Specialist ADHD Clinician

Key Responsibilities Clinical Assessment

Undertake comprehensive ADHD assessments including

Developmental history Psychiatric history Functional impairment assessment Mental State Examination Risk assessment Physical health assessment Differential diagnosis Assessment of co-existing mental health conditions

Use validated assessment tools including

DIVA-5 ADHD Rating Scales Informant questionnaires Other evidence-based assessment tools adopted by the service Produce comprehensive assessment reports for GP records. Diagnosis Work within agreed competency frameworks to: Formulate diagnoses using DSM-5 and NICE NG87 criteria. Present complex cases within MDT. Discuss diagnoses with the Consultant Psychiatrist where required. Provide structured diagnostic feedback to patients. Explain diagnostic conclusions and treatment options. Complex cases, diagnostic uncertainty or significant co-morbidity must be discussed with the Consultant Psychiatrist. Medication Management

Where appropriately qualified (Independent Prescriber)

Initiate ADHD medication following Consultant-approved treatment plans. Prescribe within agreed clinical protocols. Monitor treatment response. Undertake medication titration. Review side effects. Adjust medication appropriately. Undertake annual medication reviews. Ensure safe prescribing of Controlled Drugs.

Where not an Independent Prescriber

Implement Consultant-approved treatment plans. Prepare recommendations for prescribing. Monitor treatment response. Escalate prescribing decisions appropriately. Physical

Health Monitoring Undertake and interpret

Blood pressure Pulse Weight BMI Cardiovascular assessment Ongoing physical health monitoring during treatment Escalate abnormalities in accordance with service protocols.

Risk Assessment Assess and manage

Suicide risk Self-harm Safeguarding concerns Substance misuse Capacity and consent Risk associated with stimulant medication Escalate safeguarding concerns in accordance with DGS Health Safeguarding policy. Patient

Education Provide evidence-based education regarding

ADHD Medication Lifestyle management Sleep Occupational strategies Driving regulations where relevant Shared care arrangements Treatment expectations Support patients to participate in shared decision-making. Shared Care Support transfer of prescribing to

General Practice through

Preparation of shared care documentation. Communication with GPs. Clinical advice to Primary Care. Responding to GP queries. Ongoing specialist advice. Annual

Reviews Undertake annual reviews including

Symptom review Functional assessment Physical monitoring Medication effectiveness Side effects Treatment optimisation Provide written reports to General Practice.

Multidisciplinary Working Participate in

MDT meetings Consultant supervision Case discussions Clinical governance meetings Peer review

Support integrated working across

Primary Care Mental Health Services Community Services Social

Care Clinical Governance Participate in

Clinical audit Incident reporting Complaints investigation Quality improvement NICE compliance audits Service evaluation Maintain accurate clinical documentation.

Information Governance Ensure compliance with

UK GDPR Data Protection Act 2018 NHS Records Management Code Confidentiality Code of Practice Maintain high-quality clinical records.

Professional Responsibilities Maintain registration with

Nursing and Midwifery Council (NMC) or Health and Care Professions Council (

HCPC) Maintain professional competence through

Continuing Professional Development Clinical supervision Reflective practice Mandatory training Research and

Quality Improvement Participate in

Service audits Clinical research where appropriate Quality improvement initiatives Service redesign Outcome measurement

Leadership Support junior clinicians by

Providing advice Sharing expertise Participating in supervision General

Responsibilities The post holder will

Promote equality, diversity and inclusion. Maintain confidentiality. Comply with Health and Safety legislation. Support safeguarding. Promote patient-centred care. Act in accordance with professional codes of conduct.