A Psychological Wellbeing Practitioner career pathway: an exciting and diverse role

Psychological Wellbeing Practitioner (PWP) interventions can be beneficial beyond the field of mental health and used in prisons and occupational health, says Senior PWP Carolyn Houghton. Reflecting on her own career development so far, Carolyn says the role of PWP can provide a long-lasting, rewarding and diverse career.

The publication in 2005 of The Layard Report saw the proposal and development of the Improving Access to Psychological Therapies (IAPT) initiative and when I completed my university psychology degree in 2008 this was just beginning to come to life. Upon graduating, I was lucky enough to be offered a Trainee Psychological Wellbeing Practitioner (PWP) role at Lincolnshire Partnership NHS Foundation Trust. I spent a year working as a trainee while attending the University of Nottingham one day a week to be taught the theoretical underpinnings and clinical skills of the role.

Once I was a fully-fledged PWP I began to grow as an autonomous practitioner and my passion for the role increased. I recognised the huge benefit it could have for individuals and saw real-life examples of how the PWP remit, as a standalone therapeutic intervention, could improve the wellbeing of individuals – exemplifying ‘least intrusive, most effective’.

In 2013 I completed the IAPT PWP Supervision course at the University of Nottingham which allowed me to share with trainee and qualified PWPs my passion for the role, and guide and support clinical delivery. I got more involved in service development and mentoring, taking on line management responsibilities and completing various leadership and management programmes such as NHS Leadership at Every Level and ILM Service Management. Whilst developing in leadership and management through the attainment of a Senior PWP role, I was also keen to widen my clinical expertise. I began running large-scale groups based on the Jim White Stress Control programme, working into 6th form centres and doing groups with a physical activity element in conjunction with local sports providers. I began looking at different areas within IAPT to further refine and develop my skills. A number of special interest areas had already been identified nationally by IAPT including children and young people, forensic populations and Black, Asian, Minority Ethnic (BAME) groups.

In May 2015, I secured a Senior PWP post for Rethink Mental Illness who had been appointed by Tees Esk and Wear Valley NHS Foundation Trust to implement a step two service into the seven North East prisons. This has given me the opportunity to be directly involved in the set up and delivery of a brand new service. It has also allowed me the challenge of adapting a classic PWP role to fit a prison population – who would often be excluded from community IAPT services due to substance misuse, risk factors, poor engagement and other socio-economic factors. This opportunity was everything I wanted, and the benefit of adding the PWP role into the prisons has been huge.

Rethink Mental Illness have afforded me the opportunity to become a service manager, so I now oversee recruitment, operational issues and the day-to-day management of a step two IAPT service, reporting to a National Head of Prisons and Criminal Justice and to senior management within the trust. I have insight into local and national policy. This has allowed me to remain clinical, developing programmes suitable for the population and problem-solving the demands of the contract whilst meeting the needs of the establishments and ensuring processes allow staff to retain a good work/life balance. The role has seen me attend multi-agency management level meetings, become trained and skilled in elements of service management, but also to use my clinical background and passion to create a positive working environment where staff can flourish and succeed whilst meeting commissioner and patient expectations.

As part of a wider team of professionally qualified and experienced mental health practitioners, the role of PWP is crucial in helping to deliver a transformation of mental health services in England. In accepting the recommendations contained in the Five Year Forward View for Mental Health the NHS has committed to increasing access to evidence-based psychological therapies to reach 25 per cent of need so that at least 600,000 more adults with anxiety and depression can access care (and 350,000 complete treatment) each year by 2021. The role of PWP has a significant part to play in that transformation programme.

For PWPs, I strongly suggest diversity in terms of roles, looking at special interest groups and considering teaching, leadership and management. Many of these skills can be gained by presenting posters or seminars at conferences and networking events, or through integration into national special interest groups and forums, which often open up avenues to pilots and research.

The PWP discipline is I believe highly valuable to services, regardless of other therapeutic disciplines employed. It provides low-cost, high-turnover, evidence-based interventions, providing individuals with life skills over as little as a few weeks. The application of these skills can be beneficial far beyond the realms of traditional mental health patients – PWP interventions can be used in any occupational health department, in corporate wellbeing, team-building and life coaching at a relatively low cost.

Carolyn Houghton

Carolyn Houghton is a Senior Psychological Wellbeing Practitioner and Service Manager at Rethink Mental Illness. Her current role is based within the seven North East prisons. In this role she oversees clinical supervision and line management of all staff, along with training, recruitment and service development.

Carolyn has been involved in IAPT since 2009, and has worked for both NHS and private sector providers. Prior to working in IAPT, she gained experience working on acute mental health wards and supported living settings. Her passion for the role continues to be about making step two input as accessible and effective as possible whilst gaining recognition for the PWP role as a career in its own right.


  1. S. Weston says:

    Hi having looked on the Health Careers website for PWP training Im struggling to find anything. I have a psychology degree and want to work in mental health. I would like to train and earn at the same time. Im I going to find a training course of this type or have they stopped? Thanks.SW

  2. Nicole Guy says:

    I am currently looking into doing an under graduate Low Intensity CBT training course with it hopefully leading to me becoming a PWP. I have 22 years experience in palliative care as a physiotherapy assistant which is a very psycho-social role and always on a one to one basis. Helping people to self-manage anxiety and depression are key in my day to day work life.
    I don’t have a professional qualification but do have various qualifications including having done a university Diploma module in effective communication in end of life care. Is there any such training out there for me? I am very keen to pursue any training that will enhance my role,skills and knowledge.

    Any advice would be greatly appreciated.


    • NHS England says:

      Hi Nicole.

      Thank you for your interest in the role of Psychological Wellbeing Practitioner. You can find a wide range of information about the profession, including training opportunities and entry requirements, at the Health Careers website.

      Kind regards
      NHS England

  3. Sue says:


    I have an interview coming up for a trainee PWP. I have previously studied at Uni but within Health, nutrition and fitness. I come from a policing background also. I was just wondering if it would go against me the fact i don’t have a degree in Psychology.


  4. Montana. L says:

    I am wanting to go into training to become a pwp however I am worried as I have recently been diagnosed with depression. Will this prevent or hinder me from becoming a quolified pwp?

    • NHS England says:

      Employers can’t discriminate against people with mental health problems. It may be helpful to disclose your experience of depression to your employer so they can arrange reasonable adjustments and support for you if needed. Lived experience may be beneficial to the role rather than hinder you so please do consider applying for the Psychological Wellbeing Practitioner training. More information can be found on the Health Careers website.

      Kind regards
      NHS England

  5. Sally says:

    Hi, i am interested in training to become a PWP. I have a degree in Applied Social Science ( Psychology with Sociology) and a PGCE. I work full time so would need to study part time or earn whilst studying

  6. Patience Matanhike says:

    I’m looking into going to pesue a career in pwp. I have a degree in Bsc Psychology honours. How much is the fees to complete the course?

  7. Ashley Bailey says:

    I would like to know where I can apply for training in London to be a PWP?

  8. Anonymous says:

    just to let you know we know there is a need for PWP staff yet training opportunities is non existence or very limited I would have thought there would be far more training opportunities especially somewhere like Birmingham It also really hard to find training even going to the career site does not give you a list of training sites across the country Good site is the return to nursing everything on one site

  9. Julia Bird says:

    I am applying to become a PWP. Having read some of the comments, as a qualified and registered Counsellor, I agree personal therapy should be ongoing when individuals work in psychological fields. However, supervision can be extremely useful and successful in ensuring therapists’ own issues do get mixed up with those of the client and I see this is central to the role.

    I would very much like to speak to Carolyn directly about her experiences of working as a PWP within prisons. Is this something that would be possible?

  10. Micheal Price says:

    I am more concerned that the workforce of NHS IAPT serves lacks diversity on all levels and are predominately middle class white woman mainly youth orientated and mostly from privileged backgrounds and as well about the volume of work PWPS are forced to do which clearly brings in to question the quality of output. I have spoke to some PWP who report to doing 8-13 clinical contacts a day, where on earth is the quality in output in this? I think the mission of diversity has been seriously corrupted and compromised.

    • NHS England says:

      Dear Micheal,
      Thank you for your comments. Workforce diversity is important and it is good practice to ensure that the staff group is representative of the local population it serves which is detailed in the IAPT Manual.

      We are currently undertaking some work to further encourage diversity within the IAPT workforce and to create different entry routes for those from different backgrounds. In terms of Psychological Wellbeing Practitioner (PWP) clinical contacts, we are soon to include an additional statement in the IAPT Manual on the maximum number of clinical contact hours PWPs should be achieving to ensure high-quality clinical work. Wellbeing of our staff is paramount and the national IAPT team has a project manager who is focusing specifically on the wellbeing of the IAPT workforce including PWPs. The importance of staff wellbeing has also been highlighted in the IAPT Manual.

      Kind regards,
      NHS England

  11. Silvia Rojas says:

    Thank for sharing your experience, encourage me to continue my career. God bless you!

  12. WB says:

    wow. NHS induldging in propaganda here. PWPs have probably the highest attrition rate of any job in the NHS because they are under trained, exhausted and exploited. This woman is like a turkey voting for Xmas. She is doing what sounds like work that previously was done by people on higher banding, she’s voting to be paid less and have less career opportunity. Not unusual for people working in psyc therapy to have this type of self sacrificing schema. The fact that people trained up to be PWPs don’t have to go through their own therapy like traditional therapists did means she likely is not aware of this either.

    • Alex says:

      It makes so much sense to me. I wonder how a fully trained pwp can work with patients without going through their own psychotherapy and, above all, without any knowledge of the basics of psychology and psychotherapy. They are practitioners, dealing with human lives. Also, I would like to know what criteria is followed to recruit the trainees.

  13. Rasa Dubinskiene says:

    I have found this advert sent to me by Indeed on iPhone.
    University College London (UCL) Trainee Psychological Well being Practitioners (PWPs)
    It interested me immediately. I have sent that email to my’Sent messages’, to apply later from my main computer. However, when clicking on links, they only directs to the information sites or PDF file with the information for the applicants, but does not allow to get/download application document from the line for this role. Also it does not allow me to edit/or use it as a base for an application form , as ‘select options’ for this on line document do not function.
    How could I apply for this position? I meet all the requirements, described in the information package and would like to apply for this role.

  14. Roslyn Keiza says:

    I would like to become a PWP please could you help me? I’m getting very mixed information.



  15. Chris burn says:

    Hey Carolyn,
    Just wondering how a university student could find trainee openings, for when they graduate as there isn’t a lot of vaccincies online. Thanks

  16. Roslyn Keiza says:

    I would like to become a PWP. Can you please explain the path you took??


  17. Christopher Chung says:

    Thank you for sharing your insights, and I am looking into a PWP course right now. Its great to see the service is having a positive impact in our society.