Combined Medical Services jobs

Spectrum.Life is a whole-of-health digital partner that guides organisations and their people to thrive, delivering clinically backed digital health, mental health and wellbeing solutions.

Our HealthTech delivers digital transformation for Insurers, Educators and Employers through Co-creation or seamlessly integrated out-of-the-box solutions, that decrease digital fragmentation and engage, empower, and transform their people’s lives.

Established in 2018 by Stuart McGoldrick and Stephen Costello, Spectrum.Life provides services internationally to over 7.2m insurance members, 3,000 corporate clients, 60 universities and 650,000 university students. Spectrum.Life currently employs over 450 people.

Our vision is to change and save as many lives as possible.

Why This Role Matters

Waiting lists for neurodiversity assessments in the UK are long — often years. For autistic people and those with ADHD, that wait is not just frustrating. It affects education, employment, relationships, and mental health.

At Spectrum.Life, we are building a digital-first neurodiversity multi-disciplinary assessment service that is clinically rigorous, neuroaffirmative in its values, and genuinely accessible. We are looking for a Practitioner Psychologist who shares that commitment — someone who brings both the specialist technical competence this work demands and a genuine belief in the difference that timely, high-quality identification can make to a person’s life.

This is a fully remote, multidisciplinary role. You will be part of a team of psychologists, Speech and Language Therapists, and Occupational Therapists, working together to deliver integrated, person-centred assessments for children aged seven and above and adults.

The Neurodiversity Assessment Service

Spectrum.Life’s Neurodiversity Assessment Service delivers high-quality Autism, ADHD, and combined AuDHD identification assessments for children (aged seven and above) and adults, fully remotely via virtual platforms. All assessments are conducted in line with NICE guidelines and within DSM-5 and ICD-11 diagnostic frameworks.

Our approach is neuroaffirmative throughout — from the way we conduct initial consultations to the language we use in our reports and feedback sessions. We work from a strengths-based, person-centred model that respects individual identity and lived experience.

This is a growing service, and you will have the opportunity to contribute directly to its development — including service design, quality improvement, and the way we use digital platforms to make assessments more accessible.

Your Multidisciplinary Team

Neurodiversity assessment is inherently multidisciplinary, and we have built the service to reflect that. You will not be assessing in isolation.

Your MDT includes Practitioner Psychologists, Speech and Language Therapists, and Occupational Therapists. Each assessment integrates perspectives across all three disciplines, and integrated formulation is a core part of how we work — not an add-on.

How the MDT works day to day

• Regular MDT formulation meetings where complex and combined presentations are discussed collaboratively across psychology, SLT, and OT
• Shared formulation on all assessments — your psychological assessment report is integrated with SLT and OT findings before the final report is produced
• A designated Clinical Manager who provides operational oversight and is available for clinical consultation
• Monthly individual clinical supervision from a specialist in neurodiversity — provided by an experienced senior clinician with specialist neurodiversityexpertise, not generic CPD supervision
• Peer consultation and shared learning across the psychology team
• Clear safeguarding and escalation pathways, with governance support for complex or high-risk presentations

Responsibilities:

Neurodiversity Assessments

• Deliver high-quality, neuroaffirmative Autism and ADHD identification assessments for children (aged seven and above) and adults through virtual platforms,in accordance with NICE guidelines
• Administer, score, and interpret the ADOS-2 and ADI-R, as well as validated ADHD assessment measures
• Conduct thorough initial neurodiversity consultations, clarifying presenting concerns, priorities, and individual goals in a collaborative, person-centred manner
• Complete comprehensive biopsychosocial and multidisciplinary formulations, integrating developmental history, observation, standardised assessment, and collateral information
• Produce high-quality written assessment reports that present complex clinical information clearly, accessibly, and in a strengths-based manner — suitable for individuals, families, and professional stakeholders
• Deliver clear, sensitive, and neuroaffirmative feedback sessions to individuals and families following assessment completion
• Identify and communicate relevant reasonable accommodations across educational, workplace, and community settings

Caseload and Clinical Responsibilities

• Hold a designated caseload, acting as lead practitioner and guiding clients through their assessment journey from initial consultation to post-diagnostic support
• Undertake risk screening and safeguarding assessments in line with relevant UK legislation and organisational procedures, with particular attention to children and young people
• Provide formulation-led post-diagnostic psychological support, where indicated by clinical need — this is distinct from an ongoing therapy caseload and is focused on understanding and applying assessment findings
• Liaise with external agencies including education, health, and social care services asrequired

MDT Collaboration and Service Development

• Collaborate closely with SLT and OT colleagues to ensure integrated, person-centred assessment formulations
• Support the Clinical Manager in outcomes monitoring, quality assurance, and clinical governance activities
• Contribute to service development, audit, and quality improvement as the neurodiversity service grows
• Provide consultation and, where appropriate, training on neurodiversity to families, schools, or other professionals

Requirements:

Registration and Qualification Requirements

Both of the following are mandatory for appointment to this role:

• Doctoral qualification in Psychology (Clinical, Counselling, or Educational)
• Current registration with the Health and Care Professions Council (HCPC) as a Practitioner Psychologist
• Chartered Psychologist status with the British Psychological Society (BPS)

Why both HCPC registration and BPS Chartership are required

HCPC registration is the statutory requirement for practising as a Practitioner Psychologist in the UK. BPS Chartership provides the additional professional assurance expected for the complexity of neurodiversity assessment work in this service — particularly in relation to ADOS-2 and ADI-R administration, multidisciplinary formulation, and report writing for diagnostic purposes. Both are required for appointment.

• Minimum two years of post-HCPC registration experience, including direct neurodiversity assessment experience
• Formal training and demonstrated competence in ADOS-2 administration and interpretation
• Formal training and demonstrated competence in ADI-R administration and interpretation

Essential Experience and Knowledge

Assessment Experience

• Experience conducting neurodiversity assessments across the lifespan, with awareness of age-related presentation differences
• Experience producing comprehensive neurodiversity assessment reports, including recommendations and reasonable accommodations
• Experience providing post-diagnostic feedback to individuals and families
• Experience working as part of a multidisciplinary assessment team
• Experience of biopsychosocial and systemic formulation of neurodevelopmental presentations
• Experience delivering remote or virtual assessments to children (aged seven and above) and/or adults

Clinical Knowledge

• Strong knowledge of NICE guidelines relevant to Autism (NG142, NG228) and ADHD (NG87)
• Knowledge of DSM-5 and ICD-11 diagnostic criteria for Autism and ADHD
• Knowledge of co-occurring conditions (anxiety, learning disabilities, developmental trauma) and their interaction with neurodevelopmental presentations
• Knowledge of reasonable adjustments legislation (Equality Act 2010) and application in educational and workplace settings
• Knowledge of safeguarding and risk frameworks relevant to children, young people, and adults in the UK

Desirable

• Experience assessing combined AuDHD presentations
• Experience adapting assessments for individuals with co-occurring intellectual disabilities, sensory needs, or complex communication profiles
• Experience providing clinical supervision to more junior staff
• Knowledge of SpLD frameworks (dyslexia, dyspraxia/DCD) and their interaction with neurodevelopmental conditions
• Experience working across NHS and independent sector pathways
• Experience contributing to service development, audit, or quality improvement

What We Offer

Clinical environment — what you can rely on

Monthly individual supervision from a specialist neurodiversity clinician. Regular MDT formulation meetings. Peer consultation and shared learning across the psychology team. Clinical governance and safeguarding support. Full training on remote assessment protocols and digital platforms before your first case.

• Competitive salary, dependent on experience
• 32 hours per week permanent contract — working pattern agreed at offer stage
• Fully remote — work from anywhere in the UK
• 25 days annual leave
• CPD funding and access to specialist training, including support to maintain and develop ADOS-2 and ADI-R competencies
• The opportunity to practise in a genuinely neuroaffirmative service and contribute to meaningful change in how neurodiversity is understood and supported
• The chance to shape a growing, digital-first neurodiversity service from an early stage
• Access to Spectrum.Life’s own 24/7 EAP and full wellbeing support platform
• An extensive perks and benefits package

Job Types: Part-time, Permanent

Expected hours: 24 – 32 per week

Benefits:

• Bereavement leave
• Casual dress
• Company pension
• Discounted or free food
• Employee discount
• Free fitness classes
• Gym membership
• Health & wellbeing programme
• Private medical insurance
• Referral programme
• Sabbatical
• Sick pay
• Work from home

Work Location: Remote