About this role
Job summary
We are seeking to recruit a CAMHS ADHD Nurse Prescriber with excellent clinical skills and a strong interest in working with neurodivergent children and their families.
This is a 24-month fixed term post, within the Lewisham CAMHS ADHD treatment team, to provide leadership and management support to the ADHD medication review team to ensure access and flow are prioritised while maintaining own caseload.
The post holder will support in leading a highly specialist service for children and young people with ADHD, with co-occurring neurodivergence and/or mental health difficulties. The post holder will be expected to contribute to specialist assessments and treatment plans. The role involves co-ordinating medication clinics and includes undertaking non-medical prescribing.
Alongside this, the post holder will be expected to use their expertise to offer advice and consultation to other members of the team as well as offering training in assessments and interventions to the wider Lewisham CAMHS service, and other professional networks.
Main duties of the job
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 and to contribute to the training of the clinical team and others.To work effectively as a member of a multi-disciplinary team.
About us
Lewisham Child and Adolescent Mental Health Services (CAMHS) are across three main locations and provides multidisciplinary assessment, diagnostic, treatment, advisory and consultative service for children and adolescents with emotional and behavioural difficulties, in particular those with moderate to severe mental health presentations.
The ADHD Team is a small but efficient team based within Lewisham CAMHS providing ADHD medication reviews to children and young people up to the age of 18, and supporting other teams with ADHD medication titration and providing psychoeducation groups. The team works closely with other teams within Lewisham CAMHS.
This post is clinically based at Kaleidoscope Centre in Catford, a short walk from Catford train stations or Ladywell station.
Job description Job 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 reviewsIn 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 medicationTo 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.
Professional leadership
To provide strategic nursing input at senior level across Lewisham CAMHS, supporting the Lead Nurse, Matrons, Service manager & Lead Clinician.To liaise with Lead Nurse to ensuring standards of nursing are consistent.
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 agenciesSupporting 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 neededTo undertake Serious Incident investigations as required by the Directorate.
Research and service evaluation
To contribute to the development of services for Lewisham CAMHS through initiating and undertaking service evaluation and audit.To undertake computer-based literature reviews and carry out research relevant to the service in general and provide advice and supervision to other staff undertaking these.To contribute to the development of outcome measurement and participate in the implementation of the use of same.To disseminate research and service evaluation findings through service feedback, presentations, and published articles.To undertake computer-based literature reviews and carry out research relevant to the service in general and provide advice and supervision to other staff undertaking these.To participate in agreed audit projects and to participate in service improvement based on the findings.
General
To maintain an up-to-date knowledge of current developments in professional and clinical practice with children and families, and of relevant legislation and policies.To examine independently and critically all aspects of work to ensure they comply with recognised professional standards and Trust policies and procedures.To maintain record keeping as required by professional codes of practice as well as Directorate policies and procedures.To participate fully and implement standards devised from Trust's clinical and research governance activity.
Person Specification
Qualifications Essential
First level nursing qualification RMN, RLDN or RSCN with NMC current registration with CAMHS/ADHD experience or equivalent Non-medical prescriber with appropriate NMC registration
Desirable
MSc level qualification or equivalent with evidence of a comprehensive portfolio of post-registration professional development in child and adolescent mental health Additional, recognised therapeutic qualification.
Experience Essential
Experience working as an independent non-medical prescriber within a CAMHS service and ability to demonstrate continuing professional development in this area. Experience of clinical leadership and providing clinical support for practitioners across disciplines including recruitment, supervision, and appraisal Experience of CAMHS assessment and ADHD assessments Experience of consultation to, and clinical supervision of, other staff. Experience of working with children and families from diverse cultural backgrounds. Experience of managing complex and high-risk cases. Experience of providing teaching and training to multidisciplinary groups. Experience of multi-agency collaboration and integrated working.
Desirable
Significant experience working as an independent non-medical prescriber with a CAMHS service and ability to demonstrate continuing professional development in this area. Experience of use QI methodology Experience of developing and carrying out research projects
Knowledge/Skills/Abilities Essential
Highly specialist knowledge of childhood disorders including emotional and behavioural disorders, relationship difficulties and attachment disorders and theories of child development. Knowledge of legislation and national policy in relation to Looked After Children, The Mental Health Act, and safeguarding children. Highly developed verbal and written communication skills including communicating complex, highly technical and sensitive information to children, young people, families, and colleagues. Ability to work independently as an autonomous practitioner with appropriate level of clinical and managerial supervision. Ability to work effectively within a multi-disciplinary team, contributing to effective team functioning and holding team roles. Evidence of continuing professional development. Awareness of racial and diversity issues and their impact on service access, through attendance of relevant training. Ability to supervise qualified clinical staff having completed relevant training. Ability to identify and employ mechanisms of clinical governance as appropriate. Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings.
Desirable
Post graduate level knowledge of CAMHS research methodology and complex statistical analysis.
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.
Certificate of Sponsorship 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 South London and Maudsley NHS Foundation Trust
Address Lewisham CAMHS
Lewisham CAMHS Kaleidoscope Child Development Centre, 32 Rushey Green, Catford, London, Se6 4jf
London
SE6 4JF
United Kingdom
Employer's website https://www.slam.nhs.uk/ (Opens in a new tab)