Specialist Nurse ADHD Practitioner

South West London and St. George's Mental Health NHS Trust; Kingston Gate; Hybrid; GBP 50,000 - 70,000; Full time

Job summary

South West London and St George's Mental Health NHS Trust seeks an experienced CAMHS Advanced Nurse Practitioner/Non-Medical Prescriber to support medication management for ADHD in Kingston and Richmond CAMHS. The role involves autonomous decision making, clinical supervision, and leading prescribing initiatives within a multidisciplinary team.

The post requires a MSc level qualification, a first level nursing qualification, and registered non-medical prescriber status, with substantial CAMHS

Qualifications

• First level nursing qualification with CAMHS experience and MSc level qualification.
• Non-medical prescriber with appropriate professional registration.
• Formal training in supervision or supervision of others.

Responsibilities

• Support T3 Consultant Psychiatrists by taking responsibility for medication initiation and review.
• Provide clinical supervision to trainee NMP posts within Kingston and Richmond CAMHS.
• Lead ADHD prescribing clinic developments across Kingston and Richmond CAMHS.
• Represent SWLSTG Kingston and Richmond CAMHS at external ADHD medication development meetings.
• Make independent prescribing decisions in line with NICE guidance and RPS framework.

Skills

Autonomous practice

Non-medical prescriber

Clinical supervision

ADHD management

Education

First level nursing qualification

MSc CAMHS qualification

Non-medical prescriber registration

Job description

South West London and St George's Mental Health NHS Trust has a rich history, well-established community links and an international reputation. We provide a full range of local mental health services to the Kingston, Merton, Richmond, Sutton and Wandsworth London boroughs, as well as specialist forensic mental health services, including specialised services such as national deaf adults and CAMHS inpatients and OCD.

We are committed to providing high quality integrated health and social care for local people with mental health problems in South West London and more specialist mental health services for people throughout the UK. The Care Quality Commission already rates our services as 'good' however we aim to be 'outstanding'.

Our Values

We take pride in providing specialist care to our service users where our Trust values; being consistent, compassionate, collaborative, respectful and open is at the heart of everything we do. Our mission is "making life better together".

When you join us, you'll be part of something special - an innovative and rapidly growing organisation that is helping to redefine the Mental Health, education and social care landscape in the UK.

As a Trust, we are happy to talk flexible working.

Job overview

The Child and Adolescent Mental Health (CAMHS) service provides out-patient and consultation services to children experiencing a range of mental health and developmental difficulties.

The service also includes a Single Point of Access team which manages all referrals for children and adolescents in Richmond and Kingston boroughs where there are concerns about emotional heath/mental health difficulties. The Richmond and Kingston T3 services and the SPA work in close collaboration

SWLSTG CAMHS Tier 3 teams are multidisciplinary team specialising in the provision of high-quality assessments and evidence-based treatments for children, young people and their families presenting to the service with moderate to severe mental health problems and with high-risk profiles.

Main duties of the job

We are looking for an experienced and qualified CAMHS Advanced Nurse Practitioner/Non-Medical Prescriber to:

• Provide support to our T3 Consultant Psychiatrists in Kingston and Richmond CAMHS T3 services, by taking responsibility, under their direction, for medication initiation and review. Providing, as part of treatment titration, ongoing assessment, treatment, and management of patients
• To provide clinical supervision to trainee NMP posts within Kingston and Richmond
• To provide borough leadership for ADHD prescribing clinic developments across Kingston and Richmond CAMHS
• Represent SWLSTG Trust Kingston and Richmond CAMHS at external and internal ADHD medication related development meetings
• Provide direct clinical judgement and treatment decisions using highly developed skills and knowledge regarding clinical management of Children with ADHD.
• Exercise Independent or Supplementary prescribing rights using accepted guidelines and within client's clinical policies and the RPS Prescribing Framework.

Working for our organisation

Unless expressly stated in the job advert this role is not subject to sponsorship, please be advised that all offers of employment are subject to evidence of right to work in the UK.

We are Proud to Belong at South West London and St George's Mental Health NHS Trust.

We have expert services, a rich history and a clear commitment to providing the best quality care for those with mental ill-health. The Care Quality Commission already rates our services as 'good' - we aspire to be 'outstanding'.

This is a great time to join us. We are transforming the way we care for our communities to support our mission of Making Life Better Together. We have built two brand new mental health facilities at Springfield University Hospital, which are amongst the best in the world. More developments are planned across our sites and services as we invest a further £120m to upgrade and modernise our estate by 2027.

We are inclusive and diverse and strive to be actively anti racist. We want to attract people from all backgrounds and experiences to enrich the work we do together. We are proud to co-produce and involve our local communities in all that we do.

We offer flexible working, career development and a variety of benefits to enable a positive, welcoming environment in which our people and their careers can thrive.

Come and join our inclusive teams and help our patients on their recovery journey.

Detailed job description and main responsibilities

Key Responsibilities:

Ensure that the patient's interests are fully considered within the context of their care, actively participating in ethical, shared decision making within the multi-disciplinary team approach.

• Exercise autonomous professional responsibility for decision making within the parameters and expectations of the Titration Team leads.
• Undertake risk assessments and review safeguarding needs alongside treatment strategies during ongoing patient care.
• Utilize up to date knowledge of relevant legislation, national and client's policies and other issues relating to ADHD and patient management.
• Access regular clinical supervision from an allocated Service Consultant Psychiatrist and within the Titration Team
• Monitor treatment effectiveness and potential side effects and where appropriate initiate prescribing changes within NICE Guidance (NG87), policies and agreed treatment standards.
• Make independent prescribing decisions in collaboration with the patient and keep the Consultant Psychiatrist informed during the titration process, as required, by keeping contemporaneous records in the electronic clinical record.
• Use internationally recognised and validated screening and monitoring tools, alongside Services monitoring processes to implement excellent standards of patient care and achieve stabilisation of symptoms and treatment optimisation.
• Place an emphasis on informed choice within a patient partnership approach, ensuring full information is provided to the patient regarding the medications to be prescribed, following RPS Prescribing Framework standard

Use of Artificial Intelligence (AI) in job applications

If you have used AI to support the preparation of your application, please briefly indicate how it was used within your supporting statement or application form.

Please remember, your application is your opportunity to tell us about your skills, experience and motivation for the role. We encourage applicants to complete their application and supporting statement in their own words wherever possible. We recognise that AI tools can be helpful in supporting accessibility, and for improving spelling, grammar and structure.

Applications that rely heavily on AI-generated content can become generic and fail to accurately reflect an applicant's individual experience. Applications that clearly demonstrate your own voice, reflections and experiences are often the most effective and help us better understand your suitability for the role.

Please be aware that information provided in your application and supporting statement may be explored further during the selection process. It is important that all applications accurately represent your own knowledge, skills and experience.

Person specification

Training & Qualifications

Essential criteria

• First level nursing qualification (registration RMN or RCN or HV, or pharmacist) / with related CAMHS experience and MSc level qualification or equivalent with evidence of a comprehensive portfolio of post registration
• Professional development in child and adolescent mental health including evidence of clinical, audit and/or research presentations at local and national CAMHS events and evidence of publication of articles or the production of strategic reports which have advanced CAMHS.
• All applications will require professional registration with a statutory body e.g., the Nursing Midwifery Council, General Social care council, Health professional's council or applicable psychological or psychotherapies body.
• Non-medical prescriber with appropriate professional registration
• Formal training in supervision

Desirable criteria

• Additional specialist post qualification training such as ADOS; SAVRY; ADI; CAI; Fostering Changes; Parent / Child Game; NVR; CBT; IPT; Systemic Practice.

Experience

Essential criteria

• MSc qualification related to the clinical area or equivalent with evidence of a comprehensive portfolio including experience of specialist mental health assessment and treatment with children and young people with mental health difficulties, emotional, behavioural, and relational problems, and their families, including looked after children.
• Minimum of 12 months experience working as a non-medical prescriber with a relevant service.
• Experience of working with children and young people with ADHD.
• Experience of managing complex and high-risk cases.
• Experience of consultation to, and clinical supervision of, other staff.
• Experience of providing teaching and training to multidisciplinary groups.
• Experience of working with children and families from diverse cultural backgrounds.
• Experience of developing and carrying out research projects with children and young people.
• Experience of supervision of other staff.
• Experience of clinical leadership and providing clinical support for practitioners across disciplines including recruitment, supervision, and appraisal.
• Experience of multi-agency collaboration and integrated working.

Desirable criteria

• Previous NMP experience

At South West London St Georges Mental Health Trust we are committed to providing services which embrace diversity and that promote equality of opportunity. We are a Disability Committed Employer, and welcome applications from all sections of the community and people of all protected characteristics. We are Members of Stonewall Diversity Champions and Employers Network for Equality and Inclusion.

As part of the Trust's commitment to Equalities and Diversity, the Trust supports the establishment of Staff Networks groups to promote diversity in the workplace:

• BME (Evolve) Staff Network
• Christian Staff Network
• DiverseAbility
• Deaf Staff Network
• Mental Health Staff Forum
• Women's Staff Network
• LGBTQIA+

We are committed to supporting the Armed Forces Community and has signed the Armed Forces Covenant.

We provide reasonable adjustments to the interview process for any candidates with a disability.

Please note:

• That the closing date listed is a guide only and that the vacancy may close earlier should sufficient number of applicants have been received
• That once you have submitted your application you agree to your application being transferred to a 3rd party e-recruitment system
• That should you not have heard from us within three weeks from the closing date your application has not successful
• That priority consideration for applications may be given to at-risk NHS employees
• That should you be successful and appointed, you authorise South West London and St George's Mental Health NHS Trust to confirm your previous NHS service via an Inter Authority Transfer (IAT) process
• That your employment is offered subject to successful completion of a Probationary Period depending on your Band (except medical roles)
• That we are a smoke-free Trust
• South West London and St George's Mental Health NHS Trust does not charge any fees at any stage of the recruitment process, including job applications, sponsorship arrangements, or employment offers. The contact details published on our official website are the Trust's authorised contact channels and should be used for all recruitment communications, job applications, and verification of employment offers.

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