Main duties of the job:
1. The direct provision of high-quality evidence-based person-centred physical and mental health care to service users within the adult ADHD service.
2. To conduct remote ADHD assessments using evidence-based assessment tools and techniques.
3. To work as an independent non-medical prescriber taking responsibility for the clinical assessment, establishing a diagnosis, and discussing all available treatment options (including non-pharmacological treatment) as per NICE guidance.
4. Generate clear, accurate and timely reports summarising the results of the assessment and providing recommendations for ongoing treatment and support.
5. To prescribe and monitor medications in accordance with Pan Mersey formulary and prescribing guidance, including the regular monitoring of effectiveness, concordance and adverse effects of medication, tailoring treatment where indicated.
6. Stay up to date with professional qualifications including revalidation of certificates and registration.
7. To ensure a holistic approach to assessments and treatment is undertaken, including consideration of carer needs, physical health needs and signposting to other resources as required, continuing to consider these needs when developing each service user's ongoing care plan. Mental health, educational/employment and social needs to also be addressed.
8. Plan and coordinate necessary investigations, including the physical healthcare needs of service users in the community such as annual physical examinations, both individually, as part of a team, and through liaison with / referral to other agencies. To include mental health and onward referrals and close liaison with primary care for non-urgent mental health referrals.
9. To work alongside and in partnership with colleagues in delivering treatment in the most timely and efficient manner, including the reporting of any concerns regarding patient care.
10. To attend MDT meetings for complex patients.
11. To stay up-to-date and engaged with the latest research and developments in ADHD assessment and treatment and mental health.
Teaching, Training and Supervision
1. To personally receive clinical supervision sessions in accordance with professional practice guidelines and encourage professional development of the team.
2. To develop skills and competencies that assist in the delivery of adult ADHD assessments including the recognition, diagnosis, and ongoing management of ADHD with a multi-disciplinary approach for those with complex co-morbidities.
3. To develop a comprehensive understanding of a patient's journey from the point of referral for an assessment of adult ADHD, including various treatment options and their management under shared care.
4. To contribute to the training and development of colleagues within the speciality of mental health and neurodiversity. To attend community of practice meetings the expectation to attend and recognise team and personal learning needs to form the agendas.
IT responsibilities
1. Experienced use of email, Microsoft Office, the internet, and primary care based clinical systems including video-conferencing software and competency with electronic medical records.
2. The use of appropriate programmes to collate and analyse psychometric results, produce indicators of clinical outcomes and to compile reports in line with the team requirements.
3. To engage with web-based information specific to the patient group, maintaining up to date and accurate resources which are available to both colleagues and patients.
Research and service development
1. To assist with the design and implementation of research-based service development projects.
2. To assist with undertaking searches of evidence-based literature and research to maintain our high standards of evidence-based practice across the team and stay up to date with relevant guidance and recommendations (including NICE, AQAS).
3. To proactively keep up to date with clinical studies, research and published articles relating to primary care, mental health, neurodiversity, and particularly adult ADHD to contribute to your own professional development as well as the development of the service.
General
1. To contribute to the development and maintenance of the highest professional standards of practice, through proactive participation in internal and external CPD training and development programmes. Taking charge of their own learning and reflecting and evaluating on personal strengths and weaknesses for the purposes of future development.
2. To work within Quay Health values and the expectation that people demonstrate our values through the work they deliver.
3. To function autonomously on a day-to-day basis within the remit agreed in clinical supervision and the service framework.
4. To contribute to the ongoing design and implementation of an evolving service and development projects as required, attending, and contributing to meetings in which service developments are planned and discussed. Completing any assigned actions to a high standard and within a given timeframe.
5. To maintain the highest standards of clinical record keeping and report writing in accordance with professional codes of practice of the Nurse Medical Council and Company policies and procedures.
6. To undertake diagnostic assessments with patients, preparing and reviewing relevant materials as required, as well as maintaining ongoing patient management.
7. To supervise a team of less experienced colleagues in performing their duties to a high standard and supporting them in their professional development as they gain experience within the service.
8. To be able and willing to work flexibly in response to service need and at the request of the Service Manager or Clinical Lead. This may include prioritising specific patient cohorts in response to national guidance or service capacity following operational discussions. This may be required in order to support the service in meeting key performance indicators and delivering high standards of safe care.
9. To undertake specific administrative duties as required to support the service.
10. To perform other duties of a similar kind, appropriate to the job description, which may be required and requested by your Clinical Lead or Service Manager.
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