Speciality Doctor in Adult ADHD Service

NHS; City Of London; On-site; GBP 61,000 - 100,000; Full time

Job summary

An NHS Trust based in London is seeking an experienced Speciality Doctor to lead assessments and treatment for adults with ADHD in a newly structured service. The role offers both full-time and part-time options and emphasizes collaboration and clinical governance. Candidates should possess a minimum of 4 years' postgraduate training and relevant experience managing neurodevelopmental disorders. An attractive salary range of £61,542 to £99,216 annually, plus a London weighting allowance, is offered.

Qualifications

• Experience in assessing and managing adults with neurodevelopmental disorders.
• Competence in initiating and monitoring ADHD medications.
• Ability to work effectively within an MDT.

Responsibilities

• Specialist assessment and diagnosis of adult ADHD.
• Medication initiation and optimisation.
• Supervision and teaching of junior staff.

Skills

Assessment and management of neurodevelopmental disorders

Competence in initiating and monitoring ADHD medications

Biopsychosocial assessments

Excellent verbal and written communication

Education

Fully registered with the GMC

Minimum 4 years' postgraduate training

Job description

Overview

CNWL are currently looking for an experienced Speciality Doctor to work with our newly structured Adult ADHD Service, based at The Kingswood Centre in Kingsbury, London. This is a full time post, though open to consider part-time applicants, and is supported and supervised by a Consultant Psychiatrist and includes protected SPA time for CPD, QI and appraisal/revalidation.

Job responsibilities

Clinical Duties

• Specialist assessment and diagnosis of adult ADHD using structured clinical interviews and validated tools (e.g., ACE+/DIVA5) alongside developmental history, collateral information and differential diagnosis.
• Assess risk and capacity as required. Formulation and treatment planning using a biopsychosocial approach; provide psychoeducation; advise on reasonable adjustments and occupational/educational support; signpost to psychological interventions and coaching where available.
• Medication initiation and optimisation (e.g., lisdexamfetamine, methylphenidate, atomoxetine; dexamfetamine where indicated), including: baseline evaluation (cardiovascular risk, blood pressure/pulse, weight/BMI; ECG if indicated) and physical health monitoring schedule; dose titration to clinical response and tolerability, with systematic monitoring of efficacy, side effects (including sleep, appetite, cardiovascular parameters, mood/anxiety), and misuse/diversion risk.
• Safe and lawful prescribing of controlled drugs with accurate recordkeeping and reconciliation; work with pharmacy and ICB on formulary adherence.
• Comorbidity management & liaison: screen for common psychiatric comorbidities (anxiety, depression, bipolar disorder, personality difficulties, substance use, ASD, tic disorders) and relevant physical health issues (e.g., hypertension, diabetes, cardiovascular and other physical health conditions); coordinate care with CMHT, IAPT/psychology, substance misuse, primary care and other relevant clinicians/services.
• Shared care and discharge planning: prepare comprehensive shared-care letters; transfer stable patients to GP under formal shared-care arrangements; provide advice for primary care and accept rereferrals if instability occurs.
• Perinatal and reproductive health: provide preconception and pregnancy counselling regarding ADHD and medicines; liaise with perinatal mental health services as required.
• Driving and safety advice: document discussions regarding fitness to drive and DVLA guidance; provide occupational risk advice (e.g., operating machinery, safety-critical roles).
• Records and information governance: maintain contemporaneous electronic records; complete outcome measures and mandated datasets; ensure high standards of documentation for titration and monitoring.
• Mental Health & Capacity legislation: apply the Mental Capacity Act; contribute to MHA processes where relevant; support colleagues with Section 5(2)/MHA queries (note: detentions are uncommon in ADHD pathways but legal literacy is expected).
• Urgent care interface: collaborate with crisis and liaison services for patients presenting with acute risk, severe comorbidity or medication-related concerns.

Management, Leadership & Service Development

• Contribute to clinical governance, QI, service evaluation and audit (e.g., waiting time reduction, titration pathway efficiency, medicines safety, outcome monitoring).
• Participate in MDT meetings, case discussions, and clinical huddles; support traumainformed and neuro-affirming practice.
• Provide clinical advice to GPs and partner agencies; contribute to pathway and protocol development (assessment standards, shared-care, physical health monitoring, safeguarding, equality of access).
• Support safe medicines management including controlled-drug governance, FP10/EPMA processes, stock reconciliation and incident reporting.
• Assist the service in delivering key performance indicators (e.g., assessment volumes, RTT, follow-up standards, physical health monitoring compliance).

Education & Supervision

• Offer supervision/teaching to medical students, junior doctors, NMPs and the wider MDT; contribute to induction and in-service training (e.g., assessment tools, titration, comorbidity, risk management).
• Engage in CPD and maintain a reflective portfolio; participate in peer groups and journal clubs; present at academic/QI meetings.

About us

CNWL is a leading NHS Foundation Trust providing Mental Health, Community Health, Child Health Services and Dental Services across London and the South East of England. The area spans the communities of London, Milton Keynes and wider geographical areas of Buckinghamshire, Surrey, Kent and Hampshire.

We provide a wide range of clinical services including: mental health services for adults, services for older people, child and adolescent mental health services, addiction services, primary health care; alongside other community health and specialist services.

Details

Date posted: 01 October 2025

Pay scheme: Hospital medical and dental staff

Grade: Specialty Doctor

Salary: £61,542 to £99,216 a year plus £2162 London weighting allowance

Contract: Fixed term

Duration: 2 years

Working pattern: Full-time, Part-time

Reference number: 333-J-BR-SA-0012

Job locations: The Kingswood Centre, 134 Honeypot Lane, London, NW9 9QY

Person Specification

Education, Qualifications and Training

• Fully registered with the GMC with a license to practice.
• Minimum 4 years\' postgraduate training (or equivalent), including at least 2 years in psychiatry at CT/ST or equivalent level.

Experience

• Essential: Demonstrable experience in assessing and managing adults with neurodevelopmental disorders, especially ADHD; competence in initiating, titrating and monitoring ADHD medications; biopsychosocial assessments and risk/capacity assessments; physical health monitoring and liaison with primary care/ICB.
• Desirable: Experience in CAMHS and/or perinatal ADHD care; trauma-informed and neuro-affirming practice; use of outcome measures; group psychoeducation/coaching.

Knowledge

• Essential: Working knowledge of NICE guidance for ADHD (adults) and local shared-care protocols; awareness of DVLA guidance; safeguarding, equality and reasonable adjustments; Medicines Management principles.
• Desirable: UKAAN/RCPsych standards; familiarity with ICB formulary processes and interface with primary care.

Skills

• Essential: Ability to work effectively within an MDT; provide clinical advice; supervise junior staff/NMPs; contribute to QI/audit and service development; excellent verbal and written communication.
• Desirable: Evidence of completed audits/QI; teaching qualifications or regular teaching contributions.

Personal Qualities

• Essential: Culturally competent, compassionate and person-centred; commitment to co-production and reducing health inequalities; commitment to CPD, appraisal and revalidation; ability to travel within the borough/sector; satisfactory occupational health clearance and references.

Other information

Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and will require a DBS submission.

Certificate of Sponsorship: Applications from job seekers who require Skilled Worker sponsorship will be considered; information available on the UK Visas and Immigration website.

UK Registration: Applicants must have current UK professional registration.

Employer details: Central and North West London NHS Foundation Trust; The Kingswood Centre, 134 Honeypot Lane, London, NW9 9QY. Website: https://www.cnwl.nhs.uk/work