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NHS Jobs; West Malling; On-site; GBP 55,000 - 75,000; Full time

Job summary

The Kent and Medway NHS and Social Care Partnership Trust is seeking a Clinical Specialist Prescriber (Nurse or Prescribing Pharmacist) to lead ADHD medication titration, review and stabilization for adults, in line with NICE guidance and SSC ADHD pathways.

You will maintain NMC registration with V300, document monitoring, and work within the FLOCUS pathway to ensure safe handover, governance and safeguarding while collaborating with the multidisciplinary team.

Qualifications

• Maintain current NMC registration and Nurse Prescriber V300 qualification.
• Prescribe ADHD medication within scope of NMP qualification with justification, documentation and monitoring.
• Participate in clinical audit, peer review and service evaluation.
• Safeguarding and risk management in line with policy and pathway.

Responsibilities

• Titrate ADHD medications for adults and monitor response.
• Escalate high-risk or atypical cases to Medical Director or Consultant Psychiatrist.
• Maintain accurate clinical records and adhere to governance standards.
• Collaborate with psychiatrists, psychologists and GPs within the pathway.
• Contribute to MDT discussions and service development.

Skills

ADHD prescribing

Clinical governance

Patient safety

Multi-disciplinary teamwork

Education

NMC registration

Nurse Prescriber V300

ADHD prescribing qualifications

Job description

Clinical Specialist Prescriber-Nurse or Prescribing Pharmacist

Clinical & Prescribing Responsibilities Undertake ADHD medication titration, review and stabilisation for adult patients, in line with NICE guidance and SSC ADHD clinical pathways. Prescribe ADHD medication within scope of NMP qualification, ensuring appropriate clinical justification, documentation and monitoring. Monitor treatment response, sideeffects, physical health parameters and risk factors throughout titration and ongoing treatment. Escalate complex, highrisk or atypical presentations to the Medical Director or Consultant Psychiatrist as required. Contribute to sharedcare arrangements with GPs, supporting appropriate handover where clinically and operationally feasible. Clinical Governance & Patient Safety Practice in accordance with SSCs Clinical Governance Framework, Medicines Management Policy and Prescribing SOPs. Contribute to PSIRFaligned patient safety processes, including incident reporting, reflective learning and safety improvement actions. Maintain accurate, timely and contemporaneous clinical records in line with regulatory and professional standards. Participate in clinical audit, peer review and service evaluation activity relating to ADHD treatment and prescribing. Safeguarding & Risk Management Identify, assess and appropriately respond to safeguarding concerns involving adults at risk. Work collaboratively with SSCs Safeguarding Lead and wider MDT to ensure safeguarding processes are followed and documented. Undertake and document clinical risk assessments and risk management plans where indicated. Ensure reasonable adjustments are considered for neurodivergent patients and those with cooccurring vulnerabilities. Multidisciplinary Working Work closely with psychiatrists, psychologists, medical practitioners, administrators and governance colleagues within the FLOCUS pathway. Support effective clinical communication across assessment, treatment and followup stages. Provide clinical input into MDT discussions, case reviews and service development initiatives. Professional Practice & Development Maintain current NMC registration and Nurse Prescriber V300 qualification. Participate in clinical supervision, appraisal and revalidation processes in line with SSC policy. Engage in continuing professional development relevant to ADHD, prescribing and neurodevelopmental practice. Practice in accordance with the NMC Code and SSC values. Governance & Regulatory Alignment -Explicit This role operates within and supports: CQC Safe domain: medicines management, risk assessment, safeguarding, incident reporting. CQC Well Led domain: clinical leadership, governance participation, learning culture and accountability. PSIRF: structured learning from patient safety incidents. NMC Code & Revalidation requirements. SSC Clinical Quality & Governance oversight, including Medical Director accountability for prescribing decisions.

Kent and Medway NHS and Social Care Partnership Trust