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Go back Central and North West London NHS Foundation Trust

The closing date is 02 December 2025

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 has a hybrid working model. The role is supported and supervised by a Consultant Psychiatrist and includes protected SPA time for CPD, QI and appraisal/revalidation.

• Provide core medical input within the Adult ADHD Service
• Work closely with MDT colleagues to deliver NICE-concordant assessment and treatment, including titration and monitoring of ADHD medication
• Management of comorbid mental health problems in liaison with other involved clinicians and providers
• Psychoeducation
• Support shared-care transfer to primary care where appropriate
• Contribute to service development, audit and quality improvement (QI)
• Take an active participant in the shaping of new services in light of recent and ongoing changes to the NHS, in collaboration with relevant Clinical and Service Managers

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. Over the last few years our catchment area has grown significantly, making the Trust's population more diverse than ever. The area spans the communities of London, Milton Keynes and wider geographical areas of Buckinghamshire, Surrey, Kent and Hampshire.

We provide the following clinical services:

• A wide range of community health services, including adult and child physical and Dental care services in Camden, Hillingdon and Milton Keynes
• Intermediate physical healthcare, admission and supported discharge
• Palliative Care
• A comprehensive range of mental health services for adults, from early intervention to long-term rehabilitation care
• Specialist mental health services for children and adolescents
• Dedicated mental health services for older people
• Substance misuse services for drugs, alcohol and the new group of 'club drugs', provided in the community and a medically managed inpatient detoxification service
• Specialist addiction services available nationally for problems with gambling and compulsive behaviours
• Inpatient, outpatient and day patient eating disorders services
• Mental health, addictions and primary health care services in many HM Prisons and YOI in London, Kent, Surrey, Hampshire and Buckinghamshire
• Sexual and reproductive health services

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 sharedcare letters; transfer stable patients to GP under formal sharedcare arrangements; provide advice for primary care and accept re- referrals 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 neuroaffirming practice. Provide clinical advice to GPs and partner agencies; contribute to pathway and protocol development (assessment standards, sharedcare, 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.

• 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.
• Section 12(2) MHA approval
• MRCPsych or equivalent
• Evidence of progress towards CESR
• Formal training and experience in adult ADHD assessment tools (ACE+/DIVA-5/ASRS).

• Demonstrable experience in assessing and managing adults with neurodevelopmental disorders, especially ADHD, with differential diagnosis and common psychiatric comorbidities (anxiety/depression, bipolar disorder, substance misuse, ASD, tics, etc.).
• Competence in initiating, titrating and monitoring ADHD medications in adults; familiarity with indications, contraindications, side effects and misuse/diversion risk; safe controlled-drug prescribing and reconciliation.
• Ability to conduct comprehensive biopsychosocial assessments, risk assessments and capacity assessments; produce clear formulations and care plans; deliver psychoeducation and shared decision making.
• Competence in physical health monitoring relevant to ADHD treatment (BP, pulse, weight/BMI; ECG when indicated) and in interpreting common abnormalities and liaising with primary care/ICB.
• Experience in CAMHS and/or perinatal ADHD care.
• Trauma-informed and neuro-affirming practice.
• Use of outcome measures; experience of delivering group psychoeducation/coaching.

• Working knowledge of NICE guidance for ADHD (adults) and local shared-care protocols; awareness of DVLA guidance regarding ADHD and medicines; understanding of safeguarding, equality and reasonable adjustments.
• Understanding of Medicines Management principles (formulary adherence, controlled-drug governance, incident reporting, FP10/EPMA processes).
• Awareness of UKAAN/RCPsych good-practice standards.
• Familiarity with ICB formulary processes and interface with primary care.

• Ability to work effectively within an MDT.
• Ability to provide clinical advice and support to colleagues.
• Ability to supervise junior staff/NMPs.
• Contribute to QI/audit and service development.
• Excellent verbal and written communication.
• Evidence of completed audits/QI with demonstrable impact.
• Teaching qualifications or regular teaching contributions.

• 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 to fulfil duties; satisfactory occupational health clearance and references.

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.

Central and North West London NHS Foundation Trust

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