Specialty Doctor in Paediatrics - neurodevelopmental

Held Health Limited; United Kingdom; Remote; GBP 60,000 - 85,000; Full time

Benefits offered by this job

Remote/telework

Flexible sessional hours

Professional development

Remote governance and supervision

Job summary

Held Health is seeking a specialist diagnostic clinician to deliver neurodevelopmental assessments for children and young people in a largely remote, sessional role.

You will undertake structured diagnostic assessments, integrate histories and reports, establish ADHD/autism diagnoses, and provide clear feedback and recommendations within established pathways.

Qualifications

• Strong clinical reasoning and diagnostic formulation skills.
• Excellent communication with children, young people and families.
• Ability to work independently within a structured pathway.

Responsibilities

• Undertake structured diagnostic assessments of children and young people.
• Integrate developmental histories, school reports, standardised tools and observations into a biopsychosocial formulation.
• Establish diagnoses of ADHD and/or autism and relevant co-occurring conditions.
• Deliver structured feedback on diagnosis, formulation, strengths and needs.
• Provide psychoeducation and information on support options.

Skills

Clinical reasoning

Excellent communication

Independent working

Clinical judgement

Job description

This specialist diagnostic post sits in Held Health's child and adolescent mental health service, delivering neurodevelopmental assessments for children and young people. The clinician takes on the second stage of assessment, building on histories and school reports, to reach evidence-based diagnoses of ADHD and autism. Most clinical work is Right to Choose assessments, with a developing private pathway, and is largely remote and sessional, with no on-call duties. Full GMC registration with licence to practise and at least four years of postgraduate clinical experience are required.

What the job involves

• Undertake structured diagnostic assessments of children and young people, including focused clinical interviews with young people and families
• Integrate developmental histories, school reports, standardised tools, computerised tests, parent information and clinical observation into a biopsychosocial formulation
• Establish diagnoses of ADHD and/or autism and relevant co-occurring conditions
• Make well-reasoned, evidence-based diagnostic decisions using DSM-5 and ICD-10/11 frameworks
• Deliver structured feedback to young people and families on diagnosis or non-diagnosis, individual formulation, strengths and needs
• Provide psychoeducation on ADHD and autism, including functional impact and support options
• Recommend behavioural, environmental and educational support
• Explain the medication pathway where appropriate, covering indications, risks, benefits and next steps
• Produce clear clinical reports covering diagnostic outcomes, rationale and recommendations, and maintain records to GMC and NHS governance standards
• Work within defined ADHD and/or combined ADHD-autism pathways and scope of practice, seeking advice where competence is exceeded
• Work with Stage 1 assessment clinicians, multidisciplinary colleagues and administrative teams, including case discussion, peer review and service development

What’s required

Registration & licences

• Full GMC registration with licence to practise

Experience

• Substantial experience in ADHD and/or ASD diagnostic assessment pathways for children and young people
• Minimum 4 years postgraduate clinical experience
• Experience of structured neurodevelopmental assessment
• Experience applying DSM-5 and ICD-10/11 criteria
• Experience working within defined clinical pathways

Skills & knowledge

• Strong clinical reasoning and diagnostic formulation skills
• Ability to synthesise complex multi-source information
• Excellent communication skills with children, young people and families

Other

• Ability to work independently within a structured pathway
• Ability to exercise sound clinical judgement within defined competencies
• Ability to seek supervision appropriately when required

Nice to have

• Experience of digital or remote consultation models
• Experience of service or pathway development
• Additional experience in autism assessment in younger children, including under 5s developmental pathways
• Interest in CESR or SAS career progression