ADHD Prescribing Nurse / Clinical Service Lead

This is an exciting time of development and expansion of the ADHD provision within Lewisham CAMHS. We are looking for an ambitious and enthusiastic Nurse Prescriber (or qualified prescribing equivalent) to work clinically and manage the small team.
Clinically, the post holder will work as an ADHD nurse prescriber and manage a highly specialist service for children and young people with ADHD and co-occurring neurodiverse /mental health difficulties, contributing to specialist assessment & management and leading on co-ordinating the ADHD medication review clinics., The role includes:
· To provide leadership and management support to the ADHD medication review team to ensure access and flow are prioritised while maintaining own caseload.
· To manage a caseload, providing the analysis of complex information to determine the planning and management of assessment and treatment to C&YP with ADHD and co-occurring neurodiverse/mental health difficulties.
· To undertake assessments, including ADHD assessments
· To provide psychoeducation information sessions/groups.
· To provide expertise in this highly specialist clinical area and to offer advice and consultation on clients care to other members of the service. To offer training in assessment and interventions for CYP with ADHD to CAMHS and other professional networks.
· To liaise with medical colleagues, partner agencies and adult mental health professionals across a range of settings.
· To work autonomously within professional practice guidelines and Trust guidelines.
· To contribute to policy and service development, undertake research, service evaluation and audit for own team/service and to contribute to the training of the clinical team and others.
· To work effectively as a member of a multi-disciplinary team.

Working for our organisation
South London and Maudsley NHS Foundation Trust (SLaM) provide the widest range of NHS mental health services in the UK as well as substance misuse services for people who are addicted to drugs and alcohol. We work closely with the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London and are part of King's Health Partners Academic Health Sciences Centre. There are very few organisations in the world that have such wide-ranging capabilities working with mental illness. Our scope is unique because it is built on three major foundations: care and treatment, science and research, and training.
Lewisham CAMHS Is a large community CAMHS service based over three locations in Lewisham & Catford. The ADHD Team is based in the modern and comfortable Kaleidoscope building in Rushy Green, close to a range of transport links and parking. The local community is diverse and there are a wide range of shopping and cultural interests within the vicinity.

Detailed job description and main responsibilities
Clinical
· To lead the provision and delivery of the ADHD clinics provided by Lewisham CAMHS, and be a highly specialist practitioner within the assessment, treatment, and pharmacological management of CYP with ADHD and co-morbid mental health and/or neurodiverse difficulties, assuming responsibility for own caseload.
· To work as an independent and autonomous professional within professional guidelines and the policies and procedures of the service, taking full responsibility for own work.
· To coordinate ADHD medication review and titration clinics in conjunction with the medical staff and other non-medical prescribers.
· To work as a non-medical prescriber (working in line with the Trust Medication Prescribing Policy), undertaking ADHD medication initiations and reviews
· In collaboration with the client/carer to update care and treatment plans.
· Monitoring and assessing patients' physical health needs within their sphere of competence and provide interventions for these needs.
· Offer support to parents/carers and clients seeking help between clinic appointments or when in crisis with support from team.
· Liaison with schools in relation to children and adolescents progress at school and response to medication
· To Facilitate ADHD psychoeducation workshops for parents/carers and young people.
· To support the development of a Nurse-led ADHD medication clinic
· To provide CAMHS assessments, using self-report measures, as appropriate, structured observations, clinical interviews, and to interpret and integrate this highly complex data to identify and diagnose the cause of emotional and behavioural problems in C&YP.
· To assess and monitor risk and draw up appropriate risk management plans in conjunction with the C&YP, parents/carers and other services as appropriate.
· To formulate mental healthcare and crisis treatment plans that are specific to each C&YP and family, based upon an analysis of complex factors concerning historical and developmental processes contributing to the presentation. To assess safeguarding issues for each case, consulting with other professionals and referring concerns to the appropriate safeguarding team as required.
· To deliver evidence-based treatments, monitoring outcome and modifying and adapting interventions drawing on a range of theoretical options.
· To communicate skilfully, sensitively highly complex, sensitive and potentially distressing information with CYP, parents, carers and colleagues taking account of sensory and cultural barriers to communication.
· To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry and recording.
· To ensure that all services provided are acceptable and accessible to the diverse communities which make up the catchment area of the service.
· To act as named worker/care co-ordinator for a range of cases including high risk and extremely complex, ensuring the provision of a care package appropriate for the client needs, coordinating the work of others involved, and to monitor progress in the course of multidisciplinary interventions.
Supervision, Teaching and Training
· To receive regular clinical and management supervision from a clinician according to Trust guidelines. This will include fortnightly moving to monthly ADHD prescribing supervision with a consultant psychiatrist.
· To provide clinical supervision as well as managerial supervision to qualified nursing staff and students for all aspects of their work where appropriate.
· To provide placements to student as required and where appropriate.
· To provide advice, consultation, training and supervision to staff and parents/carers within CAMHS and other agencies
· supporting ADHD multidisciplinary complex clinic.
Management, Recruitment, Policy, and Service Development
· To provide Leadership and management support to the ADHD team to ensure access and flow are prioritised while maintaining own caseload.
· To facilitate ADHD pathway development, working closely with the senior leadership team and key staff to support further development of the ADHD pathways and ensuring better access and reduce waiting times.
· To promote clinical excellence by complying with nationally agreed, Trust and statutory policies and clinical guidance, while maintaining own clinical competencies in this role.
· To identify any aspects of the service which need to be improved and to advise service and professional managers on appropriate changes.
· To assist in the short-listing and interviewing of multidisciplinary staff as required.
· To participate in clinical governance initiatives as agreed by the Trust and clinical governance committee.
· To deputise for senior managers when required and to represent the team at borough and SLAM level when needed.
· To undertake Serious Incident investigations as required by the Directorate.
The Trust is committed to providing services which embrace diversity and that promote equality of opportunity. We are a Disability Confident Employer, we welcome applicants from all sections of the community and people of all protected characteristics. We provide reasonable adjustments for candidates with a disability and are committed to treating people fairly with compassion, respect and dignity and in promoting equality and human rights. We aim to put this commitment into practice by:
+ Embedding our commitment to tackling inequality, eliminating discrimination and harassment; promoting equality of opportunity and fostering good relations in our everyday practice
+ Ensuring that all our services and all staff understand and support our commitment
+ We believe that people who use our services, their carers and our staff, should be treated with compassion, respect and dignity
Please note:
+ That all applications for this post will need to be made online
+ That you read and understand the Job Description and Personal Specification attached to the role. Your Statement in Support should reflect the requirements specified as your application will be judged against these criteria
+ That the closing date listed is a guide only and that the vacancy may close earlier should sufficient number of applicants have been received. We advise that you submit your application as early as possible
+ That once you have submitted your application you agree to your application being transferred to a 3rd party e-recruitment system. All subsequent information regarding your application will be generated from apps.trac.jobs
+ That should you not have heard from us within three weeks from the closing date your application has not successful
+ That priority consideration for applications may be given to at-risk NHS employees
+ That should you be successful and appointed, you authorise South London and Maudsley NHS Foundation Trust to confirm your previous NHS service via an Inter Authority Transfer (IAT) process
+ That we are a smoke-free Trust
SLaM is a Stonewall Diversity Champion , Stonewall is the largest Lesbian, Gay, Bi and Trans (LGBT) rights charity in Europe'

NHS AfC: Band 8a
South London and Maudsley NHS Foundation Trust has a rich history, well-established community links and an international reputation. We deliver specialist services in the London boroughs of Croydon, Lambeth, Lewisham and Southwark, Bexley, Bromley, Greenwich, Wandsworth and Richmond.
We are committed to provide a high quality and specialist care to our service users and we are recognised for our care and treatment we provide. The Care Quality Commission already rates our services as 'good'.
We launched our five-year strategy, Aiming High; Changing Lives in 2021 together with Our Care Improvement System as our quality management system methodology to make a positive impact on patient care, outcomes and staff experience. By joining SLaM, all staff will get the opportunity to be part of this exciting improvement journey supported with learning and development to harness everyone's potential as change makers.
The trust recognises the unique and valuable contribution that people with lived experience of mental illness can bring to a role. We therefore welcome applications from people with lived experience and consider them as an asset to the Trust.
Our Values
We take pride in providing specialist care to our service users where our Trust values and our promise to be caring, kind, polite, prompt, honest, listen and do what I say I'm going to do is at the heart of everything we do. When you join us, you'll be part of something special.
As a Trust we are happy to talk flexible working.