Advanced Clinical Pharmacist

Job Overview

An exciting opportunity has arisen for an experienced clinical pharmacist to join NELFT’s developing Adult ADHD Service as an Advanced Clinical Pharmacist.

Working as a senior and autonomous member of the multidisciplinary team, the post holder will provide expert pharmaceutical care throughout the adult ADHD pathway. This will include delivering non‑medical prescribing clinics, supporting titration and annual medication reviews, optimising treatment and advising colleagues on the safe, effective and evidence‑based use of medicines.

The post holder will also play an important role in developing the service, strengthening medicines governance and supporting shared‑care arrangements across North East London. Through clinical leadership, education, audit and quality improvement, they will help us deliver a safe, accessible and patient‑centred ADHD pathway that improves outcomes and reduces health inequalities.

• Deliver patient‑centred Adult ADHD clinics as a non‑medical prescriber, working within professional competence and the agreed clinical pathway.
• Assess, initiate, titrate and review ADHD medication, including annual reviews and transitions to shared care where appropriate.
• Undertake clinical risk assessments and contribute pharmaceutical expertise to complex case discussions and multidisciplinary team meetings.
• Provide expert advice on psychopharmacology and the safe, evidence‑based and cost‑effective use of ADHD medicines.
• Support the development and implementation of prescribing guidelines, clinical protocols, standard operating procedures and pharmaceutical care pathways.
• Contribute to medicines governance, clinical audit, service evaluation, research and quality improvement.
• Work collaboratively with primary care, pharmacy colleagues, commissioners and other internal and external partners to support joined‑up care.
• Promote shared decision‑making, provide clear medicines information and help service users achieve the best possible treatment outcomes.
• Deliver education and training to multidisciplinary and primary care colleagues.
• Provide clinical supervision, mentoring and, where required, line management to junior or trainee pharmacy staff.
• Support service development, co‑production and initiatives that address unwarranted variation and health inequalities.
• Maintain accurate clinical and prescribing records in accordance with professional standards and Trust policies.

The Advanced Clinical Pharmacist will work as an integral member of the Adult ADHD multidisciplinary team, providing specialist pharmaceutical care across assessment, treatment, titration, follow‑up and shared‑care pathways.

The post holder will manage an agreed clinical caseload and deliver prescribing clinics within their scope of practice. They will assess patients, develop and review treatment plans, monitor the effectiveness and safety of medication and support adherence through shared decision‑making. This will include recognising clinical priorities, completing appropriate risk assessments and escalating concerns or complex cases when required.

As a senior clinical practitioner, the post holder will provide expert advice on ADHD medicines and psychopharmacology, including the use of unlicensed medicines and areas where the evidence base is limited. They will critically appraise emerging evidence and apply relevant NICE guidance, MHRA alerts, formularies and medicines legislation to clinical practice.

The role will provide leadership for medicines optimisation and governance within the service. Responsibilities will include developing and reviewing clinical guidelines, prescribing protocols, standard operating procedures and care pathways; supporting safe repeat‑prescribing arrangements; contributing to formulary applications; and identifying and reporting medication‑related incidents and risks.

The post holder will play an active role in the continued development of the Adult ADHD Service. They will contribute to implementation of shared‑care arrangements across North East London, help improve care across organisational boundaries and work with…