Clinical Nurse Specialist (Adhd)

Hertsone Limited; Hemel Hempstead; On-site; GBP 42,000 - 52,000; Full time

Job summary

HertsOne GP Federation is seeking a Mental Health Nurse prescriber to join the South West Herts Enhanced Primary Care Monitoring service. The role focuses on ADHD management in children and young people aged 6–18, including medication reviews, titration and monitoring for co-morbidities in a clinic-based setting.

The post involves working across 2–3 sites within West Herts and collaborating with GP supervisors, HPFT CYPMHS and other agencies.

Qualifications

• Current UK nursing registration (Mental Health).
• Experience in ADHD management in children and young people.
• Ability to liaise with families, schools, GP practices and multi-agency services.
• Understanding of safeguarding and child protection policies.

Responsibilities

• Provide holistic ADHD medication reviews and titration for children and young people up to age 18.
• Carry out clinic-based reviews and adjust drug treatment within agreed protocols.
• Communicate with GP supervisors, HPFT CYPMHS, families and other services; attend weekly MDT meetings.
• Prepare reports, care plans and referrals; monitor and document patient progress and side effects.
• Maintain accurate electronic and paper patient records and contribute to service development.

Skills

ADHD management

Communication skills

Counselling skills

Clinical governance

Education

Nurse Independent Prescriber

UK registration as Nurse

Job description

Job summary

HertsOne GP Federation
We are looking to recruit a Mental Health Nurse /Nurse prescriber who will work within the South West Herts Enhanced Primary Care Monitoring service to provide support and intervention to children and young people with ADHD (as well as co-morbidities) between the ages of 6 and 18.
The post holder will be confident in completing ADHD medication reviews utilising specialist nursing skills and using clinical interview techniques in order to ascertain a childs response to medication and manage potential side effects. They will be expected to be confident in ascertaining potential symptoms of co-morbidity such as ASD, mental health needs or physical health concerns and document information accurately and refer to appropriate local services.
You will be experienced in titrating ADHD medication in children and young adults and confident with the formulary.

Main duties of the job

This is a clinic-based role, and you will carry out holistic assessments of patients referred as appropriate by HPFT CYPMHS service into this primary care monitoring service. Clinics are based within the 4 localities of West Herts, Dacorum, St Albans, Hertsmere and Watford and 3 Rivers, this role will be based across 2-3 sites.

• Apply knowledge of behavioural management strategies and evaluate responses to these and medication.


• Ability to communicate orally, electronically and in writing with children, young people, and families.


• Correspond with GP supervisors in the team, multi professional agencies, families, children services and voluntary/ statutory services. Attend weekly MDT meetings with senior team to discuss and review caseload regularly.


• Knowledge of referral pathway for complex cases.

About us

HertsOne LTD is a GP Federation offering primary care services across West Hertfordshire.
HertsOne covers all 53 GP practices in the Herts Valleys area (Watford and Three Rivers, St Albans and Harpenden, Hertsmere, Dacorum)

Job responsibilities

• Work autonomously in clinic to provide holistic reviews to children and young adults in relation to the management of their ADHD medications and to adjust drug treatment appropriately with the support of senior team and working within agreed protocols and guidelines with the recommendation of continued prescribing shared to the child/ young persons GP within recommended guidelines of the NMC medicine management code of conduct and NICE guidance.


• Provide an integrated service working closely with wider team and liaising with colleagues in HPFT and other services as required.


• As an autonomous practitioner, be responsible for monitoring patients with an ADHD diagnosis on medication through nurse-led clinics, communicating change to other members of the team and giving guidance on pharmaceutical treatment of Children and Young People up to the age of 18. The post-holder will be able to take a holistic approach to care, considering a variety of aspects which may impact on the childs function and behaviour and ensuring to hear the child's voice within their review process.


• To attend various multi-agency meetings, write reports and plan care, acting as the patient advocate when appropriate and to work in accordance with safeguarding childrens policies. Raise and discuss complex cases with supervising GP and ensure appropriate onward referral made.


• Contribute to the development of leaflets and information regarding medication and ADHD for children, families, and professionals.


• Ensure the effective and efficient use of physical and financial resources.


• Collect, collate, evaluate, and report information and maintaining accurate patient records.


• Ensure the service is monitored on a regular basis and data is available as a record to provide statistical information to Clinical Leads and others and to provide data to relevant local and national bodies to audit service as appropriate.

Person Specification

Essential

• Knowledge of CYP legislation and relevant mental health legislation.


• Understanding of evidence-based practice and the ability to demonstrate how this influences clinical practice.


• The ability to assess, formulate and manage care appropriately, ensuring discharge is timely.


• To be able to function as a part of a multi-disciplinary team and to liaise effectively with other agencies i.e., education, GP's, maintaining positive working relationships.


• Ability to maintain effective clinical records both written and electronic.


• Ability to manage and organise own time and diary.


• Experience of working effectively with child and young people.


• Experience of working with people with mental health difficulties.


• Experience in managing the co-morbidities of ADHD and provision of Behavioural advice.


• Experience in assessment and management of children with ADHD.


• Safeguarding and Adult Level 3.


• Experience of developing and providing evidenced based assessments, formulations, and care plans.


• Experience of liaison and working with a range of other relevant agencies and professionals.


• Experience of mentoring and supervision.


• Understanding of the principles of Clinical Governance and a willingness to follow HertsOne Policy and Procedures.


• Professional appearance.


• Good observational, listening and analytical skills.


• Car owner / driver.


• Ability to be flexible.


• Excellent written and verbal communication skills.


• Able to innovate and influence service delivery.


• Computer literate.


• Counselling skills.


• Registered Nurse (Mental Health).


• Evidence of CPD.

Desirable

• An awareness of alternative and augmentative communication system.


• Having a sound understanding of theoretical frameworks that underpin the understanding of behaviour.


• Knowledge of children's mental health and Child Development.


• Nurse Independent Prescriber.

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.

Employer details

Employer name: HertsOne Limited
Address: Hertsone Ltd, Maxted Road, Hemel Hempstead Industrial Estate, Hemel Hempstead, Hertfordshire, HP2 7DX, United Kingdom
Employer's website: https://www.hertsone.co.uk/
Details
Date posted: 23 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: Depending on experience, includes fringe payment
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time, Part-time
Reference number: U0001-26-0005
For questions about the job, contact:
Head of Operations, Sarah Bunn, [e-mail], 07414963418