About this role
Job summary
The Band 6 ECT/rTMS Nurse is a senior post. The postholder will be responsible for delivering safe, effective, and compassionate neuromodulation treatments, including Electroconvulsive Therapy (ECT) and Repetitive Transcranial Magnetic Stimulation (rTMS). The postholder will lead daily clinical operations, undertake specialist assessments, deliver treatments in line with national standards, and ensure high-quality patient care throughout the treatment pathway.
The role includes clinical leadership, supervision of junior staff, coordination of patient pathways, and active involvement in service development, audit, governance, and accreditation processes.
Main duties of the job
Assess patients pre-treatment including physical health checks, mental state, risk assessment, and treatment suitability.
Provide specialist nursing care during ECT or rTMS sessions, ensuring safety, comfort, and adherence to clinical protocols.
Ensure compliance with national guidelines, for ECTAS (ECT Accreditation Service) and NICE guidance.
Contribute to audits, quality improvement, and service accreditation processes.
Manage patient pathways, including referrals, scheduling, follow-up appointments, and communication with community teams.
Provide clinical supervision and mentorship to Band 5 nurses, HCAs, and students
Deliver training to staff on ECT/rTMS procedures, safety, and patient care.
Work closely with: Consultant psychiatrists, Anaesthetists (ECT), other mental health teams
Communicate treatment progress, risks, and outcomes to the wider MDT/ referring team.
Lead on incident reporting, investigation, and learning.
Ensure infection control compliance within the treatment suite.
Participate in clinical governance meetings, audits, and service reviews.
Maintain safeguarding awareness, escalating concerns appropriately.
Provide psychoeducation about ECT/rTMS, addressing concerns and reducing stigma, and offer emotional support, especially for anxious or vulnerable patients.
Support informed consent, ensuring patients understand risks, benefits, and alternatives
About us
Central and North West London NHS Foundation Trust (CNWL) is one of the largest and most diverse NHS Trusts in the UK, providing mental health, community, learning disability, addictions and offender care services across London, Milton Keynes, Surrey and beyond. Joining CNWL means becoming part of a compassionate, forward-thinking organisation that values kindness, respect, and continuous learning.
We are committed to creating an inclusive workplace where staff feel supported, listened to and able to thrive. CNWL offers extensive opportunities for professional development
leadership training, and career progression, alongside strong multidisciplinary collaboration and a culture that encourages innovation and service improvement.
Staff wellbeing is central to how we work. CNWL provides access to a wide range of wellbeing resources, staff networks, flexible working options where possible, and a supportive environment that empowers you to deliver excellent care.
By joining CNWL, you become part of a Trust that invests in its people, celebrates diversity, and is dedicated to delivering high-quality, patient-centred services across our communities.
Job description Job responsibilities
Band 6 nurses work closely with the people who use our services, families, friends and carers and play an important contribution in how people experience our services. Band 6 nurses are expected to be kind and responsive but professional and informative and contribute to the quality of the services we provide by:
Support the running of the ECT service based on safe, good practice. Role involves front of house clerking in patients, supporting patient in recovery post treatment, covering for Lead nurse in assisting administration of treatment in absence.
Coordinate ECT clinics for inpatients and outpatients across
Facilitate students learning experience for ECT which will include Nursing and Medical students and students from other health related professions. Through Observation of ECT and Teaching Sessions about ECT
Organize training of qualified staff in running the ECT clinic to cover Absence of the postholder
Responsible for collating statistics on use of ECT at Northwick Park which is required by the Trust
Administer rTMS using pre-defined protocols
Be actively involved in promoting the activities of the neuromodulation service
To be prepared to expand skillset in new neuromodulation therapies as the service expands.
To represent CNWL and regional and national neuromodulation forums as the opportunity arise.
Actively involvement in Clinical Audit and Research work undertaken within the Trust
To be aware of and comply with all aspects of the NMC code of Professional Conduct.
Completing stock takes of equipment and medication on a weekly basis to ensure the running and safety of the clinic.
Values
Central and North West London NHS Trust expects all Band 6 nurses to act in a way which shows you understand our core values and are willing to put them into practice with service users, their friends family and carers and also other staff members.
As a Band 6 nurse we expect you to show COMPASSION, contribute to a caring and kind environment and recognise that what you do and say helps can make the lives of others better.
We expect you to RESPECT everyone and acknowledge and welcome peoples differences rather than ignore them or see them as problematic.
We expect you to EMPOWER others and continually try to provide information, resources and support to help others make their own decisions and meet their own needs.
We expect you to work in PARTNERSHIP and behave in a way that shows that you recognise that commissioners and users of our services are the people who generate and pay for our work.
As a band 6 nurse we expect you to role model these values and contribute to ensuring that they are embedded in the practice of the team.
Key Responsibilities
Central and North West London NHS Trust is committed to providing safe, effective services and providing patients and families with a positive experience.
Patient Safety
Band 6 nurses contribute to the provision of safe and reliable services by:
Using their clinical judgement and risk assessments to keep the people using our services as safe as possible
Safeguarding people by recognising and responding when an adult or child might be at risk from abuse but also recognising their own limits and asking for help and escalate concerns when necessary
Escalating safety concerns and by doing so acting as effective advocates for those who use our services
Being open and transparent about their own practice
Supervising the work of others
Reflecting on everyday practice to identify areas where improvements in safety or quality can be made
Working with others to create a culture of continuous improvement
Maintaining accurate, legible, comprehensive records
Maintaining compliance with their mandatory training requirements.
The NMC plays an important role in safeguarding the public by regulating the work of nurses and all nurses, including Band 6 nurses, are expected to register with the NMC each year and adhere to the NMC Code of Conduct.
Clinical Outcomes
Band 6 nurses often work with people who have complex needs and contribute to the effectiveness of services by:
Being confident, autonomous practitioners who take responsibility for the care they give to patients but also take responsibility for overseeing the work of others in the team including less experienced nurses and staff without a professional qualification
Providing skilled, evidence based nursing care which adheres to agreed policies and procedures
Working with patients and families in all stages of the care planning process including assessing risks and needs
Acting as patient advocates in the multi-disciplinary team and overseeing the work of others to ensure that they are also responding to the needs of patients and providing clinically effective care
Working as autonomous practitioners and taking responsibility for the care they give to patients but also work as team members
Contributing to creating and maintaining high performing teams by:
communicating well with all members of the team
understanding their role in the team and how they help the team achieve its objectives
reflecting on their own practice regularly and encouraging the whole team to reflect on their practices in handovers and team meetings
encouraging the team to learn from adverse events or respond to data analysis from audits or benchmarking exercises and implement sustainable initiatives which improve clinical outcomes
Patient Experience
Band 6 nurses contribute to the people using our services feeling respected and empowered to make decisions about their health and wellbeing by:
Working in partnership with patients and their families and carers
Gaining consent and, as far as possible, involving people in all decision making
Signposting patients and carers to the courses provided by the Recovery and Wellbeing College or services provided by the local authority or voluntary sector
Reassuring people by being professional, responsive, knowledgeable and confident
Demonstrating clinical leadership and challenging any poor behaviour to patients, families or other staff members and creating a positive, inclusive culture in which everyone is treated with kindness and respect and the trusts values are embedded in all practice
Responding to complaints or concerns effectively and quickly in line with the Trust policy
Supporting yourself and others
All services and teams in the Trust should be able to demonstrate that they are meeting the Care Quality Commission (CQC) standards of care. Band 6 nurses are expected to be Clinical Leaders and play an active role in ensuring that the team understands the CQC standards and what individual team members do to help achieve those standards by:
Taking a lead role in gathering and recording evidence which demonstrates that CQC and locally agreed standards are being met: assessing the performance of the whole team by using audit and benchmarking exercises and often contribute to the implementation of quality improvement initiatives
Contributing to the performance management of teams and creating a positive culture in which the team can learn from mistakes and is enthusiastic to improve
Deputising for the Inpatient manager /Matron and ensuring that there is no fall in performance in their absence. This may include managing the team and coordinating shifts.
Engaged staff are more productive and Band 6 nurses play a role in engaging in other staff members in the Trust and the work we do by:
Providing supervision and annual appraisals to individuals and giving constructive, regular feedback which helps those individuals reflect on their work, understand their objectives and the CQC standards and monitor their progress towards achieving them
Participating constructively in their own supervision and annual appraisal processes
Using continuing professional development funds to develop a relevant clinical specialism, gain sign-off mentorship skills or undertake accredited leadership or management modules.
Service Specific Responsibilities
The service specific responsibilities attached to this Band 6 nurse post are explained in the Service Specific Section attached to this Job Description and the attached Person Specification.
Person Specification
Education and Qualifications Essential
Registered Nurse Mental Health Numeracy skills required for the safe administration of medicines Evidence of relevant Continuous Professional Development
Desirable
Practice assessor/ supervisor training completed, completion of preceptorship. Completion of medication competency assessment Intermediate Life support Training
Previous Experience Essential
Extensive experience working as a Band 5 nurse in Older / Adult Inpatient Mental Health Services
Desirable
ECT experience RTMS experience
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Central and North West London NHS Foundation Trust
Address ECT/Neuromodulation Clinic, Harrow
Watford Rd
Harrow
HA1 3UJ
United Kingdom
Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)