Job summary
This is an exciting opportunity to join a highly specialist, multi-disciplinary team providing diagnostic assessments and pharmacological treatment for adults with suspected/diagnosed Attention Deficit Hyperactivity Disorder (ADHD). We are looking to expand our ADHD pathway to address the increase in demand for ADHD assessment. Our team are passionate about delivering person-centered, strengths-based assessments for neurodivergent individuals. We pride ourselves on being a supportive and inclusive team, including staff with lived-experience of autism and ADHD.
We would welcome applications from Registered Mental Health Nurses with live NMC Registration and prescribing qualification and specialist knowledge and experience in ADHD assessment. Experience of working in an adult mental health setting is also desirable.
SAANS is a well-established service and has been providing diagnostic assessments for both Sheffield and National residents for over 10 years. We are situated in the leafy suburb of Nether Edge, with free on-site parking and within walking distance of bus services.
While the role will be primarily clinic based, we do offer opportunities for flexible/remote working with options for online assessments in some cases.
Main duties of the job
The Senior ADHD specialist Nurse Practitioner, who is an independent/ supplementary prescriber, will work within the ADHD pathway to provide a specialist clinical assessment and intervention to adults with ADHD.
Assessments will be based upon the appropriate use, interpretation and integration of complex data from a variety of sources particularly, but not exclusively, semi-structured interviews and self-report measures. Assessment will also involve identifying alternative or co-occurring neurodevelopmental and mental health conditions. Our standard assessments involve a one-off appointment of up to 3 hours, with the option of MDT discussion and further appointment in complex cases. In this way, the post-holder must be able to work autonomously and have the ability to sustain concentration for extended periods and have excellent communication, time management and organisation skills to ensure diagnostic reports are prepared in a timely manner following assessment.
In addition to assessments, the post-holder will also be responsible for initiating ADHD treatment (pharmacological), titrating and optimising treatment. This will also require writing prescriptions for controlled drugs and other medications where appropriate under the supervision of senior clinical staff within their scope of practice.
About us
At SHSC, we prioritise the well-being and safety of both our service users and employees. It is our policy and a condition of employment that all employees must join the DBS Update Service. This service carries an annual fee, which employees are responsible for paying up front. However, employees may claim this cost back through the Trust's Employee Expenses Reimbursement Policy. For those requiring a Basic DBS check, it is necessary to register for a DBS Online Account.
Job description
Job responsibilities
Clinical
- Perform and monitor comprehensive assessments of clients/services users needs. Plan, implement and evaluate care delivery according to changing health care needs. This would include delivering ADHD specific assessments using astandardised and non-standardisedADHD DiagnosticAssessment tools.
- Use advanced skills and expert knowledge to assess the physical, mental health and social needs of a defined client group, instigating therapeutic care plans and treatments based on the best available evidence to improve health outcomes.
- Take continuous management responsibility for the delivery of specialist care needs of individual and groups of clients/services users.
- Ensure patient information is collated, monitored and fully accurate, maintaining complete and contemporaneous records in line with NMC/ professional bodies and Trust standards.
- Promote the involvement and engagement of clients/services users and carer relatives in the assessment, planning, delivery and evaluation of care.
- Work within a multi-disciplinary team to ensure effective care plans and treatments are in place for highly complex clients/services users.
- Work collaboratively and ensure maintenance of effective multi-disciplinary communication and with other professionals, agencies and stakeholders to ensure needs are met in relation to care input, support for ongoing care needs and safe discharge.
- Communicate highly complex information about clients/services users conditions to multi-disciplinary team colleagues, to ensure effective delivery of patient treatments.
- To ensure that systems are established and maintained to ensure effective communication with clients/services users, and carers / relatives.
- Use advanced skills and expert knowledge to clinically lead and enable others to deliver best practice across the service.
- Lead and support others to recognise, prioritise and respond appropriately to urgent and emergency situations including the assessment and management of risk.
- Ensure understanding of own and others level of accountability and responsibility when delegating tasks and duties to students, non-registered staff or registered staff.
- Lead, participate in and cooperate with concerns, complaints and investigations as required.
- To provide an Independent Prescriber service in accordance with the clinical setting agreed with the Medics. This will include initiating, titrating, and optimising pharmacological treatment for adult ADHD.
- To perform physical health monitoring specific to individual psychiatric medications and the NICE guidelines
- To order or undertake blood tests, ECGs and refer to specialists (i.e., cardiology) if required for diagnostic and monitoring purposes. Interpret the results and act accordingly. To undertake training to achieve this competence.
- To record all interactions and interventions with clients/services users into their medical records.
- Ensure effective communication with primary care and related healthcare professionals about review outcomes, treatment plans and referrals, normally through typed letters.
- Liaise with the clients/services users General Practitioner when as any matters arise
- To receive specific supervision from suitably trained staff relating to the non-medical prescribing role.
- To attend and contribute to the Trusts Non-Medical Prescribing Forum (minimum of 3 times per year).
- Work in line with SHSC Non-Medical Prescribing protocol.
- To work in accordance with the local shared care agreement for adult ADHD
- To develop and deliver non-pharmacological interventions and treatment for those with adult ADHD.
- Take full professional and legal responsibility for all prescribing carried out.
- To provide advice to clients/service users and carers about safe and effective use of medicines.
- To conduct a risk assessment and take appropriate action when reviewing clients/service users at clinics.
- To be responsible for the safety and security of the FP10 prescription pads in accordance with the Trust (and CCG where appropriate policies and procedures).
Leadership and communication
- Lead, co-ordinate, organise and prioritise your own work and the work of the team on a day-to-day basis.
- Ensure supervision of others and participate in education and development.
- Lead and monitor the development of services, new ways of working and the implementation of change.
- Acts as a professional and clinical role model to all staff, clients/services users, carers and the public at all times.
- Develop effective and efficient relationships with members of the multi-disciplinary team on issues related to patient care.
- Act in a professional manner and ensure self and other staff
- Deputising for Clinical Leads as necessary and appropriate to role
Education and Training
- Act as a clinical expert and information resource, leading in training, education and orientation programmes for staff, students and others.
- Assess and ensure the specialist education and training needs required for self, others and the service are identified, that will allow health care to be delivered to the user through new ways of working.
- Teach and educate clients/services users, their carers and other healthcare professionals about managing their condition.
- Proactively develop, implement and monitor public health and health promotion activities in accordance with national and local priorities.
- Contribute and partake in clinical research
- Attend regular NMP updates as part of CPD to continue to practice within the organisation
Job description
Job responsibilities
Clinical
- Perform and monitor comprehensive assessments of clients/services users needs. Plan, implement and evaluate care delivery according to changing health care needs. This would include delivering ADHD specific assessments using astandardised and non-standardisedADHD DiagnosticAssessment tools.
- Use advanced skills and expert knowledge to assess the physical, mental health and social needs of a defined client group, instigating therapeutic care plans and treatments based on the best available evidence to improve health outcomes.
- Take continuous management responsibility for the delivery of specialist care needs of individual and groups of clients/services users.
- Ensure patient information is collated, monitored and fully accurate, maintaining complete and contemporaneous records in line with NMC/ professional bodies and Trust standards.
- Promote the involvement and engagement of clients/services users and carer relatives in the assessment, planning, delivery and evaluation of care.
- Work within a multi-disciplinary team to ensure effective care plans and treatments are in place for highly complex clients/services users.
- Work collaboratively and ensure maintenance of effective multi-disciplinary communication and with other professionals, agencies and stakeholders to ensure needs are met in relation to care input, support for ongoing care needs and safe discharge.
- Communicate highly complex information about clients/services users conditions to multi-disciplinary team colleagues, to ensure effective delivery of patient treatments.
- To ensure that systems are established and maintained to ensure effective communication with clients/services users, and carers / relatives.
- Use advanced skills and expert knowledge to clinically lead and enable others to deliver best practice across the service.
- Lead and support others to recognise, prioritise and respond appropriately to urgent and emergency situations including the assessment and management of risk.
- Ensure understanding of own and others level of accountability and responsibility when delegating tasks and duties to students, non-registered staff or registered staff.
- Lead, participate in and cooperate with concerns, complaints and investigations as required.
- To provide an Independent Prescriber service in accordance with the clinical setting agreed with the Medics. This will include initiating, titrating, and optimising pharmacological treatment for adult ADHD.
- To perform physical health monitoring specific to individual psychiatric medications and the NICE guidelines
- To order or undertake blood tests, ECGs and refer to specialists (i.e., cardiology) if required for diagnostic and monitoring purposes. Interpret the results and act accordingly. To undertake training to achieve this competence.
- To record all interactions and interventions with clients/services users into their medical records.
- Ensure effective communication with primary care and related healthcare professionals about review outcomes, treatment plans and referrals, normally through typed letters.
- Liaise with the clients/services users General Practitioner when as any matters arise
- To receive specific supervision from suitably trained staff relating to the non-medical prescribing role.
- To attend and contribute to the Trusts Non-Medical Prescribing Forum (minimum of 3 times per year).
- Work in line with SHSC Non-Medical Prescribing protocol.
- To work in accordance with the local shared care agreement for adult ADHD
- To develop and deliver non-pharmacological interventions and treatment for those with adult ADHD.
- Take full professional and legal responsibility for all prescribing carried out.
- To provide advice to clients/service users and carers about safe and effective use of medicines.
- To conduct a risk assessment and take appropriate action when reviewing clients/service users at clinics.
- To be responsible for the safety and security of the FP10 prescription pads in accordance with the Trust (and CCG where appropriate policies and procedures).
Leadership and communication
- Lead, co-ordinate, organise and prioritise your own work and the work of the team on a day-to-day basis.
- Ensure supervision of others and participate in education and development.
- Lead and monitor the development of services, new ways of working and the implementation of change.
- Acts as a professional and clinical role model to all staff, clients/services users, carers and the public at all times.
- Develop effective and efficient relationships with members of the multi-disciplinary team on issues related to patient care.
- Act in a professional manner and ensure self and other staff
- Deputising for Clinical Leads as necessary and appropriate to role
Education and Training
- Act as a clinical expert and information resource, leading in training, education and orientation programmes for staff, students and others.
- Assess and ensure the specialist education and training needs required for self, others and the service are identified, that will allow health care to be delivered to the user through new ways of working.
- Teach and educate clients/services users, their carers and other healthcare professionals about managing their condition.
- Proactively develop, implement and monitor public health and health promotion activities in accordance with national and local priorities.
- Contribute and partake in clinical research
- Attend regular NMP updates as part of CPD to continue to practice within the organisation
Person Specification
Training and qualifications
Essential
- Registered Mental Health Nurse with live NMC Registration and recorded prescribing qualification. Registered General Nurse considered with relevant experience.
- Independent Non-Medical Prescriber with clear demonstrable knowledge and skills and extensive previous experience relating to prescribing
- Training in assessment and treatment of ADHD.
Knowledge and Skills
Essential
- Specialist knowledge of clinical aspects of ADHD
Experience
Essential
- Substantial post-qualification experience and expertise in a variety of mental health conditions. Demonstrating experience in managing ADHD, including the assessment of highly complex and co-morbid cases, with an understanding of issues affecting clients, their families, and caregivers within this client group.
Person Specification
Training and qualifications
Essential
- Registered Mental Health Nurse with live NMC Registration and recorded prescribing qualification. Registered General Nurse considered with relevant experience.
- Independent Non-Medical Prescriber with clear demonstrable knowledge and skills and extensive previous experience relating to prescribing
- Training in assessment and treatment of ADHD.
Knowledge and Skills
Essential
- Specialist knowledge of clinical aspects of ADHD
Experience
Essential
- Substantial post-qualification experience and expertise in a variety of mental health conditions. Demonstrating experience in managing ADHD, including the assessment of highly complex and co-morbid cases, with an understanding of issues affecting clients, their families, and caregivers within this client group.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Sheffield Health and Social Care NHS Foundation Trust
Address
Sheffield Adult Autism and Neurodevelopmental Service
Michael Carlisle Centre, Osborne Road
Sheffield
S11 9BF
Employer's website
https://www.shsc.nhs.uk/working-us (Opens in a new tab)
