Oxleas NHS Foundation Trust

Advanced Nurse Practitioner

The closing date is 04 February 2026

Job summary

Our service provides specialist support to children and young people with ADHD and autism, offering child centred assessment, diagnostic input and ongoing medication management for children and young people aged 5-18 who are registered with a local GP.

The post holder will work as a key member of the team, contributing to the assessment, diagnostic decision making and ongoing clinical management of children and young people with ADHD. The post holder will undertake medication reviews and provide safe, effective prescribing in line with evidence based practice and local governance.

A core element of the role is to support and strengthen shared care arrangements, working closely with GP practices and partner agencies to optimise outcomes. The post holder will provide advice, consultation and support to children, young people, families and schools, and liaise with colleagues across health, education, social care and the voluntary sector.

The post holder will contribute to clinical leadership within the service, including supervision and support to junior colleagues and will support service improvement activity to enhance pathways and processes.

Main duties of the job

The post holder will be a motivated clinician with strong knowledge and skills in supporting children and young people with ADHD and related neurodevelopmental needs. The post holder will work effectively within a multi-disciplinary team to deliver high quality assessment, care planning and ongoing clinical management.

The post holder will demonstrate excellent interpersonal and leadership skills and will communicate sensitively and effectively with children, young people, families and professionals, including where there may be barriers to engagement, understanding or acceptance. The post holder will apply inclusive, strength-based approaches that support participation and help reduce health inequalities, maintaining awareness of stigma and its impact on access to care.

The post holder will be confident in working with complexity, managing clinical risk and uncertainty and using digital systems and technology to support safe, efficient care. The post holder will contribute to supervision, training and service development to improve outcomes for children, young people and families.

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

21 January 2026

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

277-7744290-CYP

Job locations

Highpoint House

Shooters Hill

Greenwich

SE18 3RZ


Job description

Job responsibilities

The post holder will:

Undertake specialist ADHD assessments, contributing to diagnostic decision making and producing clear, comprehensive clinical summaries in both written and verbal form.

Develop collaborative, child centred care plans with children and young people and their parent/carers, incorporating formulation, agreed goals and outcome monitoring.

Prescribe, initiate, titrate and review ADHD medication, ensuring appropriate monitoring of response, side effects and physical observations in line with evidence based practice and local governance.

Lead the management of the shared care caseload, including liaison with primary care and other partners to support safe and effective shared care arrangements.

Lead and contribute to service initiatives to improve pathways and processes for children and young people managed under shared care agreements, using quality improvement approaches and evaluation.

Communicate specialist condition-related information clearly and sensitively to families, carers and professionals, adapting communication where there are barriers to understanding and using advanced negotiation and conflict-resolution skills when required.

Demonstrate critical awareness of how personal, cultural and professional values may influence engagement, assessment and intervention, and the impact of stigma on co-production, motivation and access to care.

Maintain awareness of population health and wellbeing, actively working to reduce inequalities and support vulnerable groups and underserved communities.

Identify, understand and respond to the needs of carers (including young carers), ensuring these are appropriately considered within assessment and care planning.

Provide supervision, training and support to colleagues, contributing to learning, development and safe clinical practice across the service.

Job description

Job responsibilities

The post holder will:

Undertake specialist ADHD assessments, contributing to diagnostic decision making and producing clear, comprehensive clinical summaries in both written and verbal form.

Develop collaborative, child centred care plans with children and young people and their parent/carers, incorporating formulation, agreed goals and outcome monitoring.

Prescribe, initiate, titrate and review ADHD medication, ensuring appropriate monitoring of response, side effects and physical observations in line with evidence based practice and local governance.

Lead the management of the shared care caseload, including liaison with primary care and other partners to support safe and effective shared care arrangements.

Lead and contribute to service initiatives to improve pathways and processes for children and young people managed under shared care agreements, using quality improvement approaches and evaluation.

Communicate specialist condition-related information clearly and sensitively to families, carers and professionals, adapting communication where there are barriers to understanding and using advanced negotiation and conflict-resolution skills when required.

Demonstrate critical awareness of how personal, cultural and professional values may influence engagement, assessment and intervention, and the impact of stigma on co-production, motivation and access to care.

Maintain awareness of population health and wellbeing, actively working to reduce inequalities and support vulnerable groups and underserved communities.

Identify, understand and respond to the needs of carers (including young carers), ensuring these are appropriately considered within assessment and care planning.

Provide supervision, training and support to colleagues, contributing to learning, development and safe clinical practice across the service.

Person Specification

Knowledge

Essential

  • RSCN or RN (child) Diploma / degree level Or Registered Mental Health nurse
  • Current NMC registration

Desirable

  • Registered with the NMC as a prescriber

Experience

Essential

  • At least 5 years post registration experience in a mental health setting
  • Clinical experience in providing focussed therapeutic intervention for children and young people with ADHD

Desirable

  • Experience of management and supervision of staff.
  • Experience of implementing service developments

Skills

Essential

  • Able to provide detailed clinical summaries
  • Ability to work as a member of a multi-disciplinary team and demonstrate awareness of MDT functioning
  • Ability to provide, receive and process highly sensitive and contentious information
  • Ability to working in the community setting with vulnerable families with language and cultural barriers
Person Specification

Knowledge

Essential

  • RSCN or RN (child) Diploma / degree level Or Registered Mental Health nurse
  • Current NMC registration

Desirable

  • Registered with the NMC as a prescriber

Experience

Essential

  • At least 5 years post registration experience in a mental health setting
  • Clinical experience in providing focussed therapeutic intervention for children and young people with ADHD

Desirable

  • Experience of management and supervision of staff.
  • Experience of implementing service developments

Skills

Essential

  • Able to provide detailed clinical summaries
  • Ability to work as a member of a multi-disciplinary team and demonstrate awareness of MDT functioning
  • Ability to provide, receive and process highly sensitive and contentious information
  • Ability to working in the community setting with vulnerable families with language and cultural barriers

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

Highpoint House

Shooters Hill

Greenwich

SE18 3RZ


Employer's website

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


Employer details

Employer name

Oxleas NHS Foundation Trust

Address

Highpoint House

Shooters Hill

Greenwich

SE18 3RZ


Employer's website

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


Employer contact details

For questions about the job, contact:

Principal Clinical Psychologist/Clinical Lead

Dr Nicola Reynolds

nicola.reynolds5@nhs.net

02088368621

Details

Date posted

21 January 2026

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

277-7744290-CYP

Job locations

Highpoint House

Shooters Hill

Greenwich

SE18 3RZ


Supporting documents

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