Outpatient services manager

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Castle Health Outpatient (CHO)

Salary: £47,800–£55,000 depending on experience

Location: Edinburgh (primary base) with occasional travel to Castle Craig Hospital, Scottish Borders

Start Date: May 2026

About Castle Health

At Castle Health, we have a clear purpose: to Change Minds, Change Lives, and Change Hearts.  We envision a world where high-quality addiction and mental health treatment is accessible to all, and where recovery means living a meaningful, purposeful life.

Castle Health Outpatient (CHO) is our expanding integrated outpatient psychiatry and psychotherapy service.  Supporting over 200 patients across online and in‑person settings, CHO provides coordinated, multidisciplinary care for individuals entering treatment directly or transitioning from our residential programmes.

CHO currently operates under Castle Craig Hospital’s Healthcare Improvement Scotland (HIS) registration and is progressing toward its own independent registration as the service grows.

The opportunity

We are seeking a highly experienced Outpatient Services Manager to provide overall leadership, governance, and operational oversight for the entire CHO outpatient service — including both its psychiatric and therapeutic components.

Reporting to the Medical Director (Responsible Individual), you will be accountable for service quality, workforce leadership, patient experience, regulatory compliance, and ongoing development of CHO as a modern, integrated outpatient service. You will also maintain a small clinical caseload to stay close to practice.

This role is suited to a senior clinician who combines strong clinical judgement, people leadership, and operational capability, with a passion for shaping high‑quality, patient‑centred services.

Key responsibilities

  • Provide overarching clinical and operational leadership for all CHO outpatient services across psychiatry and therapy.
  • Ensure seamless integration of therapeutic and psychiatric care pathways.
  • Lead and uphold clinical governance, risk management, and quality assurance processes.
  • Oversee inspection readiness and regulatory engagement with Healthcare Improvement Scotland.
  • Ensure evidence‑based, high‑quality delivery of psychological therapies and psychiatric interventions.
  • Maintain a small, manageable clinical caseload.

  • Line manage a team of therapists (employed and associate).
  • Provide leadership for recruitment, induction, performance review, and workforce planning.
  • Set and monitor supervision standards across therapeutic roles.
  • Foster a collaborative, values‑led culture across hybrid and geographically dispersed teams.
  • Contribute to budget planning and resource allocation.

  • Ensure delivery of a consistent, high‑quality programme of therapeutic interventions for adults aged 16+.
  • Support delivery of addiction counselling, integrative psychotherapy, twelve‑step facilitation, and related modalities.
  • Monitor adherence to HCPC/professional body standards and ethical frameworks.
  • Oversee CPD planning, clinical development pathways, and supervision structures.

  • Ensure safe and effective delivery of both remote (currently 90%) and in‑person outpatient care.
  • Promote a responsive, patient‑centred approach to treatment pathways and care coordination.
  • Work closely with psychiatric colleagues to ensure timely assessments, reviews, and integrated clinical decision‑making.

  • Lead clinical audit, outcomes measurement, and quality‑improvement activity.
  • Interpret and use service data, patient feedback, and clinical insights to drive development.
  • Support CHO’s transition to independent HIS registration.
  • Contribute to strategic planning for growth and service innovation.

Essential requirements

Qualifications

  • HCPC‑registered Allied Health Professional or
  • Accredited Psychotherapist (BACP, UKCP, BABCP, COSCA, or equivalent)

Experience

  • Extensive experience in mental health and/or addiction treatment settings.
  • Proven experience providing clinical supervision.
  • Demonstrated leadership and team‑management experience.
  • Experience in clinical governance, service improvement, or change management.
  • Comfortable using digital clinical systems and remote‑care platforms.

Personal qualities

  • Strong clinical judgement and governance awareness.
  • Supportive, confident, and values‑driven leadership style.
  • Comfort working with complexity, clinical risk, and dispersed teams.
  • High professional integrity and commitment to quality.
  • Ability to think strategically and act operationally.

Desirable

  • Leadership or management qualification (Level 5 or above).
  • Experience with Healthcare Improvement Scotland standards.
  • Experience managing hybrid/remote clinical teams.
  • Experience in service administration, business processes, or operational leadership.

Why join Castle Health?

  • A senior leadership role shaping a growing integrated outpatient service.
  • High level of influence on service model, culture, and future development.
  • Close working relationships across a multidisciplinary clinical leadership team.
  • Strong governance infrastructure and organisational support.
  • Ability to maintain clinical practice alongside leadership responsibilities.
  • Hybrid working with flexibility between Edinburgh and the Scottish Borders.
  • A values‑driven organisation where staff wellbeing and patient care come first

How to apply

To apply for this position please complete an online application form with your CV or send your CV to hr@castlecraig.co.uk.

Should you require further details about the application process, please contact: hr@castlecraig.co.uk

We also welcome informal conversations about the role.

To arrange a discussion, please contact Tracy Golombick, Head of People, Culture & Training at hr@castlecraig.co.uk

Application deadline:  Tuesday 17th March 2026

Interview dates: 23rd – 31st March 2026

Anticipated start date: 1st May 2026

Castle Health Group is an equal opportunities employer and is committed to safeguarding adults at risk.
This role will fulfil the registered service manager role as part of registration with Healthcare Improvement Scotland

Application questions:

  • Do you have experience delivering or managing hybrid or remote outpatient mental health services, including using digital clinical systems?
  • Are you authorised to work in the United Kingdom and will you now or in the future require sponsorship for employment visa status?
  • Are you currently registered with a relevant professional body (e.g., HCPC, BACP, UKCP, BABCP, COSCA), and are you able to maintain this registration throughout your employment?
  • Castle Craig is in a rural location near West Linton in the Scottish Borders with limited public transport. Do you have access to your own vehicle or reliable private transport to commute to work?

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