Nurse Education to Reform Services Impact of ADHD (Attention Deficit - - PowerPoint PPT Presentation

Impact of ADHD (Attention Deficit Hyperactivity Disorder) Nurse Prescribers

Nurse Education to Reform Services

presented by Russell Erskine, Senior Practitioner ADHD & ASD RGN | SCPHN | NMP

• ADHD is the most prevalent childhood

condition, with a global incidence of 3-5%

• f school age children (Pickett, 2016)
• NICE Clinical guideline 87 outlines

assessment, diagnosis and management of ADHD

image from ADHDandyou.co.uk

Why treat ADHD?

Children with untreated ADHD (Barkley, 1998);

• 20% more likely to not complete secondary

school

• 30% more likely to have a teenage pregnancy
• 25% more likely to engage in substance abuse
• 30% more likely to be arrested
• 20% more likely to go to prison

South Eastern Trust Service Outline:

• 2,800 patients aged 6-18 years old
• Referrals to service have increased

44% over the last three years

• Children receiving medication management
• f symptoms require 6 monthly health

reviews (NICE Guideline 87)

• Efficacy of treatment
• Side effect exposure
• Health review including height, weight and

blood pressure

• Psychoeducation

The SET Nursing Team

Russell Erskine,

Scrabo, Newtownards Consists of; 1.0 WTE, Service Lead, Trust wide, Band 8A. Carol Sibbald

3 x 0.5 WTE, Senior Practitioners, Band 7.

ADHD SETrust

Veronica Bailie, Downe,

Downpatrick

Julie Jackson, Warren, Lisburn

3 x 1.5 WTE, Senior Practitioners, Band 7.

ADHD SETrust

• Nurses working in this way are under

the Neurodevelopmental Team

– A newly developed service for the complex assessment, formulation and intervention for children with complex needs. – Specialising in ASD and ADHD, differential diagnosis and dual diagnoses – ADHD clinical assessment and reviews are 1/3 of their job plans under this service

Non-Medical Prescribing

• Legislative changes in 2012 to the misuse
• f drugs regulations allowed schedule 2

controlled drugs to be prescribed by non- medical prescribers

• Shared care arrangements with GPs to fulfil

prescriptions on the advice of hospital based specialists

Non-Medical Prescribing Course

• Practitioners complete course content with

assignments specific to their area of practice

• Completion of prescribing in practice module
• Completion of health assessment module
• Completion of pharmacology module

= Safe and Effective Care

Impact of Nurses in the Service

2019; total number of medication reviews

3,788

Reviews completed by a nurse

2,186 = 58%

Service User Feedback

• Appreciated timely reviews
• Happy with the level of care received
• Felt the nurse adopted a whole family approach
• Incredibly patient, helpful, attentive and

professional

• One parent commented; “It’s doing the simple

things well and promptly that make the difference when you have a child with ADHD”

Aspirations for Future

• ADHD youth forum
• Further development of parent training

and psychoeducation

• QI project
• SQE project
• Advanced nurse practitioner role