Job summary
As a Clinical Nurse/Pharmacist Specialist in ADHD you will work under the guidance and supervision of a Consultant Psychiatrist providing remote consultations in pre-booked review appointments as part of the ADHD clinical pathway. The post holder will provide pharmacological and non-pharmacological evidence-based interventions and provide specialist input into the ADHD Service.
You will work both autonomously, and as part of a team, to deliver evidence-based care to this patient group and be proactive and innovative in exploring new ways of delivering care, and demonstrate enhanced competence in complex decision making, assessment and management of clinical needs.
This role will involve working in partnership with service users, carers, families, friends, and other agencies, including liaising with primary care services to ensure effectiveness of outcomes.
Collection and collating of data / information effectively for the purpose of audit, research and service performance will also be expected.
Main duties of the job
- To use evidence-based practice to develop, deliver and maintain a high quality, clinical and cost effective ADHD service.
- To provide a comprehensive service to the patients attending theclinic including clinical examination and investigations as needed, management, and referral as appropriate within defined parameters and scope of practice, referring to senior colleagues as needed. Complex cases should be discussed with the Medical Lead, Dr S Mashru, including any titration that needs more than 3 follow-ups.
- To ensure patients have consented to, and are fully involved in the implementation of their treatment plans
- To implement Non-Medical Prescribing in accordance with NICE, NHS England and Trust prescribing guidelines, ensuring you work within your NMC/ GPhC Code of Conduct. / Scope of Practice. You will be made aware of the local Trust Formulary for guidance around medications that are allowed to be prescribed.
- To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.
- Using the EMIS system the consultation must be recorded in the patients records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.
- To be personally accountable for professional and ethical actions and practices within a framework that adheres to their governing body and Harrow Health policies and procedures
About us
Harrow Health Community Interest Company (Harrow Health) began in 2007 by a group of Harrow GPs, whose sole aim was to ensure patients receive a high quality clinical care service within the community. Over the years, Harrow Health has expanded. We now provide a large number of clinical services, which include GP Enhanced Access Centre, Community Services and our Enhanced Frailty Service.
Harrow Health Community Services directorate has been awarded a contract to provide general Attention Deficit Hyperactivity Disorder (ADHD) services on behalf of Northwest London Integrated Care Board (NWL ICB).
Our Vision:
To provide high quality patient care, enhancing patient experience by providing excellent clinical effectiveness in a safe environment. Working in partnership with other stakeholders Harrow Health will provide gold standard services and develop a sustainable future for the local health community.
Job description
Job responsibilities
Main Responsibilities:
- To use evidence-based practice to develop, deliver and maintain a high quality, clinical and cost effective ADHD service.
- To provide a comprehensive service to the patients attending the clinic including clinical examination and investigations as needed, management, and referral as appropriate within defined parameters and scope of practice, referring to senior colleagues as needed. Complex cases should be discussed with the Medical Lead, Dr S Mashru, including any titration that needs more than 3 follow-ups.
- To ensure patients have consented to, and are fully involved in the implementati in of their treatment plans
- Interpretation of results where requested for individuals
- To implement Non Medical Prescribing in accordance with NICE, NHS England and Trust prescribing guidelines, ensuring you work within your NMC/ GPhC Code of Conduct. / Scope of Practice. You will be made aware of the local Trust Formulary for guidance around medications that are allowed to be prescribed.
- You will be expected to sign Harrow Heaalth Intention to Prescribe Agreement with the Head of Nursing
- To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.
- Using the EMIS system the consultation must be recorded in the patients records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.
- Liaise with other team members as appropriate
- To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure
- To be personally accountable for professional and ethical actions and practices within aframework that adheres to their governing body and Harrow Health policies and procedures
Service management / delivery responsibilities:
- Ensure your caseload is effectively managed and systems are in place for follow up and review and discharge.
- To ensure that patient records and documentation are maintained in line with Harrow Health policies and use of the electronic patient records system. This includes:
- Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.
- Encouraging colleagues to maintain good and complete records.
- Working closely with the reception team / administrator, ensuring all records pertinent to patients are filed as appropriate
- Work within local policies, protocols and guidelines Harrow Health and local trust guidelines
- Ensure Safeguarding Adults and Children is considered, and policies and procedures are followed when concerns are raised, and attend local safeguarding meetings as required.
- Establish quality standards relating to the service user and carer experience.
- Ensure that service users and their carers receive clear and accurate information on the service, access to their records, confidentiality, personal care plans, medications, support services available and complaints and compliment procedures.
- To participate in audits as requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.
- To collect data, and provide service information to the Team Leader as required
- To ensure that the Clinical Manager / Team Leader / Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.
- To work with the Team in delivering and promoting the needs of the service
- To work with the Clinical Lead, Team Leader, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.
- To participate in relevant team meetings to discuss day to day operational issues as required.
Personal & professional development:
- To be a skilled practitioner in areas needed for effective care delivery
- Recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained
- To collaborate in the continuing development of their role / expertise to include:-
- Level of autonomy in practice.
- Show self-motivation toward expanding practice and developing skills and knowledge, with the support of Harrow Health
- Ensure statutory and mandatory training is up to date
- Promote a learning environment and culture within the team which supports the professional development and effectivenesss of the team as a whole
- Contribute to the delivery of specialist and multidisciplinary training, including the induction of new staff and trainees within the service, if applicable.
Job description
Job responsibilities
Main Responsibilities:
- To use evidence-based practice to develop, deliver and maintain a high quality, clinical and cost effective ADHD service.
- To provide a comprehensive service to the patients attending the clinic including clinical examination and investigations as needed, management, and referral as appropriate within defined parameters and scope of practice, referring to senior colleagues as needed. Complex cases should be discussed with the Medical Lead, Dr S Mashru, including any titration that needs more than 3 follow-ups.
- To ensure patients have consented to, and are fully involved in the implementati in of their treatment plans
- Interpretation of results where requested for individuals
- To implement Non Medical Prescribing in accordance with NICE, NHS England and Trust prescribing guidelines, ensuring you work within your NMC/ GPhC Code of Conduct. / Scope of Practice. You will be made aware of the local Trust Formulary for guidance around medications that are allowed to be prescribed.
- You will be expected to sign Harrow Heaalth Intention to Prescribe Agreement with the Head of Nursing
- To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.
- Using the EMIS system the consultation must be recorded in the patients records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.
- Liaise with other team members as appropriate
- To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure
- To be personally accountable for professional and ethical actions and practices within aframework that adheres to their governing body and Harrow Health policies and procedures
Service management / delivery responsibilities:
- Ensure your caseload is effectively managed and systems are in place for follow up and review and discharge.
- To ensure that patient records and documentation are maintained in line with Harrow Health policies and use of the electronic patient records system. This includes:
- Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.
- Encouraging colleagues to maintain good and complete records.
- Working closely with the reception team / administrator, ensuring all records pertinent to patients are filed as appropriate
- Work within local policies, protocols and guidelines Harrow Health and local trust guidelines
- Ensure Safeguarding Adults and Children is considered, and policies and procedures are followed when concerns are raised, and attend local safeguarding meetings as required.
- Establish quality standards relating to the service user and carer experience.
- Ensure that service users and their carers receive clear and accurate information on the service, access to their records, confidentiality, personal care plans, medications, support services available and complaints and compliment procedures.
- To participate in audits as requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.
- To collect data, and provide service information to the Team Leader as required
- To ensure that the Clinical Manager / Team Leader / Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.
- To work with the Team in delivering and promoting the needs of the service
- To work with the Clinical Lead, Team Leader, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.
- To participate in relevant team meetings to discuss day to day operational issues as required.
Personal & professional development:
- To be a skilled practitioner in areas needed for effective care delivery
- Recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained
- To collaborate in the continuing development of their role / expertise to include:-
- Level of autonomy in practice.
- Show self-motivation toward expanding practice and developing skills and knowledge, with the support of Harrow Health
- Ensure statutory and mandatory training is up to date
- Promote a learning environment and culture within the team which supports the professional development and effectivenesss of the team as a whole
- Contribute to the delivery of specialist and multidisciplinary training, including the induction of new staff and trainees within the service, if applicable.
Person Specification
Personal Qualities
Essential
- To be a reflective practitioner
- Effective organisation and time management skills
- Committed to self-directed development
- Assertive, adaptable / flexible / energetic and enthusiastic
- Good communication skills and able to be sensitive and empathetic in distressing situations
- Ability to work under pressure
- Team work and communication
- Full indemnity with, for example, the RCN / MDU / Unison
Desirable
- Able to challenge accepted practice as appropriate
- Develop links with other primary care services as needed
- Awareness of Harrow Health Clinical Governance agenda
Experience
Essential
- Experience of working independently, with a minimum of 3 years experience post qualification
- Relevant experience in diagnosing and delivering care to ADHD service users
- Regular attendance at educational updates / meetings
- Understanding of Safeguarding Adults and Children
- Infection Prevention and Control Procedures,
- Awareness of local referral pathways
- Excellent written and oral communication skills
- Up to date with Statutory and Mandatory training as per Harrow Health guidelines
Desirable
- Experience of delivering training to colleagues.
- Experience in completing audits and assessments
- Experience in Quality improvement Projects.
- Knowledge of use of IT / EMIS system
Qualifications
Essential
- Registered General Nurse / Nurse Practitioner
- Current NMC registration
- Degree level study / equivalent specialist study / appropriate qualification ADHD care delivery
- Non-Medical Prescribing qualification
Desirable
- Masters degree
- Management experience / qualification
- Previous experience in independent working for ADHD medication titration
Person Specification
Personal Qualities
Essential
- To be a reflective practitioner
- Effective organisation and time management skills
- Committed to self-directed development
- Assertive, adaptable / flexible / energetic and enthusiastic
- Good communication skills and able to be sensitive and empathetic in distressing situations
- Ability to work under pressure
- Team work and communication
- Full indemnity with, for example, the RCN / MDU / Unison
Desirable
- Able to challenge accepted practice as appropriate
- Develop links with other primary care services as needed
- Awareness of Harrow Health Clinical Governance agenda
Experience
Essential
- Experience of working independently, with a minimum of 3 years experience post qualification
- Relevant experience in diagnosing and delivering care to ADHD service users
- Regular attendance at educational updates / meetings
- Understanding of Safeguarding Adults and Children
- Infection Prevention and Control Procedures,
- Awareness of local referral pathways
- Excellent written and oral communication skills
- Up to date with Statutory and Mandatory training as per Harrow Health guidelines
Desirable
- Experience of delivering training to colleagues.
- Experience in completing audits and assessments
- Experience in Quality improvement Projects.
- Knowledge of use of IT / EMIS system
Qualifications
Essential
- Registered General Nurse / Nurse Practitioner
- Current NMC registration
- Degree level study / equivalent specialist study / appropriate qualification ADHD care delivery
- Non-Medical Prescribing qualification
Desirable
- Masters degree
- Management experience / qualification
- Previous experience in independent working for ADHD medication titration
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
