Job summary
We are looking for an experienced and motivated clinician to join DGS Health's growing Adult ADHD Service, delivering high-quality care through the NHS Right to Choose pathway.

This is an exciting opportunity to join a supportive multidisciplinary team, working alongside our Consultant Psychiatrist and experienced clinicians to provide timely, evidence-based care for adults with suspected or diagnosed ADHD. You will play a key role in supporting patients throughout their clinical journey while contributing to the ongoing development of an innovative and patient-centred service.

As part of our commitment to delivering outstanding care, you will help shape service improvement, maintain the highest standards of clinical governance and work in line with NICE guidance, NHS England standards and professional regulatory requirements.

Main duties of the job
The successful candidate will undertake comprehensive ADHD assessments, formulate diagnoses in line with NICE guidance, and provide high-quality, person-centred care throughout the patient's treatment journey. Depending on qualifications, you will initiate and manage ADHD medication, undertake medication titration and annual reviews, monitor physical health, and provide psychoeducation and ongoing support. You will work collaboratively within a multidisciplinary team, contribute to clinical governance and quality improvement, maintain accurate clinical records, and build effective relationships with GPs and other healthcare professionals to support safe and effective shared care arrangements.

About us
DGS Health is a GP Federation based in Gravesend, North Kent. We are comprised of 100% of local GP practices across Dartford, Gravesham and Swanley. We pride ourselves on being clinically led and managerially enabled and like to ensure we recruit people who share our ethos and culture. We are a small and friendly but growing organisation, employing over 33 people across a range of roles. Our services include urgent treatment services, paramedic home visiting, care home support and frailty nursing. We employ a diverse range of roles including Nurses, Administrators, Paramedics and GP's.

Details
Date posted: 03 November 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: Depending on experience
Contract: Fixed term
Duration: 3 years
Working pattern: Full-time, Part-time
Reference number: B0282-26-0010
Closing date: 04 January 2027

Key Responsibilities

• Undertake comprehensive ADHD assessments including developmental history, psychiatric history, functional impairment assessment, Mental State Examination, risk assessment, physical health assessment, differential diagnosis and assessment of co-existing mental health conditions
• Use validated assessment tools including DIVA-5, ADHD Rating Scales, informant questionnaires and other evidence-based tools adopted by the service
• Formulate diagnoses using DSM-5 and NICE NG87 criteria, present complex cases within MDT and provide structured diagnostic feedback to patients
• Where appropriately qualified (Independent Prescriber), initiate ADHD medication, undertake titration, annual medication reviews and ensure safe prescribing of Controlled Drugs
• Where not an Independent Prescriber, implement Consultant-approved treatment plans and prepare recommendations for prescribing
• Undertake and interpret physical health monitoring including blood pressure, pulse, weight, BMI and cardiovascular assessment
• Assess and manage suicide risk, self-harm, safeguarding concerns, substance misuse, capacity and consent, and risk associated with stimulant medication
• Provide evidence-based patient education regarding ADHD, medication, lifestyle, sleep, occupational strategies, driving regulations and shared care arrangements
• Support transfer of prescribing to General Practice through shared care documentation, GP communication and ongoing specialist advice
• Undertake annual reviews including symptom review, functional assessment, physical monitoring, medication effectiveness and treatment optimisation, providing written reports to General Practice
• Participate in MDT meetings, consultant supervision, clinical governance meetings, clinical audit, quality improvement and service evaluation
• Maintain accurate clinical documentation and comply with UK GDPR, Data Protection Act 2018, NHS Records Management Code and Confidentiality Code of Practice
• Maintain registration with the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC) and maintain professional competence through CPD, clinical supervision and mandatory training
• Support junior clinicians by providing advice, sharing expertise and participating in supervision

Essential qualifications and experience

• Registered Nurse (Adult or Mental Health) with current NMC registration, or Registered Paramedic with HCPC registration
• Degree in Nursing, Paramedicine or equivalent professional qualification
• Minimum of three years' post-registration experience in a relevant clinical setting
• Experience assessing adults with neurodevelopmental or mental health conditions, completing mental state examinations and risk assessments
• Experience of multidisciplinary team working and producing detailed clinical reports

Desirable

• Independent/Supplementary Prescribing Qualification (V300)
• Postgraduate qualification in Advanced Clinical Practice or equivalent
• Experience working within an Adult ADHD service, using DIVA-5, undertaking ADHD medication titration or managing stimulant medication
• Experience working within NHS Right to Choose pathways and supporting shared care arrangements with General Practice

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.

Employer details
Employer name: DGS Health LTD
Address: The Old Rectory, Springhead Road, Northfleet, Kent, DA11 8HN, United Kingdom

For questions about the job, contact:
HR Lead: Hayley Markwell
Email: dgshealth.hr@nhs.net
Phone: 01474555530

DGS Health LTD's privacy notice is available on request.