Clinical Specialist Prescriber-Nurse or Prescribing Pharmacist

• Undertake ADHD medication titration, review and stabilisation for adult patients.
• Prescribe ADHD medications within the scope of your professional registration and prescribing qualification.
• Monitor treatment response, side effects, physical health parameters and clinical risk factors.
• Assess medication effectiveness and support treatment optimisation.
• Support shared care arrangements with primary care providers where appropriate.
• Provide patients with education and advice regarding ADHD medications and treatment plans.
• Maintain accurate and contemporaneous clinical records.
• Participate in multidisciplinary team discussions and case reviews.
• Contribute to safeguarding, risk management and patient safety processes.
• Participate in clinical governance, audit and quality improvement activities.
• Work collaboratively with consultant psychiatrists, psychologists and wider MDT colleagues.
• Maintain professional registration, revalidation and continuing professional development requirements

• Undertake ADHD medication titration, review and stabilisation for adult patients, in line with NICE guidance and SSC ADHD clinical pathways.
• Prescribe ADHD medication within scope of NMP qualification, ensuring appropriate clinical justification, documentation and monitoring.
• Monitor treatment response, sideeffects, physical health parameters and risk factors throughout titration and ongoing treatment.
• Escalate complex, highrisk or atypical presentations to the Medical Director or Consultant Psychiatrist as required.
• Contribute to sharedcare arrangements with GPs, supporting appropriate handover where clinically and operationally feasible.

• Practice in accordance with SSCs Clinical Governance Framework, Medicines Management Policy and Prescribing SOPs.
• Contribute to PSIRFaligned patient safety processes, including incident reporting, reflective learning and safety improvement actions.
• Maintain accurate, timely and contemporaneous clinical records in line with regulatory and professional standards.
• Participate in clinical audit, peer review and service evaluation activity relating to ADHD treatment and prescribing.

• Identify, assess and appropriately respond to safeguarding concerns involving adults at risk.
• Work collaboratively with SSCs Safeguarding Lead and wider MDT to ensure safeguarding processes are followed and documented.
• Undertake and document clinical risk assessments and risk management plans where indicated.
• Ensure reasonable adjustments are considered for neurodivergent patients and those with cooccurring vulnerabilities.

• Work closely with psychiatrists, psychologists, medical practitioners, administrators and governance colleagues within the FLOCUS pathway.
• Support effective clinical communication across assessment, treatment and followup stages.
• Provide clinical input into MDT discussions, case reviews and service development initiatives.

• Maintain current NMC registration and Nurse Prescriber V300 qualification.
• Participate in clinical supervision, appraisal and revalidation processes in line with SSC policy.
• Engage in continuing professional development relevant to ADHD, prescribing and neurodevelopmental practice.
• Practice in accordance with the NMC Code and SSC values.

• CQC Safe domain: medicines management, risk assessment, safeguarding, incident reporting.
• CQC Well Led domain: clinical leadership, governance participation, learning culture and accountability.
• PSIRF: structured learning from patient safety incidents.
• NMC Code & Revalidation requirements.
• SSC Clinical Quality & Governance oversight, including Medical Director accountability for prescribing decisions.

Essential

• Current registration with the Nursing and Midwifery Council (NMC) as a Registered Nurse or with the General Pharmaceutical Council GPhC as a Pharmacist.
• Demonstrable experience delivering ADHD medication titration, monitoring and review within adult ADHD services.
• Strong understanding of ADHD pharmacological treatments, medicines optimisation and prescribing governance.
• Experience assessing clinical risk, side effects and treatment effectiveness.
• Knowledge of NICE guidance relating to ADHD assessment and treatment.
• Strong understanding of safeguarding, clinical governance and patient safety principles.
• Excellent communication and interpersonal skills.
• Ability to work independently within a remote clinical environment.
• Competent IT skills and experience using electronic patient record systems.

Desirable

• Experience working within NHS-commissioned ADHD services.
• Experience working within a CQC-regulated healthcare organisation.
• Experience delivering remote or digital ADHD treatment pathways.
• Experience contributing to clinical audit, service improvement or quality assurance initiatives.
• Experience supporting shared care arrangements with primary care.
• Experience supervising or mentoring healthcare professionals