Autism Assessor; Adult Assessments

Harley Street Mental Health

Harley Street Mental Health (HSMH) is a clinician‑led independent service providing high‑quality neurodevelopmental assessments and mental health care for adults across the UK. We deliver Adult Autism diagnostic assessments via the NHS Right to Choose pathway, combining robust clinical governance with a patient‑centred, neuro‑affirming approach.

Adult Autism Assessor (Remote / Leeds In‑Person)

Remote assessments (UK‑based clinicians) or Leeds clinic (in‑person assessments). Hybrid options may be available depending on availability and service need.

Sessional / self‑employed / subcontractor (to be confirmed based on profession and arrangement)

Competitive rates of pay (per assessment / per session) – details shared on application.

Main duties of the job

• Conduct gold‑standard adult autism assessments, including detailed clinical interview, neurodevelopmental history, collateral history and structured observation (e.g. ADOS‑2 Module 4 or an appropriate documented alternative).
• Review and interpret pre‑assessment questionnaires and psychometrics, including RAADS‑R, CAT‑Q, AQ‑50 and other relevant measures.
• Formulate and document a clear diagnostic outcome using recognised diagnostic frameworks (DSM/ICD as applicable), including differential diagnosis considerations.
• Produce timely, detailed and defensible assessment reports that meet HSMH quality standards.
• Provide a professional, sensitive feedback session, including psychoeducation, signposting and reasonable adjustment recommendations.
• Work in line with clinical governance, safeguarding requirements, information governance/GDPR and professional codes of conduct.
• Liaise appropriately with GPs and other professionals (with consent) and contribute to MDT discussion where clinically indicated.
• Maintain accurate clinical records and adhere to agreed turnaround times and pathways.

Harley Street Mental Health is a clinician‑led independent service providing high‑quality neurodevelopmental assessments and mental health care for adults across the UK. Our aim is to bring Harley Street level clinical care and professionalism to NHS patients, without compromising on thoroughness, clarity, or compassion.

• Appropriate professional qualification and current registration to practise within scope (HCPC registered Clinical Psychologist or Counselling Psychologist; GMC registered Specialty Doctor; NMC registered Nurse with relevant competence in adult autism assessment).
• ADAS‑2 Module 4 training (and current competence administering/scoring).
• Training/competence in additional structured autism assessments (e.g. ADI‑R, DISCO, 3
  
  Di or equivalent).

• Demonstrable experience independently completing adult autism diagnostic assessments end‑to‑end (history, formulation, outcome, feedback, report).
• Confidence interpreting and integrating screening tools into clinical reasoning, including RAADS‑R, CAT‑Q, AQ‑50.
• Ability to make and document clinically meaningful observations relevant to autism diagnosis (e.g. ADOS‑2 Module 4 or an agreed alternative observational approach).
• Experience working with complexity and differential diagnosis, including common co‑occurring presentations (e.g. ADHD, anxiety disorders, OCD, PTSD/trauma presentations, depression, personality factors, learning disability).
• Recent, regular delivery of adult autism assessments (i.e. maintaining skills through ongoing clinical practice).
• Experience with in NHS or NHS‑commissioned pathways, including Right to Choose.
• Experience assessing adults with high masking/camouflaging and/or later‑life identification.
• Experience working with culturally and linguistically diverse populations and adapting assessment approach appropriately.

• Registration with an appropriate professional body and eligibility to practise within scope.
• Demonstrable experience completing adult autism assessments with confidence leading the process independently.
• Strong working knowledge of autism presentations in adults, including masking/camouflaging and the impact of co‑morbidity.
• Competence interpreting…