Speciality Doctor in Adult ADHD Service

Job overview

CNWL are currently looking for an experienced Speciality Doctor to work with our newly structured Adult ADHD Service, based at The Kingswood Centre in Kingsbury, London.

This is a full time post, though open to consider part-time applicants, and has a hybrid working model. The role is supported and supervised by a Consultant Psychiatrist and includes protected SPA time for CPD, QI and appraisal/revalidation.

Main duties of the job

• Provide core medical input within the Adult ADHD Service •    Work closely with MDT colleagues to deliver NICE‑concordant assessment and treatment, including titration and monitoring of ADHD medication •    Management of comorbid mental health problems in liaison with other involved clinicians and providers •    Psychoeducation •    Support shared‑care transfer to primary care where appropriate •    Contribute to service development, audit and quality improvement (QI).  •    Take an active participant in the shaping of new services in light of recent and ongoing changes to the NHS, in collaboration with relevant Clinical and Service Managers.

Detailed job description and main responsibilities

Clinical Duties •    Specialist assessment and diagnosis of adult ADHD using structured clinical interviews and validated tools (e.g., ACE+/DIVA‑5) alongside developmental history, collateral information and differential diagnosis. Assess risk and capacity as required. •    Formulation and treatment planning using a biopsychosocial approach; provide psychoeducation; advise on reasonable adjustments and occupational/educational support; signpost to psychological interventions and coaching where available. •    Medication initiation and optimisation (e.g., lisdexamfetamine, methylphenidate, atomoxetine; dexamfetamine where indicated), including: o    Baseline evaluation (cardiovascular risk, blood pressure/pulse, weight/BMI; ECG if indicated) and physical health monitoring schedule. o    Dose titration to clinical response and tolerability, with systematic monitoring of efficacy, side effects (including sleep, appetite, cardiovascular parameters, mood/anxiety), and misuse/diversion risk. o    Safe and lawful prescribing of controlled drugs with accurate record‑keeping and reconciliation; work with pharmacy and ICB on formulary adherence. •    Comorbidity management & liaison: screen for common psychiatric comorbidities (anxiety, depression, bipolar disorder, personality difficulties, substance use, ASD, tic disorders) and relevant physical health issues (e.g., hypertension, diabetes, cardiovascular and other physical health conditions); coordinate care with CMHT, IAPT/psychology, substance misuse, primary care and other relevant clinicians/services. •    Shared care and discharge planning: prepare comprehensive shared‑care letters; transfer stable patients to GP under formal shared‑care arrangements; provide advice for primary care and accept re‑referrals if instability occurs. •    Perinatal and reproductive health: provide pre‑conception and pregnancy counselling regarding ADHD and medicines; liaise with perinatal mental health services as required. •    Driving and safety advice: document discussions regarding fitness to drive and DVLA guidance; provide occupational risk advice (e.g., operating machinery, safety‑critical roles). •    Records and information governance: maintain contemporaneous electronic records; complete outcome measures and mandated datasets; ensure high standards of documentation for titration and monitoring. •    Mental Health & Capacity legislation: apply the Mental Capacity Act; contribute to MHA processes where relevant; support colleagues with Section 5(2)/MHA queries (note: detentions are uncommon in ADHD pathways but legal literacy is expected). •    Urgent care interface: collaborate with crisis and liaison services for patients presenting with acute risk, severe comorbidity or medication‑related concerns.

Management, Leadership & Service Development •    Contribute to clinical governance, QI, service evaluation and audit (e.g., waiting time reduction, titration pathway efficiency, medicines safety, outcome monitoring). •    Participate in MDT meetings, case discussions, and clinical huddles; support trauma‑informed and neuroaffirming practice. •    Provide clinical advice to GPs and partner agencies; contribute to pathway and protocol development (assessment standards, shared‑care, physical health monitoring, safeguarding, equality of access). •    Support safe medicines management including controlled‑drug governance, FP10/EPMA processes, stock reconciliation and incident reporting. •    Assist the service in delivering key performance indicators (e.g., assessment volumes, RTT, follow‑up standards, physical health monitoring compliance).

Education & Supervision •    Offer supervision/teaching to medical students, junior doctors, NMPs and the wider MDT; contribute to induction and in‑service training (e.g., assessment tools, titration, comorbidity, risk management). •    Engage in CPD and maintain a reflective portfolio; participate in peer groups and journal clubs; present at academic/QI meetings.