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Nursing

Interim Registered Manager

Warrington, United Kingdom

£400 - £425 Per Day

Interim Registered Manager – Complex Nursing Care Cheshire | £400–£425 per day | Interim contract Are you an experienced Registered Manager with a clinical background, looking for an impactful interim assignment within a specialist complex-care service? Leaders in Care is recruiting an Interim Registered Manager for a well-established, nurse-led residential service in Cheshire. The home provides 24-hour support for adults with complex health needs, including acquired brain injury, neurological conditions, physical disabilities and learning disabilities alongside complex clinical needs. This is an opportunity to take the lead in a high-acuity, person-centred environment, supporting a skilled multidisciplinary team to maintain safe, effective and compassionate care. The role As Interim Registered Manager, you’ll have overall responsibility for the safe, compliant and high-quality running of the service. You’ll provide clear leadership to the nursing and care teams, ensuring that clinical delivery, safeguarding, governance and resident outcomes remain at the heart of day-to-day operations. You’ll be responsible for: Providing visible, confident leadership across a specialist residential nursing service Ensuring consistently safe, person-centred care for adults with complex health needs Leading, supporting and developing the nursing, care and support teams Maintaining robust clinical governance, safeguarding and risk-management processes Ensuring full compliance with CQC requirements, relevant legislation and best practice Overseeing care planning, assessments, medication management and clinical documentation Supporting complex clinical interventions, which may include tracheostomy care, PEG feeding, respiratory support, catheter care, stoma care and bowel management Monitoring audits, incidents, quality indicators and service improvement plans Building strong relationships with residents, families, external professionals and commissioners Supporting recruitment, rota management, induction and ongoing team development Working closely with senior leadership to provide stability and drive continuous improvement throughout the interim period About the service The service supports a small number of adults in a homely, highly personalised setting. Individuals may be living with: Acquired brain injuries Neurological conditions Spinal-cord injuries Stroke-related needs Multiple sclerosis or Parkinson’s disease Physical disabilities Learning disabilities with complex health needs The provider is committed to delivering compassionate, respectful care that promotes dignity, independence and the best possible quality of life. What we’re looking for We’re keen to speak with accomplished Registered Managers, Interim Managers or senior clinical leaders with experience in complex nursing, neurological care, brain injury, learning disabilities or specialist adult social care. You’ll ideally bring: Previous experience as a Registered Manager within a regulated nursing or complex-care service A current NMC registration – RGN, RMN or RNLD Strong knowledge of CQC regulations, safeguarding, clinical governance and quality assurance Experience managing complex clinical needs in a residential, nursing or community setting The ability to lead calmly and effectively through operational challenge or change A practical, visible and supportive leadership style Confidence engaging with families, professionals, commissioners and senior stakeholders Immediate or short-notice interim availability would be advantageous Contract details Interim Registered Manager contract £400–£425 per day, dependent on experience Based in Cheshire Full-time commitment preferred Opportunity to make an immediate difference within a specialist, high-quality service If you are a clinically credible Registered Manager who can bring stability, leadership and strong governance to a complex nursing environment, apply today or contact Mike at Leaders in Care for a confidential discussion.

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Senior Appointments & Management

Registered Manager - Learning Disabiltiy Service

Liverpool, United Kingdom

£50000 - £55000 Per Year

Registered Manager – Learning Disabilities & Autism Merseyside | £50,000 per annum | Full-time, 37.5 hours Are you an experienced Registered Manager looking for an opportunity where you can genuinely shape the quality of a service, develop a strong team and make a meaningful difference to the people you support? Leaders in Care is working with an established specialist care provider to recruit a Registered Manager for a small residential home in the Merseyside area, supporting adults with learning disabilities, autism and associated complex needs. This is a hands-on leadership role with a provider that places a strong emphasis on person-centred care, positive behaviour support and achieving meaningful outcomes for the people it supports. The role As Registered Manager, you’ll have overall responsibility for the day-to-day leadership of the home, creating a safe, positive and well-led environment for both the people supported and your team. You’ll be responsible for: Leading, motivating and developing the staff team Maintaining a strong safeguarding culture and high standards of care Ensuring support remains genuinely person-centred and outcomes-focused Driving continuous improvement across the service Maintaining compliance with CQC requirements and relevant legislation Supporting recruitment, induction and development of new colleagues Coaching and mentoring your team to build capability and confidence Working closely with senior leadership on the ongoing development of the service The provider’s model incorporates positive behaviour support and trauma-informed practice, with a focus on creating calm, safe and nurturing environments in which individuals feel listened to and supported. What we’re looking for We’re keen to speak with experienced managers who have worked within learning disabilities, autism, complex needs or a similar specialist adult care setting. You’ll ideally bring previous management experience within a regulated care service, a good understanding of safeguarding and CQC requirements, and the ability to lead a team while keeping the people you support at the heart of decision-making. An NVQ Level 3 in Health & Social Care alongside relevant management experience is specified for the position. Salary & benefits The role offers a salary of £50,000 per annum, alongside a particularly strong benefits package including 6 weeks’ annual leave, increasing to 7 weeks with service, health cashback, Blue Light Card discounts, life assurance, pension scheme, meals at work, employee rewards, EV salary sacrifice and ongoing learning and development opportunities. There is also a structured training and development pathway designed to support ongoing CPD and leadership development. If you’re an experienced care leader who enjoys being close to the people you support and wants the autonomy to lead a small specialist service properly, apply today or contact Mike at Leaders in Care for a confidential conversation.

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Nursing

Interim Registered Manager

liverpool, United Kingdom

£350 - £350 Per Day

Interim Registered Manager – Learning Disabilities & Autism Liverpool & Cheshire | £350 per day | Interim contract | Overseeing 2–3 services Are you an experienced Registered Manager looking for an interim opportunity where you can make an immediate impact across high-quality specialist services? Leaders in Care is recruiting an Interim Registered Manager to oversee a small cluster of 2–3 residential Learning Disability and Autism services across Liverpool and Cheshire. Supporting adults with learning disabilities, autism, complex needs and behaviours that may challenge, this is a hands-on leadership assignment for a manager who can bring stability, quality and confident operational oversight. You’ll work closely with senior leadership and established local teams to ensure services remain safe, compliant, person-centred and outcomes-focused. The role As Interim Registered Manager, you’ll take responsibility for the day-to-day leadership and operational performance of multiple services. You’ll provide visible leadership to service managers and frontline teams, supporting consistent standards of care across the region. Key responsibilities include: Providing interim leadership across 2–3 Learning Disability and Autism services Supporting, motivating and developing service managers and staff teams Maintaining a strong safeguarding culture and responding effectively to operational concerns Ensuring care and support plans remain genuinely person-centred Driving quality improvement, service stability and positive outcomes for the people supported Maintaining compliance with CQC requirements, legislation and internal policies Supporting recruitment, induction, retention and development of colleagues Coaching managers and teams to build capability, confidence and accountability Reviewing service performance, audits, incidents and action plans Working collaboratively with senior leaders, families, professionals and external stakeholders The provider’s approach is grounded in positive behaviour support, trauma-informed practice and creating calm, safe, nurturing environments where people are listened to and supported to live fulfilling lives. What we’re looking for We’re keen to speak with experienced Registered Managers, Peripatetic Managers or Operations Managers from a Learning Disability, Autism, complex care or specialist adult social care background. You’ll bring: Previous Registered Manager experience within a regulated adult social care setting Experience overseeing more than one service, or the confidence and capability to do so A strong understanding of safeguarding, CQC compliance and quality governance Experience supporting adults with learning disabilities, autism and complex needs The ability to lead through change, bring structure to services and support teams positively A practical, visible and people-focused leadership style NVQ Level 3 in Health & Social Care, alongside relevant management experience Availability to travel across Liverpool and Cheshire as required Contract details Interim contract £350 per day Oversight of 2–3 services across Liverpool and Cheshire Full-time commitment preferred Immediate or short-notice availability would be advantageous For a confidential discussion regarding the role please click apply or contact Mike at Leaders in care on 07883301381 or mike@leadersincare.co.uk

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Psychological Therapies

Locum Out of Hours Prescriber

West Midlands, United Kingdom

£40 - £55 Per Hour

Locum Out of Hours ACP / Paramedic Practitioner / Prescribing Pharmacist £40–£55 per hour | West Midlands | Saturday shifts If you enjoy autonomous practice and want occasional out-of-hours work where your clinical judgement is genuinely relied upon, this is a good opportunity to support patients across community hospital settings. The service provides out-of-hours clinical cover for adult inpatients receiving rehabilitation, intermediate care, sub-acute, palliative and step-up care. You will support nursing teams with assessment, treatment decisions, prescribing where within scope, escalation planning and advice. It is a varied role rather than a traditional clinic list. Presentations can include acute deterioration, pain, falls, frailty and sub-acute illness, with a mixture of telephone advice, remote review and face-to-face assessment depending on clinical need. Why consider it? £40–£55 per hour, depending on experience and professional background. Saturday shifts available either 10am–2pm or 2pm–8pm. Genuine autonomous clinical practice within your professional scope. A broad mix of urgent, frailty, rehabilitation and palliative presentations. Opportunity to use prescribing skills rather than working in a narrowly defined assessment role. Work closely with experienced nursing teams, GPs, palliative care, ambulance services and wider community teams. For independent prescribers, the role includes medication review, medicines optimisation, electronic prescribing and treatment adjustment using clinical and blood results. Non-prescribing practitioners can also be considered where the service model allows, with prescribing recommendations escalated appropriately. Who they are looking for. The service can consider experienced: Advanced Clinical Practitioners. Paramedic Practitioners. Prescribing Pharmacists. You will need current professional registration, strong advanced assessment and clinical decision-making skills, and experience within urgent care, primary care, community, frailty, emergency or intermediate care. You must also be comfortable assessing acutely unwell adults and working autonomously within your scope of practice. If you already work within advanced practice and want some additional weekend capacity without committing to another full working week, get in touch for a confidential discussion on 0203 053 1048 or email jamie@leadersincare.co.uk

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Psychological Therapies

Clinical Psychologist – Adult Autism

West Midlands, United Kingdom

£60000 - £65000 Per Year

Clinical Psychologist – Adult Autism £60,000–£66,500 | West Midlands | Hybrid | Full-time or part-time For a Clinical Psychologist who enjoys neurodevelopmental work but still wants the space for formulation, differential thinking and proper MDT discussion, this is a strong opportunity. You will join a clinician-led adult autism service where psychology is central to diagnostic reasoning. The role covers detailed clinical interviews, developmental history, psychological assessment, formulation and complex differential diagnosis within a governed MDT pathway. You will work alongside psychology, nursing, SLT, OT and senior medical colleagues, with Consultant Psychiatrist and GP clinical oversight available for complex cases and escalation. Why consider it. Psychology has a clear role in diagnostic decision-making, rather than simply delivering one part of an assessment. There is room for proper formulation and differential reasoning across autism, ADHD, mental health, trauma, learning disability and other complex presentations. You will contribute to personalised recommendations and support planning, not simply diagnostic outcomes. The service has defined MDT, supervision, peer review and governance structures. There is scope to contribute to audit, service improvement and supervision of other clinicians. The weekly job plan includes 18–22 hours for clinical assessment and feedback, 8–10 hours for formulation and reporting, and protected MDT, supervision and governance time. You will need HCPC registration as a Practitioner Psychologist and direct experience contributing to adult autism diagnostic assessments within an MDT. ADOS-2, ADI-R and Right to Choose experience are desirable rather than essential. If you want to stay clinically hands-on while working in a service where psychological reasoning is properly valued, get in touch for a confidential discussion on 0203 053 1048 or email jamie@leadersincare.co.uk

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Psychological Therapies

Adult Autism Speech & Language Therapist

West Midlands, United Kingdom

£40000 - £50000 Per Year

Adult Autism Speech & Language Therapist £40,000–£50,000 | West Midlands | Hybrid | Full-time or part-time If you want your SLT expertise to play a genuine part in autism diagnosis, rather than sit around the edges of the pathway, this role is worth considering. You will join a multidisciplinary adult autism service where speech, language, communication and social interaction are treated as core parts of diagnostic understanding. Your clinical reasoning will feed directly into MDT discussion, formulation and recommendations for the person being assessed. The service works across psychology, nursing, OT, SLT and senior medical colleagues, with clear clinical oversight and governance. Core diagnostic assessments are face-to-face, with hybrid working available for suitable non-diagnostic elements. What makes the role appealing. Your SLT perspective has a clear place within diagnostic decision-making. You will explore communication across relationships, work, education and everyday life, not just within a clinic room. There is protected time for assessment, report writing, MDT work, supervision and service development. You can contribute to personalised recommendations around communication, reasonable adjustments and onward support. There is scope to support junior clinicians and contribute to how the pathway develops. The job plan includes around 18–22 hours of clinical assessment activity, 8–10 hours for reporting and formulation, and dedicated MDT, supervision and governance time. You will need HCPC registration as a Speech and Language Therapist, alongside significant post-qualification adult experience and confidence assessing communication and social interaction differences. Adult autism pathway experience is desirable rather than essential. If you are looking for an SLT role where your expertise genuinely shapes the diagnostic picture, get in touch for a confidential discussion.

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Psychological Therapies

Adult ASD Assessor

West Midlands, United Kingdom

£46000 - £55500 Per Year

Adult Autism Assessor and Reviewer £46,148–£55,504 FTE | West Midlands | Hybrid | Full-time or part-time If you are experienced in adult autism assessment and want a role where there is proper clinical oversight, MDT input and time to make considered diagnostic decisions, this is worth a look. You will join an established, clinician-led neurodevelopmental service delivering adult autism assessments through a multidisciplinary model, alongside wider ADHD and CYP pathways. The role is focused on good diagnostic practice rather than simply increasing assessment volume. You will have responsibility for structured assessments, reviewing developmental history, functional impact, co-occurring needs and risk, before bringing more complex cases into MDT discussion. There is senior clinical oversight from a Consultant Psychiatrist and Clinical Lead, with support from colleagues across psychology, nursing, SALT, OT and the wider neurodevelopmental team. What the role offers. Permanent employment with full-time or part-time options. Hybrid working across agreed parts of the assessment pathway. A multidisciplinary environment with clear clinical governance. Scope to contribute to audit, quality improvement and how the pathway develops. The opportunity to support induction and teaching for other clinicians. A service focused on person-centred assessment and clear, clinically useful outcomes. Who they are looking for. You will need recent UK adult autism assessment experience and an appropriate professional registration. The service can consider: NMC-registered Nurses. GPhC-registered Clinical Pharmacists with Independent Prescriber annotation. GMC-registered GPs. Other HCPC-registered clinicians with a mental health specialism. You should also have a working knowledge of ADOS-2-informed practice, safeguarding and risk, alongside strong written communication and the ability to manage a clinical caseload effectively. If you are looking for an adult autism role where your clinical judgement is valued and you can work as part of a properly governed MDT, get in touch for a confidential discussion.

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Psychological Therapies

CYP Clinical Psychologist – ADHD Assessment Service

West Midlands, United Kingdom

£60000 - £66500 Per Year

CYP Clinical Psychologist – ADHD Assessment Service £60,000–£66,500 | Redditch | Full-time A good ADHD assessment should involve more than working through a checklist. This role gives a Clinical Psychologist the space to bring formulation, developmental understanding and differential thinking into a structured CYP ADHD pathway, working alongside a wider multidisciplinary team. You would contribute to diagnostic decisions through psychological assessment, formulation and clinical reasoning, with a clear emphasis on robust conclusions and useful communication for children, families and referrers. The service sits within a wider neurodevelopmental team including psychology, nursing, SALT, OT and medical colleagues, with senior clinical oversight and established governance structures around the pathway. Why consider it. There is protected time built into the week for the work that often gets squeezed elsewhere. Around 18–22 hours for assessment and feedback. 8–10 hours for report writing and formulation. 3–5 hours for MDT work, supervision, governance and audit. Separate time for liaison and administration. Clinically, you will integrate developmental history, functional impact, school and family information, questionnaires and previous records rather than looking at symptoms in isolation. You will also contribute to differential thinking, co-occurring presentations and safeguarding where required. The role also gives exposure to the wider neurodevelopmental pathway, including cases where ADHD and autism may overlap. You will need. HCPC registration as a Practitioner Psychologist. Significant post-qualification CYP experience within neurodevelopmental, CAMHS or a related setting. Direct experience contributing to CYP ADHD diagnostic assessments within an MDT. Strong formulation, clinical reasoning and report-writing skills. A sound understanding of safeguarding and risk. If you want to remain clinically involved in CYP ADHD work while having proper space for formulation, MDT discussion and high-quality reporting, this could be a strong fit. Get in touch on 0203 053 1048 or email jamie@leadersincare.co.uk

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Nursing

Adult Clinical Lead

Canada Water, Greater London, United Kingdom

£43000 - £45000 Per Year

Hybrid working | Community complex care | Monday to Friday | Clinical autonomy Are you an experienced Adult Nurse looking to develop your career within community complex care? This Adult Clinical Lead opportunity offers the chance to take clinical responsibility for complex care packages across South London and surrounding areas, combining office-based working with home working and time in the community. You will work for an established community complex care provider, supporting adults with a range of complex healthcare needs to live safely and independently within their own homes. The position offers excellent clinical autonomy, varied community-based work and the opportunity to develop your clinical and management experience. Package & Benefits • £43,950 per annum. • Monday to Friday, 9am to 5pm. • No weekend or bank holiday working. • Hybrid working across office, home and community settings. • 25 days annual leave plus bank holidays. • Birthday off. • Occupational sick pay. • Enhanced family leave benefits. • Death in service benefit. • Employee discounts and benefits. • Paid rotational telephone on-call. The Role As Adult Clinical Lead, you will provide clinical oversight of complex community care packages, completing assessments and reviews while ensuring care teams have the skills, training and competencies required to deliver safe and effective care. You will manage your own diary and work across the South London office, service users' homes and community settings, with some flexibility to work from home. Key Responsibilities • Complete comprehensive clinical assessments and ongoing reviews of complex care packages. • Develop and review person-centred care plans and risk assessments. • Provide clinical oversight and support for adults receiving complex care at home. • Deliver practical clinical training, supervision and competency assessments for care workers. • Support the mobilisation and ongoing management of care packages. • Work closely with ICBs, Case Managers, Social Services, NHS and private hospitals and other healthcare professionals. • Provide clinical guidance to care teams at the point of care. • Maintain high standards of safeguarding, clinical governance and risk management. • Participate in a paid rotational telephone on-call service. About You To be considered for this Adult Clinical Lead position, you will need: • Registered Adult Nurse qualification with an active NMC PIN. • Previous adult complex care or community nursing experience. • Strong clinical experience supporting complex healthcare needs. • Tracheostomy and ventilation experience. • Experience completing clinical assessments, care plans and risk assessments. • Confidence delivering clinical training, supervision and competency assessments. • Strong safeguarding and clinical governance knowledge. • Excellent communication and multi-agency working skills. • Full UK driving licence. • Comfortable travelling across South London, Surrey and surrounding areas. This Adult Clinical Lead position would particularly suit an experienced Complex Care Nurse, Community Nurse, Clinical Nurse Specialist or Nurse Case Manager looking for increased autonomy and responsibility within a community complex care service. If you are interested in this Adult Clinical Lead opportunity, please click APPLY or contact Ehsan at Leaders in Care on 07533 113 393, quoting the reference below. An informal and confidential conversation is welcomed. Reference: LICEA

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