Highly Specialist ADHD Nurse Practitioner

Job description

Job responsibilities

1. Clinical

1.1 To lead the provision and delivery of the nurse led ADHD clinic provided by Lambeth CAMHS, and be a highly specialist practitioner within the assessment, treatment and pharmacological management of CYP with ADHD and co-morbid mental health and/or neuropsychiatric difficulties, assuming responsibility for own caseload.

1.2 To work as an independent and autonomous professional within professional guidelines and the policies and procedures of the service, taking full responsibility for own work.

1.3 To provide CAMHS assessments, using self-report measures, as appropriate, structured observations, clinical interviews, and to interpret and integrate this highly complex data to identify and diagnose the cause of emotional and behavioural problems in C&YP.

1.4 To formulate mental healthcare and crisis treatment plans that are specific to each C&YP and family, based upon an analysis of complex factors concerning historical and developmental processes contributing to the presentation. To assess safeguarding issues for each case, consulting with other professionals and referring concerns to the appropriate safeguarding team as required.

1.5 To deliver evidence based treatments, monitoring outcome and modifying and adapting interventions drawing on a range of theoretical options.

1.6 To assess and monitor risk and draw up appropriate risk management plans in conjunction with the C&YP, parents/carers and other services as appropriate.

1.7 To communicate skilfully, tactfully and sensitively highly complex, sensitive and potentially distressing information with CYP, parents, carers and colleagues taking account of sensory and cultural barriers to communication.

1.8 To maintain the highest standards of clinical record keeping and report writing, according to professional and Trust guidelines, including electronic data entry and recording.

1.9 To ensure that all services provided are acceptable and accessible to the diverse communities which make up the catchment area of the service.

1.10 To act as care co-ordinator for a range of cases including high risk and extremely complex, ensuring the provision of a care package appropriate for the client needs, coordinating the work of others involved, and to monitor progress in the course of multidisciplinary interventions.

1. Professional leadership

2.1 To provide strategic nursing input at senior level across Lambeth CAMHS, ensuring effective advice to the Lead Nurse, Borough manager, Lead Clinician, and other management team.

2.2 To liaise with Lead Nurse to ensuring standards of nursing are consistent.

1. Teaching, Training, and Supervision

3.1 To receive regular clinical and professional supervision from a more senior clinician according to Trust guidelines. This will include fortnightly moving to monthly ADHD prescribing supervision with consultant psychiatrist, fortnightly moving to monthly clinical supervision with Lambeth CAMHS Lead Nurse, and monthly line management supervision.

3.2 To contribute to the development of the knowledge and skills base within the nursing staff and Lambeth CAMHS.

3.3 To provide professional clinical and research supervision as well as managerial supervision to qualified nursing staff and students for all aspects of their work where appropriate.

3.4 To provide placements to student nurses as required and where appropriate.

3.5 To provide advice, consultation, training and supervision to staff and parents/carers within CAMHS network across a range of settings including primary care, social services, education, residential units and family homes.

1. Management, Recruitment, Policy and Service Development

4.1 To identify any aspects of the service which need to be improved and to advise service and professional managers on appropriate changes.

4.2 To assist in the short-listing and interviewing of multidisciplinary staff as required.

4.3 To participate in clinical governance initiatives as agreed by the Trust and clinical governance committee and to act as clinical governance link worker as agreed.

4.4 To deputise for the Borough manager when required and to represent the team at borough and SLAM level when needed.

4.5 To undertake Serious Incident investigations as required by the Directorate.

1. Research and service evaluation

5.1 To contribute to the development of services for Lambeth CAMHS through initiating and undertaking service evaluation and audit.

5.2 To undertake computer-based literature reviews and carry out research relevant to the service in general and provide advice and supervision to other staff undertaking these.

5.3 To contribute to the development of outcome measurement and participate in the implementation of the use of same.

5.4 To disseminate research and service evaluation findings through service feedback, presentations and published articles.

5.5 To participate in agreed audit projects and to participate in service improvement based on the findings.

1. General

6.1 To maintain an up-to-date knowledge of current developments in professional and clinical practice with children and families, and of relevant legislation and policies.

6.2 To examine independently and critically all aspects of work to ensure they comply with recognised professional standards and Trust policies and procedures.

6.3 To maintain record keeping as required by professional codes of practice as well as Directorate policies and procedures.

6.4 To participate fully and implement standards devised from Trust's clinical and research governance activity.

Person Specification

Qualifications

Essential

• First level nursing qualification (registration RMN or RSCN or HV) / with related CAMHS experience and MSc level qualification or equivalent with evidence of a comprehensive portfolio of post-registration professional development in child and adolescent mental health including evidence of clinical, audit and/or research presentations at local and national CAMHS events and evidence of publication of articles or the production of strategic reports which have advanced CAMHS.
• Non-medical prescriber with appropriate NMC registration
• All applications will require professional registration with a statutory body e.g. the Nursing Midwifery Council, General Social care council, Health professional's council or applicable psychological or psychotherapies body.

Desirable

• Additional, recognised therapeutic qualification

Experience

Essential

• Graduate qualification related to or equivalent with evidence of a comprehensive portfolio including experience of specialist mental health assessment and treatment with children and young people with mental health difficulties, emotional, behavioural and relational problems and their families, including looked after children.
• Experience of managing complex and high risk cases.
• Experience of consultation to, and clinical supervision of other staff
• Experience of providing teaching and training to multidisciplinary groups. Experience of working with children and families from diverse cultural backgrounds.
• Experience of developing and carrying out research projects with children and young people.
• Experience of supervision of other staff. Experience of clinical leadership and providing clinical support for practitioners across disciplines including recruitment, supervision and appraisal.
• Experience of multi-agency collaboration and integrated working.

Desirable

• Significant experience working as an independent non-medical prescriber with a CAMHS service and ability to demonstrate continuing professional development in this area.

Skills & Abilities

Essential

• Has completed a minimum of two years post qualification CPD to develop clinical and/or research skills relevant to specialist area as agreed in the Personal Development Plan.
• Ability to supervise student nurses having completed relevant training.
• Highly developed verbal and written communication skills including communicating complex, highly technical and sensitive information to children, young people, families and colleagues.
• Ability to maintain a high degree of professionalism in the face of highly emotive and distressing problems involving a child's or young person's mental health issues, family relationships or future placement, verbal abuse and the threat of physical abuse
• Ability to work independently as an autonomous practitioner with appropriate level of clinical and managerial supervision.
• Ability to work effectively within a multi-disciplinary team, contributing to effective team functioning
• Ability to identify and employ mechanisms of clinical governance as appropriate, to support and maintain clinical practice in the face of regular exposure to highly emotive material and/or challenging behaviour.
• Ability to use QI methodology
• Well developed IT skills including data entry and analysis of research
• Well-developed consultation skills to work with MDT and or other professional groups

Desirable

• Ability to teach and train others, using a variety of complex multi-media materials suitable for presentations within public, professional and academic settings

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

South London and Maudsley NHS Foundation Trust

Address

Lambeth CAMHS

William Geoffrey House, Lambeth CAMHS, 35 Black Prince Road

London

SE11 6JJ

Employer's website

https://www.slam.nhs.uk/ (Opens in a new tab)