Oxleas NHS Foundation Trust

Clinical Lead for the ADHD referrals management centre

The closing date is 10 August 2025

Job summary

The Clinical Lead will act as a central point for all adult ADHD referrals from SEL GPs across the six boroughs to NHS and independent providers, ensuring equitable access. They will:

  • Confirm patients meet referral criteria per the local ADHD service specification.
  • Support GPs referring to private providers.
  • Reduce inequities by advising on access via the Right to Choose pathway.
  • Provide clinical triage, signposting, and prioritisation based on need.
  • Help the ICB assess true demand to inform future pathway development.

Clinical Nurse Specialist - RMC

The Clinical Nurse Specialist supports service delivery within the Referral Management Centre (RMC), ensuring no duplication and maintaining service quality. The role involves:

  • Independent screening and triage of clients.
  • Leading clinical practice and development.
  • Providing leadership to a multidisciplinary team.
  • Ensuring safe, effective clinical care.

Experience in mental health, ADHD assessment, formulation, and risk management is highly desirable.

Main duties of the job

Clinical Lead Responsibilities

The post holder will coordinate and lead team operations with a focus on:

  • Supporting clinicians in identifying training and development needs.
  • Leading service improvements using frameworks such as Quality Improvement.
  • Overseeing referral, triage, and onward pathways for South London ADHD referrals.
  • Conducting screening and triage, ensuring appropriate onward referrals.
  • Engaging patients and teams to support access to suitable services, including secondary mental health or community support.
  • Promoting best practice and driving service improvement.
  • Ensuring assessments and treatments align with NICE guidance.
  • Maintaining clear communication with stakeholders.
  • Identifying performance issues and working with the team manager to resolve them.
  • Providing line management and supervision to relevant staff.
  • Leading on complex case management and supporting staff.
  • Ensuring team operations align with the agreed policy.
  • Coordinating recruitment and selection processes.
  • Responding to serious incidents, safeguarding alerts, and complaints in line with Trust policies.
  • Embedding learning from incidents and complaints within the team.
  • Managing team communications and promoting equality and diversity.
  • Supporting the Trust's reputation and values, including recovery-oriented care.
  • Ensuring job plans reflect service needs and are regularly reviewed.
  • Performing other duties as required.

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

  • We're Kind
  • We're Fair
  • We Listen
  • We Care

Details

Date posted

25 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year pa inc

Contract

Permanent

Working pattern

Full-time

Reference number

277-7373245-CMH

Job locations

Queen Mary’s Hospital

Sidcup

DA14 6LT


Job description

Job responsibilities

The Trusts success will be dependent on all managers playing an active role to make sure the existing areas of good employment practice are universally embedded within the organisation. Managers will be expected to:

Ensure that systems are in place to co-ordinate information about the take up of the services and to establish unmet needs and action plans to address those.

Conduct and contribute to the PDR process for all staff within the team which reflect Trust and local priorities and ensure staff has access to appropriate training and development.

Co-ordinate and develop the practice and culture of the MDT team through close liaising with clinical leads around recruitment and service delivery.

Communicate regularly through team meetings, team briefings, clinical forums and individually with team members providing an opportunity for two-way feedback.

Ensure that service response to patient experience feedback is provided in a timely manner.

Undertake other duties delegated by the operational Manager in keeping with the scope and authority of the job description.

Ensure through effective leadership and management, continuous service development, improvement, and high-quality service delivery.

To ensure care is locally delivered, at the right time and is service user/ carer focussed.

To work closely and in partnership with colleagues within primary care and their community partner organisations in a collaborative way, ensuring that decisions are made that ensure the best care for service users and that there is a seamless pathway.

To provide informal mental health specific learning for staff across the Mental Health Hub, including providing specialist advice relating to mental health.

Job description

Job responsibilities

The Trusts success will be dependent on all managers playing an active role to make sure the existing areas of good employment practice are universally embedded within the organisation. Managers will be expected to:

Ensure that systems are in place to co-ordinate information about the take up of the services and to establish unmet needs and action plans to address those.

Conduct and contribute to the PDR process for all staff within the team which reflect Trust and local priorities and ensure staff has access to appropriate training and development.

Co-ordinate and develop the practice and culture of the MDT team through close liaising with clinical leads around recruitment and service delivery.

Communicate regularly through team meetings, team briefings, clinical forums and individually with team members providing an opportunity for two-way feedback.

Ensure that service response to patient experience feedback is provided in a timely manner.

Undertake other duties delegated by the operational Manager in keeping with the scope and authority of the job description.

Ensure through effective leadership and management, continuous service development, improvement, and high-quality service delivery.

To ensure care is locally delivered, at the right time and is service user/ carer focussed.

To work closely and in partnership with colleagues within primary care and their community partner organisations in a collaborative way, ensuring that decisions are made that ensure the best care for service users and that there is a seamless pathway.

To provide informal mental health specific learning for staff across the Mental Health Hub, including providing specialist advice relating to mental health.

Person Specification

Education/Qualifications

Essential

  • Current professional registration: Registered Mental Health Nurse educated to degree, Masters level or have other relevant experience.
  • Understanding of the mental health and ADHD needs of adults
  • Able to demonstrate advanced understanding of health inequalities amongst marginalised groups.

Desirable

  • ADHD and/or Neuro-diverse assessment experience.
  • Evidence of continuing professional and personal development.
  • Working knowledge of the policies and guidelines pertinent to the planning and delivery of care to adults with mental health and neuro-diverse needs.

Experience

Essential

  • Significant experience of and demonstrable achievement in clinical practice in variable settings.
  • Experience of providing professional support/supervision and motivation of staff.
  • Understanding of Health and Social Care Governance
  • Highly extensive experience and significant post registration experience in working with people with mental health needs.

Desirable

  • Evidence of Interdisciplinary / multi-agency working experience including primary care and community/ voluntary sector.
  • Experience of effective collaborative working in partnership to deliver holistic health and social care outcomes.
  • Experience of leadership and development of junior colleagues.

Skills/Abilities/Knowledge

Essential

  • Knowledge of the key drivers behind community mental health care.
  • Ability to provide and receive complex and emotive information with staff, service users, carers and other stakeholders.
  • Ability to present service information and service development clearly.

Desirable

  • An open and facilitative style of leadership which can be adapted when necessary to ensure delivery of objectives.
  • Able to hold professionals and peers to account.
  • An understanding of effective systems for integrated governance and the management of clinical and non-clinical risks.
Person Specification

Education/Qualifications

Essential

  • Current professional registration: Registered Mental Health Nurse educated to degree, Masters level or have other relevant experience.
  • Understanding of the mental health and ADHD needs of adults
  • Able to demonstrate advanced understanding of health inequalities amongst marginalised groups.

Desirable

  • ADHD and/or Neuro-diverse assessment experience.
  • Evidence of continuing professional and personal development.
  • Working knowledge of the policies and guidelines pertinent to the planning and delivery of care to adults with mental health and neuro-diverse needs.

Experience

Essential

  • Significant experience of and demonstrable achievement in clinical practice in variable settings.
  • Experience of providing professional support/supervision and motivation of staff.
  • Understanding of Health and Social Care Governance
  • Highly extensive experience and significant post registration experience in working with people with mental health needs.

Desirable

  • Evidence of Interdisciplinary / multi-agency working experience including primary care and community/ voluntary sector.
  • Experience of effective collaborative working in partnership to deliver holistic health and social care outcomes.
  • Experience of leadership and development of junior colleagues.

Skills/Abilities/Knowledge

Essential

  • Knowledge of the key drivers behind community mental health care.
  • Ability to provide and receive complex and emotive information with staff, service users, carers and other stakeholders.
  • Ability to present service information and service development clearly.

Desirable

  • An open and facilitative style of leadership which can be adapted when necessary to ensure delivery of objectives.
  • Able to hold professionals and peers to account.
  • An understanding of effective systems for integrated governance and the management of clinical and non-clinical risks.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Employer details

Employer name

Oxleas NHS Foundation Trust

Address

Queen Mary’s Hospital

Sidcup

DA14 6LT


Employer's website

http://oxleas.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Oxleas NHS Foundation Trust

Address

Queen Mary’s Hospital

Sidcup

DA14 6LT


Employer's website

http://oxleas.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

ADHD operational lead

Dean Lewington

dean.lewington1@nhs.net

07587041946

Details

Date posted

25 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year pa inc

Contract

Permanent

Working pattern

Full-time

Reference number

277-7373245-CMH

Job locations

Queen Mary’s Hospital

Sidcup

DA14 6LT


Supporting documents

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