Job Description

We are looking to recruit an Advanced Nurse prescriber who will work within the South West Herts Enhanced Primary Care Monitoring service to provide support and intervention to children and young people with ADHD (as well as co-morbidities) between the ages of 6 and 18.
The post holder will be confident in completing ADHD medication reviews utilising specialist nursing skills and using clinical interview techniques in order to ascertain a childs response to medication and manage potential side effects. They will be expected to be confident in ascertaining potential symptoms of co-morbidity such as ASD, mental health needs or physical health concerns and document information accurately and refer to appropriate local services.
You will be experienced in titrating ADHD medication in children and young adults and confident with the formulary.
Main duties of the job
This is a clinic-based role, and you will carry out holistic assessments of patients referred as appropriate by HPFT into this primary care monitoring service. Clinics are based within the 4 localities of West Herts, Dacorum, St Albans, Hertsmere and Watford and 3 Rivers, this role will be based across 2-3 sites.
Apply knowledge of behavioural management strategies and evaluate responses to these and medication.
Ability to communicate orally, electronically and in writing with children, young people, and families.
Correspond with GP supervisors in the team, multi professional agencies, families, children services and voluntary/ statutory services. Attend weekly MDT meetings with senior team to discuss and review caseload regularly. Attend monthly MDTs to discuss cases with CAMHS ADHD service.
Knowledge of referral pathway for complex cases.
About us
HertsOne LTD is a GP Federation offering primary care services across West Hertfordshire.
HertsOne covers all 53 GP practices in the Herts Valleys area (Watford&Three Rivers, St Albans & Harpenden, Hertsmere, Dacorum)
Details
Date posted
08 August 2025
Pay scheme
Agenda for change
Band
Band 7
Salary
Depending on experience Includes Fringe payment
Contract
Fixed term
Duration
12 months
Working pattern
Part-time
Reference number
U0001-22-6651
Job locations
Hertsone Ltd
Maxted Road
Hemel Hempstead Industrial Estate
Hemel Hempstead
Hertfordshire
HP2 7DX
Job description
Job responsibilities
Job Responsibilities
Work autonomously in clinic to provide holistic reviews to children and young adults in relation to the management of their ADHD medications and to adjust drug treatment appropriately with the support of senior team and working within agreed protocols and guidelines with the recommendation of continued prescribing shared to the child/ young persons GP within recommended guidelines of the NMC medicine management code of conduct and NICE guidance.
Provide an integrated service working closely with wider team and liaising with colleagues in HPFT and other services as required.
As an autonomous practitioner, be responsible for monitoring patients with an ADHD diagnosis on medication through nurse-led clinics, communicating change to other members of the team and giving guidance on pharmaceutical treatment of Children and Young People up to the age of 18. The post-holder will be able to take a holistic approach to care, considering a variety of aspects which may impact on the childs function and behaviour and ensuring to hear the child's voice within their review process.
To attend various multi-agency meetings, write reports and plan care, acting as the patient advocate when appropriate and to work in accordance with safeguarding childrens policies. Raise and discuss complex cases with supervising GP and ensure appropriate onward referral made.
Contribute to the development of leaflets and information regarding medication and ADHD for children, families, and professionals.
Ensure the effective and efficient use of physical and financial resources.
Collect, collate, evaluate, and report information and maintaining accurate patient records.
Ensure the service is monitored on a regular basis and data is available as a record to provide statistical information to Clinical Leads and others and to provide data to relevant local and national bodies to audit service as appropriate. Job description
Job responsibilities
Job Responsibilities
Work autonomously in clinic to provide holistic reviews to children and young adults in relation to the management of their ADHD medications and to adjust drug treatment appropriately with the support of senior team and working within agreed protocols and guidelines with the recommendation of continued prescribing shared to the child/ young persons GP within recommended guidelines of the NMC medicine management code of conduct and NICE guidance.
Provide an integrated service working closely with wider team and liaising with colleagues in HPFT and other services as required.
As an autonomous practitioner, be responsible for monitoring patients with an ADHD diagnosis on medication through nurse-led clinics, communicating change to other members of the team and giving guidance on pharmaceutical treatment of Children and Young People up to the age of 18. The post-holder will be able to take a holistic approach to care, considering a variety of aspects which may impact on the childs function and behaviour and ensuring to hear the child's voice within their review process.
To attend various multi-agency meetings, write reports and plan care, acting as the patient advocate when appropriate and to work in accordance with safeguarding childrens policies. Raise and discuss complex cases with supervising GP and ensure appropriate onward referral made.
Contribute to the development of leaflets and information regarding medication and ADHD for children, families, and professionals.
Ensure the effective and efficient use of physical and financial resources.
Collect, collate, evaluate, and report information and maintaining accurate patient records.
Ensure the service is monitored on a regular basis and data is available as a record to provide statistical information to Clinical Leads and others and to provide data to relevant local and national bodies to audit service as appropriate.
Person Specification
Qualifications
Essential

• RN (children, LD, adult), nursing degree in related subject.
• Independent Nurse Prescriber

Desirable

• Evidence of continued CPD post-qualifying to post-graduate degree level or equivalent

Skills Abilities and Knowledge
Essential

• Knowledge of CYP legislation and relevant mental health legislation.
• Understanding of evidence-based practice and the ability to demonstrate how this influences clinical practice.
• The ability to assess, formulate and manage care appropriately, ensuring discharge is timely.
• To be able to function as a part of a multi-disciplinary team and to liaise effectively with other agencies i.e., education, GP's, maintaining positive working relationships.
• Ability to maintain effective clinical records both written and electronic.
• Ability to manage and organise own time and diary.

Desirable

• An awareness of alternative and augmentative communication system
• Having a sound understanding of theoretical frameworks that underpin the understanding of behaviour
• Knowledge of children's mental health and Child Development

Experience
Essential

• Experience of working effectively with child & young people.
• Experience of working with people with mental health difficulties.
• Experience in managing the co-morbidities of ADHD and provision of Behavioural advice.
• Experience in assessment and management of children with ADHD.
• Safeguarding and Adult Level 3
• Experience of developing and providing evidenced based assessments, formulations, and care plans.
• Experience of liaison and working with a range of other relevant agencies and professionals.
• Experience of mentoring and supervision.
• Understanding of the principles of Clinical Governance and a willingness to follow HertsOne Policy and Procedures

Person and People Development
Essential

• Professional appearance
• Good observational, listening and analytical skills.

Other
Essential

• Car owner / driver
• Ability to be flexible

Communication
Essential

• Excellent written and verbal communication skills
• Able to innovate and influence service delivery.
• Computer literate
• Counselling skills

Person Specification
Qualifications
Essential

• RN (children, LD, adult), nursing degree in related subject.
• Independent Nurse Prescriber

Desirable

• Evidence of continued CPD post-qualifying to post-graduate degree level or equivalent

Skills Abilities and Knowledge
Essential

• Knowledge of CYP legislation and relevant mental health legislation.
• Understanding of evidence-based practice and the ability to demonstrate how this influences clinical practice.
• The ability to assess, formulate and manage care appropriately, ensuring discharge is timely.
• To be able to function as a part of a multi-disciplinary team and to liaise effectively with other agencies i.e., education, GP's, maintaining positive working relationships.
• Ability to maintain effective clinical records both written and electronic.
• Ability to manage and organise own time and diary.

Desirable

• An awareness of alternative and augmentative communication system
• Having a sound understanding of theoretical frameworks that underpin the understanding of behaviour
• Knowledge of children's mental health and Child Development

Experience
Essential

• Experience of working effectively with child & young people.
• Experience of working with people with mental health difficulties.
• Experience in managing the co-morbidities of ADHD and provision of Behavioural advice.
• Experience in assessment and management of children with ADHD.
• Safeguarding and Adult Level 3
• Experience of developing and providing evidenced based assessments, formulations, and care plans.
• Experience of liaison and working with a range of other relevant agencies and professionals.
• Experience of mentoring and supervision.
• Understanding of the principles of Clinical Governance and a willingness to follow HertsOne Policy and Procedures

Person and People Development
Essential

• Professional appearance
• Good observational, listening and analytical skills.

Other
Essential

• Car owner / driver
• Ability to be flexible

Communication
Essential

• Excellent written and verbal communication skills
• Able to innovate and influence service delivery.
• Computer literate
• Counselling skills