ADHD Specialist Practitioner

Job summary

We are a growing and progressiveAdult ADHD Service based entirely within primary care. We are a remote servicewho serves the Warrington population and recently Cheshire & Merseyside andHereford & Worcester patients via Right to Choose options. We have anopportunity for a full time registered non-medical prescriber (NMP) withexperience of working in a community setting who is committed to providing ahigh-quality service and has a desire to support in the development of our ADHDservice.

We are a small, very busy and developing team consisting ofexperienced mental health nurses specialising in ADHD, GPs, and a supportiveadministration team. This post would ideally suit a highly motivatedexperienced and enthusiastic Nurse, with a specific interest in working withadult ADHD. They are proactively looking for an opportunity to develop theirskills in ADHD, mental health and neurodiversity whilst working as a competentand autonomous clinician. This role is expected to supervise less experiencedcolleagues within the service and therefore experience in supervising a team ora desire to progress in this area is essential.

Main duties of the job

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

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

About us

Quay Primary Healthcare CIC started in 2014, aspart of the Prime Ministers challenge fund.We are a primary care support organisation, with all the GP practices inWarrington as shareholders. We have seen significant shifts in Primary Caredemands and structures, since 2019 and now the amalgamation of ClinicalCommissioning Groups into Integrated Care Systems (ICS). As these grow,collaboration between primary care providers and their wider system partners isgrowing too.

Many primary care providers are taking advantage of the independentlayers of scale to deliver for patients, reducing duplication, improving equityof access and delivering the right care at the right time in the right place. There is not a one-size-fits-all model andthere is still a long way to go for many primary care providers. But we are beginning to see robust primarycare systems that benefit from the different expertise and opportunitiesavailable at neighbourhood, place and system.

Job description

Job responsibilities

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.

Person Specification

Experience

Essential

Experience of writing, implementing, and evaluating treatment plans Evidence of working effectively in Adult ADHD service at a senior level. Ability to manage clinical risk and an understanding of adult safeguarding procedures A specific interest in working with Adult ADHD A good knowledge of neurodevelopmental conditions An understanding of the needs and difficulties of people with neurodevelopmental and mental health problems or other disabilities Work with people with mental health problems and/or other disabilities Experience of paid work in direct care provision

Desirable

Experience of working with the clinical system TPP SystmOne Experience working remotely and using telehealth platforms Evidence of promoting research, evidence-based practice, clinical excellence, and quality approaches to support outcome focussed care Experience of working with neurodiverse population groups, specifically ADHD Experience using Microsoft Office and other programmes for data-analysis

Skills

Essential

High level communication skills (written and verbal) including an ability to communicate and work in settings in which the atmosphere may be highly emotive and there may be complex co-morbid health problems requiring additional support Ability to communicate sensitive information to clients, carers, and colleagues along with a high standard of report writing Ability to accept and use supervision appropriately and effectively Good interpersonal skills Demonstrate a flexible approach to working practices and able to respond to change Ability to support a team, encouraging them to reach their full potential, or a desire to gain experience in doing so. Ability to work autonomously and effectively in a team, reprioritising work to reflect changing needs Ability to communicate sensitive information appropriately and accurately to service users, carers, and colleagues Demonstrates a strong attention to detail and ability to maintain accurate records Ability to accept and use supervision appropriately and effectively, including self-reflection Ability to work and liaise with a range of statutory and non-statutory agencies Capable of coping in a pressurised environment and applying practical problem-solving skills Ability to effectively and efficiently use Microsoft Office programmes including but not limited to Outlook and OneDrive

Desirable

Full clean driving licence and access to a vehicle for use at work

Knowledge & Expertise

Essential

Competent and assessment diagnosis and management of Adult ADHD patients and ability to work autonomously. Knowledge of Clinical Governance and relevant legislation Familiarity with evidence-based assessment tools and techniques

Qualifications

Essential

Registered professional demonstrating practicing professional registration, specifically RMN registered Mental Health Nurse Evidence of post registration training in relevant service area, including Non-Medical Prescribing

Desirable

A master's degree or higher in psychology, counselling, or a related field

Behaviours & Values

Essential

Approachable and accessible to all members of the wider team, demonstrating great interpersonal skills An ability to effectively engage with people experiencing neurodevelopmental and mental health issues and/or disabilities Able to work using own initiative and manage responsibilities reliably and consistently, following supervision Approachable and accessible, with an ability to interact effectively with staff from all disciplines An ability to effectively engage with people with neurodevelopmental and mental health issues and/or disabilities, with a well-developed service-user focus and desire to work with others in the pursuit of improving the well-being, mental health, and future growth of those we see Ability to work independently and proactively, managing own time and responsibilities reliably and consistently, with work agreed and supervised at regular intervals. Able to work using own initiative and manage self in a busy, challenging, but supportive environment. Ability to manage the physical demands of prolonged patient sessions to deliver assessments and patient interventions.

Desirable

To work within Quay Healthcare values

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