Job summary
Harley Street Mental Health (HSMH) is expanding our Adult Autism Assessment service and were looking for experienced clinicians to join our assessor team. This is an opportunity to deliver high-quality, evidence-based autism assessments for adults, either remotely (UK-wide) or in person in Leeds, within a supportive governance framework and a clinically-led service that values thoroughness, professionalism, and neuro-affirming practice.
If youre confident leading the full assessment pathway end-to-end, integrating standardised tools with clinical interview and observation, and producing clear, defensible diagnostic reports, wed love to hear from you. We offer competitive rates of pay, flexible sessional working, and a steady referral flow.
Role title
Adult Autism Assessor (Remote / Leeds In-Person)
Location
Remote assessments (UK-based clinicians)
Leeds clinic (in-person assessments)
Hybrid options may be available depending on availability and service need.
Contract type
Sessional / self-employed / subcontractor (to be confirmed based on profession and arrangement)
Salary / rates
Competitive rates of pay (per assessment / per session) details shared on application.
Reporting to
Clinical Lead / Neurodevelopmental Service Lead
Main duties of the job
Key responsibilities
-
Conduct gold-standard adult autism assessments, including:
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Detailed clinical interview (current presentation and functional impact)
-
Neurodevelopmental history (including childhood presentation and developmental milestones)
-
Collateral history where available (family/partner/informant; records)
-
Review and interpretation of pre-assessment questionnaires and psychometrics (e.g., RAADS-R, CAT-Q, AQ-50, and other relevant measures used by the service)
-
Structured observation such as ADOS-2 Module 4 or an appropriate, documented alternative approach to observation when ADOS-2 is not indicated/available
-
Formulate and document a clear diagnostic outcome using recognised diagnostic frameworks (DSM/ICD as applicable), including differential diagnosis considerations
-
Produce timely, detailed, and defensible assessment reports that meet HSMH quality standards
-
Provide a professional, sensitive feedback session, including psychoeducation, signposting, and reasonable adjustment recommendations.
-
Work in line with clinical governance, safeguarding requirements, information governance/GDPR, and professional codes of conduct.
-
Liaise appropriately with GPs and other professionals (with consent), and contribute to MDT discussion where clinically indicated.
-
Maintain accurate clinical records and adhere to agreed turnaround times and pathways.
About us
Harley Street Mental Health is a clinician-led independent service providing high-quality neurodevelopmental assessments and mental health care for adults across the UK. We deliver Adult Autism diagnostic assessments via the NHS Right to Choose pathway, combining robust clinical governance with a patient-centred, neuro-affirming approach. Due to exceptional demand for our Right to Choose Autism service, we are expanding our assessor team to increase capacity while maintaining the same high standards of assessment, formulation, and report quality.
Our aim is simple: to bring Harley Street level clinical care and professionalism to NHS patients, without compromising on thoroughness, clarity, or compassion. We use a structured assessment process that integrates developmental history, clinical interview and observation, and validated questionnaires, producing clear diagnostic outcomes and practical recommendations that patients and referrers can use with confidence.
Job description
Job responsibilities
Harley Street Mental Health is a clinician-led service providing high-quality adult neurodevelopmental assessments across the UK. We deliver Adult Autism assessments via the NHS Right to Choose pathway and are expanding our team due to exceptional demand. Our aim is to provide a Harley Street standard of assessment, governance, and patient care to NHS patients, with clear outcomes and practical recommendations.
We are seeking experienced clinicians who can independently complete the full adult autism diagnostic process, including interpretation of standardised tools (e.g. RAADS-R, CAT-Q, AQ-50) and structured clinical observation (e.g. ADOS-2 Module 4 or an appropriate documented alternative). This role suits clinicians who value thorough, defensible assessment and excellent report writing, while working flexibly within a supportive governance framework.
Main duties and responsibilities
You will:
-
Conduct comprehensive adult autism diagnostic assessments, remotely and/or in person (Leeds), in line with service standards and recognised diagnostic frameworks (DSM/ICD as applicable).
-
Complete end-to-end assessment activity including: clinical interview, functional impact, developmental history, and review of collateral information where available (family/partner informant, school/medical records).
-
Review and interpret pre-assessment screening and questionnaires, including RAADS-R, CAT-Q, and AQ-50 (and other measures used by the service where relevant).
-
Undertake and document behavioural observations relevant to autism assessment, including ADOS-2 Module 4 where trained and indicated, or an agreed alternative observational approach with a clear rationale.
-
Consider differential diagnoses and co-occurring presentations (e.g. ADHD, anxiety disorders, OCD, PTSD/trauma presentations, depression, personality factors, learning disability, and social communication differences), and clearly document clinical reasoning.
-
Produce high-quality written diagnostic reports within agreed timeframes, ensuring reports are clear, structured, evidence-based, and defensible, with practical recommendations and reasonable adjustments.
-
Provide feedback sessions that are professional, sensitive, and patient-centred, including psychoeducation, signposting, and next-steps planning.
-
Maintain accurate clinical records and uphold information governance, confidentiality, GDPR, and secure handling of clinical information.
-
Follow HSMH clinical governance processes, including safeguarding procedures, risk escalation, and MDT discussion when clinically indicated.
-
Communicate appropriately with referrers and primary care (with consent), including clear outcomes and recommendations.
Essential criteria
-
Registration with an appropriate professional body and eligibility to practise within scope:
-
HCPC registered Clinical Psychologist or Counselling Psychologist, or
-
GMC registered Psychiatrist / Specialty Doctor, or
-
NMC registered Nurse with relevant competence and experience in adult autism assessment.
-
Demonstrable experience completing adult autism assessments with confidence leading the process independently.
-
Strong working knowledge of autism presentations in adults, including masking/camouflaging and the impact of co-morbid mental health conditions.
-
Competence interpreting autism-related screening tools and integrating results into clinical formulation (including RAADS-R, CAT-Q, AQ-50).
-
Ability to make and document structured clinical observations relevant to autism assessment, including ADOS-2 Module 4 or an appropriate alternative method.
-
Excellent clinical report-writing skills, producing clear diagnostic rationale and practical recommendations.
-
Commitment to neuro-affirming, respectful, and evidence-based practice.
-
Appropriate professional indemnity cover (or willingness to obtain) for independent sessional work.
-
Reliable access to a suitable private clinical environment for remote assessments (if remote working) and confidence using secure video platforms and electronic clinical systems.
Desirable criteria
-
ADOS-2 Module 4 training and recent experience administering and scoring.
-
Experience using structured autism interviews/assessments (e.g. ADI-R, DISCO, 3Di or equivalent), where relevant to discipline and role.
-
Experience working with complex presentations and culturally diverse populations, with an ability to adapt approach appropriately.
-
Previous experience in NHS or NHS-commissioned pathways, including Right to Choose.
What we offer
-
Competitive rates of pay with regular assessment opportunities due to high service demand.
-
Flexible working: remote assessments and/or in-person clinics in Leeds.
-
Clear pathways, templates, and clinical governance support to maintain consistent quality.
-
Professional, supportive team culture with access to clinical leadership and peer support.
-
Opportunity to contribute to a growing national service delivering high-quality autism assessments for NHS patients.
Safeguarding and pre-engagement checks
HSMH is committed to safeguarding and promoting the welfare of adults. Engagement is subject to appropriate checks including DBS, identity and right-to-work verification, professional registration, references, and compliance with information governance requirements.
Job description
Job responsibilities
Harley Street Mental Health is a clinician-led service providing high-quality adult neurodevelopmental assessments across the UK. We deliver Adult Autism assessments via the NHS Right to Choose pathway and are expanding our team due to exceptional demand. Our aim is to provide a Harley Street standard of assessment, governance, and patient care to NHS patients, with clear outcomes and practical recommendations.
We are seeking experienced clinicians who can independently complete the full adult autism diagnostic process, including interpretation of standardised tools (e.g. RAADS-R, CAT-Q, AQ-50) and structured clinical observation (e.g. ADOS-2 Module 4 or an appropriate documented alternative). This role suits clinicians who value thorough, defensible assessment and excellent report writing, while working flexibly within a supportive governance framework.
Main duties and responsibilities
You will:
-
Conduct comprehensive adult autism diagnostic assessments, remotely and/or in person (Leeds), in line with service standards and recognised diagnostic frameworks (DSM/ICD as applicable).
-
Complete end-to-end assessment activity including: clinical interview, functional impact, developmental history, and review of collateral information where available (family/partner informant, school/medical records).
-
Review and interpret pre-assessment screening and questionnaires, including RAADS-R, CAT-Q, and AQ-50 (and other measures used by the service where relevant).
-
Undertake and document behavioural observations relevant to autism assessment, including ADOS-2 Module 4 where trained and indicated, or an agreed alternative observational approach with a clear rationale.
-
Consider differential diagnoses and co-occurring presentations (e.g. ADHD, anxiety disorders, OCD, PTSD/trauma presentations, depression, personality factors, learning disability, and social communication differences), and clearly document clinical reasoning.
-
Produce high-quality written diagnostic reports within agreed timeframes, ensuring reports are clear, structured, evidence-based, and defensible, with practical recommendations and reasonable adjustments.
-
Provide feedback sessions that are professional, sensitive, and patient-centred, including psychoeducation, signposting, and next-steps planning.
-
Maintain accurate clinical records and uphold information governance, confidentiality, GDPR, and secure handling of clinical information.
-
Follow HSMH clinical governance processes, including safeguarding procedures, risk escalation, and MDT discussion when clinically indicated.
-
Communicate appropriately with referrers and primary care (with consent), including clear outcomes and recommendations.
Essential criteria
-
Registration with an appropriate professional body and eligibility to practise within scope:
-
HCPC registered Clinical Psychologist or Counselling Psychologist, or
-
GMC registered Psychiatrist / Specialty Doctor, or
-
NMC registered Nurse with relevant competence and experience in adult autism assessment.
-
Demonstrable experience completing adult autism assessments with confidence leading the process independently.
-
Strong working knowledge of autism presentations in adults, including masking/camouflaging and the impact of co-morbid mental health conditions.
-
Competence interpreting autism-related screening tools and integrating results into clinical formulation (including RAADS-R, CAT-Q, AQ-50).
-
Ability to make and document structured clinical observations relevant to autism assessment, including ADOS-2 Module 4 or an appropriate alternative method.
-
Excellent clinical report-writing skills, producing clear diagnostic rationale and practical recommendations.
-
Commitment to neuro-affirming, respectful, and evidence-based practice.
-
Appropriate professional indemnity cover (or willingness to obtain) for independent sessional work.
-
Reliable access to a suitable private clinical environment for remote assessments (if remote working) and confidence using secure video platforms and electronic clinical systems.
Desirable criteria
-
ADOS-2 Module 4 training and recent experience administering and scoring.
-
Experience using structured autism interviews/assessments (e.g. ADI-R, DISCO, 3Di or equivalent), where relevant to discipline and role.
-
Experience working with complex presentations and culturally diverse populations, with an ability to adapt approach appropriately.
-
Previous experience in NHS or NHS-commissioned pathways, including Right to Choose.
What we offer
-
Competitive rates of pay with regular assessment opportunities due to high service demand.
-
Flexible working: remote assessments and/or in-person clinics in Leeds.
-
Clear pathways, templates, and clinical governance support to maintain consistent quality.
-
Professional, supportive team culture with access to clinical leadership and peer support.
-
Opportunity to contribute to a growing national service delivering high-quality autism assessments for NHS patients.
Safeguarding and pre-engagement checks
HSMH is committed to safeguarding and promoting the welfare of adults. Engagement is subject to appropriate checks including DBS, identity and right-to-work verification, professional registration, references, and compliance with information governance requirements.
Person Specification
Qualifications
Essential
- Appropriate professional qualification and current registration to practise within scope, as one of the following:
- HCPC registered Clinical Psychologist, or
- HCPC registered Counselling Psychologist, or
- GMC registered Psychiatrist, or
- GMC registered Specialty Doctor, or
- NMC registered Nurse with relevant competence in adult autism assessment
Desirable
- ADOS-2 Module 4 training (and current competence administering/scoring)
- Training/competence in additional structured autism assessments (e.g., ADI-R, DISCO, 3Di or equivalent), where relevant to discipline
Experience
Essential
- Demonstrable experience independently completing adult autism diagnostic assessments end-to-end (history, formulation, outcome, feedback, report)
- Confidence interpreting and integrating screening tools into clinical reasoning, including RAADS-R, CAT-Q, AQ-50
- Ability to make and document clinically meaningful observations relevant to autism diagnosis (e.g., ADOS-2 Module 4 or an agreed alternative observational approach)
- Experience working with complexity and differential diagnosis, including common co-occurring presentations (e.g., ADHD, anxiety disorders, OCD, PTSD/trauma presentations, depression, personality factors, learning disability)
Desirable
- Recent, regular delivery of adult autism assessments (i.e., maintaining skills through ongoing clinical practice)
- Experience within NHS or NHS-commissioned pathways, including Right to Choose
- Experience assessing adults with high masking/camouflaging and/or later-life identification
- Experience working with culturally and linguistically diverse populations and adapting assessment approach appropriately
Additional requirements
Essential
- Excellent clinical report-writing skills: clear diagnostic rationale, evidence mapping, functional impact, and practical recommendations/reasonable adjustments
- Commitment to neuro-affirming, respectful, evidence-based practice
- Ability to work to agreed clinical governance standards, including safeguarding, risk escalation, documentation, and information governance/GDPR
- Appropriate professional indemnity in place (or willingness to obtain) for independent sessional work
- For remote work: access to a private, confidential clinical environment and confidence using secure video platforms and electronic systems
- Reliability in meeting agreed turnaround times and maintaining professional communication standards
Desirable
- Willingness to support service development and quality improvement (templates, peer review, MDT input as required)
- Flexibility to offer both remote and Leeds in-person clinics (where feasible)
Person Specification
Qualifications
Essential
- Appropriate professional qualification and current registration to practise within scope, as one of the following:
- HCPC registered Clinical Psychologist, or
- HCPC registered Counselling Psychologist, or
- GMC registered Psychiatrist, or
- GMC registered Specialty Doctor, or
- NMC registered Nurse with relevant competence in adult autism assessment
Desirable
- ADOS-2 Module 4 training (and current competence administering/scoring)
- Training/competence in additional structured autism assessments (e.g., ADI-R, DISCO, 3Di or equivalent), where relevant to discipline
Experience
Essential
- Demonstrable experience independently completing adult autism diagnostic assessments end-to-end (history, formulation, outcome, feedback, report)
- Confidence interpreting and integrating screening tools into clinical reasoning, including RAADS-R, CAT-Q, AQ-50
- Ability to make and document clinically meaningful observations relevant to autism diagnosis (e.g., ADOS-2 Module 4 or an agreed alternative observational approach)
- Experience working with complexity and differential diagnosis, including common co-occurring presentations (e.g., ADHD, anxiety disorders, OCD, PTSD/trauma presentations, depression, personality factors, learning disability)
Desirable
- Recent, regular delivery of adult autism assessments (i.e., maintaining skills through ongoing clinical practice)
- Experience within NHS or NHS-commissioned pathways, including Right to Choose
- Experience assessing adults with high masking/camouflaging and/or later-life identification
- Experience working with culturally and linguistically diverse populations and adapting assessment approach appropriately
Additional requirements
Essential
- Excellent clinical report-writing skills: clear diagnostic rationale, evidence mapping, functional impact, and practical recommendations/reasonable adjustments
- Commitment to neuro-affirming, respectful, evidence-based practice
- Ability to work to agreed clinical governance standards, including safeguarding, risk escalation, documentation, and information governance/GDPR
- Appropriate professional indemnity in place (or willingness to obtain) for independent sessional work
- For remote work: access to a private, confidential clinical environment and confidence using secure video platforms and electronic systems
- Reliability in meeting agreed turnaround times and maintaining professional communication standards
Desirable
- Willingness to support service development and quality improvement (templates, peer review, MDT input as required)
- Flexibility to offer both remote and Leeds in-person clinics (where feasible)
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).
