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Specialist practitioner - adhd

Fareham
Integrated Care System
Posted: 26 July
Offer description

Are you passionate about delivering patient-centred care to individuals with ADHD? Do you enjoy working autonomously while being part of a supportive, multidisciplinary team?

PHLs ADHD Service is expanding, and we are seeking experienced clinicians with Independent Prescribing qualifications to join our team. You will be responsible for conducting ADHD diagnostic assessments and managing treatment plans for patients aged 17.5 and over.

This is a predominantly remote role with flexibility in working hours and the opportunity to contribute to service development and clinical quality initiatives.


Main duties of the job

* Independently conducting remote assessments for adult ADHD patients using referral information, screening tools, and clinical expertise
* Initiating and titrating ADHD medication in accordance with local and national guidelines
* Carrying out regular reviews to assess treatment outcomes and patient wellbeing
* Providing specialist clinical advice and empowering patients in managing their condition
* Supporting Shared Care arrangements with Primary Care providers
* Collaborating with internal and external professionals to ensure continuity of care
* Contributing to service improvement initiatives and participating in clinical governance


About us

PHL Group is a forward-thinking healthcare provider delivering high-quality services across a range of specialisms. Our ADHD Service is designed to offer comprehensive support for patients throughout their ADHD journey, with a strong focus on accessibility, innovation, and excellence in care.

You will be joining a multidisciplinary team that values collaboration, integrity, and continuous professional development.


Job responsibilities

PHL provides a service to the Isle of Wight, receiving referrals for adults presenting with symptoms suggestive of Attention Deficit Hyperactivity Disorder. Patients engage with triage, assessment, and, if receiving a diagnosis, may subsequently choose to proceed to pharmacological management of their condition.

This is a virtual role for a non-medical prescriber with experience of assessing and treating adults with ADHD. You will be working alongside the Clinical Manager and other professionals to diagnose and manage patients within a virtual clinic setting, including prescribing and titration of preparations in line with NICE guidance and clinical judgment.

You will have a sound understanding of the relevant NICE guidance (NG87) and quality standards (QS39) for ADHD in adults and have experience of using DIVA to diagnose ADHD.

You must be confident in considering other psychiatric co-morbidities when undertaking assessment, ensuring that the presenting symptoms are attributable to ADHD. You should also have a sound understanding of the therapeutic efficacy, side effects, and interactions of any prescribed treatment.

You will work within a small team to provide excellent patient-centred care, participating in multidisciplinary meetings as required to review individual cases.

As this is a virtual role, you must be confident in conducting assessments by either phone or video consultation. PHL will provide full training and support to use the applications and equipment required.

Clinical

* Work autonomously within the wider team, demonstrating accountability, responsibility, and professionalism when providing a quality service to our patients.
* Undertake assessments for the purpose of ascertaining whether a patient meets the criteria for a diagnosis of ADHD, using both clinical acumen and the DIVA tool.
* Formulate a management plan for our patients, including treatment pathway, follow-up and review, discharge, and onward referral, as necessary.
* Actively promote self-care and health strategies to empower the patient, taking a holistic and person-centred approach.
* Identify and appropriately refer to the patient's own GP for vital signs or ECG monitoring in line with NICE guidelines.
* Identify when patients require the input of external agencies and refer to primary, community, non-profit, and secondary care services.
* Identify child and adult protection issues, social needs, and safeguarding concerns and action these in line with protocols.
* Record in a timely manner a true and accurate record of the information and advice given, and generate an electronic record.
* Undertake assessments of risk at each consultation, implementing onward referral and risk management plans.
* Be responsible for the timeliness of consultations within the booked appointment system.
* Always ensure the safety of patients, including provision of safety netting advice.
* Provide cover in the absence of the Clinical Manager, undertaking additional responsibilities as agreed once confident and competent to do so.

Prescribing

Prescribe appropriately for patients requiring initial or repeat prescriptions, in line with NICE guidance and the BNF.

* Conduct medication reviews as required, titrating dose and/or prescribing alternative treatment as dictated by patient need.
* Work independently in reviewing medication, understanding boundaries of knowledge, and when to refer patients for further management with a relevant service.
* Accurately identify those patients at risk of abuse or drug diversion.


Person Specification


Qualifications

* Must be registered with the Nursing and Midwifery Council, HCPC, or other appropriate professional body.
* Must hold an independent non-medical prescribing qualification and be confident with writing prescriptions for off-label and controlled drugs.
* Proactively maintain knowledge and training of current developments in clinical practice.
* Demonstrable experience of working with adults who have ADHD, including diagnosis and treatment.
* Experience of independent patient consultation, working autonomously.
* Sound clinical decision-making skills.
* Minimum 2 years experience in ADHD diagnostic assessments
* Minimum 2 years experience of prescribing ADHD medication
* Comprehensive understanding of adult ADHD and associated clinical guidelines


Experience

* See Job Description
* See Job Description


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.

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