GP with Extended Role (ADHD / Autism service)
Harley Street Mental Health (HSMH) is expanding our Altrincham office in Greater Manchester and we are looking for an experienced GP with Extended Role (GPwER) in neurodevelopmental care to join our friendly, clinician‑led team, Monday-Friday 09:00–17:30.
This is a varied and rewarding role for a doctor who enjoys combining excellent clinical care with service development. You will deliver high‑quality ADHD assessments and follow‑ups, support safe and effective ADHD prescribing and monitoring, and provide clinical advice as part of a supportive multidisciplinary team. You will also contribute to pathway and service improvement work, helping us maintain high standards, strong clinical governance, and an outstanding patient experience.
If you are passionate about neurodiversity‑affirming, evidence‑based practice, have strong safeguarding and risk management skills, and want a role where your clinical expertise and leadership can genuinely shape a growing service, we would love to hear from you.
Main duties of the job
Undertake comprehensive ADHD assessments and follow‑up reviews, providing clear diagnostic formulations and practical, patient‑centred recommendations. Support ADHD prescribing, titration, and monitoring in line with best practice, ensuring safe physical health checks, side‑effect monitoring, and robust risk management.
Provide timely, high‑quality clinical documentation and reports, maintaining accurate records on our clinical systems. Offer clinical advice to the wider team and contribute to duty cover for risk queries as required. Work closely with the MDT to support complex presentations and coordinate post‑diagnostic care.
Alongside clinical work, contribute to service development and quality improvement activity, helping refine pathways, improve patient experience, and uphold strong governance standards. Participate in MDT meetings, supervision/CPD, and support the day‑to‑day clinical running of the Altrincham service.
About us
Harley Street Mental Health (HSMH) is a clinician‑led, CQC‑registered service delivering high‑quality ADHD, autism and wider psychiatric assessments and treatment, in‑person and via secure virtual consultations to both NHS and private patients.
Our multidisciplinary team includes GMC‑registered doctors and experienced clinicians, with an emphasis on evidence‑based practice, strong safeguarding and clear, timely clinical documentation.
We work hard but look after each other: approachable leadership, regular MDT discussion, protected time for admin and CPD, and a culture of learning and continuous improvement. We value neurodiversity‑affirming care, taking time to understand each persons story, focusing on practical outcomes, and treating patients with warmth, respect and professionalism.
As our Altrincham service grows, you’ll have the chance to influence pathways and patient experience while being part of a friendly team that takes pride in excellent clinical standards. Find out more at hsmh.co.uk.
Job responsibilities
To provide high‑quality, evidence‑based assessment and ongoing care for individuals presenting with suspected ADHD and/or autism, including safe prescribing and monitoring where appropriate. The postholder will also contribute to clinical governance, risk management, and the day‑to‑day clinical leadership and development of our Altrincham service.
Key Responsibilities
* Clinical assessment & care
o Deliver comprehensive ADHD assessments and follow‑up appointments, including differential diagnosis and management planning.
o Contribute to autism assessments (virtual and/or in‑person as required by service need), ensuring high‑quality formulation and clear outcomes.
o Provide post‑diagnostic input, signposting, and care planning, working collaboratively with the MDT.
* Prescribing & monitoring
o Support ADHD prescribing, medication reviews, and ongoing monitoring in line with best practice and service protocols.
o Ensure safe prescribing standards, including physical health considerations, side‑effect monitoring, and clear communication with patients and (where appropriate) primary care.
* Risk, safeguarding & governance
o Maintain a high standard of risk assessment and management, including documentation of safeguarding considerations and clinical decision‑making.
o Provide clinical advice and support as part of the duty/risk rota (within agreed service parameters).
o Contribute to clinical governance activity including incident learning, audit/QI work, and maintaining high standards of record keeping.
* Reports & documentation
o Produce high‑quality, timely clinical reports and letters within required timeframes.
o Maintain accurate, contemporaneous records in clinical systems and ensure documentation meets governance standards.
* Leadership, service development & MDT working
o Act as a senior clinical presence within the Altrincham service, supporting pathway flow and clinical quality.
o Participate in and, when appropriate, lead MDT meetings, contributing to collaborative formulation and shared decision‑making.
o Support service development initiatives (e.g., pathway refinement, documentation standards, prescribing processes, patient experience improvements).
o Contribute to supporting and developing colleagues through advice, informal teaching, and shared learning.
* Professional responsibilities
o Maintain GMC registration, appraisal/revalidation requirements, and engage in CPD.
o Attend supervision and participate in PDP activity, reflective practice, and service training.
Person Specification
Qualifications
* GMC-registered GP (on the GP Register) with experience and additional competence in neurodevelopmental assessment and management (GPwER level).
* Demonstrable experience in ADHD assessment and management, including medication considerations and monitoring.
* Strong competence in clinical risk assessment, safeguarding principles, and robust documentation.
* Excellent communication skills, including the ability to write clear, clinically sound reports.
* Comfortable working both in‑person and via virtual consultations.
* Collaborative MDT approach and commitment to high‑quality, patient‑centred care.
* Experience contributing to service development, clinical governance, audit, or quality improvement.
* Experience supporting autism assessments and/or managing complex comorbidity (e.g., anxiety, depression, OCD, trauma).
* Experience supervising/mentoring clinicians or providing clinical leadership within a team.
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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