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East London NHS Foundation Trust

ARFID Pathway Lead

Fully remote Salary published Lead
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Salary
£75,328–86,114 per year
Location
London, Greater London, England
Contract
Fixed-term contract · Full-time
Last verified
15 Aug 2026
Fully remote

Fully remote

No regular office attendance expected.

Office location
London, Greater London, England
Remote arrangement
Fully remote

Transparency summary

Salary minimum
£75,328
Salary maximum
£86,114
Salary negotiable
No
Contract type
Fixed-term contract
Working hours
Full-time
Expected weekly hours
Not stated
Remote arrangement
Fully remote
Office location
London, Greater London, England
Department
Customer Service
Industry
Healthcare
Experience level
Lead
Last verified
15 Aug 2026

Job Description

Job summary The post holder will provide senior clinical leadership of the ARFID Pathway, working closely with the General Manager and the wider CEDS-CYP leadership team to lead the day-to-day clinical operation of the pathway. This is a highly specialist, multi-professional leadership post: the role is open to applicants from a Nursing (Mental Health or Paediatric/Child) or Occupational Therapy background who can evidence highly specialist experience of ARFID, feeding and eating disorders, and neurodevelopmental/sensory presentations in children and young people. The post holder will provide highly specialist assessment, formulation, triage and consultation for children, young people and their families presenting with ARFID or suspected ARFID, including those with complex, heterogeneous presentations such as learning disability, global developmental delay, sensory sensitivities, neurodevelopmental conditions and physical health comorbidities, in line with the pathway's inclusion and exclusion criteria. Main duties of the job ? To provide highly specialist clinical leadership of the ARFID Pathway within EL CEDS-CYP, working across Nursing, Occupational Therapy, Dietetics, Psychology, Speech & Language Therapy, Psychiatry and Paediatrics. ? To provide highly specialist assessment, triage and formulation for children and young people aged 8-18 with ARFID or suspected ARFID, in line with the pathway's inclusion criteria (declining weight, nutritional deficiency, physical sequelae, MEED Red/Amber risk, ONS or NGT feeding) and exclusion criteria. ? To evaluate and monitor eating disorder-related clinical risk on an on-going basis, including physical and psychiatric risk, using the MEED risk framework, and to undertake or oversee basic physical health checks (e. g. height, weight) as part of risk assessment. ? To lead the MDT formulation process for children, young people and their families with complex ARFID presentations and comorbid neurodevelopmental, sensory or physical health needs, drawing on an appropriate conceptual framework and research-based evidence. About us Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations. Details Date posted 14 August 2026 Pay scheme Agenda for change Band Band 8b Salary £75,328 to £86,114 a year Per Annaum Contract Fixed term Duration 12 months Working pattern Full-time, Flexible working, Home or remote working Reference number 363-SS8177955 Job locations Emanuel Miller Center Emanuel Miller Centre London E14 8HQ United Kingdom Job description Job responsibilities To provide close liaison and, where appropriate, joint working with local CAMHS and paediatric services to ensure equitable access for children and young people with complex, neurodevelopmental or sensory presentations, supporting consultation rather than exclusion wherever appropriate. To be responsible for providing and receiving highly complex, sensitive, distressing and emotional information in relation to a child or young person's eating and physical health, where there are often barriers to acceptance or engagement. To spend sustained periods of time with children, young people and families who may present with high anxiety, distress or resistance around eating, and who may have additional communication needs; to manage exposure to highly emotional atmospheres and to recognise and defuse risk appropriately. To work in ways which are sensitive to the needs of families from a wide range of racial, cultural, sexual, religious and social backgrounds, and to develop innovative ways of meeting these needs, including working with interpreters where required. To be responsible for monitoring, recording and reporting on clinical work, and communicating highly complex clinical information to a variety of recipients (service users, families, carers and professionals) both orally and in writing Job responsibilities To provide close liaison and, where appropriate, joint working with local CAMHS and paediatric services to ensure equitable access for children and young people with complex, neurodevelopmental or sensory presentations, supporting consultation rather than exclusion wherever appropriate. To be responsible for providing and receiving highly complex, sensitive, distressing and emotional information in relation to a child or young person's eating and physical health, where there are often barriers to acceptance or engagement. To spend sustained periods of time with children, young people and families who may present with high anxiety, distress or resistance around eating, and who may have additional communication needs; to manage exposure to highly emotional atmospheres and to recognise and defuse risk appropriately. To work in ways which are sensitive to the needs of families from a wide range of racial, cultural, sexual, religious and social backgrounds, and to develop innovative ways of meeting these needs, including working with interpreters where required. To be responsible for monitoring, recording and reporting on clinical work, and communicating highly complex clinical information to a variety of recipients (service users, families, carers and professionals) both orally and in writing
What you will do
? To provide highly specialist clinical leadership of the ARFID Pathway within EL CEDS-CYP, working across Nursing, Occupational Therapy, Dietetics, Psychology, Speech & Language Therapy, Psychiatry and Paediatrics. ? To provide highly specialist assessment, triage and formulation for children and young people aged 8-18 with ARFID or suspected ARFID, in line with the pathway's inclusion criteria (declining weight, nutritional deficiency, physical sequelae, MEED Red/Amber risk, ONS or NGT feeding) and exclusion criteria. ? To evaluate and monitor eating disorder-related clinical risk on an on-going basis, including physical and psychiatric risk, using the MEED risk framework, and to undertake or oversee basic physical health checks (e. g. height, weight) as part of risk assessment. ? To lead the MDT formulation process for children, young people and their families with complex ARFID presentations and comorbid neurodevelopmental, sensory or physical health needs, drawing on an appropriate conceptual framework and research-based evidence. To provide close liaison and, where appropriate, joint working with local CAMHS and paediatric services to ensure equitable access for children and young people with complex, neurodevelopmental or sensory presentations, supporting consultation rather than exclusion wherever appropriate. To be responsible for providing and receiving highly complex, sensitive, distressing and emotional information in relation to a child or young person's eating and physical health, where there are often barriers to acceptance or engagement. To spend sustained periods of time with children, young people and families who may present with high anxiety, distress or resistance around eating, and who may have additional communication needs; to manage exposure to highly emotional atmospheres and to recognise and defuse risk appropriately. To work in ways which are sensitive to the needs of families from a wide range of racial, cultural, sexual, religious and social backgrounds, and to develop innovative ways of meeting these needs, including working with interpreters where required. To be responsible for monitoring, recording and reporting on clinical work, and communicating highly complex clinical information to a variety of recipients (service users, families, carers and professionals) both orally and in writing
What success looks like
Essential criteria - ? Highly specialist knowledge and skills in the assessment and management of ARFID, feeding difficulties or eating disorders in children and young people, including physical health monitoring in conjunction with paediatric colleagues. - ? Knowledge of, and skill in using, structured, evidence-based interventions relevant to ARFID (e. g. CBT-AR, FBT-ARFID, SOS approach) and the ability to apply these appropriately according to clinical need. - ? Highly specialist skills in professional consultation, including offering consultation and advice to multi-disciplinary colleagues and external agencies. - ? Minimum of four years' post-registration experience of working with children and young people in a multi-disciplinary team in a child and adolescent mental health, paediatric or community health setting, with at least two years at highly specialist level. - ? Significant experience of working with children and young people with eating disorders, ARFID, or feeding/growth difficulties, including complex and heterogeneous presentations. - ? Experience of working with children and young people with neurodevelopmental conditions, learning disability or sensory sensitivities, and adapting assessment and intervention accordingly. - ? Masters or Doctorate level qualification in relevant field - ? Current registration with the NMC as a Registered Nurse (Mental Health or Child/Paediatric field) OR current registration with the HCPC as an Occupational Therapist. - ? Degree level qualification in Nursing or Occupational Therapy, or equivalent professional qualification. Desirable criteria - ? Experience of supervising colleagues from other disciplines. - ? Knowledge of quality improvement methodology. - ? Previous experience of managing or leading a clinical team or pathway. - ? Experience of routine use of CAMHS or paediatric clinical outcome measures and facilitating their use across a service. - ? Service development, quality improvement or audit experience. - stgraduate qualification or specialist training in eating disorders (e. g. CBT-AR, FBT-ARFID, CBT-E, FT-AN). - ? Leadership or management qualification/training.
Benefits
- Flexible working,
Essential skills
Essential: Cognitive Behavioural Therapy Essential: Mental Health
Desirable skills
Desirable: Leadership
Mentioned skills
Mentioned: Anxiety and Depression Mentioned: Communication Mentioned: Research Mentioned: Working with Interpreters
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Salary published
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Listing verified 15 Aug 2026

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