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Job summary

Main area
CAMHS Community -ADHD
Grade
NHS AfC: Band 8a
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
334-NUR-5826380-FR-B
Employer
South London and Maudsley NHS Foundation Trust
Employer type
NHS
Site
Lambeth CAMHS
Town
London
Salary
£58,698 - £65,095 per annum HCAS inclusive
Salary period
Yearly
Closing
Today at 23:59

Employer heading

South London and Maudsley NHS Foundation Trust logo

Highly Specialist ADHD Nurse Practitioner

NHS AfC: Band 8a

 

South London and Maudsley NHS Foundation Trust has a rich history, well-established community links and an international reputation. We deliver specialist services in the London boroughs of Croydon, Lambeth, Lewisham and Southwark, Bexley, Bromley, Greenwich, Wandsworth and Richmond.

We are committed to provide a high quality and specialist care to our service users and we are recognised for our care and treatment we provide. The Care Quality Commission already rates our services as ‘good’.

We launched our five-year strategy, Aiming High; Changing Lives  in 2021 together with Our Care Improvement System as our quality management system methodology  to make a positive impact on patient care, outcomes and staff experience. By joining SLaM, all staff will get the opportunity to be part of this exciting improvement journey supported with learning and development to harness everyone’s potential as change makers.

The trust recognises the unique and valuable contribution that people with lived experience of mental illness can bring to a role. We therefore welcome applications from people with lived experience and consider them as an asset to the Trust. 

Our Values

We take pride in providing specialist care to our service users where our Trust values and our promise to be caring, kind, polite, prompt, honest, listen and do what I say I’m going to do is at the heart of everything we do. When you join us, you’ll be part of something special.

As a Trust we are happy to talk flexible working.

Job overview

Lambeth CAMHS are looking to recruit to our community CAMHS service:

  • An experienced and motivated highly specialist ADHD Nurse Prescriber to lead on the ADHD pathway in our community 
  • Independent and team working in both a clinical and managerial role.
  • Confident in your delivery of ADHD care including ADHD medication management and physical health assessments.
  • Excellent skills in organisation and forward thinking, show initiative, be adaptable and able to follow direction, and be a good team player with excellent communication skills. 
  • Provide leadership on and contribute clinically to all aspects of the ADHD pathway including screening, assessment, psycho-education, medication management, behavioural management, care planning, risk assessment and management, and transition to adult services.
  • Contribute to further ADHD pathway development.

 

 

 

 

Main duties of the job

The main team base is located at William Geoffrey house, 35 Black Prince Road, Kennington.

  • Managing your own caseload of C&YP with ADHD, including more complex cases involving comorbid mental health and neuropsychiatric difficulties
  • Independent treatment initiation and review within your scope of practice. This involves assessing, planning, implementing and evaluating intervention(s) for young people in your care, including independent non-medical prescribing.
  • Liaising with medical colleagues, partner agencies (school; social care) and adult mental health professionals across a range of settings
  • Completing risk assessments and care plans
  • Contribute to completing ADHD assessments of team members by providing expert input to diagnostic decisions (‘ADHD diagnostic consultations’)
  • To work autonomously within professional practice guidelines and Trust guidelines
  • Managerial and leadership responsibilities

Working for our organisation

The London Borough of Lambeth has a population of 317,800 (GLA 2020). Lambeth’s population is highly diverse, a characteristic visible in the breadth of ethnic and cultural traditions seen throughout the borough. It is estimated that 63% of the population describe their ethnicity as other than White British; 23% describe their ethnicity as Black (11% Black African, 7% Black Caribbean and 5% Other Black), 22% White Other and 6% as Asian. 

The Annual population survey, estimates that a third of Lambeth’s residents are non-UK born. Of these non-UK born, 40% are of wider European origin, 20% are of African origin; and 20% of Central or South American origin. Nearly 150 languages are spoken as the first language in the homes of Lambeth school children. Portuguese, Spanish and Somali, are the most commonly spoken other languages in Lambeth.

 Lambeth has a child and youth population aged 0-20 of almost 70,000. Over 50% of this number are 0 to 9 years old

Detailed job description and main 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 criteria
  • 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 criteria
  • Additional, recognised therapeutic qualification

Experience

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

Employer certification / accreditation badges

London Healthy workplaceCapital Nurse, LondonNo smoking policyLondon Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage FoundationImproving working livesMindful employer.  Being positive about mental health.Stonewall Silver 2022Disability confident employerStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Armed Forces Covenant Bronze AwardHappy to Talk Flexible WorkingArmed Forces Covenant

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Ellie Barnfather
Job title
Lambeth CAMHS lead Nurse
Email address
[email protected]