Job summary
The postholder will lead on robust preassessment screening and risk management across Quays neurodevelopmental services, ensuring timely, safe, and appropriate access to care. This includes undertaking referral triage, identifying clinical and safeguarding risks, and using both validated and non-validated screening tools to inform early decision-making, prioritisation, and care pathways.

The role will incorporate the use of digital tools to enhance patient access, streamline screening processes, and support remote engagement alongside traditional face to face delivery. The postholder will also deliver accessible, low intensity health clinics in community settings, including basic physical health checks such as blood pressure, pulse, height, and weight, to inform holistic treatment and care plans.

Working within a skill mixed multidisciplinary team, the postholder will contribute to safe caseload management, patient consultation, safeguarding processes, and continuous service development. Practice will be aligned with NHS quality, governance, and improvement frameworks, ensuring person-centred, responsive, and outcome focused care for the local population.

Interviews will be held on Thursday 23rd July 2026 9am- 2pm.

Main duties of the job
Strategy & Leadership

• Participate in regular clinical supervision in line with NMC and organisational requirements.
• Act as a point of contact within the team, appropriately escalating clinical concerns to senior staff.
• Work towards achieving service Key Performance Indicators (KPIs) within own role and those of the service.
• Contribute to service development by providing feedback and completing delegated actions in a timely manner.
• Support the induction of new staff within the ADHD service.
• Maintain a solution-focused approach when managing challenges and contribute ideas for service improvement.
• Engage in appraisal processes and contribute to personal development plans.

Clinical Practice & Patient Care

• Deliver safe, effective, person-centred care to adults accessing the ADHD service.
• Participate in MDT discussions, contributing relevant clinical information and linking in with external agencies/services as required.
• Undertake clinical observations and support patients from referral through to shared care including the gathering and review of pre-assessment information (e.g rating scales, structured tools, developmental histories) and physical health parameters under appropriate supervision.
• Maintain accurate, timely and professional clinical records.
• Identify when additional investigations or referrals may be required and escalate appropriately, following service policy.
• Promote a holistic approach to care, considering physical health, mental health and social needs.

About us
Quay Healthcare are a primary care provider based in Warrington, delivering specialist ADHD assessment, diagnosis, and treatment services across 10 Integrated Care Board (ICB) areas. Our service is designed to provide timely, high-quality ADHD care for children, young people, and adults, supporting patients throughout their diagnostic and treatment journey with the aim of establishing shared care arrangements with their registered GP where appropriate.

Our multidisciplinary team delivers care in line with national guidance and best practice standards, ensuring a comprehensive and patient-centred approach. The team includes Consultant Psychiatrists, GPs with Extended Roles (GPwERs), Clinical Psychologists, Clinical Pharmacists, Mental Health Nurses, and Non-Medical Prescribers. Working collaboratively, they provide specialist assessment, evidence-based diagnosis, medication management, and ongoing treatment and monitoring to support positive patient outcomes.

Through both our specialist ADHD service and wider primary care workforce initiatives, we are committed to delivering accessible, high-quality, integrated healthcare services that improve patient outcomes and support the sustainability of primary care.

Job responsibilities
1. Key Responsibilities
a. Strategy & Leadership

• Participate in regular clinical supervision in line with NMC and organisational requirements.
• Act as a point of contact within the team, appropriately escalating clinical concerns to senior staff.
• Work towards achieving service Key Performance Indicators (KPIs) within own role and those of the service.
• Contribute to service development by providing feedback and completing delegated actions in a timely manner.
• Support the induction of new staff within the ADHD service.
• Maintain a solution-focused approach when managing challenges and contribute ideas for service improvement.
• Engage in appraisal processes and contribute to personal development plans.

b. Management & Leadership Behaviours

• Demonstrate accountability, reliability, and professional conduct in all aspects of practice.
• Prioritise workload effectively and seek support when required.
• Act as a positive role model within the team in line with NHS and organisational values and behaviours.

c. Governance, Quality & Improvement

• Maintain high standards of clinical governance and quality within the ADHD service.
• Participate in clinical audits and quality improvement activities as directed.
• Complete incident reporting accurately and contribute to shared learning.
• Support a culture of continuous improvement and reflective practice.
• Work in accordance with organisational policies, NICE guidelines, and statutory regulations.
• Recognise and report safeguarding concerns, escalating appropriately in line with policy.
• Report incidents in a timely manner.

d. Clinical Practice & Patient Care

• Deliver safe, effective, person-centred care to adults accessing the ADHD service.
• Participate in MDT discussions, contributing relevant clinical information and linking in with external agencies/services as required.
• Undertake clinical observations and support patients from referral through to shared care including the gathering and review of pre-assessment information (e.g., rating scales, structured tools, developmental histories) and physical health parameters under appropriate supervision.
• Maintain accurate, timely, and professional clinical records.
• Identify when additional investigations or referrals may be required and escalate appropriately, following service policy.
• Promote a holistic approach to care, considering physical health, mental health, and social needs.
• Work collaboratively with colleagues and external agencies to support coordinated care.
• Undertake relevant administrative duties to support the patients journey including the validation of previous diagnoses and review of annual review information.
• Participate in complex case discussions and escalate concerns to senior clinicians when required.
• Follow service protocols and report any concerns or inconsistencies.
• Demonstrate accountability and safe decision-making within scope of practice.
• Involve patients in shared decision-making and care planning.
• Signpost patients to appropriate services when needs fall outside the service remit.
• Support delivery of psychoeducation and group interventions under supervision.

e. Research, Education & External Engagement

• Maintain awareness of current evidence-based practice relating to ADHD and mental health.
• Apply learning from training and research to clinical practice.

f. Digital & IT

• Use clinical systems, email, Microsoft Office, and video consultation platforms effectively.
• Accurately input and manage patient data in line with information governance standards.
• Support the use of digital tools for pre-assessment information gathering and outcome monitoring.
• Engage with online resources to support patient care and information sharing.

g. Professional Development

• Maintain NMC registration and meet revalidation requirements.
• Engage in Continuing Professional Development (CPD) and reflective practice.
• Work within professional scope while developing competence and confidence.
• Maintain high standards of documentation in line with NMC and organisational policies.
• Demonstrate flexibility to meet service needs, with support from senior staff.
• Undertake administrative duties required for patient care delivery.
• Adhere to all relevant legislation, including NMC Code, NICE guidance, and safeguarding policies.
• Undertake additional duties as appropriate and where required by the service leads.

h. Team & Stakeholder Engagement

• Develop effective working relationships within the service, including the MDT and wider organisation.
• Communicate clearly, professionally, and respectfully with colleagues and patients.
• Participate in team meetings and contribute to a supportive team environment.
• Engage in peer support and wellbeing initiatives.

2. Travel Requirements
Regular travel to Quay sites, community venues, partner organisations, and satellite clinics as required.

The postholder must be able to work flexibly across multiple sites as service needs dictate.

Person Specification
Experience
Essential

• Evidence of pre-registration training in mental health nursing
• Willingness to undertake relevant training for specialist service (e.g., ADHD, neurodevelopmental conditions)
• Awareness of NMC Code, NICE guidelines, and evidence-based practice

Desirable

• Training/experience in ADHD or other neurodevelopmental disorders

Values & Behaviours
Essential

• Demonstrates NHS values (compassion, respect, inclusion) and commitment to equality, diversity, and inclusion
• Committed to learning, reflection, CPD, and continuous improvement
• Provides person-centred, compassionate care
• Works independently within scope, seeking support appropriately
• Professional, reliable, accountable, and adaptable to service needs
• Engages in supervision, appraisal, and CPD processes
• Complies with NMC standards and organisational policies
• Interest in neurodevelopmental conditions

Desirable

• Proactive approach to service improvement and team contribution

Other requirements
Essential

• Access to a vehicle for work related travel (depending on geography) and the ability to work flexibly across multiple sites.
• Proficient in electronic patient records, Microsoft Office, and maintaining confidentiality

Qualifications
Essential

• Registered Mental Health Nurse (RMN) with current NMC registration

Desirable

• Training/experience in ADHD or other neurodevelopmental disorders

Knowledge & Skills
Essential

• Experience (including placements) supporting people with mental health needs
• Understanding of mental health conditions, recovery-focused care, risk assessment/management, and safeguarding
• Experience working in MDTs and contributing to care planning
• Ability to complete holistic assessments and monitor mental state/risk
• Developing and implementing person-centred care plans and therapeutic interventions (within scope)
• Competence in clinical documentation, record keeping, and meeting deadlines
• Participation in audits and quality improvement
• Ability to escalate concerns appropriately and support structured assessments
• Strong organisational skills and ability to manage independent and shared workloads
• Effective communication with patients, carers, and professionals, including challenging conversations

Desirable

• Experience in secondary care or specialist services
• Supporting people with ADHD/neurodevelopmental conditions and complex mental health needs
• Knowledge of safeguarding and health & safety requirements
• Managing a supported caseload and working to KPIs/targets
• Engaging diverse or hard-to-reach groups using motivational techniques
• Involvement in audits, quality improvement, and specialist assessments (e.g. ADHD)
• Delivering psychoeducation and brief structured interventions
• Understanding outcome measures and psychometric tools
• Using digital tools (assessment systems, video consultations, data/reporting platforms)

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.

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