About this role
Job summary
We are looking to recruit an experienced Nurse Prescriber to join our growing Child and Adolescent ADHD Service and become a key part of a compassionate, highly supportive multidisciplinary team. You will work primarily with children and young people aged 7 years to 18 years old, supporting them and their families at a crucial point in their care journey.
This role sits towards the end of the assessment pathway and is a respected and valued part of our holistic model of care. Our team take a thoughtful, evidence based approach to medication, prescribing only when it is clinically appropriate and genuinely in the young persons best interests. You'll be joining a service that prioritises quality over volume, collaboration over hierarchy, and reflective practice over pressure.
Held Health is a growing, innovative organisation where people genuinely support one another to succeed. You'll have the opportunity to help shape a developing service, feel heard within the team, and make a meaningful difference to the lives of children, young people and their families.
Main duties of the job
In this role, you will work closely with children, young people and their families to support the implementation and ongoing review of ADHD treatment following assessment. You'll use your clinical judgement to guide medication initiation and titration, ensure appropriate physical health monitoring, and respond to change over time as young people grow and develop.
You'll be an active member of the multidisciplinary team, contributing your expertise to shared decision making and helping to ensure care remains coordinated, balanced and child centred. Alongside clinical work, you'll play a role in maintaining high standards of clinical documentation, reflecting on practice through supervision, and contributing to the continued development and improvement of the service as it evolves.
About us
Held Health is a growing healthcare organisation redefining assessment and support for neurodivergent children, young people and adults across the UK. We deliver evidence based pathways for Autism, ADHD, learning difficulties and mental health, underpinned by robust governance, thoughtful use of data, and a strong commitment to quality.
Our culture is collaborative, values led and genuinely neuro affirming. We prioritise reflective practice, psychological safety, and meaningful professional development, creating an environment where clinicians feel trusted, supported and heard. Multidisciplinary working is central to what we do, with close collaboration across clinical, operational and leadership teams.
As an organisation, we are building modern, digital first services that improve access, consistency and outcomes for families. Staff at Held Health benefit from regular clinical supervision, strong peer support, flexibility where possible, and opportunities to shape services as we grow. Our ambition is simple: to deliver care so exceptional that it becomes the natural choice people recommend to others.
Job description Job responsibilities
In this role, your working week is centred on guiding children and their families through the medication pathway following an ADHD diagnosis, providing careful, evidence based prescribing alongside consistent support and reassurance.
Your work begins with reviewing new ADHD diagnoses, ensuring you have a clear understanding of the clinical formulation, assessment outcomes, and any relevant physical health information. From there, you'll plan and calculate appropriate medication titration schedules, considering the individual needs of each child, clinical guidelines, and family circumstances.
A significant part of your time is spent in medication initiation appointments. These are thorough, child and family focused meetings where you introduce treatment options, explain how the medication works, discuss potential benefits and side effects, and outline what the titration process will look like over the coming weeks. You'll ensure families feel informed, listened to, and confident before treatment begins. On an initiation day, you may see up to 6 patient medication initiations, each requiring careful preparation, clear explanation, and thoughtful clinical decision making.
As children progress through titration, your week will also include frequent medication reviews. These appointments focus on monitoring response, adjusting doses, reviewing physical health observations, and discussing feedback from families and schools. Review days may involve up to 8 patients follow up appointments, building towards more stable treatment and a routine six monthly review schedule once medication is optimised.
Alongside appointments, you'll actively manage your diary and appointment frequency, ensuring reviews are scheduled at clinically appropriate intervals and that families are supported at each stage of the process. You'll respond to queries, review monitoring forms, and make timely adjustments where needed, maintaining continuity and safety throughout treatment.
Building trusting, compassionate relationships with children and their families is central to your role. Over time, families come to recognise you as a consistent and reliable professional who understands their child, listens carefully to concerns, and works collaboratively with them to achieve the best possible outcomes.
Your week also includes accurate clinical documentation, ensuring all prescribing decisions and monitoring outcomes are recorded clearly and in line with legal and organisational requirements. You'll communicate effectively with the wider multidisciplinary team, including clinicians involved in diagnosis and ongoing care, to ensure joined up, holistic support.
Protected time for clinical supervision, reflection, and professional development is built into your role, supporting safe practice and ongoing growth. You'll also have opportunities to contribute to service development, helping shape and improve ADHD medication pathways and patient experience.
Overall, your working week balances high quality clinical prescribing with continuity of care, autonomy with support, and structured clinical work with meaningful, long term relationships with families.
Person Specification
Experience Essential
Minimum of 2 years post qualification experience in a relevant clinical setting (e.g. NHS, CAMHS, mental health, paediatrics, neuro-developmental services) Experience working with children and young people and their families Experience managing ADHD medication pathways, including initiation, titration, and review Experience working within a multidisciplinary team, including nonmedical prescribers and medical colleagues
Desirable
Previous experience prescribing ADHD medication for children or adolescents Experience managing complex titration schedules and monitoring physical health outcomes CAMHS, neurodevelopmental, or specialist ADHD service experience
Knowledge and Skills Essential
Strong clinical assessment skills, including reviewing diagnostic outcomes to inform treatment decisions Excellent communication and interpersonal skills, particularly with children and families Ability to build trusting, therapeutic relationships over repeated contacts Excellent clinical documentation and report writing skills Ability to manage clinical diaries, appointment frequency, and follow up safely Commitment to evidence based practice and continuing professional development
Desirable
Experience contributing to service development or quality improvement Confidence working autonomously within governance frameworks Familiarity with electronic clinical record systems
Knowledge and Skills Essential
Strong clinical assessment skills, including reviewing diagnostic outcomes to inform treatment decisions Excellent communication and interpersonal skills, particularly with children and families Ability to build trusting, therapeutic relationships over repeated contacts Excellent clinical documentation and report writing skills Ability to manage clinical diaries, appointment frequency, and follow up safely Commitment to evidence based practice and continuing professional development
Desirable
Experience contributing to service development or quality improvement Confidence working autonomously within governance frameworks Familiarity with electronic clinical record systems
Qualifications Essential
Registered healthcare professional with: NMC registration (for Nurses) or GPHC registration (for Pharmacists) Independent Prescriber qualification (V300 or equivalent) Qualification and competence to prescribe medicines independently within scope of practice
Desirable
Post registration training in child and adolescent mental health Formal training related to ADHD medication management Paediatric or CAMHS relevant prescribing education
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.
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 Held Health Limited
Address Node Co-work
1 Enterprise Road
Roundswell
Barnstaple
Devon
EX31 3YB
Employer's website https://www.held.health/ (Opens in a new tab)