Staff Choice Awards 2018/19
Clinical Achievement Award

Lisa Riches

Has been shortlisted for this award

Job title
Clinical Nurse Specialist 
Service
Adult ADHD 
Location
Central Norfolk 

The nomination said...

Lisa Riches, Clinical Nurse Specialist, has worked within the Norfolk Adult ADHD Team for just over three years. When she joined the team, she was a virtual lone practitioner, with one day medical and part-time assistant practitioner and administrative resource. In accepting the role, she effectively inherited a waiting list of referrals to the ADHD service which stretched back several years.

Lisa has worked tirelessly to shape a service, highlight governance and risk concerns and, most importantly, maintained a clinical service and ceaselessly professional approach in her contact with service users and clinical colleagues alike. As the virtual ‘face of ADHD’, she provided point of triage, management of waiting list, allocation of appointments, delivery of appointments and intervention, follow-up, and discharge. She supported with the regular complaints from service users and families regarding inappropriate waiting times and somehow maintained a positive and professional outlook to her colleagues.

Adult ADHD is frequently overlooked and its impact on the life of a service user is often underestimated. Lisa has been an advocate for this group of service users and participated in the delivery of training and awareness, proving to be a reliable and consistent point of consultation for clinical colleagues in relation to all matters ADHD.

Lisa has been pivotal in securing resources to deliver a service which aims to progress to meeting the demands placed on the local health and social systems by Adult ADHD. Her expertise and passion for this overlooked population was, I believe, instrumental in informing and moving the commissioning negotiations beyond the volumes and figures to a meaningful, clinically- informed dialogue. Local commissioners have recognised the deficit in funding and provided funds for a fixed term to enable the ADHD Team to work through the current waiting list. This has enabled the recruitment of a number of staff. Lisa has been central to the recruitment and interview process and has worked with the team leader to ensure that new staff are inducted and trained into this specialist area of work and provided training in the requisite assessment skills and clinical support, and consultation and supervision.

The rapid expansion of the team and the transition from a locality model to an across-Norfolk model has necessitated rapid development of processes within which to deliver the service. Lisa, once again, has been instrumental in this through her consistent presence in steering groups where her invaluable knowledge and experience of working in other services have expedited development and implementation of processes.

Lisa displays a passion and commitment in her work. She seeks to share her knowledge in the support and training of others – a position which only comes with achieving an expertise in your selected clinical area. Her professionalism throughout and unwillingness to compromise on her core principles have also been evident throughout a process where the “ask” was to do “more for less”.

Lisa maintains a continual commitment to her professional development and learning and is active in maintaining competencies and current practice as a nurse prescriber and ADHD specialist within local and regional networks.