ADHD Team Lead in Rickmansworth

The ADHD Team Lead for the Harrow Adult ADHD Service will lead the team and provide non-clinical care coordination for adults undergoing ADHD assessment, diagnosis, medication titration, and ongoing management; ensuring that the patient is at the centre of the care that our staff are delivering. The role will support individuals with complex presentations, co-occurring mental health difficulties, safeguarding risks, social vulnerabilities, and barriers to accessing care.

Main duties of the job

The ADHD Team Lead will provide line management for Patient Coordinators, overseeing escalation processes, operational queries and all day-to-day matters, including complaint handling. Additionally, the ADHD Team Lead will be responsible for managing all patients referred to by the specified Integrated Care Board (ICB). The role will support with strengthening communication between patients, Advocates, GPs, Psychiatry, Psychology, ICB specialist services and community organisations. The focus is on providing timely support, reducing risk, preventing escalation and improving adherence to ADHD care pathways.

About us

About Harrow Health

Harrow Health Community Interest Company (CIC) was established in 2007 by a group of Harrow GPs with a shared vision to deliver high-quality clinical care within the community. Since its inception, Harrow Health has grown significantly and now provides a wide range of clinical services.

Purpose / Mission

Our mission is to deliver high-quality, patient-centred clinical services ensuring accessible and effective care for local populations. We work collaboratively with GP practices and NHS partners to ensure patients receive timely and consultant-led treatment across a wide range of specialties. Our clinical services have evolved to meet the changing needs of local population and currently providing ADHD, Dermatology, Ear Nose Throat (ENT), Enhanced Frailty Services, Gastroenterology and Gynaecology.

Job responsibilities

Key Responsibilities:

• The Team Lead will be responsible for ensuring the effective delivery of the Adult ADHD service by overseeing team performance against agreed key performance indicators (KPIs) and service objectives. This includes monitoring activity, productivity, and outcomes to ensure targets are consistently met, while driving continuous improvement across the team.
• The postholder will also ensure that patient pathways are followed accurately and efficiently, promoting timely access, assessment, diagnosis, and treatment in line with clinical guidelines and service standards.
• Working within established patient safety frameworks, the Team Lead will ensure adherence to incident reporting requirements and support a culture of learning and improvement. They will also manage concerns and feedback in line with the NHS complaints process and governance standards.
• By providing leadership, supervision, and operational oversight, the Team Lead will support staff to maintain high-quality care, minimize delays, and deliver a responsive, patient-centred service.

Case Coordination and Patient Support

• Acting proactively to support the service and train all patient coordinators to be the main point of contact for patients navigating the Harrow Health Adult ADHD pathway.
• Work with patients closely and support them through referral screening, assessment preparation, medication titration, follow-up appointments, and shared-care transitions.
• Identify barriers such as comorbid mental health conditions, executive functioning challenges, or safeguarding concerns ensuring reasonable adjustments are in place in line with the Equality Act 2010.
• Facilitate reasonable adjustments for patients who struggle with communication, paperwork, digital access, or appointment attendance.
• Good problem-solving skills and ability to navigate multiple care pathways on behalf of patient.
• Build and maintain strong external relationships with other NHS and health organisations.

Pre-Assessment and Assessment Support:

• Provide signposting to psychoeducation resources and local neurodiversity support services.
• Coordinate appointment scheduling and send reminders to reduce non-attendance.

Support During Medication Titration

• Liaise with consultants, independent medical prescribers and GPs to maintain clear communication of patients medication journey with Harrow Health.
• Track medication progress and ensure any follow up tasks and monitoring information is collected in timely manner.
• Support transitions to GP shared-care agreements or long-term prescribing arrangements.

Managing Complexity and Risk

• Identify and elevate concerns such as suicidality, substance misuse, domestic abuse, safeguarding issues, self-neglect, or severe functional impairment.
• Coordinate with mental health teams when patients have co-existing conditions such as anxiety, depression, ASD, trauma histories, bipolar disorder, or personality-related difficulties.
• Provide crisis information and ensure safety measures are in place.
• Monitor incidents and ensuring quality reporting.

Multi-Disciplinary Team (MDT) Support

• Prepare documents and information for ADHD MDT meetings.
• Ensure actions from MDT discussions are logged and followed up. Work across teams including psychiatry, primary care, community mental health teams, psychology, and voluntary sector neurodiversity services.

Administrative and Data Responsibilities

• Maintain accurate records using NHS systems such as EMIS.
• Support service audits and quality improvement projects.
• Produce progress reports and escalate caseload issues to the ADHD Service Lead.

Skills and Competencies

• Strong organisational abilities and experience managing complex caseloads.
• Effective communication skills with adults with ADHD and neurodiversity-related needs.
• Ability to recognize and escalate risk appropriately.
• Understanding of ADHD in adults and related comorbidity patterns.
• Competence using NHS digital systems.

Person Specification

Values & Behaviours

• Compassionate, patient-centred approach.
• Commitment to equality, diversity, inclusion, and neurodiversity-affirming practice.
• Flexible, reliable, and professional under pressure.
• Lived experience or peer support training (where appropriate and supported).

Qualifications

Qualifications & Training

• NVQ Level 3 or equivalent experience in health or social care.
• B1 Common European Framework of Reference for Language CEFR or equivalent.
• A-Level.
• Willingness to undertake training in ADHD and neurodiversity.
• Formal training in mental health or neurodevelopmental conditions.
• Degree or vocational qualification in health / social care.
• Training in trauma-informed care, motivational interviewing, or risk assessment.

Knowledge and Skills

• Understanding of adult ADHD or willingness to learn.
• Understanding of safeguarding and risk-escalation processes.
• Awareness of barriers faced by neurodiverse adults (executive dysfunction, organisation, communication).
• Understanding of confidentiality, GDPR, and professional boundaries.
• Awareness of trauma-informed and neurodiversity-affirming approaches.
• Understanding of patient advocacy and the ability to support individuals in navigating health and social care systems.
• Knowledge of Harrow services, PCNs, and ICB ADHD/shared-care arrangements.
• Understanding of benefits, housing, and community support systems.
• Strong communication skills (written and verbal).
• Ability to organise and prioritise a high-volume caseload.
• Ability to build rapport with diverse patient groups.
• Ability to identify and elevate risk appropriately.
• Good IT and administrative skills.
• Ability to work independently and use initiative.
• Ability to support patients with planning, paperwork, and appointment adherence.
• Ability to coordinate MDTs, prepare summaries, and track actions.
• Ability to deliver basic psychoeducation or structured signposting.

Location

Able to travel to Rickmansworth office or any other Harrow Health Site.

Experience

• Experience in mental health, neurodevelopment, social care, or care coordination roles.
• Experience supporting adults with complex psychosocial needs.
• Experience working within multidisciplinary or multi-agency environments.
• Experience maintaining accurate records and handling confidential information.
• Experience in an NHS Adult ADHD or neurodevelopmental service.
• Experience supporting patients through diagnostic pathways, titration, or shared-care transitions.
• Experience in quality improvement, audit, or service development.
• Experience using NHS clinical systems (EMIS, RIO, SystmOne).

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.