NhsJobs Manchester

Job Purpose Harley Street Mental Health is seeking an experienced ADHD Clinical Lead Nurse and V300 Independent Prescriber to provide senior clinical support across our services, primarily the NHS Right to Choose pathways for adults and children and young people (CYP).

The postholder will report to the Consultant Psychiatrist for clinical matters and the Registered Manager for operational and governance matters. This is a full time role of 40 hours per week, with flexible remote working and attendance at our Manchester office when required during the working week.

The role combines a small caseload of ADHD assessments with complex medication titrations, clinical enquiries, MDT discussions, supervision, complaints and quality improvement. The successful candidate must exercise sound independent clinical judgement, work within their competence and escalate concerns appropriately.

ADHD Assessments The postholder will ordinarily undertake two comprehensive ADHD assessments per week, primarily in adults, with CYP assessments where appropriately trained and competent. This includes obtaining developmental, psychiatric, medical and psychosocial histories; reviewing screening measures, collateral information and relevant medical records; applying recognised diagnostic criteria and structured tools where appropriate; considering differential diagnoses and coexisting conditions; assessing risk and functional impairment; providing diagnostic feedback; and preparing clear clinical reports. Complex or uncertain cases must be discussed with the Consultant Psychiatrist or MDT where indicated.

Medication Management and Complex Titrations The postholder will independently prescribe within their verified competence and provide specialist support for complex ADHD titration cases across adult and CYP services. Responsibilities include:

• Initiating, adjusting and reviewing stimulant and non stimulant medication in accordance with NICE guidance, prescribing standards and agreed protocols.

• Managing cases involving poor response, adverse effects, medication intolerance, treatment interruption or coexisting mental and physical health conditions.

• Advising clinicians on medication choice, formulation changes, dosing, interactions and contraindications.

• Reviewing baseline and follow up physical health information, including cardiovascular history, blood pressure, pulse, weight and growth monitoring where relevant.

• Assessing concerns involving palpitations, mood changes, sleep, appetite, substance misuse, diversion or other medication risks, and arranging suitable escalation or further medical review.

• Undertaking complex titration appointments, reviewing cases returning to treatment and supporting clinically appropriate shared care arrangements.

• Providing specialist advice on CYP medication management, with independent prescribing for this group limited to the postholder's demonstrable paediatric or CAMHS competence.

Clinical Leadership and Supervision Act as a senior point of contact for assessment and prescribing clinicians. Offer case based advice on diagnostic uncertainty, risk and treatment planning. Provide clinical supervision and support induction and competency development as agreed with the Consultant Psychiatrist. Review clinical records, assessment reports and prescribing practice through agreed quality assurance processes. Identify training needs, address concerns about clinical standards and contribute to clinical guidance and protocols.

Clinical Enquiries and Correspondence Take day to day responsibility for triaging and responding to clinical enquiries received through designated email channels. These may come from patients, parents, carers, GPs, pharmacists, colleagues or other professionals and include medication questions, adverse effects, titration difficulties, treatment suitability, physical health findings and changes in mental state.

Prioritise enquiries according to clinical urgency, provide clear and appropriately documented advice, and identify cases requiring an appointment, safeguarding response, urgent external care or Consultant Psychiatrist review. Support administrative staff in distinguishing clinical from non clinical matters. Ensure that significant correspondence and decisions are recorded in the patient record.

Multidisciplinary Working Attend regular MDT meetings, present complex assessment and prescribing cases and offer specialist nursing and prescribing advice. Contribute to decisions regarding diagnosis, treatment, safeguarding, risk and suitability for remote care. Coordinate or chair discussions when delegated, record agreed plans and follow up actions where required.

Clinical Complaints, Incidents and Governance Work with the Registered Manager and Consultant Psychiatrist to review the clinical aspects of complaints and incidents. Examine relevant records and correspondence, provide balanced clinical findings and contribute to draft responses for senior approval. Recognise and promptly escalate significant patient safety concerns. Participate in incident reviews, prescribing and documentation audits, and improvements arising from complaints, audits or clinical feedback. The Registered Manager retains oversight of formal complaints and regulatory processes.

Risk and Safeguarding Support clinicians in assessing risk, including suicidal ideation, self harm, psychiatric deterioration, substance misuse and safeguarding concerns involving adults or CYP. Recognise when remote management is inappropriate and when urgent intervention or referral is needed. Follow safeguarding policies, seek specialist input where necessary and document assessments, decisions and escalation clearly.

Service Development Help improve ADHD assessment, titration and monitoring pathways, clinical correspondence processes and documentation standards. Contribute to clinical audit, staff development, policy updates and quality improvement. Work with senior colleagues to identify recurring problems and implement practical changes to patient care and safety.

Professional Requirements Maintain current NMC registration and V300 independent prescribing annotation. Work in accordance with the NMC Code, NICE NG87, relevant prescribing legislation, data protection requirements and organisational policies. Maintain accurate records, complete safeguarding and mandatory training, undertake continuing professional development and recognise the limits of personal competence. Work respectfully with colleagues and patients and undertake other reasonable duties consistent with the seniority of the position.

Working Arrangements This is a 40 hour per week position, mainly remote with some attendance at our Manchester office according to service needs. The postholder must be available to support clinical enquiries and the wider clinical team during agreed working hours. Clinical matters are escalated to the Consultant Psychiatrist and operational or governance concerns to the Registered Manager as appropriate.

Job description

Job Purpose Harley Street Mental Health is seeking an experienced ADHD Clinical Lead Nurse and V300 Independent Prescriber to provide senior clinical support across our services, primarily the NHS Right to Choose pathways for adults and children and young people (CYP).

The postholder will report to the Consultant Psychiatrist for clinical matters and the Registered Manager for operational and governance matters. This is a full time role of 40 hours per week, with flexible remote working and attendance at our Manchester office when required during the working week.

The role combines a small caseload of ADHD assessments with complex medication titrations, clinical enquiries, MDT discussions, supervision, complaints and quality improvement. The successful candidate must exercise sound independent clinical judgement, work within their competence and escalate concerns appropriately.

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What is the salary for this independent prescriber pharmacist role in Manchester?

The advertised salary for this independent prescriber pharmacist role at Harley Mental Health Ltd is £62000.00 to £70000.00 p.a.. Typical independent prescriber pharmacist pay in Manchester varies by experience, sector (NHS versus community), and employer; see the PharmSee UK pharmacy salary guide for benchmarks.

How many pharmacy jobs are currently open in Manchester?

PharmSee is currently tracking 15 active pharmacy vacancies in Manchester across 11 major UK chains and NHS sources. Browse every open Manchester pharmacy role on PharmSee's jobs search.

How do I apply for this role?

Applications are handled directly by the employer via NhsJobs. Use the Apply button above — you will be taken to the original listing to complete your application. PharmSee is not involved in the hiring decision.