language matters here. A non-clinical colleague does not need a lecture on psychopathology; they need to understand how symptoms affect concentration, attendance, interaction, fatigue, and safety at work.

Supervision, MDT Work, and Wider System Repair

The position is also a workforce multiplier. The specialist is expected to attend multidisciplinary team meetings, provide the mental health perspective on case discussion, and help resolve stalled or complex cases where emotional distress is blocking progress. Between MDT sessions, the role includes case consultation for Work and Health Coaches, helping them stay within competence while continuing to support participants with mental health needs.

Training is part of the remit as well. The post includes clinical supervision and reflective practice for coaches, alongside education on mental health awareness, risk conversations, safety planning, and escalation thresholds. Employers and system partners are also in scope, especially given the local priority placed on mental health and work in employer engagement. The aim is to make the wider service more capable, not merely to place one clinician inside it.

Clinical governance is explicit throughout the role. Records must be accurate and contemporaneous, with updates to GP systems such as SystmOne or EMIS where required. Safeguarding concerns for adults and children must be identified and escalated, the Mental Capacity Act applied where relevant, and incidents reported through the patient safety framework. Those requirements signal a service that expects short intervention but not short accountability.

Local Pathways, Referral Gaps, and the Pressure on Community Services

The final dimension of the post is systems work. The specialist will build relationships and referral routes with NHS Talking Therapies, including employment advisers, Individual Placement and Support services, community mental health, crisis services, and voluntary, community, faith, and social enterprise providers. Themes about unmet mental health need and gaps in local provision are meant to feed back to the ANP and Clinical Lead so the service can adapt and inform commissioning.

This matters because vocational recovery is rarely linear. Some participants will need only brief intervention and reassurance. Others will need onward referral, more intensive support, or crisis input before work goals can resume. The role is built to keep those pathways visible, rather than letting employment support proceed as if mental health could be addressed in a separate lane.

The post is a contract role based at Broadland Business Park, with a salary starting from £22,400 a year and full-time hours. Its structure reflects a broader health service reality: if work is part of recovery, then the mental health workforce has to be present where employment decisions are being made, and present early enough to prevent people from drifting out of care, out of work, or both.


Reporting by Dr. David Thorne, MD, FAAN for Medicine World Foundation, with additional data provided by MHRA (UK) Official Updates.