Sheffield Health and Social Care NHS Foundation Trust
This is an exciting opportunity to join a highly specialist, multi-disciplinary team providing diagnostic assessments, reassessment of needs, and post-diagnostic support for adults with suspected/diagnosed Attention Deficit Hyperactivity Disorder (ADHD). We are looking to expand our ADHD pathway to address the increase in demand for ADHD assessments. Our team is passionate about delivering person-centered, strengths-based assessments for neurodivergent individuals. We pride ourselves on being a supportive and inclusive team, including staff with lived experience of autism and ADHD.
We would welcome applications from Registered Mental Health Nurses with live NMC Registration and specialist knowledge and experience of working with ADHD. Skills and experience in carrying out mental and physical health assessments are required, and experience and training in ADHD assessments are desirable.
SAANS is a well-established service and has been providing diagnostic assessments for both Sheffield and National residents for over 10 years. We are situated in the leafy suburb of Nether Edge, with free on-site parking and within walking distance of bus services.
While the role will be primarily clinic-based, we do offer opportunities for flexible/remote working with options for online assessments in some cases.
Main duties of the job
The main responsibilities of the postholder will be to conduct specialist ADHD diagnostic assessments and review of needs appointments for ADHD under the supervision of more senior staff. A standard diagnostic assessment involves a one-off appointment of up to 3 hours, with the option of MDT discussion and further appointments in complex cases. The post-holder must therefore be able to work autonomously and have excellent communication, time management, and organization skills to ensure diagnostic reports are prepared to a high standard and in a timely manner following assessment.
There may also be opportunities in this role to develop and deliver non-medical interventions such as group work.
The post holder will contribute to the ongoing development of services provided and work as an effective member of the multi-disciplinary team, maintaining high standards of care.
Job responsibilities
Clinical
* To undertake comprehensive holistic ADHD assessments for adults with suspected ADHD and reassessments of needs for adults previously diagnosed with ADHD.
* Assessment will also include consideration of impact, differential or co-occurring conditions, and a risk assessment.
* Post-diagnostic advice, psychoeducation, and support. Contributing to the development of a non-medical interventions pathway.
* To complete physical observations of service users as part of medication treatment (height, weight, blood pressure, pulse, ECGs).
* To develop trusting therapeutic relationships with service users, their carers, and their families (where appropriate).
* The post holder will ensure high quality, accurate, and timely recording on Trust electronic systems of clinical information such as assessment, formulations, progress notes, care plans, risk assessments, outcomes, and discharge.
* The post holder will make recommendations to the wider team and to referrers on additional assessment or interventions needed to deliver the plan of care and expected health/social outcomes, which are evidence-based and lead to recovery while minimizing risk.
* The post holder will devise a management plan with each individual service user.
* Promote the involvement and engagement of clients/service users and carer relatives in the assessment, planning, delivery, and evaluation of care.
* Work within a multi-disciplinary team to ensure effective care plans and treatments are in place for highly complex clients/service users.
* Ability to recognize, prioritize, and respond appropriately to urgent and emergency situations, including the assessment and management of risk.
* To develop and deliver non-pharmacological interventions and treatment for those with adult ADHD.
Be responsible for the effective delivery and quality of care standards for the service or for the delivery of specialist services across an organizational and geographical area.
To maintain and develop relationships with professionals external to the area of service, service users, and their families (where appropriate) within the area of service/specialism.
To provide effective analysis of a range of complex facts and situations, inputting and establishing the application of evidence-based formulation and options of care that can be negotiated with the service users and their families.
To make appropriate judgments that best improve the treatment outcomes for the service users and their families, as well as improve resilience and recovery and mitigate risk to themselves or others.
To formulate and design interventions as part of the service users and their families management plan, ensuring that clinical policies and procedures are followed correctly and risks inherent in any procedures are minimized.
To ensure services are delivered in a manner that is appropriate, relevant, and respectful to all community members, recognizing the diversity of ethnicity, culture, belief, privilege, and capacity of service users and carers.
To provide specialist advice to other members of the service, other areas in the trust, primary care, and external agencies (if required) on the needs of service users and their families.
The post holder will review and discharge under the shared care protocol as appropriate once planned outcomes have been met.
The post holder will be responsible for collecting and inputting accurate information relating to service performance, e.g., various outcome measures, clinic booking outcomes, activity recording.
To attend SAANS team meetings/MDTs, service development/quality improvement time, and supervision sessions.
Record keeping, information collection, and communication
* Effectively manage highly complex and sensitive situations and conditions related to information regarding diagnosis of service users, other professionals, and external agencies.
* To communicate reassuringly, finding ways of enabling the information to be understood and providing empathy and reassurance to service users.
* To be responsible for the accurate maintenance of clinical record keeping and the required communication of individual patient care packages for the post holder's area of responsibility/specialism.
* To ensure all systems (electronic and hard copy), records, data, and information (stored and transferred) are of high quality across the service, which will withstand inspection of their effectiveness and appropriateness to support the delivery of safe services and compliance with Trust Business rules.
* To manage and maintain all electronic systems and data as required in the role, and safeguarding systems.
* To be responsible for the accurate recording and transferring (to other services) of information relating to patients in receipt of care as determined by the Trust's operational policies or when directed by the clinical lead.
Leadership, Development & Supervision
* To apply up-to-date professional and other knowledge to ensure any options of care for individuals are evidence-based and informed by theoretical and practical learning and experience.
* Undertaking annual appraisals, supervision, and proactively supporting the development review cycle, the progression of personal performance, and achievement of objectives, including career aspirations within the Trust and Partner Organisations processes.
* To develop and facilitate, with other members of the service, clinical groups, training sessions, and workshops as appropriate.
* To measure personal, team, and service goals and ensure they align with the wider Trust goals and strategic objectives.
* To consistently plan and manage resource requirements within own area of specialism, ensuring the needs of service users are met and levels of clinical and quality standards are achieved.
* To undertake Clinical Audits, research, and test different types of aids as necessary for own area of specialism.
Professional & Trust policies
* The post holder must comply with all national, statutory, legislative, professional, and local policy.
* The post holder is responsible for policies in their own specialist area/sub-division and should proactively contribute to improve local policy and any changes to improve service or protocols that impact on their own service area as well as other professions.
Person Specification
Training and qualification
* Registered Mental Health Nurse with live NMC Registration / Registered General Nurse considered with relevant experience.
* Training in assessment and intervention of ADHD.
Knowledge and skills
* Specialist knowledge of clinical aspects of ADHD.
Experience
* Experience of undertaking holistic mental health assessments.
* Experience of assessing and reviewing for ADHD in adults or children.
Disclosure and Barring Service Check
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.
Sheffield Health and Social Care NHS Foundation Trust
Address
Sheffield Adult Autism and Neurodevelopmental Service (SAANS)
Michael Carlisle Centre (site on Lyndhurst Road)
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