This senior nursing post sits within the ADHD services of Harley Mental Health Ltd, covering NHS Right to Choose pathways for adults and children and young people. The role pairs clinical leadership with a small caseload of ADHD assessments, complex medication titrations, triage of clinical enquiries and supervision of other clinicians. Most work is remote, with attendance at the office during the working week when service needs require it. Current NMC registration and an active V300 independent prescribing annotation are essential.
What the job involves
- Provide senior clinical support across adult and CYP ADHD services, working with the Consultant Psychiatrist and Registered Manager
- Undertake around two comprehensive ADHD diagnostic assessments a week, mainly in adults
- Manage complex ADHD medication titrations, including initiating, adjusting and reviewing stimulant and non-stimulant medication
- Advise clinicians on medication choice, dosing, interactions and physical health monitoring
- Triage and respond to clinical enquiries from patients, parents, GPs and other professionals, prioritising by clinical urgency
- Provide clinical supervision, case-based advice and induction for assessment and prescribing clinicians
- Attend MDT meetings, present complex cases and contribute to decisions on diagnosis, risk and safeguarding
- Review the clinical aspects of complaints and incidents and contribute to draft responses for senior approval
- Support clinical risk assessment and safeguarding, recognising when remote care is inappropriate and escalating concerns
- Take part in clinical audit, prescribing reviews and quality improvement
- Help improve ADHD assessment, titration and monitoring pathways and documentation standards
- Maintain accurate records, safeguarding and mandatory training, and continuing professional development
What’s required
Qualifications
- Recognised nursing degree, diploma or equivalent professional nursing qualification
- V300 Independent Prescribing qualification
- Continuing professional development in ADHD assessment, diagnosis and medication management
Registration & licences
- Current NMC registration as a Registered Nurse
- Active V300 independent prescribing annotation on the NMC register
Experience
- Five years' post-registration nursing experience in mental health, ADHD, neurodevelopmental or related specialist services
- Two years conducting comprehensive adult ADHD diagnostic assessments
- Two years independently prescribing, initiating and titrating ADHD medication
- Demonstrable ADHD assessment or treatment experience in children and young people, including CYP prescribing and monitoring
- Managing complex titrations, including stimulant and non-stimulant medication, treatment resistance, adverse effects and coexisting conditions
- Providing senior clinical advice, supervision or case review, and working within MDT teams
Skills & knowledge
- Thorough knowledge of ADHD diagnostic criteria, differential diagnosis, NICE NG87, and ADHD pharmacology, titration and monitoring
- Independent management of complex presentations, with specialist prescribing advice and clear written reports and enquiry responses
- Assessing clinical risk, safeguarding and escalation for adults and CYP, and prioritising a varied workload
Other
- Current safeguarding training appropriate to adults and children and young people
- Willingness to attend the Manchester office during the working week when service needs require
Nice to have
- Postgraduate qualification in mental health, advanced clinical practice or neurodevelopmental conditions
- Formal training in ADHD diagnostic assessment, including the DIVA 5 tool
- Recognised training in clinical supervision, mentorship, teaching or clinical leadership
- Additional CAMHS or paediatric ADHD training or experience
- Previous experience in a Clinical Lead, Senior Specialist Nurse, Advanced Nurse Practitioner or equivalent senior role
- Experience in NHS Right to Choose ADHD services or an NHS-commissioned independent provider
- Experience investigating complaints, reviewing incidents or contributing to clinical governance
- Experience providing remote ADHD assessments, titration and consultations
What’s offered
- Flexible working arrangement, with the majority of work done remotely
- Access to senior medical support
- Regular opportunities to discuss complex cases and contribute to clinical decisions
#J-18808-Ljbffr
Contact Details:
The Methodist Church in Britain Recruitment Team
