Clinical Nurse Special/Nurse Prescriber

at  Central and North West London NHS Foundation Trust

This post holder will provide a specialist service within CAMHS to young people and their families. This is a community-based post, located within the Harrow CAMHS Neurodevelopmental Team, Harrow, offering flexible, evidence-based episodes of care, assessment and treatment.
The post holder will support the team by managing a delegated caseload of service users that have an established diagnosis and treatment plan for Attention Deficit Hyperactive Disorder (ADHD). The post holder will provide on-going appointments, prescribe medication as necessary and undertake all associated physical and mental health monitoring.

The post holder will have completed a recognised qualification in non-medical prescribing or be near completion of this course. The post holder will work with the Clinical Team Lead to ensure operational services are effective and will provide frontline leadership to the staff within the. This will include professional and practice development and ensuring high quality client-centred care is delivered. The post holder will lead by example to maintain high standards of care and practice and to empower the team to take on a greater range of clinical tasks to improve client care in the specialist CAMH service.

• Responsible for managing a case load of service users that have an established diagnosis and treatment plan for ADHD. The post holder will provide on-going appointments, prescribe medication as necessary and undertake all associated monitoring.
• Initially the scope of practice for the post holder would be to manage the treatment of ADHD. This may be extended to other diagnoses based on education, training, development and achievement of competence.
• Undertake all relevant physical health monitoring associated with ADHD treatment e.g. height, weight, blood pressure and pulse. This may be extended to patients not on their own caseload.
• To modify the treatment plan with respect to drug therapy once trained in diagnostic tools for ADHD management.
• To act as a core member of the multidisciplinary CAMHS team working alongside doctors, psychologists and attending medical reviews and other clinical case review sessions across a geographical area.
• To provide specialist education and training to consultants, other prescribers, other health care professionals, clients, relatives and carers.
• Design and delivery of psycho educational sessions for parents and carers, GP and schools.
• The post holder will support the implementation of the shared care pathway for service users with ADHD across primary and secondary care.
• The post holder will ensure cost effective prescribing across CAMHS services.

Harrow CAMHS is based at Ash Tree Clinic, Harrow. The team is well established and is staffed by a multi-disciplinary team of clinicians. We aim to provide an accessible, flexible and responsive local service for patients and professionals working with children in the area using the whole range of therapeutic interventions, including Cognitive Behavioural Therapy, systemic and family therapies, psychotherapy, psychoeducation and therapy groups and multi-family work. Harrow CAMHS consists of four main sub-teams: Emotional Disorders Team; Neurodevelopmental Team; Enhanced Treatment Team and Learning Disabilities (LD-CAMHS). The post holder may be required to travel to other parts of the catchment area and / or wider service and trust as necessary, including working within the community (e.g. schools). The service operates Monday to Friday 09.00 to 17:00 with some flexibility to work extended hours to meet service need.
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Please see full job description for further information
1.1. To provide comprehensive specialist ADHD assessments including risk assessment of young people and their families/carers
1.2. To provide comprehensive specialist treatments to young people and their families/carers
1.3. To provide evidence-based behaviour management interventions as part of an integrated care package to children, young people and their families/carers.
1.4. As a non-medical nurse prescriber, you will be qualified to prescribe from the Nurse Prescribers Formulary (NPF) for community practitioners, medication that is appropriate for the designated patient group.
1.5. Liaising closely with other professionals to support and assist the management of complex cases.
1.6. Liaising with GPs and support to assist manage cases.
1.7. Together with other MDT staff offer teaching sessions to parents and teaching staff on mental health issues, strategies to manage challenging behaviours.
1.8. To provide consultation and where appropriate training to other professionals who come into contact with children and young people.
1.9. To write confidential reports for case conferences, and education that may have wide ranging implications for children, young people and their families.
1.10. Based on these assessments and reports to convey sensitive, complex and sometimes unwelcome information to clients and other professionals and manage this as constructively as possible

• Responsible for managing a case load of service users that have an established diagnosis and treatment plan for ADHD. The post holder will provide on-going appointments, prescribe medication as necessary and undertake all associated monitoring.
• Initially the scope of practice for the post holder would be to manage the treatment of ADHD. This may be extended to other diagnoses based on education, training, development and achievement of competence.
• Undertake all relevant physical health monitoring associated with ADHD treatment e.g. height, weight, blood pressure and pulse. This may be extended to patients not on their own caseload.
• To modify the treatment plan with respect to drug therapy once trained in diagnostic tools for ADHD management.
• To act as a core member of the multidisciplinary CAMHS team working alongside doctors, psychologists and attending medical reviews and other clinical case review sessions across a geographical area.
• To provide specialist education and training to consultants, other prescribers, other health care professionals, clients, relatives and carers.
• Design and delivery of psycho educational sessions for parents and carers, GP and schools.
• The post holder will support the implementation of the shared care pathway for service users with ADHD across primary and secondary care.
• The post holder will ensure cost effective prescribing across CAMHS services