Job Description

This is a new and exciting fixed-term role offering unique opportunities for an experienced advanced nurse practitioner, to support the development, implementation and establishment of a pilot service to test a new neurodiversity (ND) service model for children and young people (CYP) across several South East London (SEL) boroughs. This is initially a 12-month pilot, with the potential to extend to 18mths.



The aim is to test a new multi-borough ND support and assessment model, facilitating a reduction in the longest waits for ADHD and ASD assessment across SEL. The Hub will:



offer a single point of access and a dual diagnostic pathway (where required) for assessment pilot the use of an ND insight profiling tool to inform assessment and identify support needs offer relevant support and workshops to CYP and their families whilst waiting develop a community/primary care medication pathway for ADHD medication initiation, titration and reviews.

The Hub team will be multi-disciplinary, including community paediatrics, psychiatry, GP, speech & language therapy, nursing and psychology, with associate neurodiversity practitioner roles being developed to focus on needs led support.



The team will be led by a Clinical Team Lead, with support from the Programme Manager and the Clinical Programme Lead. The ND hub will work closely with colleagues across a range of services, including CAMHS and transitional pathways to adult services.



The Advanced Nurse Practitioner will be a senior autonomous clinician working within the SEL CYP ND Hub. The post holder will have completed postgraduate training in Advanced Clinical Practice and will demonstrate expertise across the four pillars of advanced practice: Clinical Practice, Leadership, Education, and Research. This role requires the application of high-level knowledge, independent clinical judgment, and practice-based experience to support children and young people with neurodevelopmental needs, with a primary focus of ADHD. This role requires the ANP to be an independent prescriber and experience of ADHD assessment is essential to this role.



The post holder will be operationally managed by the Clinical Team Lead and will receive professional support from a named nurse. Regular communication with other health professional colleagues and education partners is integral to the role.



Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.



We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.



Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:



We're Kind



We're Fair



We Listen



We Care



Manage a defined caseload of children and young people with ADHD and co-occurring conditions, promoting community-based, person-centred care in accordance with national guidelines and Trust policy. Engage with clients and carers across a range of settings, assessing and managing risks associated with lone working and the care environment. Communicate clinical risks clearly and sensitively to families and professionals, particularly in emotionally charged or complex situations. To work in partnership with patient and Designated Medical Prescriber (DMP) or Designated Prescribing Practitioner (DPP) to fulfil the role of non-medical prescriber. To work collaboratively with the DMP or DPP, patient and carers to produce patient centred clinical management plans for prescribing where applicable Work collaboratively with DMP or DPP patient and carers to communicate prescribing decisions, clinical rationales and treatment plans. Safely prescribe and monitor ADHD medications as an independent prescriber, in line with legal, national, and local guidelines, and in consultation with medical colleagues where required. Provide clear, accessible information to families regarding the benefits, risks, and side effects of prescribed medications. Maintain accurate and auditable records of all prescribed medications and stay up to date with current prescribing trends and evidence-based practice. Contribute to service development, including supporting the implementation of a digital model of care for children and families. Provide clinical consultation and joint working opportunities to colleagues within the children's community nursing team and across external agencies. Contribute to the development and delivery of structured training packages for parents and carers to promote effective ADHD care, where required. Collaborate with multidisciplinary teams to share best practice, promote integrated care, and contribute to ongoing professional and service development. * Build and maintain effective partnerships with external agencies, coordinating meetings and contributing to interagency case discussions to support holistic care planning.