Combined ADHD Assessor & Prescriber for Children

Job responsibilities

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

Whats 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 wont 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 clinician with expertise in both Childrens ADHD assessments and ADHD prescribing, excited to use technology and AI tools to improve care for families?

This role combines ADHD neurodevelopmental assessment and prescribing responsibilities into a single integrated clinician role, enabling continuity of care for families from assessment through treatment.

We are not a standard ADHD service. We:

• Have built our own technology and AI tools to gather clinical information and support documentation, allowing clinicians to focus on families and children

• Provide multidisciplinary ADHD assessments aligned with NICE guidance

• Have an integrated electronic prescribing system within our electronic patient record

• Use NHS Electronic Prescribing Service access, enabling prescriptions to be sent directly to pharmacies

• Prioritise clinician development, innovation, and collaborative working

If you have the appropriate experience, there may also be opportunities to work across Childrens Autism & ADHD pathways, and Adult ADHD prescribing pathways.

About You

You are a clinician with experience in both Childrens ADHD assessments and ADHD prescribing.

You are passionate about delivering high-quality, family-centred care and excited to work in an innovative environment that embraces software and AI tools to improve the clinician and patient experience.

You are collaborative, proactive, and motivated to help shape the future of neurodevelopmental care.

Responsibilities

• Deliver high-quality Childrens ADHD neurodevelopmental assessments

• Deliver ADHD prescribing care, including: Medication initiation, titration, and review appointments

• Present assessment findings in a strengths-based, client-centred manner

• Conduct safeguarding and risk assessments where required

• Support GPs with shared care queries when appropriate

• Maintain professional registration, mandatory training, and Continuing Professional Development (CPD)

• Share ideas to improve Palomas software tools and clinical pathways

• Contribute positively to a collaborative and innovative clinical culture

Qualifications & Experience

Required

• An NMC-registered Nurse

And you have:

• At least 1 year of experience delivering Childrens ADHD assessments

• At least 1 year of experience within Childrens ADHD prescribing services

Strong understanding of:

• Typical child development across life stages

• ADHD presentations and differential diagnoses

• Co-occurring conditions

• Cultural considerations in neurodevelopmental assessments

• Excellent communication and caseload management skills

• Experience delivering client-centred feedback and recommendations

• Ability to pass an enhanced DBS with barred list check

Desirable

• Experience in Adult ADHD prescribing services

• Experience in Childrens Autism Assessments

• Experience conducting risk assessments in neurodevelopmental services

• Safeguarding training Level 3 or above

Why join Paloma?

You will be part of a mission-driven organisation thats 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:

• Total compensation of £60,000 per year, rising to £63,000 for more experienced clinicians

• Annual salary reviews, ensuring they are competitive

• 5% employer pension contribution

• For employees working at least 0.8 FTE:

• Equity compensation through Share Options in Paloma Health

• Optional Private Medical Insurance and Employee Assistance Programme

• Home Office Equipment Allowance ...