Paloma Health
Senior Prescriber
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Time commitment: Full-time (1 FTE)
Location: Remote
Reporting to: Neurodevelopmental Team Manager
About Paloma
In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS.
These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand.
Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential.
As of May 2026, we have successfully reduced waits to 3 months by;
- Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care
- Our in-house product, engineering and AI team building our own autism and ADHD specific electronic patient record and AI documentation tool to free clinicians from their significant documentation burden to re-focus on supporting families
- Investing in expanding the clinician workforce and upskilling them in new ways of working
We are proud that Paloma is:
- Loved by families, with 4.9 out of 5 Trustpilot and Google ratings
- Care Quality Commission (CQC) registered and quality-focused
- Clinically-led, with a team of 130 people, including over 80 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months.
- A community of passionate, mission-driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches.
- Backed by leading healthcare investors Triple Point and Heal Capital
What’s next?
Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down.
We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them.
The Opportunity
Are you an innovative Nurse, always thinking of new ways to approach ADHD prescribing, and how software tools can enhance the prescriber and patient experience of care? This role is for you!
We are not a standard ADHD prescribing service; we:
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- Have built our own technology & AI tools to gather the required information from families, and support your documentation, so you can focus on children’s needs
- Have an integrated electronic prescribing system within our electronic patient record - no jumping between two systems
- NHS Electronic Prescribing Service access, so families can take the prescription where they need
Paloma provides NHS children’s ADHD assessment and treatment services, including ADHD medication prescribing. For children who reach 18 years of age, we offer continued ADHD prescribing under an Adult ADHD prescribing pathway.
Our Senior Prescriber will ensure we deliver a fantastic Children’s ADHD prescribing service to families, and support our innovation and governance. If you have the appropriate skills, you can work across our Children’s and Adults ADHD prescribing pathways.
With success in this role, you can progress to our ADHD Prescribing Lead.
About you
Clinically, you are a Nurse with prescribing qualifications, skilled in ADHD prescribing best practices.
From a mindset perspective, you are excited to work in an innovative environment, use software and AI tools, and are always looking for ways to improve our team's and families’ experience with Paloma. You want to be part of an always-learning environment that embraces software and AI tools, and you will help us go further and faster with your positive and collaborative attitude.
Responsibilities:
- Deliver a fantastic Children’s ADHD prescribing service, including medication initiation, titration and review appointments
- Be the first point of contact for additional questions between appointments
- Act as a point of contact for the development of Paloma’s software tools that ensure high-quality, safe, and efficient prescribing
- Be the internal expert for our ADHD prescribing team, helping with common questions and identifying what needs to be escalated to our Consultants
- Support robust clinical governance processes in our ADHD prescribing, e.g. regular audits
Qualifications and experience:
Required:
- A NMC-registered Nurse with an Independent Prescriber Qualification
- At least 4 years of experience in Children’s ADHD prescribing services
- At least 1 year of experience in senior clinical responsibilities, e.g. audits, incident reviews, acting as the escalation point for a prescribing team, and offering supervision
Desirable:
- Experience in Adult ADHD prescribing services
Why join Paloma?
You will be part of a mission-driven organisation that’s transforming access to autism and ADHD care in England. For all employees, we offer:
- A strong and positive culture that prioritises team building, transparency, and career development. This includes protected time and budget for team connection and learning.
- Comprehensive compensation, including:
- A salary of £68,000 per annum for NMC-registered nurses, with the potential for increases with strong clinical delivery in the role
- A salary of £65,000 per annum for GPhC-registered pharmacists (our rate reflects the additional medical supervision required), with the potential for increases with strong clinical delivery in the role
- Annual salary reviews, ensuring they are competitive
- 5% employer pension contribution
- Home Office Equipment Allowance
- Professional Registration Fees Allowance for clinicians
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For employees working at least 0.8 FTE:
- Equity compensation through Share Options in Paloma Health
- Optional Private Medical Insurance and Employee Assistance Programme
- A unique annual leave benefits package which includes:
- 37 days of annual leave. This is 28 standard days, plus eight bank holidays, plus your birthday off.
- Option to buy an additional 5 days per year (giving a maximum of 42 days)
- Where required, 2 days per year of special leave, for events that can happen in life, whether personal or family-related
Additional benefits include:
- A premium performance company laptop
- NHS discounts, including the Blue Light Card (as we are an NHS provider).
Equality & Diversity
Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.
Accommodations
We’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.
Safer Recruitment & Pre-Employment Checks
Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who align with our values and will help maintain a safe and supportive environment for everyone we work with.
Application process
Please apply via our website. We understand that applying for a new job requires significant effort, and we appreciate your time. We look forward to reviewing your application.
Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!
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