Job responsibilities

What we offer

• £45 per hour
• Casual and genuinely flexible working
• Ability to work sessions around your existing commitments
• Hybrid working, including remote appointments where clinically appropriate
• Full service-specific ADHD training
• Clinical supervision from designated SPFT clinical supervisors
• Peer support and MDT working
• Opportunities to develop specialist ADHD prescribing experience
• Supportive clinical governance arrangements
• The opportunity to contribute to the development of an innovative NHS ADHD service

The service has established clinical supervision arrangements, with pharmacists expected to participate in supervision and seek specialist advice where cases involve significant complexity, uncertainty or clinical risk.

Experience

Essential

• Substantial post-registration pharmacy experience relevant to clinical practice.
• Experience of clinical assessment and medication review.
• Experience of prescribing and medicines optimisation.
• Experience of assessing and managing patients with complex clinical needs and recognising clinical risk.
• Good working knowledge of ADHD pharmacological treatment, including medication selection, initiation, titration, optimisation, monitoring and discontinuation.
• Understanding of controlled drug prescribing and associated governance.
• Experience of working effectively within a multidisciplinary clinical environment.

Desirable

• Previous experience within an ADHD or neurodevelopmental service.
• Experience of prescribing or managing ADHD medication.
• Experience of working with shared-care arrangements across primary and secondary care.
• Experience of clinical audit and quality improvement.

Skills and Abilities

Essential

• Excellent clinical assessment and decision-making skills.
• Ability to prescribe autonomously and safely within scope of competence.
• Ability to recognise and manage clinical risk and identify when escalation is required.
• Excellent communication skills, including the ability to communicate complex clinical information clearly and sensitively.
• Ability to support effective shared decision-making.
• Ability to work collaboratively as part of a multidisciplinary team.
• Ability to maintain accurate and contemporaneous clinical records.
• Ability to recognise the limits of own competence and seek appropriate advice or supervision.

Qualifications

Essential

• Registered Pharmacist with the General Pharmaceutical Council (GPhC) and eligible to practise in the UK.
• Independent Prescriber qualification.
• Evidence of continuing professional development and maintenance of clinical and prescribing competence.
• Minimum two years' experience of prescribing as an independent prescriber within scope of competence.
• Evidence of competence in clinical assessment, prescribing and medicines optimisation.

Desirable

• Postgraduate qualification in clinical pharmacy or equivalent.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Job responsibilities

As ADHD Clinical Lead, you will:

Clinical assessment and diagnosis

• Undertake comprehensive ADHD assessments in accordance with the agreed service pathway, clinical guidance and professional standards.
• Undertake clinical assessment and diagnosis of ADHD within your professional scope of practice.
• Consider differential diagnoses and co-existing conditions.
• Identify clinical complexity, risk and safeguarding concerns.
• Determine when further assessment or specialist input is required.
• Explain assessment outcomes and diagnostic decisions clearly to patients.
• Maintain an appropriate clinical caseload alongside the leadership responsibilities of the role.

Clinical triage and leadership

• Provide senior clinical oversight of the ADHD referral and triage function.
• Review referrals and available clinical information to determine suitability for the service.
• Identify complex cases, clinical risk, safeguarding concerns and presentations outside the agreed pathway.
• Provide senior clinical advice and support to clinicians.
• Support clinicians with complex, unusual or uncertain cases.
• Provide constructive professional challenge where appropriate.
• Support clinicians to recognise the boundaries of their competence and escalate appropriately.
• Help identify cases requiring formal clinical supervision or specialist advice.

Working with SPFT Clinical Supervisors

You will work closely with SPFT Clinical Supervisors, acting as an important link between the Brighton & Hove clinical team and the formal clinical supervision arrangements.

The Clinical Lead will not replace or undertake the formal clinical supervision responsibilities of SPFT Clinical Supervisors.

Clinical governance, quality and patient safety

You will make a significant contribution to clinical governance and patient safety, including:

• Clinical audit and quality improvement.
• Identification and management of clinical risk.
• Incident investigation and learning.
• Clinical input into complaints.
• Clinical risk assessments and risk registers.
• Review of clinical hazard logs and safety documentation.
• Monitoring clinical quality indicators and KPIs.
• Using clinical data, patient feedback, incidents and complaints to identify opportunities for improvement.

Service development

You will contribute to the ongoing development of the ADHD Service in Brighton & Hove and the wider NHS Sussex Primary Care Connect ADHD model.

This will include:

• Reviewing and improving clinical pathways.
• Supporting evidence-based service improvements.
• Contributing to service evaluation.
• Supporting pathway redesign and service transformation.
• Supporting development of clinical competencies.
• Advising operational colleagues on clinical implications of service changes.
• Contributing to workforce and clinical capacity discussions.
• Working collaboratively with GP practices, PCNs, SPFT, NHS Sussex and other partners.

Training and professional development

You will support the development of the clinical workforce through:

• Supporting induction of new clinicians.
• Identifying training and development needs.
• Supporting peer learning and case discussion.
• Contributing to clinical teaching.
• Supporting competency frameworks.
• Supporting assessment of clinical competence where appropriate.
• Sharing updates on clinical guidance and practice.
• Promoting continuing professional development.

Qualifications

Essential

• Essential
• Applicants must hold current UK professional registration in one of the following professions:
• Nursing
• Registered Nurse with current registration with the Nursing and Midwifery Council (NMC).
• Pharmacy
• Registered Pharmacist with current registration with the General Pharmaceutical Council (GPhC).
• Occupational Therapy
• Registered Occupational Therapist with current registration with the Health and Care Professions Council (HCPC).
• In addition, you will need:
• A relevant professional qualification at degree level or equivalent.
• Significant post-registration clinical experience.
• Relevant training, experience and/or qualification in ADHD assessment and diagnosis.
• Evidence of continuing professional development.
• Evidence of advanced clinical practice relevant to the role.
• Independent prescribing qualification where professionally applicable.

Desirable

• Relevant postgraduate qualification.
• Qualification or formal training in clinical leadership or management.
• Additional specialist training in ADHD, neurodevelopmental conditions or related areas.

Experience

Essential

• You will need significant experience of:
• Working at an advanced clinical level.
• Undertaking ADHD assessments and diagnosis.
• Clinical triage and risk assessment.
• Managing complex clinical presentations.
• Providing clinical leadership and senior clinical advice within a multidisciplinary service.
• Working with referring clinicians or primary care teams.
• Working within clinical governance frameworks.
• Developing, implementing or improving clinical pathways, policies or SOPs.
• Multidisciplinary working.
• Clinical escalation and risk management.
• Collaborative working across organisational and professional boundaries.

Desirable

• Experience working within an NHS ADHD or neurodevelopmental service.
• Experience working within primary care.
• Experience working with mental health services.
• Experience of service development or transformation.
• Experience of using audit, incidents, complaints, patient feedback or quality improvement to improve clinical practice.
• Experience working with specialist clinical supervision arrangements.

Skills and Knowldge

Essential

• Demonstrable clinical leadership experience.
• Ability to provide senior clinical advice and support to colleagues.
• Ability to manage competing clinical and organisational priorities.
• Ability to work autonomously and make complex clinical decisions within professional scope.
• Ability to identify, assess and escalate clinical risk appropriately.
• Ability to influence and support colleagues without relying solely on formal management authority.
• Excellent written and verbal communication skills.
• Ability to provide constructive professional challenge.
• Excellent multidisciplinary and collaborative working skills.
• Comprehensive knowledge of ADHD assessment and diagnosis.
• Knowledge of current ADHD guidance and evidence-based practice.
• Understanding of differential diagnosis and co-existing conditions.
• Understanding of clinical risk and safeguarding.
• Knowledge of clinical governance and patient safety.
• Understanding of professional scope of practice and clinical escalation.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Job responsibilities

The Virtual Ward GP role is to act as the senior clinical decision maker within the UCR Team and providing daily clinical leadership. The following duties are the core responsibilities of the Virtual Ward GP:

• Adhering to the timetable of daily scheduled clinical activities
• Holding the responsibility for medical decisions made during the contracted service hours
• Appreciating the complexity of patients with multi-morbidity, frailty and polypharmacy where involving specialists is necessary
• Providing care in line with recommended best practice as established through clinical guidelines
• Providing medical advice and supporting decision-making to the members of the wider MDT through all stages of the patient journey:
• at triage of new referrals or admission to the virtual ward
• during daily handovers and Board rounds
• in an urgent, on-call capacity
• support pharmacists with medication reviews when neededupon discharge with a written discharge summary

supporting and guiding the development of patient management plans, including:

• RESPECT forms o DNAR forms
• Personalised Care and Support Plans o Ceiling of care

• Reviewing and prescribing medications, with clinical input from the VW Pharmacy Team proposing the use of digital monitoring where it may be appropriate, and:
• Setting thresholds for escalation
• Acting upon signs of deterioration work with the MDT to support clinical decision-making based on readings from POC or remote monitoring equipment.
• Requesting diagnostic investigations and managing test results
• Providing virtual consultations or home visiting where clinically required keeping accurate and contemporaneous documentation, including:
• keeping accurate and up to date records on SystmOne
• supporting with writing of discharge summaries
• liaising with other health professionals, providers for advice, such as:

• the patients primary care team GP, acute medical teams where advice may need to be sought, palliative care teams, mental health teams,

• identifying deteriorating patients and escalating care when needed and in line with patient wishes

• support the development of the multidisciplinary team by:
• identifying opportunities for development, supporting or signposting to training, providing supervision
• Instilling a culture of self-directed learning and professional development
• Working with the B&HF Clinical Lead and SCFT Leads on matters related to clinical governance and service improvement, for example: audit, quality, improvement, complaint handling
• Promoting a culture of continuous improvement
• to promote a culture of collaborative team working

Personal Attributes

Essential

• Flexibility of working hours to meet the needs of the service
• Car driver

Qualifications

Essential

• Qualified GP
• General Practitioner - Certificate of Completion of Training CCT
• Full GMC Registration
• National Performers List registration
• Appropriate defence indemnity -MPS, MDU
• Five years post-CCT in general practice

Desirable

• MRCGP
• Diploma in Geriatric Medicine
• Diploma in Immediate Medical Care
• Diploma in Urgent Medical Care

Experience

Essential

• Experience of working in a primary care environment
• Experience of continued professional development
• Experience and knowledge of Sussex ICB and referral systems

Desirable

• Experience of working with Urgent Care, A&E and Out of Hours
• Previous post CCT experience of working in virtual wards or other acute care settings
• Experience of working effectively in collaboration with other organisations
• Experience of providing supervision, support to an MDT

Clinical Skills and Knowledge

Essential

• Outstanding level of clinical knowledge and skills commensurate with that of an experienced GP
• Understands the importance of evidence-based practice and clinical effectiveness
• Excellent communication skills, written and verbal
• Strong IT skills - competent in the use of Office and Outlook
• Effective time management (Planning & Organising)
• Ability to work as a team member and autonomously
• Excellent interpersonal skills
• Problem solving & analytical skills
• Ability to follow clinical policy and procedure
• Ability to process information accurately and effectively, interpreting data as required
• Experience with clinical risk management
• Understanding of Clinical Governance and quality issues as well as health and social policy
• Adherence to the GMC Standards/Duties The duties of a doctor registered with the General Medical Council - ethical guidance - GMC - gmcuk.org
• Motivated, forward thinker
• Ability to work under pressure
• Commitment to ongoing professional development

Desirable

• Knowledge of the current issues facing primary care and the wider NHS
• EMIS and SystmOne user and Docman skills Experience with audit and able to lead audit programmes
• Ability and success in the implementation of change and/or service development within an organisation

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Job responsibilities

Clinical Duties

Perform point-of-care - PoC INR testing using approved devices in domiciliary, community, or GP practice settings

Ensure accurate recording of INR results and relevant clinical information in INRStar and subsequently in the Patient Medical Record - PMR

Support protocol-driven anticoagulation monitoring processes using INRStar within agreed competency limits and escalation pathways

Recognise and escalate out-of-range INR results, red flag symptoms, or clinical concerns to the supervising clinician in accordance with service protocols

Obtain and document relevant information affecting anticoagulation control including adherence, diet, recent illness, medication changes - acute and repeat, and potential drug interactions

Provide basic education on warfarin use, including:

• Adherence
• Diet and lifestyle considerations
• Recognition of bleeding risks and when to seek help

Work within agreed competency frameworks, SOPs, escalation pathways and service protocols at all times

Domiciliary or community visiting

Undertake domiciliary visits for housebound or vulnerable patients requiring anticoagulation monitoring, in accordance with service protocols, risk assessments and lone working procedures

Perform PoC INR testing safely within patients homes or other community settings using approved equipment and processes

Support protocol-led anticoagulation monitoring activities during domiciliary visits

Assess the suitability and safety of the environment for clinical activity and work in accordance with infection prevention, safeguarding, moving and handling, and health and safety policies

Ensure the safe handling, transport, storage, cleaning, and maintenance of point-of-care testing equipment, consumables, and clinical supplies used during community visits

Maintain confidentiality, dignity, professionalism, and a patient-centred approach whilst delivering care in patients homes

Patient Care

Book, coordinate and manage patient appointments for anticoagulation and INR monitoring clinics

Ensure patients understand testing procedures, authorised dosing instructions, follow-up arrangements, and when to seek urgent medical advice

Provide patient centred support and education to promote safe anticoagulation monitoring and treatment adherence

Maintain a patient-centred approach at all times, ensuring dignity, respect, confidentiality, and equal access to the service

Support housebound, vulnerable or high-risk patients where service delivery includes outreach or domiciliary visiting

Assist patients with accessing appropriate follow up care and onward referral where required

Medicines Management

Support the safe monitoring and management of anticoagulation therapy in collaboration with service pharmacists, prescribers and the wider multidisciplinary team

Identify and escalate potential drug interactions or other factors that may impact anticoagulation therapy

Assist in medication review process as directed by supervising pharmacists and prescribers within agreed competency limits and escalation pathways

Promote safe anticoagulation monitoring and medicines management practices

Data Management & Administration

Record INR results accurately in INRStar in line with Point of Care testing SOPs

Maintain accurate, contemporaneous PMRs - ensuring appropriate transfer of information from INRStar to the PMR, in line with information governance and clinical safety standards

Support audit, reporting and data collection activities for service evaluation and quality improvement

Quality & Safety

Report incidents, near misses, equipment failures, or safety concerns in line with organisational policy

Work within national guidance e.g. NICE, MHRA, and local anticoagulation protocols

Monitor and report incidents, near misses, or safety concerns

Participate in clinical governance activities and audits

Maintain competence in PoC INR testing, including basic care and maintenance for the equipment, consumables and clinical supplies used within the service

Experience

Essential

• Experience working in NHS primary care or urgent care settings
• Understanding of anticoagulation therapy, particularly warfarin
• Experience using GP clinical systems (EMIS, SystmOne)

Desirable

• Experience in INR/anticoagulation services
• Familiarity with INR monitoring systems (e.g. INR Star/DAWN)

Personal Qualities

Essential

• Polite and confident
• Motivated and proactive
• Ability to use initiative and judgement
• Forward thinker with a solutions-focused approach
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure

Knowledge and Skills

Essential

• Clinical awareness and patient safety focus
• Ability to work independently and make autonomous clinical decisions.
• Committed to data-informed decision making and continuous learning.
• Excellent communication and interpersonal skills.
• Effective time management (planning & organising)

Other requirements

Essential

• Flexibility to work outside core office hours
• Disclosure Barring Service (DBS) check
• Maintains confidentiality at all times

Desirable

• Full UK driving licence

Qualifications

Essential

• Registered Pharmacy Technician with the GPhC

Desirable

• Completion of anticoagulation or point-of-care testing training

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).