Betsi Cadwaladr University Health Board
Non-Medical Independent Nurse Prescriber – Speciality Neurodevelopment
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Advanced Practise Nurse (Neurodevelopmental Conditions) – Independent Prescribing
About the Role
The successful applicant will work with children and young people with neurodevelopmental conditions, including ADHD, delivering a blend of evidence-based nursing, psychological interventions, and independent prescribing support. This role operates within a multidisciplinary team (MDT), ensuring safe, holistic care aligned with national guidelines and shared care protocols.
Critical aspects of the role include:
- Independent prescribing and medication management for ADHD and related conditions
- Assessment, diagnostic formulation, and intervention planning with autonomous clinical expertise
- Delivering specialist programmes, leading audits, and developing service pathways
- Supporting safeguarding, providing training, and chairing relevant meetings
- Champions for collaborative teamworking, recovery-focused clinical reasoning, and peer supervision
The role caters for autonomy but integrates closely into the MDT, requiring clinical leadership skills alongside compassionate care delivery. Welsh language skills are desirable but not essential; applicants fluent in either Welsh or English are welcome.
Core Responsibilities
Clinical Care & Assessment
- Conduct independent and collaborative clinical assessments for children and young people across neurodevelopmental presentations, specialising in ADHD
- Conduct physical health screening and baseline monitoring (e.g., blood pressure, height/weight, cardiac history)
- Develop and implement individualised care pathways and treatment plans
- Monitor medication efficacy and safety, adjusting prescriptions and evaluating treatment responses
- Record validated outcome measures to track progress and treatment impact
Prescribing & Therapy Delivery
- Independently prescribe, manage, and review ADHD medications as per NHS standards
- Operate in line with lone- or remotely-supervised practice when necessary in community settings
- Design, deliver, and evaluate intervention programmes—including individual, group, and family-focused therapies
- Act as a clinical resource for GP practices and referring organisations
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Collaboration & Service Development
- Contribute to MDT assessments, diagnostic formulations, and intervention decisions
- Lead clinical audits and contribute to service reviews, improving pathways and provision
- Provide supervision and mentoring for junior colleagues, students, or peers
- Engage with external stakeholders—training families, gatekeepers, and partner services in ADHD awareness and best practice
- Liaise across teams (CAMHS, education, primary care) to coordinate care
Administration & Operational Support
- Maintain comprehensive clinical documentation in a timely and accessible manner
- Liaise with suppliers and audit services’ effectiveness, shortening waiting times
- Ensure CPD compliance and attendance at professional updates
- Represent the team at internal and external meetings (e.g., Scottish ADHD Network)
Autonomous Responsibilities & Direct Patient Support
- Travel across geographically diverse communities to provide care
- Work independently but holistically, balancing case complexity with care coordination
- Cut through “organizational bureaucracy” to deliver tailored, non-judgmental care
Working for Betsi Cadwaladr University Health Board
Located in North Wales, BCUHB serves a population ofapprox. 700,000 across primary care, community, mental health, acute, and elective services. The role provides:
- Recognisable status in line with the “Proud to Lead” competence framework
- Flexibility and discretion to develop specialist skills, innovate in service design, and mentor new recruits
- A collaborative equality, diversity, and inclusion culture, aligned with the UK’s Disability Confident Employer accreditation and initiatives to support women in STEM and cardiovascular health
- A supportive leadership team that champions professional autonomy and clinical risksa built-in remit.
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Person Specification
(Detailed requirements broken into clear criteria)
Professional Qualifications
Essential
- Registered Child, Mental Health, or Learning Disability Nurse with current NMC registration
- Independent or Supplementary Prescribing qualification
- Evidence of ongoing CPD in relevant clinical areas
Desirable
- Previous experience managing an ADHD medication clinic
- Training or qualification in behavioural or psychological interventions
Clinical Experience & Expertise
Essential
- Dedicated professional experience working with children/young people in neurodevelopmental or ADHD services
- Ability to independently assess, diagnose, and formulate ADHD presentations
- Proficiency in sharp-tray skills and clinical reasoning, including medication titration and safety monitoring
- Understanding of developmental spread and baseline physical health assessments
- Knowledge of sequential treatment pathways for ADHD
- Familiarity with working in a multidisciplinary setting (e.g., CAMHS)
Desirable
- Experience leading time-limited independent clinics within CAMHS, community, or outpatient settings
- Postgraduate study or structured training in ADHD management or specialist psychology
Professional Competency
Essential
- Full commitment to evidence-based practice and outcome-focused goals
- Ability to supervise students and junior staff with compassion and clinical oversight
- Proficiency in managing meeting technologies and patient teleconsultations
- Understanding of confidentiality laws, consent frameworks, and child safeguarding protocols
Desirable
- Cultural competence and flexibility to respond to varying service demands across remote sites
- Experience supporting families through complex or distressing diagnosis communications
- Evidence of a leadership mindset interested in shaping future service models
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