ADHD Specialist Nurse

Bridgewater Community Healthcare NHS Foundation Trust

Information:

This job is now closed

Job summary

We are seeking an Ambitious, dynamic, motivated and innovative nurse to join our friendly, forward thinking specialist nursing team providing a high quality, holistic, needs led service focusing on the behavioral and developmental needs of children and young people with learning disabilities, Autistic spectrum conditions and Attention Deficit Hyperactivity Disorder. Our aim is to form a partnership with families and professionals to enable others to maximize the childs full potential and as a specialist service provide support and advice to the significant people in the childs life.

Main duties of the job

The role will involve delivering a highly specialized service for children with a diagnosis of attention deficit hyperactivity disorder/Autism spectrum condition working within NICE guidelines - through assessment, planning and implementation of packages of care. This will involve developing and maintaining a high clinical profile and presence and acting as a role model for other CSU staff.

To manage own Nurse-led ADHD clinics, To monitor and review progress in accordance with NICE guidelines, local policies or individuals clinical condition including monitoring Childs blood pressure, heart rate, growth, and Behavior and to provide required information for the Consultant Pediatricians in a timely fashion. To autonomously make clinical decisions about behavior management treatment based on detailed assessment.

The work is community based; therefore it is essential that the successful candidate is able to travel throughout the organisation to meet the requirements of the role. If you enjoy working with children, have excellent communication skills and are prepared to liaise with team members to enhance quality of care for patients then we would like to hear from you

About us

Flexible working will be considered for all roles.

Unfortunately, we do not hold a sponsor licence for working Visas.

At Bridgewater, our PEOPLE values shape how we deliver our NHS services in your local community.

They help us deliver our mission to improve local health and promote wellbeing in the communities we serve.

After all, values are about people and they were created in partnership with our staff to reflect what they felt was important to them

Here at Bridgewater our shared values flow through the organisation.

P- Person-centred-We are passionate about individual needs and promote independence in the healthcare we provide..

E- Empowered- We empower our people and encourage new ideas to deliver and create improvements in community care.

O- Open and Honest -We behave in a way that develops relationships based on trust, openness, honesty and respect.

P- Professional-We support our people, so everyone has the right skills and training to deliver outstanding patient care.

L- Locally Lead -We are always learning about our communities and show great pride in being a local provider of health and care.

E- Efficient -We use our resources wisely to provide sustainable and value for money healthcare for our patients.

Date posted

13 October 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9835-WA23-237

Job locations

Child Development Centre

Sandy Lane

Warrington

WA2 9HY


Job description

Job responsibilities

To develop and deliver a Highly specialised service for children from birth to 19 years with a diagnosis of attention deficit hyperactivity disorder- working within NICE guidelines - through assessment, planning and implementation of packages of care. This will involve developing and maintaining a high clinical profile and presence and acting as a role model for other CSU staff.

To develop care pathways with the specialist nurse team leader, the family, school and multi disciplinary team to ensure consistent approach to care.

To support parents/carers as they care for their children at home

To support the specialist nursing team in authorised activity working to professionally accepted standards, recognising the equality and diversity of the group.

To signpost families to health, local authority services and voluntary services being aware of standards of care provided by those organisations

To support families through transition processes from pre-school to education, primary to secondary school and secondary to adult services

To disseminate expertise within both the clinical and education settings.

To undertake research and lead audit in own specialist area.

To provide specialist training to other professionals and other agencies as appropriate.

To be a supplementary prescriber of medications for ADHD having undertaken appropriate training and to work with the Independent prescriber to an agreed Clinical Management Plan.

Principle Responsibilities:

Clinical

To make contact with the family following diagnosis. To inform child and family about the diagnosis and services available and the specialist nurse role.

To provide advice and information to parents/carers on attention deficit hyperactivity disorder and associated problems.

communicate complex information appropriately with referrers and other To invoed agencies regarding assessment and ongoing treatment.

lv

To autonomously make clinical decisions about behaviour management treatment based on detailed assessment.

To work closely with the Consultant Paediatricians and as part of a highly specialised team of professionals with children with additional needs.

To assist in the diagnosis of complex cases by providing consultant with information from observations and discussion.

To record progress on care pathway and maintain up to date written records in line with professional and CSU requirements.

Utilise highly developed communication skills and interpersonal skills in engaging all members of the family in the assessment process. Act as their advocate when their needs are not being met.

To develop and manage own Nurse-led ADHD clinics. To monitor and review progress in accordance with NICE guidelines, local policies or individuals clinical condition including monitoring Childs blood pressure, heart rate, growth, and behaviour and to provide required information for Consultant Paediatrician in a timely fashion.

In order to manage a very unpredictable caseload offer home based / phone expert advice to families, being available to respond to families needs as they arise.

To deliver specialist nurse services in a variety of community settings i.e. childs own home, Child Development Centre, attending consultant and other professional appointments where appropriate.

To liaise with and educate clients, carers, and other health/local authority colleagues about ADHD including linking with relevant support groups.

To develop and maintain an information pack on services available in liaison with other professionals.

To promote a culture of evidence based practice by contribution to developing and maintaining protocols, documentation, systems, standards, policies and guidelines in line with the Clinical Governance Framework.

To demonstrate enhanced nursing practice and act as a role model in terms of own care delivery by acquiring knowledge and skills to support a client based service supported by the multi-disciplinary team.

To develop champions within health visiting and school health to work with children and families with lower levels of need and support them in their practice

The post holder will maintain an awareness of and act in accordance with the Area Child Protection Procedures and Guidelines for Child Protection and Vulnerable Adults procedures

Communication

To be able to communicate diagnosis, be empathetic and handle difficult and emotional situations appropriately.

To be able to communicate appropriately to gain consent to share information.

To use highly developed communication skills to communicate effectively with the child / young person to enable them to be part of the care planning process.

Managerial

Maintaining contemporaneous and accurate records observing the Data Protection Act 1988, maintaining confidentiality.

Maintaining a diary for the purpose of planning work. Diaries may be requested to be submitted for audit purposes.

Share responsibility for the management of the band 4 in the team

To complete computer information in a timely manner

To maintain the ADHD database

Reporting to and consulting with the Team Leader on matters relevant to the provision of a qualitative service, which meet the Organisations service objectives.

Attending staff meetings and ensuring that minutes are read and signed, especially when attendance has not been possible.

Work collaboratively as a member of the multi-disciplinary team, taking the lead role when appropriate and participate in building team commitment, coherence and spirit.

Using and developing managerial skills, in relation to assessing, planning, implementing and evaluating care whether in relation to an individual or a target group within the population.

Fulfilling Organisational guidance regarding time scales for contact with clients.

Observe the complaints and disciplinary procedures in accordance with Organisational policy

Report sickness absence and return relevant forms to line manager.

To review and reflect on own practice and performance through effective use of professional and operational supervision and appraisal, in line with local guidelines.

To attend and participate in meetings relevant to staff grade and clinical responsibility.

To contribute to the overall aims of the service by developing the nursing staff and encouraging self sufficiency and flexibility of working practices to provide the most cost-effective and efficient working practices.

To contribute to Service Improvement / Business plan maintaining awareness of cost effective use of resources.

Education and Training

To apply specialist skills and knowledge in order to establish professional competence.

To plan and lead in the implementation of specialist training programmes related to ADHD to Parents, carers, colleagues and other agencies as appropriate.

To demonstrate ongoing personal development through participation in internal and external development opportunities, recording reflections and outcomes in a professional portfolio.

To participate constructively in the Performance Review and Appraisal process, taking responsibility for life long learning.

To complete mandatory and statutory training in line with Organisational requirements.

Act as mentor/preceptor to new staff and participate, where appropriate, in developing the skills and potential of colleagues.

Continually update and consolidate nursing knowledge in line with NMC statutory requirements, maintaining professional and prescribing registration.

Participate in clinical supervision /mentoring.

Research and Development

To commit to evidence based practice by keeping up to date with current research, initiating and contributing to audits relevant to Specialist Nursing within the Childrens service.

To assist with the review and development of the Specialist Nursing Service.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the organisation

Job description

Job responsibilities

To develop and deliver a Highly specialised service for children from birth to 19 years with a diagnosis of attention deficit hyperactivity disorder- working within NICE guidelines - through assessment, planning and implementation of packages of care. This will involve developing and maintaining a high clinical profile and presence and acting as a role model for other CSU staff.

To develop care pathways with the specialist nurse team leader, the family, school and multi disciplinary team to ensure consistent approach to care.

To support parents/carers as they care for their children at home

To support the specialist nursing team in authorised activity working to professionally accepted standards, recognising the equality and diversity of the group.

To signpost families to health, local authority services and voluntary services being aware of standards of care provided by those organisations

To support families through transition processes from pre-school to education, primary to secondary school and secondary to adult services

To disseminate expertise within both the clinical and education settings.

To undertake research and lead audit in own specialist area.

To provide specialist training to other professionals and other agencies as appropriate.

To be a supplementary prescriber of medications for ADHD having undertaken appropriate training and to work with the Independent prescriber to an agreed Clinical Management Plan.

Principle Responsibilities:

Clinical

To make contact with the family following diagnosis. To inform child and family about the diagnosis and services available and the specialist nurse role.

To provide advice and information to parents/carers on attention deficit hyperactivity disorder and associated problems.

communicate complex information appropriately with referrers and other To invoed agencies regarding assessment and ongoing treatment.

lv

To autonomously make clinical decisions about behaviour management treatment based on detailed assessment.

To work closely with the Consultant Paediatricians and as part of a highly specialised team of professionals with children with additional needs.

To assist in the diagnosis of complex cases by providing consultant with information from observations and discussion.

To record progress on care pathway and maintain up to date written records in line with professional and CSU requirements.

Utilise highly developed communication skills and interpersonal skills in engaging all members of the family in the assessment process. Act as their advocate when their needs are not being met.

To develop and manage own Nurse-led ADHD clinics. To monitor and review progress in accordance with NICE guidelines, local policies or individuals clinical condition including monitoring Childs blood pressure, heart rate, growth, and behaviour and to provide required information for Consultant Paediatrician in a timely fashion.

In order to manage a very unpredictable caseload offer home based / phone expert advice to families, being available to respond to families needs as they arise.

To deliver specialist nurse services in a variety of community settings i.e. childs own home, Child Development Centre, attending consultant and other professional appointments where appropriate.

To liaise with and educate clients, carers, and other health/local authority colleagues about ADHD including linking with relevant support groups.

To develop and maintain an information pack on services available in liaison with other professionals.

To promote a culture of evidence based practice by contribution to developing and maintaining protocols, documentation, systems, standards, policies and guidelines in line with the Clinical Governance Framework.

To demonstrate enhanced nursing practice and act as a role model in terms of own care delivery by acquiring knowledge and skills to support a client based service supported by the multi-disciplinary team.

To develop champions within health visiting and school health to work with children and families with lower levels of need and support them in their practice

The post holder will maintain an awareness of and act in accordance with the Area Child Protection Procedures and Guidelines for Child Protection and Vulnerable Adults procedures

Communication

To be able to communicate diagnosis, be empathetic and handle difficult and emotional situations appropriately.

To be able to communicate appropriately to gain consent to share information.

To use highly developed communication skills to communicate effectively with the child / young person to enable them to be part of the care planning process.

Managerial

Maintaining contemporaneous and accurate records observing the Data Protection Act 1988, maintaining confidentiality.

Maintaining a diary for the purpose of planning work. Diaries may be requested to be submitted for audit purposes.

Share responsibility for the management of the band 4 in the team

To complete computer information in a timely manner

To maintain the ADHD database

Reporting to and consulting with the Team Leader on matters relevant to the provision of a qualitative service, which meet the Organisations service objectives.

Attending staff meetings and ensuring that minutes are read and signed, especially when attendance has not been possible.

Work collaboratively as a member of the multi-disciplinary team, taking the lead role when appropriate and participate in building team commitment, coherence and spirit.

Using and developing managerial skills, in relation to assessing, planning, implementing and evaluating care whether in relation to an individual or a target group within the population.

Fulfilling Organisational guidance regarding time scales for contact with clients.

Observe the complaints and disciplinary procedures in accordance with Organisational policy

Report sickness absence and return relevant forms to line manager.

To review and reflect on own practice and performance through effective use of professional and operational supervision and appraisal, in line with local guidelines.

To attend and participate in meetings relevant to staff grade and clinical responsibility.

To contribute to the overall aims of the service by developing the nursing staff and encouraging self sufficiency and flexibility of working practices to provide the most cost-effective and efficient working practices.

To contribute to Service Improvement / Business plan maintaining awareness of cost effective use of resources.

Education and Training

To apply specialist skills and knowledge in order to establish professional competence.

To plan and lead in the implementation of specialist training programmes related to ADHD to Parents, carers, colleagues and other agencies as appropriate.

To demonstrate ongoing personal development through participation in internal and external development opportunities, recording reflections and outcomes in a professional portfolio.

To participate constructively in the Performance Review and Appraisal process, taking responsibility for life long learning.

To complete mandatory and statutory training in line with Organisational requirements.

Act as mentor/preceptor to new staff and participate, where appropriate, in developing the skills and potential of colleagues.

Continually update and consolidate nursing knowledge in line with NMC statutory requirements, maintaining professional and prescribing registration.

Participate in clinical supervision /mentoring.

Research and Development

To commit to evidence based practice by keeping up to date with current research, initiating and contributing to audits relevant to Specialist Nursing within the Childrens service.

To assist with the review and development of the Specialist Nursing Service.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the organisation

Person Specification

Experience

Essential

  • Extensive demonstrable post qualifying experience including significant recent experience of working with children in a community setting.
  • Experience of working with children with ADHD.
  • Experience of working with families with children with behaviour difficulties.
  • Experience of working within a multi-disciplinary and multi-agency environment.
  • Experience in the training, learning and development of others.
  • Experience of working in a constantly changing environment.

Desirable

  • Experience of working with children with additional needs.
  • Experience of involving users of the service in a meaningful way in shaping service initiatives and delivery

Skills & Knowledge

Essential

  • Highly Competent in working therapeutically with children and young people experiencing complex difficulties and their families throughout the process of assessment, planning, intervention and evaluation.
  • Ability to independently make clinical decisions, generate treatment options, plan and review treatment programmes
  • Able to work without supervision.
  • Excellent communication skills both written and interpersonal.
  • An ability to be a team member and be adaptable.
  • Knowledge of normal child development
  • Highly competent in communicating sensitive and complex information to a range of audiences, including children, parents, G.Ps, head teachers and support workers under stressful circumstances.
  • Able to effectively manage own caseload and work as an advanced autonomous practitioner.
  • Self-Motivated and ability to work under own initiative.
  • Time Management Skills
  • Being flexible and adaptable at work in order to meet competing priorities
  • Knowledge of Microsoft Office packages
  • Ability to manage exposure to clients and environments that may be highly distressing, antagonistic, open to aggression and/or unpleasant

Desirable

  • Alternative communication skills e.g. makaton, picture exchange system (pecs)
  • Working knowledge of Family support model and/ or common assessment framework models of support

Job Specific Criteria

Essential

  • Commitment and involvement in the development and improvement of service for young people and their families including leading on service improvement.
  • Commitment to providing services that are accessible in a variety of community and clinic based settings.
  • Work to expand the role of the ADHD nurse in connection with NICE guidance, to include nurse prescribing and other nurse led initiatives in line with agreed service developments.

Qualifications

Essential

  • 1st Level nursing degree or equivalent demonstrable qualification

Desirable

  • Childrens Nurse
  • Teaching and assessing qualification

Additional Criteria

Essential

  • Ability to work flexibly and be willing to undertake working unsocial hours according to service needs.
  • Ability to travel independently throughout the Trust.
  • Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable), please state this on your application form.

Desirable

  • If you are related to a director or have a relationship with a director or employee of an appointing organisation, please state the relationship in your application form.
Person Specification

Experience

Essential

  • Extensive demonstrable post qualifying experience including significant recent experience of working with children in a community setting.
  • Experience of working with children with ADHD.
  • Experience of working with families with children with behaviour difficulties.
  • Experience of working within a multi-disciplinary and multi-agency environment.
  • Experience in the training, learning and development of others.
  • Experience of working in a constantly changing environment.

Desirable

  • Experience of working with children with additional needs.
  • Experience of involving users of the service in a meaningful way in shaping service initiatives and delivery

Skills & Knowledge

Essential

  • Highly Competent in working therapeutically with children and young people experiencing complex difficulties and their families throughout the process of assessment, planning, intervention and evaluation.
  • Ability to independently make clinical decisions, generate treatment options, plan and review treatment programmes
  • Able to work without supervision.
  • Excellent communication skills both written and interpersonal.
  • An ability to be a team member and be adaptable.
  • Knowledge of normal child development
  • Highly competent in communicating sensitive and complex information to a range of audiences, including children, parents, G.Ps, head teachers and support workers under stressful circumstances.
  • Able to effectively manage own caseload and work as an advanced autonomous practitioner.
  • Self-Motivated and ability to work under own initiative.
  • Time Management Skills
  • Being flexible and adaptable at work in order to meet competing priorities
  • Knowledge of Microsoft Office packages
  • Ability to manage exposure to clients and environments that may be highly distressing, antagonistic, open to aggression and/or unpleasant

Desirable

  • Alternative communication skills e.g. makaton, picture exchange system (pecs)
  • Working knowledge of Family support model and/ or common assessment framework models of support

Job Specific Criteria

Essential

  • Commitment and involvement in the development and improvement of service for young people and their families including leading on service improvement.
  • Commitment to providing services that are accessible in a variety of community and clinic based settings.
  • Work to expand the role of the ADHD nurse in connection with NICE guidance, to include nurse prescribing and other nurse led initiatives in line with agreed service developments.

Qualifications

Essential

  • 1st Level nursing degree or equivalent demonstrable qualification

Desirable

  • Childrens Nurse
  • Teaching and assessing qualification

Additional Criteria

Essential

  • Ability to work flexibly and be willing to undertake working unsocial hours according to service needs.
  • Ability to travel independently throughout the Trust.
  • Do you have the right to stay and work in the UK without sponsorship (share-codes will be checked if applicable), please state this on your application form.

Desirable

  • If you are related to a director or have a relationship with a director or employee of an appointing organisation, please state the relationship in your application form.

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).

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.

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

Bridgewater Community Healthcare NHS Foundation Trust

Address

Child Development Centre

Sandy Lane

Warrington

WA2 9HY


Employer's website

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

Employer details

Employer name

Bridgewater Community Healthcare NHS Foundation Trust

Address

Child Development Centre

Sandy Lane

Warrington

WA2 9HY


Employer's website

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

For questions about the job, contact:

Date posted

13 October 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9835-WA23-237

Job locations

Child Development Centre

Sandy Lane

Warrington

WA2 9HY


Supporting documents

Privacy notice

Bridgewater Community Healthcare NHS Foundation Trust's privacy notice (opens in a new tab)