Highly Specialist ADHD Nurse Practitioner - London, United Kingdom - South London and Maudsley NHS Foundation Trust

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    Permanent
    Description

    Job summary

    Lambeth CAMHS are looking to recruit to our community CAMHS service:

  • An experienced and motivated highly specialist ADHD Nurse Prescriber to lead on the ADHD pathway in our community
  • Independent and team working in both a clinical and managerial role.
  • Confident in your delivery of ADHD care including ADHD medication management and physical health assessments.
  • Excellent skills in organisation and forward thinking, show initiative, be adaptable and able to follow direction, and be a good team player with excellent communication skills.
  • Provide leadership on and contribute clinically to all aspects of the ADHD pathway including screening, assessment, psycho-education, medication management, behavioural management, care planning, risk assessment and management, and transition to adult services.
  • Contribute to further ADHD pathway development.
  • Main duties of the job

    The main team base is located at William Geoffrey house, 35 Black Prince Road, Kennington.

  • Managing your own caseload of C&YP with ADHD, including more complex cases involving comorbid mental health and neuropsychiatric difficulties
  • Independent treatment initiation and review within your scope of practice. This involves assessing, planning, implementing and evaluating intervention(s) for young people in your care, including independent non-medical prescribing.
  • Liaising with medical colleagues, partner agencies (school; social care) and adult mental health professionals across a range of settings
  • Completing risk assessments and care plans
  • Contribute to completing ADHD assessments of team members by providing expert input to diagnostic decisions ('ADHD diagnostic consultations')
  • To work autonomously within professional practice guidelines and Trust guidelines
  • Managerial and leadership responsibilities
  • About us

    The London Borough of Lambeth has a population of 317,800 (GLA Lambeth's population is highly diverse, a characteristic visible in the breadth of ethnic and cultural traditions seen throughout the borough. It is estimated that 63% of the population describe their ethnicity as other than White British; 23% describe their ethnicity as Black (11% Black African, 7% Black Caribbean and 5% OtherBlack), 22% White Other and 6% as Asian.

    The Annual population survey, estimates that a third of Lambeth's residents are non-UK born. Of these non-UK born, 40% are of wider European origin, 20% are of African origin; and 20% of Central or South American origin. Nearly 150 languages are spoken as the first language in the homes of Lambeth school children. Portuguese, Spanish and Somali, are the most commonly spoken other languages in Lambeth.

    Lambeth has a child and youth population aged 0-20 of almost 70,000. Over 50% of this number are 0 to 9 years old

    Job description

    Job responsibilities

  • Clinical
  • To lead the provision and delivery of the nurse led ADHD clinic provided by Lambeth CAMHS, and be a highly specialist practitioner within the assessment, treatment and pharmacological management of CYP with ADHD and co-morbid mental health and/or neuropsychiatric difficulties, assuming responsibility for own caseload.

    To work as an independent and autonomous professional within professional guidelines and the policies and procedures of the service, taking full responsibility for own work.

    To provide CAMHS assessments, using self-report measures, as appropriate, structured observations, clinical interviews, and to interpret and integrate this highly complex data to identify and diagnose the cause of emotional and behavioural problems in C&YP.

    To formulate mental healthcare and crisis treatment plans that are specific to each C&YP and family, based upon an analysis of complex factors concerning historical and developmental processes contributing to the presentation. To assess safeguarding issues for each case, consulting with other professionals and referring concerns to the appropriate safeguarding team as required.

    To deliver evidence based treatments, monitoring outcome and modifying and adapting interventions drawing on a range of theoretical options.

    To assess and monitor risk and draw up appropriate risk management plans in conjunction with the C&YP, parents/carers and other services as appropriate.

    To communicate skilfully, tactfully and sensitively highly complex, sensitive and potentially distressing information with CYP, parents, carers and colleagues taking account of sensory and cultural barriers to communication.

    To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry and recording.

    To ensure that all services provided are acceptable and accessible to the diverse communities which make up the catchment area of the service.

    To act as care co-ordinator for a range of cases including high risk and extremely complex, ensuring the provision of a care package appropriate for the client needs, coordinating the work of others involved, and to monitor progress in the course of multidisciplinary interventions.

  • Professional leadership
  • To provide strategic nursing input at senior level across Lambeth CAMHS, ensuring effective advice to the Lead Nurse, Borough manager, Lead Clinician, and other management team.

    To liaise with Lead Nurse to ensuring standards of nursing are consistent.

  • Teaching, Training, and Supervision
  • To receive regular clinical and professional supervision from a more senior clinician according to Trust guidelines. This will include fortnightly moving to monthly ADHD prescribing supervision with consultant psychiatrist, fortnightly moving to monthly clinical supervision with Lambeth CAMHS Lead Nurse, and monthly line management supervision.

    To contribute to the development of the knowledge and skills base within the nursing staff and Lambeth CAMHS.

    To provide professional clinical and research supervision as well as managerial supervision to qualified nursing staff and students for all aspects of their work where appropriate.

    To provide placements to student nurses as required and where appropriate.

    To provide advice, consultation, training and supervision to staff and parents/carers within CAMHS network across a range of settings including primary care, social services, education, residential units and family homes.

  • Management, Recruitment, Policy and Service Development
  • To identify any aspects of the service which need to be improved and to advise service and professional managers on appropriate changes.

    To assist in the short-listing and interviewing of multidisciplinary staff as required.

    To participate in clinical governance initiatives as agreed by the Trust and clinical governance committee and to act as clinical governance link worker as agreed.

    To deputise for the Borough manager when required and to represent the team at borough and SLAM level when needed.

    To undertake Serious Incident investigations as required by the Directorate.

  • Research and service evaluation
  • To contribute to the development of services for Lambeth CAMHS through initiating and undertaking service evaluation and audit.

    To undertake computer-based literature reviews and carry out research relevant to the service in general and provide advice and supervision to other staff undertaking these.

    To contribute to the development of outcome measurement and participate in the implementation of the use of same.

    To disseminate research and service evaluation findings through service feedback, presentations and published articles.

    To participate in agreed audit projects and to participate in service improvement based on the findings.

  • General
  • To maintain an up-to-date knowledge of current developments in professional and clinical practice with children and families, and of relevant legislation and policies.

    To examine independently and critically all aspects of work to ensure they comply with recognised professional standards and Trust policies and procedures.

    To maintain record keeping as required by professional codes of practice as well as Directorate policies and procedures.

    To participate fully and implement standards devised from Trust's clinical and research governance activity.

    Person Specification

    Qualifications

    Essential

  • First level nursing qualification (registration RMN or RSCN or HV) / 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.
  • Non-medical prescriber with appropriate NMC registration
  • All applications will require professional registration with a statutory body the Nursing Midwifery Council, General Social care council, Health professional's council or applicable psychological or psychotherapies body.
  • Desirable

  • Additional, recognised therapeutic qualification
  • Experience

    Essential

  • Graduate qualification related to 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.
  • 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

  • Significant experience working as an independent non-medical prescriber with a CAMHS service and ability to demonstrate continuing professional development in this area.
  • Skills & Abilities

    Essential

  • Has completed a minimum of two years post qualification CPD to develop clinical and/or research skills relevant to specialist area as agreed in the Personal Development Plan.
  • Ability to supervise student nurses having completed relevant training.
  • Highly developed verbal and written communication skills including communicating complex, highly technical and sensitive information to children, young people, families and colleagues.
  • Ability to maintain a high degree of professionalism in the face of highly emotive and distressing problems involving a child's or young person's mental health issues, family relationships or future placement, verbal abuse and the threat of physical abuse
  • Ability to work independently as an autonomous practitioner with appropriate level of clinical and managerial supervision.
  • Ability to work effectively within a multi-disciplinary team, contributing to effective team functioning
  • Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and/or challenging behaviour.
  • Ability to use QI methodology
  • Well developed IT skills including data entry and analysis of research
  • Well-developed consultation skills to work with MDT and or other professional groups
  • Desirable

  • Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings