Betsi Cadwaladr University Health Board
Non-Medical Independent Nurse Prescriber – Speciality Neurodevelopment
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Job Overview
The post holder will work with children and young people with neurodevelopmental conditions, providing independent prescribing, medication management, and ongoing reviews in line with shared care protocols. They will deliver evidence-based nursing and psychological interventions in accordance with national guidelines and neurodevelopmental pathways. As part of the MDT, they will contribute to assessment, diagnostic formulation, and intervention planning, working autonomously with advanced clinical expertise. They will model outcome-focused practice, support the use of outcome measures, and offer supervision and peer support. Key duties include independent assessment and review, safe prescribing, developing and evaluating specialist programmes, and leading audits to inform service development.
The post holder will support safeguarding as a senior clinician and contribute to medication, referral, assessment, and intervention pathways. They will provide guidance to colleagues and external professionals on ADHD, chair meetings when required, and deliver training to families and partner services. The role requires high professional standards, autonomous practice, and effective multidisciplinary working to ensure safe, holistic care across the neurodevelopmental service.
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Main Duties of the Job
The post holder will independently prescribe and review medication for children and young people with ADHD, using and recording relevant outcome measures. They will support assessment within the neurodevelopmental service, help develop care pathways, and signpost young people to appropriate mental health and support services. They will design, deliver, and evaluate intervention programmes for children, young people, and families, holding responsibility for a specialised clinical caseload. Duties include expert assessment of psychological, social, and physical needs, creating evidence-based treatment plans, and ensuring safe prescribing in liaison with GPs and consultants.
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The role involves analysing clinical information, monitoring progress, adjusting treatment plans, and maintaining accurate documentation. The post holder will communicate outcomes to families, MDT colleagues, and other agencies, representing the service when required. They will work autonomously, including lone working in community settings, managing clinical risk, and providing education and guidance to patients and carers. Additional responsibilities include managing resources, travelling for clinical appointments, supervising students, maintaining CPD, and contributing to audits and service redesign. They will work with managers, MDTs, and partner organisations to deliver the ADHD medication pathway while managing a high caseload and supporting families through challenging diagnoses.
Working for our Organisation
If you relish a challenge, have a passion to help others or simply fancy a fresh start, then Betsi Cadwaladr University Health Board (BCUHB) North Wales, has all the right ingredients. The largest health organisation in Wales, providing a full range of primary, community, mental health, acute, and elective hospital services for a population of around 700,000, across North Wales. Join our team and get the support you need, in line with our Organisational Values and ‘Proud to Lead’ competence framework.
Enjoy being part of working with engaged leadership at all levels, and be assured we are committed to promoting equality and diversity, and are proud to welcome applicants under the “Disability Confident Employer” scheme.
Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.
Applications may be submitted in Welsh. Applications submitted in Welsh will not be treated less favourably than an application submitted in English.
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Detailed Job Description and Main Responsibilities
You will be able to find a full Job description and Person Specification attached within the supporting documents or please click “Apply now” to view in Trac.
Person Specification
Qualifications & Registration
Essential criteria
- Registered Nurse (Child, Mental Health, or Learning Disability) with current NMC registration.
- Evidence of ongoing CPD in relevant clinical areas.
- Independent & Supplementary Prescribing qualification.
Desirable criteria
- Previous experience working in an ADHD medication clinic.
- Training in behavioural or psychological interventions.
Clinical Knowledge & Experience
Essential Criteria
- Experience working with children and young people in mental health, ADHD, or neurodevelopmental services.
- Ability to independently assess, formulate, and manage ADHD presentations.
- Competence in baseline physical health monitoring (BP, HR, height/weight, cardiac history).
- Experience in safe prescribing, medication titration, monitoring, and review.
- Ability to use and record validated outcome measures.
- Knowledge of ADHD diagnostic criteria and treatment pathways.
- Experience working within a multidisciplinary team.
Desirable criteria
- Previous experience working in an ADHD medication clinic.
- Experience running independent clinics in a community or CAMHS setting.
Professional & Service Requirement
Essential Criteria
- Commitment to evidence-based practice and outcome-focused care.
- Ability to supervise students or junior staff.
- Willingness to travel between sites.
- Understanding of confidentiality, consent, and information-sharing legislation in children’s services.
Desirable criteria
- Ability to adapt to service pressures and work flexibly across a wide geographical area.
- Confidence supporting families facing complex or challenging diagnoses.
- Leadership mindset with interest in shaping future service delivery.
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