Consultant Adult Psychiatrist - ADHD

Time commitment: 1 day (8 hours) per week, ideally split over more than 1 day

Location: Remote (or hybrid in our London office if desired)

Reporting to: Neurodevelopmental Team Manager

About Paloma

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 and adult achieve their potential.

In 2024, our founders, Mark and Darshak, were shocked to find that children and adults needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in many risks, including to their mental health. 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.

As of May 2026, we have successfully reduced waits to less than 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 150 people, including over 100 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.
• In control of our own destiny, as we are profitable and 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.
• There are also hundreds of thousands of adults with undiagnosed ADHD and/or autism stuck on NHS waiting lists
• We want to build new services that A) support people diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them, and B) expand our ADHD and autism assessment offer to adults

The Opportunity

Are you an innovative Consultant Adult Psychiatrist, always thinking of new ways to approach ADHD assessment and treatment, and how technology and software tools can enhance the assessor, prescriber and patient experience of care? This role is for you!

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, and we are exploring launching an Adult ADHD assessment and treatment pathway.

We are looking for a Consultant Adult Psychiatrist specialising in ADHD to partner with our Medical Director (Consultant Child Psychiatrist Dr Manish Rao) and Clinical Pathway Team to:

• Support the creation of a fantastic Adult ADHD prescribing pathway which meets the needs of patients and simplifies the steps for prescribers to follow
• Innovate by supporting the development of Paloma’s in-house electronic patient record system, which enables prescribers to safely and efficiently capture required monitoring information.
• Clinically supervise our team of medical and non-medical Adult ADHD prescribers
• Partner with our Medical Director to ensure robust governance

Furthermore, when we are ready, this individual will support the launch of our Adult ADHD assessment and treatment pathway, and at that time point we can increase their working time with Paloma.

About you

Clinically, you are a Consultant (post-CCT) Adult Psychiatrist, skilled in ADHD prescribing best practices, and with experience of supporting child-to-adult transition.

Responsibilities:

• Provide input to our pathway and product teams on continuously improving our adult ADHD prescribing pathway
• Provide clinical supervision to the adult ADHD prescribing team, including supporting with complex cases as they arise
• Support robust Clinical Governance processes for our Adult ADHD prescribing pathway, including clinical audits
• Undertake a small caseload of ADHD annual reviews and prescribing

Qualifications and experience:

Required:

• GMC-registered Consultant Adult Psychiatrist on the Specialist Register
• At least 6 months' work experience in Adult ADHD

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.
• Competitive salary, above NHS consultant pay grades
• Annual salary reviews, ensuring they are competitive
• For employees working at least 0.8 FTE:
• Equity compensation through Share Options in Paloma Health
• Optional Private Medical Insurance and Employee Assistance Programme
• Professional Registration Fees Allowance for clinicians
• 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. 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.

Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!

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