ADHD Specialist Practitioner (NMP) Band 8a Equivalent inWarrington inWarrington PUBLISHED 14 NOV 2024

We are a growing and progressive Adult ADHD Service based entirely within primary care. We are a remote service who serves the Warrington population and recently Cheshire & Merseyside and Hereford & Worcester patients via Right to Choose options. We have an opportunity for a full time registered non-medical prescriber (NMP) with experience of working in a community setting who is committed to providing a high-quality service and has a desire to support in the development of our ADHD service.

We are a small, very busy and developing team consisting of experienced mental health nurses specialising in ADHD, GPs, and a supportive administration team. This post would ideally suit a highly motivated experienced and enthusiastic Nurse, with a specific interest in working with adult ADHD. They are proactively looking for an opportunity to develop their skills in ADHD, mental health and neurodiversity whilst working as a competent and autonomous clinician. This role is expected to supervise less experienced colleagues within the service and therefore experience in supervising a team or a desire to progress in this area is essential.

The purpose of this role is to assess, diagnose, treat and evaluate care for adults seeking an ADHD diagnosis. You will work alongside other health care professionals who are trained to assess ADHD in adults and have considerable experience in working in mental health. In this role you will be expected to undertake assessments of service users with suspected ADHD using your clinical skills and knowledge to diagnose where necessary and explore appropriate treatment and care options for ADHD in adults. This will include assisting with the ongoing management of those within the service from the point of referral through to shared care with their registered GP using a multi-disciplinary approach. Where necessary, training will be offered, and you will receive ongoing regular clinical supervision by qualified members of the ADHD team to support you in your professional development.

You will be expected to work independently within the framework of the teams policies and procedures and under the guidance of the Clinical Lead whilst providing line management and supervision of less experienced colleagues within the service. You will be expected to assist in clinically related administration, conduct of audits, collection of statistics, development of research projects, deliver training, and support service development work.

About us

Main duties of the job:

Clinical

1. The direct provision of high-quality evidence based person-centred physical and mental health care to service users within the adult ADHD service.

2. To conduct remote ADHD assessments using evidence-based assessment tools and techniques.

3. To work as an independent non-medical prescriber taking responsibility for the clinical assessment, establishing a diagnosis, and discussing all available treatment options (including non-pharmacological treatment) as per NICE guidance.

4. Generate clear, accurate and timely reports summarising the results of the assessment and providing recommendations for ongoing treatment and support.

5. To prescribe and monitor medications in accordance with Pan Mersey formulary and prescribing guidance, including the regular monitoring of effectiveness, concordance and adverse effects of medication, tailoring treatment where indicated.

6. Stay up to date with professional qualifications including revalidation of certificates and registration.

7. To ensure a holistic approach to assessments and treatment is undertaken, including consideration of carer needs, physical health needs, mental health needs, education and employment needs, social needs and signposting to other resources as required, continuing to consider these needs when developing each service users ongoing care plan.

8. Plan and coordinate necessary investigations, including the physical healthcare needs of service users in the community such as annual physical examinations, both individually, as part of a team, and through liaison with / referral to other agencies, to include mental health and onward referrals and close liaison with primary care for non-urgent mental health referrals.

9. To work alongside and in partnership with colleagues in delivering treatment in the most timely and efficient manner, including the reporting of any concerns regarding patient care.

10. To coordinate and attend MDT meetings for complex patients.

11. To stay up-to-date and engaged with the latest research and developments in ADHD assessment and treatment, and mental health needs.

Teaching, Training and Supervision

1. To personally receive and give regular clinical supervision sessions in accordance with professional practice guidelines and encourage professional development of the team.

2. To develop skills and competencies that assist in the delivery of adult ADHD assessments including the recognition, diagnosis, and ongoing management of ADHD with a multi-disciplinary approach for those with complex co-morbidities.

3. To develop a comprehensive understanding of a patients journey from the point of referral for an assessment of adult ADHD, including various treatment options and their management under shared care.

4. To contribute to the training and development of colleagues within the speciality of mental health and neurodiversity.

5. To supervise a team of less experienced colleagues with the support and guidance of the Clinical Lead. To attend and input into agendas for community of practice meetings and support to upskilling the wider team.

IT responsibilities

1. Experienced use of email, Microsoft Office, the internet, and primary care based clinical systems including video-conferencing software and electronic medical records.

2. The use of appropriate programmes to collate and analyse psychometric results, produce indicators of clinical outcomes and to compile reports in line with the team requirements.

3. To engage with web-based information specific to the patient group, maintaining up to date and accurate resources which are available to both colleagues and patients.

Research and service development

1. To manage the design and implementation of research-based service development projects.

2. To undertake searches of evidence-based literature and research to maintain our high standards of evidence-based practice across the team and stay up to date with relevant guidance and recommendations (including NICE, AQAS).

3. To proactively keep up to date with clinical studies, research and published articles relating to primary care, mental health, neurodiversity, and particularly adult ADHD to contribute to your own professional development as well as the development of the service.

General

1.
To contribute to the development and maintenance of the highest professional standards of practice, through proactive participation in internal and external CPD training and development programmes. Taking charge of their own learning and reflecting and evaluating on personal strengths and weaknesses for the purposes of future development.

2. To demonstrate Quay Health Values and the expectation required through the work they deliver.

3. To function autonomously on a day-to-day basis within the remit agreed in clinical supervision and the service framework.

4. To contribute to the ongoing design and implementation of an evolving service and development projects as required, attending, and contributing to meetings in which service developments are planned and discussed. Completing any assigned actions to a high standard and within a given timeframe.

5. To maintain the highest standards of clinical record keeping and report writing in accordance with professional codes of practice of the Nurse Medical Council and Company policies and procedures.

6. To undertake diagnostic assessments with patients, preparing and reviewing relevant materials as required, as well as maintaining ongoing patient management.

7. To supervise a team of less experienced colleagues in performing their duties to a high standard and supporting them in their professional development as they gain experience within the service.

8. To be able and willing to work flexibly in response to service need and at the request of the Service Manager or Clinical Lead. This may include prioritising specific patient cohorts in response to national guidance or service capacity following operational discussions. This may be required in order to support the service in meeting key performance indicators and delivering high standards of safe care.

9. To undertake specific administrative duties as required to support the service.

10. To perform other duties of a similar kind, appropriate to the job description, which may be required and requested by your Clinical Lead or Service Manager.