Are you a Mental Health or Learning Disability Nurse with a V300 Non-Medical Prescriber qualification looking to develop your career within a specialist Adult ADHD service? Join our established non-complex Adult ADHD team, supporting adults across Lambeth and Lewisham through high-quality, evidence-based assessment, diagnosis and treatment.
You will become part of a welcoming, multidisciplinary team that includes experienced Nurse Prescribers and specialist clinicians. We are looking for a team player with excellent communication skills who enjoys working collaboratively, sharing expertise and building strong relationships with colleagues, service users and partner organisations.
Our service is actively involved in research, teaching and service development within the rapidly expanding field of neurodevelopmental disorders. This is an excellent opportunity to broaden your skills, contribute to innovation and help shape the future of ADHD care while learning from experienced professionals.
This role offers the autonomy to use your advanced clinical skills alongside the support of a knowledgeable and dedicated team. Whether your interests lie in clinical practice, education, quality improvement or research, you will find opportunities to grow your career and make a lasting difference to adults living with ADHD
The post holder will be able to work autonomously as an independent professional in the specialist adult ADHD service as an experienced clinician who, acting within their own professional boundaries will undertake assessment using specialist diagnostic tools. They will also provide reviews for clients with an established diagnosis. They will act as a non-medical prescriber, being skilled in the diagnostic assessment and, if diagnosis given, will initiate treatment and titrate patients to optimum dose of medication. They will demonstrate safe clinical decision-making and expert care planning for our service users. The post holder will be able to demonstrate shared decision making whilst utilising critical thinking as part of the clinical decision-making process. They will work with the multi-professional team to meet the needs of the service users and take full responsibility for their own work. They will work closely with internal and external stakeholders to deliver an effective service to those referred to the 3 Boroughs Adult ADHD and Autism Service.
Come and join our small team of friendly practitioners, who strive to put our services users at the heart of all they do.
We have an active Service User and Carer Advisory Group who support us in making service improvements.
We are one of the first Trusts to work collaboratively with our commissioners and NHS partners in providing a single point of access for all adult ADHD assessment referrals. This service offers triage of all referrals into the adult ADHD services across South East London.
We also are currently piloting A.I. to support our clinicians on the diagnostic pathway, reducing impact of report writing and ensuring neuroaffirmative ways of gathering back ground information.
We also plan to be one of the host test sites for future multicentre NIHR project looking at ADHD treatment outcomes.
We also contribute to the ADHD Pan London Reference Group which seeks to share and learn best practice across all London NHS Trusts.
Key Responsibilities:
Clinical
- Assess, diagnose, plan, implement and evaluate interventions/ treatments and care for service users.
- To complete a thorough risk assessment of the service users to ensure that any risk is minimised as per Trust policy.
- To administer and interpret diagnostic questionnaires e.g. DIVA.
- To work as a non-medical prescriber and to titrate and initiate patients diagnosed with ADHD onto clinically appropriate medication.
- To provide follow up appointments, face to face or via remote consultation.
- To liaise with patients, referrers, Clinical Commissioning Groups and carers.
- To provide Advice and Guidance to colleagues within the Trust and externally via various communication methods, e.g. Consultant Connect
- To support the admin staff with clinical enquiries re ADHD referrals.
- Maintain relevant clinical and pharmaceutical knowledge, critically appraise and apply information to practice.
- To screen all referrals for clinical appropriateness within the agreed time scale.
- Support service users to adopt recovery strategies that promote their wellbeing, healthy lifestyle, independence and self-care.
- To support the facilitation of post diagnostic psychoeducation workshops when required.
- Promote the involvement of families in care, reflecting their diversity, equality and rights to ensure their needs are met.
- To be responsible for maintaining accurate and timely clinical records in accordance with Trust Policy, collating relevant data, quality assurance and timely submission of clinical update reports working closely with the Clinic Lead/Senior Clinical Nurse Specialists and MDT.
- To respond to complaints and or compliments within the allocated timeframe.
- To work with the Lead/Senior Clinical Nurse Specialists and MDT to ensure that systems and processes are in place to support marketing activities.
- The post holder can also be an independent prescriber, where trained and registered with the NMC, and within the Adult ADHD Service the role would include writing prescriptions for ‘off label’ controlled drugs and other medications where appropriate.
- This will involve independently assessing suitability for pharmacological treatment, discussing treatment options, side-effects and risks, and providing treatment initiation and titration until such time as a maintenance dose is achieved and prescribing handed over to local services. The expectation will be that the post holder will be able to work autonomously through this process, although in certain highly complex cases there may be joint working with a Consultant Psychiatrist.
Offering advice and guidance to G.P.`s and internal colleagues who contact the service via Consultant Connect or Nominated Clinician.
COMMUNICATION
- To communicate the patient’s health status using appropriate terminology, format, and technology.
- To use expert communication skills to provide accurate information to service users and their families and carers in a sensitive and professional manner.
- To use and demonstrate sensitive communication strategies to ensure that service users are fully informed and consent to care/ treatment.
- To act as an advocate for service users.
- To establish effective communication and actively promote health education that may include providing alternative materials to support service users and carers in making decisions regarding their care and treatment.
- To liaise and communicate effectively with multidisciplinary team, CCG and G.P`s across health and social boundaries.
- To make accurate and effective handovers to medical/nursing staff.
- To maintain accurate and contemporaneous records of health assessment, implementation and evaluation of management and therapeutic interventions.
Clinical Leadership
To demonstrate positive role modelling of the profession.
To provide the highest standard of professional and expert clinical leadership that influences advanced level of nursing practice in mental health and demonstrate positive role modelling of this role within the profession.
To support staff development within their clinical and professional competencies and to provide supervision to staff and students as required.
To encourage other staff to self-assess their knowledge and skills and challenge actions that is not in the interest of service users or the public.
To evaluate and review service provisions and innovations and contextualise against contemporary healthcare policy that are relevant to the clinical area, and that impact on healthcare providers and local communities.
To contribute to the consultation and engagement of service users in planning and developing service. To contribute to the development, implementation and evaluation of evidenced based policies, procedures and guidelines relevant to the care of people with mental health conditions.
To encourage staff members to utilise resources to attain and maintain high levels of medical and nursing care.
To promote and develop the public health and wellbeing role of mental health nursing.
To participate in CAG and organisational decision-making, interpret variations in outcomes data and information systems to improve quality in practice.
To have current knowledge of the CAG financing system and its impact on the delivery of care.
To participate in clinical governance initiatives as agreed by the directorate clinical governance committee.
Lead the development of advanced mental health nursing practice in line with local and national agendas.
PROFESSIONAL
To work in accordance with our Code of Conduct and ensure that standards of practice are upheld.
To receive regular clinical and managerial supervision
To maintain and develop own professional knowledge and competence by keeping informed of advances and research pertaining to mental health care, ADHD and Autism.
To participate in clinical and managerial supervision of junior clinical staff.
To engage in self-reflection, audit and quality initiatives thus contributing to the development and improvement of the clinical services.
To initiate training and assessment of competencies to appropriate members of staff.
To contribute to the development, implementation and evaluation of evidenced based policies, procedures and guidelines relevant to the care of people with mental health needs, autism and ADHD.
AUDIT/RESEARCH
To disseminate information, research and audit findings and lead on developments of advancing best practice at local and national level.
To participate in legislative and policy-making activities that influence health services/practices.
To work with the MDT to develop outcome measures that demonstrates improvements in the delivery of healthcare programmes.
To act as a role model in the observance and delivery of equality and diversity of good practice. Advocates for quality and cost-effective healthcare.
Promotes implements and evaluates effective evidence-based practice.
To support or initiate, participate and disseminate clinical research and audit results through presentation to professional groups and publication.
POLICIES
To adhere to Trust policies and procedures.
To maintain a safe environment for yourself and others, taking reasonable care to avoid injury.
Co-operate with the Trust to meet statutory requirements.
To provide statements regarding untoward incidents, as requested by line manager.
To ensure all staff attend Trust mandatory training annually.
To maintain registration and competencies and comply with Code of Professional Conduct and related documents.
To sustain and improve own professional development by personal study, work-based learning activities, and by using opportunities provided by the Trust.
To keep up to date with legal matters that may arise during course of duty.
TRAINING
The role will also be required to take on specific roles within the team based on their particular interests, expertise and training. This may include: Psychoeducation, or further education and / or training
To have demonstrable skills in communication and with hard to engage service users and other patients.
Ability to work in trauma informed, recovery focussed way.
Ability to assess the patient motivation and health literacy, for learning and maintenance of health-related activities using principles of change and stages of behaviour change
