Children & Young People ADHD Nurse Specialist

Job responsibilities

1. Clinical

• Work alongside the Lead Clinician Community Paediatrician to lead the delivery of a high quality clinical service, providing screening and monitoring of ADHD and associated conditions.

• Follow up diagnosed children, young people and families/carers in a nurse led clinic, monitoring clinical outcomes and encouraging uptake of medication or non-pharmaceutical support, using highly-developed communication skills.

• Use clinical reasoning skills, knowledge and experience to provide specialist support and advice to the team, other medical /health colleagues and to external agencies such as education, social care and the voluntary sector.

• Work as an autonomous practitioner, with responsibility and accountability for all aspects of own professional activity.

• Work as a non-medical prescriber, with responsibility for working within agreed medication protocols and offering non-medical interventions on a wide range of associated conditions.

• Ensure that clinical practice is standardised to a high level across the team, based on best practice and up-to-date policies, procedures and guidelines.

• Lead on the assessment and monitoring of clinical outcomes, delegating and escalating as appropriate.

• Undertake observations as part of the assessment process to aid diagnosis. Such observations may be undertaken in a home, educational or clinic/healthcare setting.

• Collate, analyse and discuss results/data gained from the ADHD clinic with a community paediatrician or psychiatrist and refer to appropriate services as required.

• Act as advocate for the patient and their family, ensuring that delivery of care is orientated to the needs of the patient and meets local and national standards.

• Plan, organise and manage QB testing clinics.

• Monitor referrals to the service, using specialist knowledge to advise, intervene, and signpost as appropriate.

• Ensure accurate reporting to aid diagnosis using the correct screening tool.

1. Leadership & Management

• Lead by example, promoting best practice and high standards at all times.

• Work with the Lead community paediatrician for ADHD to ensure effective operational procedures are in place which support service standards.

• Line manage direct reports, including recruitment, induction, appraisal, learning and development and retention of staff as well as managing sickness and absence, disciplinary and performance issues that may arise.

• Provide day to day supervision of other allocated staff, including students and bank/agency staff.

• Provide day to day management of rotas and workload, ensuring team members and allocated staff understand individual roles, responsibilities and scope of practice.

• Ensure that line managed and supervised staff maintain accurate, appropriate and contemporaneous clinical records in line with local and national policy and professional guidelines.

• Ensure that line managed and supervised staff adhere to local and national policy in respect of data protection and information governance when inputting, storing and sharing service/patient data.

• Use systems and information resources such as EMIS and Health Roster to prioritise patients, allocate duties and effectively manage team capacity.

• Organise and lead regular team meetings to promote effective communication and team working and ensuring that information is cascaded to team members in a timely and appropriate way

• Establish, maintain and monitor standards & competencies of clinical care for the team; use own specialist knowledge and skills to support and develop as appropriate.

• Responsible for the development of team standards for maintaining and improving service delivery and the evaluation of those standards with staff on a regular basis.

• Ensure there are processes in place for updating, implementing and monitoring standards of care and service delivery and that all service delivery, information and training is evidence based, promotes best practice and is regularly evaluated.

• Promote and work towards organisational objectives and have these reflected in own objectives as well as those of appraisees.

• Responsible for the health and safety of team and patients, ensuring that any changes in health and safety legislation and policies are implemented.

• Monitor the use of supplies and equipment within the service, ensuring equipment used meets required safety standards, is regularly reviewed/maintained and used appropriately.

1. Service Development

• Promote multi-disciplinary team approaches to patient care, identifying and implementing processes to ensure better patient outcomes.

• Monitor and improve performance through the use of quality metrics e.g. Qliksense.

• Promote the use of evidence based practice in service delivery and ensure there is an infrastructure to support this.

• Critically evaluate evidence-based research and integrate new theory into practice.

• Work with the Performance Team to drive service improvement through the identification and implementation of a range of clinical and process audits.

• Work with Community Paediatrics Clinical Lead to ensure that service developments and changes are implemented efficiently, with service users and staff kept appropriately advised and involved.

• Work with the Community Paediatric Clinical Lead and Heads of Nursing to develop and review relevant policies, protocols and clinical care pathways, based on specialist knowledge and interpretation of local and national developments.

• Compile, produce and present reports, including performance and service data, to evaluate service, inform business planning and drive service development.

1. Educational

• Supervise and assess allocated students, trainees and other staff, maintaining a high quality learning environment and contributing to organisational recruitment, retention and career pathways.
• Provide preceptorship and role-modelling for newly qualified colleagues.
• Plan, design and deliver individual and group training sessions in specialist area to clinical staff and other stakeholders.
• Take a pro-active approach to the development of clinical skills within the service whilst maintaining and developing personal clinical skills.
• Identify service specific training needs and plan training programmes for team members, using clinical skills and experience to support colleagues with development of their own skills and knowledge, within scope of practice.
• Participate in, coordinate and support the induction of management information systems and IT skills awareness within the service as required.
• Act as an expert resource for skill mix staff and external stakeholders.
• Maintain and update professional knowledge and skills to promote good outcomes for children, young people and families managing ADHD and associated conditions. Personal development plan should demonstrate a commitment to developing own clinical, management and leadership skills and will include sourcing/undertaking training as well as remaining up to date with relevant policies and procedures.
• Remain up to date with current professional issues and good practice e.g. through research, membership of professional forums and participation in local and national work groups; share learning as appropriate.
• Take an active part in clinical supervision/professional reflection, facilitating for others as required.

1. Risk, Governance and Quality

• Support the delivery of high quality care across the service by implementing and contributing to policies, procedures and guidance, based on specialist knowledge, research and best practice.
• Ensure that all practices within the service are in accordance with the relevant professional bodys code of professional conduct as well as BHCs professional and statutory rules, codes, policies and guidelines.
• Ensure that child and adult safeguarding standards are adhered to across the team. Maintain awareness of Child Protection issues at all times, keeping up to date on relevant legislation including the Children Act and local Bromley Safeguarding Children Board guidelines and London Child Protection Procedures.

• Implement and monitor action plans identified from audit and quality initiatives

• Monitor and report on standards of delivery of care within the team, escalating and/or actioning as appropriate.

• Support CQC assessments as required, working with Community Paediatrics Clinical Lead and Heads of Nursing to ensure CQC compliance across the service

• Maintain NMC registration/revalidation as required and work within NMC guidelines relating to current nursing practice e.g. code of professional conduct, standards for the prescribing and administration of medicines, scope of professional practice and guidelines for records and record keeping.

• Work autonomously; professionally and legally responsible and accountable for all aspects of own professional activity.

• Ensure local and national policy in respect of data protection and information governance is adhered to when inputting, storing and sharing service/patient data.

• Work with the Safer Care Team to manage risks, incidents and feedback as required, ensuring all documentation is accurately and promptly recorded, investigations and actions are undertaken and learning is shared appropriately.

• Promote and practice a thorough understanding of clinical governance, including audit, development of professional and service standards and risk assessment across the service.

• Actively ensure the implementation of and adherence to all issues associated with clinical governance, policies and procedures of Bromley Healthcare and relevant professional standards.

Qualifications and training

Essential

• Registered Nurse - child or registered Mental Health Nurse
• SSSA practice assessor/supervisor, or equivalent
• Post graduate qualification, studies or training in relevant clinical specialism or equivalent experience
• Non-medical prescribing qualification (V300) or willing to complete within 12 months

Desirable

• Qualification, studies or training in relevant clinical specialism at Masters Level or equivalent.

Professional registration

Essential

• Current NMC registration RSCN, first level Child Branch

Specific skills

Essential

• In depth understanding of current issues relating to management of ADHD
• Able to communicate effectively in different settings from large groups to individuals where there may be conflict or distress or barriers to understanding
• Demonstrable written skills that are relevant, accurate, concise and legible
• Thorough and demonstrable knowledge of child development
• Understanding of issues affecting care provision for children/adults in the community

Experience

Essential

• Experience of supervising, assessing and appraising staff/students and working with the clinical governance framework
• Appropriate experience to lead in clinical area
• Experience in multi-agency partnership working

Desirable

• Experience of line management, including appraisal and development, along with any sickness or performance issues that may arise

Personal qualities

Essential

• Motivated to provide a high standard of care and demonstrable enthusiasm for working with children, young people and families with ADHD and associated conditions
• Excellent time management skills, with the ability to prioritise conflicting demands and work under pressure to deadlines
• Resilient; able to work calmly and efficiently under pressure and effectively manage difficult or challenging situations or conflict

Other including IT

Essential

• Excellent IT skills, including Microsoft Suite
• Proficient in use of electronic patient records e.g. EMIS
• Familiar with risk management systems e.g. Datix and information systems such as Qliksense
• Familiar with electronic staff rostering systems such as Health Roster

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).