Speciality Doctor in Adult ADHD Service
| Dyddiad hysbysebu: | 01 Hydref 2025 |
|---|---|
| Cyflog: | £61,542.00 i £99,216.00 bob blwyddyn |
| Gwybodaeth ychwanegol am y cyflog: | £61542.00 - £99216.00 a year |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 15 Hydref 2025 |
| Lleoliad: | London, NW9 9QY |
| Cwmni: | NHS Jobs |
| Math o swydd: | Cytundeb |
| Cyfeirnod swydd: | C9333-25-1223 |
Crynodeb
Clinical Duties Specialist assessment and diagnosis of adult ADHD using structured clinical interviews and validated tools (e.g., ACE+/DIVA5) alongside developmental history, collateral information and differential diagnosis. Assess risk and capacity as required. Formulation and treatment planning using a biopsychosocial approach; provide psychoeducation; advise on reasonable adjustments and occupational/educational support; signpost to psychological interventions and coaching where available. Medication initiation and optimisation (e.g., lisdexamfetamine, methylphenidate, atomoxetine; dexamfetamine where indicated), including:o Baseline evaluation (cardiovascular risk, blood pressure/pulse, weight/BMI; ECG if indicated) and physical health monitoring schedule.o Dose titration to clinical response and tolerability, with systematic monitoring of efficacy, side effects (including sleep, appetite, cardiovascular parameters, mood/anxiety), and misuse/diversion risk.o Safe and lawful prescribing of controlled drugs with accurate recordkeeping and reconciliation; work with pharmacy and ICB on formulary adherence. Comorbidity management & liaison: screen for common psychiatric comorbidities (anxiety, depression, bipolar disorder, personality difficulties, substance use, ASD, tic disorders) and relevant physical health issues (e.g., hypertension, diabetes, cardiovascular and other physical health conditions); coordinate care with CMHT, IAPT/psychology, substance misuse, primary care and other relevant clinicians/services. Shared care and discharge planning: prepare comprehensive sharedcare letters; transfer stable patients to GP under formal sharedcare arrangements; provide advice for primary care and accept rereferrals if instability occurs. Perinatal and reproductive health: provide preconception and pregnancy counselling regarding ADHD and medicines; liaise with perinatal mental health services as required. Driving and safety advice: document discussions regarding fitness to drive and DVLA guidance; provide occupational risk advice (e.g., operating machinery, safetycritical roles). Records and information governance: maintain contemporaneous electronic records; complete outcome measures and mandated datasets; ensure high standards of documentation for titration and monitoring. Mental Health & Capacity legislation: apply the Mental Capacity Act; contribute to MHA processes where relevant; support colleagues with Section 5(2)/MHA queries (note: detentions are uncommon in ADHD pathways but legal literacy is expected). Urgent care interface: collaborate with crisis and liaison services for patients presenting with acute risk, severe comorbidity or medicationrelated concerns. Management, Leadership & Service Development Contribute to clinical governance, QI, service evaluation and audit (e.g., waiting time reduction, titration pathway efficiency, medicines safety, outcome monitoring). Participate in MDT meetings, case discussions, and clinical huddles; support traumainformed and neuroaffirming practice. Provide clinical advice to GPs and partner agencies; contribute to pathway and protocol development (assessment standards, sharedcare, physical health monitoring, safeguarding, equality of access). Support safe medicines management including controlleddrug governance, FP10/EPMA processes, stock reconciliation and incident reporting. Assist the service in delivering key performance indicators (e.g., assessment volumes, RTT, followup standards, physical health monitoring compliance). Education & Supervision Offer supervision/teaching to medical students, junior doctors, NMPs and the wider MDT; contribute to induction and inservice training (e.g., assessment tools, titration, comorbidity, risk management). Engage in CPD and maintain a reflective portfolio; participate in peer groups and journal clubs; present at academic/QI meetings.