Community Substance Use Nurse (RAPS) - Western Bay
Kaleidoscope Project
This job is now closed
Job summary
Cardiff RAPS (Rapid Access Prescribing) is commissioned by the Cardiff & Vale Substance Misuse Area Planning Board with the support of Dyfodol contract management and South Wales Police and Crime Commissioner. Cardiff RAPS provides opiate substitute treatment including the option of Buvidal (long acting buprenorphine injection) on behalf of Cardiff Council Multiagency Disciplinary Team for those service users experiencing entrenched homelessness.
Main duties of the job
This role is an outward facing role to engage and ensure continuity of care for vulnerable and hard to reach population groups. The successful candidate will be required to provide outreach and active solution focused treatment plans working with professionals across Cardiff Housing and homelessness services. They will be expected to provide outreach to temporary accommodation, service user residences and community centers / support hubs encouraging engagement and therapeutic compliance while addressing traditional barriers to accessing service treatment.
About us
Working for Kaleidoscope will not only offer you a challenging role where you will make a real difference to peoples lives, but will also give you development opportunities, a good benefits package and the chance to join our expanding team.
Kaleidoscope Project is a pioneering substance misuse treatment provider, across the whole of Wales, Greater London, Shropshire and the North West of England. We offer evidence based treatment and holistic support to individuals who access our services.
We are a forward looking organisation, passionate about developing services and listening to service users needs, which is at the heart of what we do. Our achievements include initiating the first needle syringe exchange, on site methadone dispensing and setting social enterprises. Kaleidoscope understands that, through listening to people, we will continue to be both an innovative service provider and one that campaigns for the interests of those seeking help.
Date posted
09 May 2023
Pay scheme
Other
Salary
£32,500 to £34,500 a year
Contract
Permanent
Working pattern
Full-time
Reference number
B0015-23-0006
Job locations
Bute Terrace
Cardiff
CF10 2FE
Job description
Job responsibilities
Background and Service
Kaleidoscope is a pioneering substance misuse treatment provider, offering evidence based treatment and holistic support to individuals who access its services. Staff teams work collaboratively with partner agencies including G4S, Local Health Board, South Wales Police, HMPPS (Her Majesties Prison and Probation Service), PHW (Public Health Wales), Cardiff & Vale Area Planning Board (APB) and other third sector support agencies.
Clinical services include substitute prescribing for opiate dependence, harm reduction initiatives including the provision of take home Naloxone; family planning and sexual health screening; Blood Born Virus testing and referral on to specialist support.
Service users will be offered a full range of support in order to assist them in overcoming their substance misuse. Treatment will be individualised via personal recovery care planning and regular clinical assessment and reviews, and will seek to support service users to address their substance misuse as well as to raise motivation to address wider social and health issues.
Substance Misuse Nurses will deliver services in line with Welsh Government Treatment Frameworks, NICE guidance (National Institute for Health and Clinical Excellence), and other relevant professional standards and legislation. Kaleidoscope staff are expected to follow Operational Policies and Standard Operating Procedures (SOPs), ensuring that the care and treatment provided is safe, undertaken to a high standard and informed by up-to-date, evidence-based practice.
The post holder should enjoy face-to-face contact with people who have recognised that their use of substances has become problematic. S/he will have excellent communication skills, be able to work as part of a multidisciplinary team, across agency cultures including those within statutory, private and voluntary sector partnerships. The post holder must be flexible and efficient within small locality teams, to ensure services are delivered equitably and with the service user at the heart of delivery.
S/he will have a non-judgmental approach to people who have substance misuse problems and be able to provide a welcoming and accessible service to existing and potential service users.
Individual supervision will be provided six weekly in line with Kaleidoscope policy. Additional clinical support will be provided via peer supervision and review groups. Specific training will be available for the development of service provision in line with Continued Professional Development.
Cardiff RAPS (Rapid Access Prescribing) is commissioned by the Cardiff & Vale Substance Misuse Area Planning Board to facilitate substitute opiate prescribing places including the option of Buvidal (long acting buprenorphine injection) on behalf of Cardiff Council MDT (Multiagency Disciplinary Team) for those service users experiencing entrenched homelessness within Cardiff.
The post holder will be expected to work as part of a larger substance misuse multiagency team, supporting on site dispensing of methadone and outreach delivery of buprenorphine and also attending Multiagency / Multidisciplinary housing options and homelessness care planning meetings at various community sites. Further information on the work of Cardiff MDT and Buvidal as a treatment option please see the links below.
https://www.cardiff.gov.uk/ENG/resident/Housing/Homeless-or-at-risk/Homelessness-Strategy/Documents/ENGLISH%20Cardiff%20Homelessness%20Strategy%202018_2022.pdf
https://cardiff.moderngov.co.uk/documents/s27153/hostel%20and%20support%20services.pdf
https://www.kaleidoscopeproject.org.uk/news/what-is-buvidal-and-is-it-right-for-you/
The post forms part of a wider delivery team within Dyfodol (South Wales Integrated Offender Management Service). Dyfodol delivers substance misuse services to those within the criminal justice system. Dyfodol is commissioned by the South Wales Police Crime Commissioner (SW PCC) and Her Majesties Prison and Probation Services (HMPPS).
This role is an outward facing role to engage and ensure continuity of care for vulnerable and hard to reach population group. The successful candidate will be required to provide outreach and active solution focused treatment plans working with professionals across Cardiff Housing and homelessness services. They will be expected to provide outreach to temporary accommodation, service user residences and community centers / support hubs encouraging engagement and therapeutic compliance while addressing traditional barriers to accessing service treatment.
The post holder will be expected to work in line with the Social Services and Well Being (Wales Act) 2014, and the Violence Against Women Domestic Abuse and Sexual Violence (Wales) Act 2015 to ensure safeguarding of individuals (adult and children) is at the heart of service delivery. A good understanding of confidentiality and information sharing legislation is required with the confidence to act professionally and seek guidance and support from line management and colleagues where appropriate.
Our Values:
The successful candidate will be expected to adhere to and embody our organisational values of Integrity, Engagement, Excellence and Innovation in their day to day activities working towards the organisational strategic objectives as part of a wider team.
Key duties
The Substance Misuse Nurse will:
Deliver onsite dispensing of substitute opiate medication and provide support for service users accessing community pharmacies when required.
Follow Controlled Drug Policies and Procedures
Provide advice, information and guidance on the management of substance misuse to clients engaged with services.
Undertake comprehensive clinical assessments
Agree treatment plans with clients, and review them regularly
Undertake drug screening
Ensure case notes and other statutory records are up to date and kept in accordance with Kaleidoscope policies and procedures / regional information sharing protocols
Deliver clinical interventions, including HCV testing, HBV immunisation and naloxone training/administration where appropriate and in partnership with LHB and PHW colleagues.
Liaise with Community Pharmacies to ensure prescriptions are in place and monitored appropriately.
Provide advice, support and training to GPs, pharmacists and other professionals where appropriate.
Participate in clinical audits and service reviews.
Facilitate the transfer of clients from secondary to primary care services, and lead with referrals / liaison with Community Mental Health Teams (CMHTs) and other community substance misuse treatment providers on leaving the criminal justice system.
Actively encourage service user involvement and feedback and ensure views are considered in informing the development of the service.
Collate and enter data electronically, and contribute to service reports
Professional Development
Maintain and develop personal expertise and knowledge by reading, networking and further training in order to develop professional competence and to contribute to the development of competence within the team
Help with the induction and orientation of new staff, volunteers and students
Where relevant, develop and maintain the competencies needed to undertake the role of Substance Misuse Nurse.
Ensure professional development by seeking regular supervision and annual appraisals.
Effectively manage own time and prioritise workload, maintaining own administration and accurate personal records regarding travel, diary appointments, TOIL, and expenses incurred.
Be accountable and responsible for own professional practice, operating in line with professional code of conduct and within organisational policy and procedures.
Service Development
Ensure a high quality service is delivered in line with the service specification and regional delivery plans.
Contribute to the delivery of internal teaching and training programmes
Work collaboratively with colleagues to further develop the service
This post has been identified as requiring the post holder to provide evidence of BBV immunisation status in order to carry out the role effectively. The role may require the post hold to undertake Dry Blood Spot Testing/ Substance Misuse Testing/ Working in Needle Exchange or is a clinical role and therefore Kaleidoscope wishes to ensure that staff are not at risk of infection or transmission of a disease that may affect their own or patient safety. Staff will therefore need to evidence their immunisation history, exemption or non-responder on commencement of employment or at routine intervals at the request of the Organisation
Job description
Job responsibilities
Background and Service
Kaleidoscope is a pioneering substance misuse treatment provider, offering evidence based treatment and holistic support to individuals who access its services. Staff teams work collaboratively with partner agencies including G4S, Local Health Board, South Wales Police, HMPPS (Her Majesties Prison and Probation Service), PHW (Public Health Wales), Cardiff & Vale Area Planning Board (APB) and other third sector support agencies.
Clinical services include substitute prescribing for opiate dependence, harm reduction initiatives including the provision of take home Naloxone; family planning and sexual health screening; Blood Born Virus testing and referral on to specialist support.
Service users will be offered a full range of support in order to assist them in overcoming their substance misuse. Treatment will be individualised via personal recovery care planning and regular clinical assessment and reviews, and will seek to support service users to address their substance misuse as well as to raise motivation to address wider social and health issues.
Substance Misuse Nurses will deliver services in line with Welsh Government Treatment Frameworks, NICE guidance (National Institute for Health and Clinical Excellence), and other relevant professional standards and legislation. Kaleidoscope staff are expected to follow Operational Policies and Standard Operating Procedures (SOPs), ensuring that the care and treatment provided is safe, undertaken to a high standard and informed by up-to-date, evidence-based practice.
The post holder should enjoy face-to-face contact with people who have recognised that their use of substances has become problematic. S/he will have excellent communication skills, be able to work as part of a multidisciplinary team, across agency cultures including those within statutory, private and voluntary sector partnerships. The post holder must be flexible and efficient within small locality teams, to ensure services are delivered equitably and with the service user at the heart of delivery.
S/he will have a non-judgmental approach to people who have substance misuse problems and be able to provide a welcoming and accessible service to existing and potential service users.
Individual supervision will be provided six weekly in line with Kaleidoscope policy. Additional clinical support will be provided via peer supervision and review groups. Specific training will be available for the development of service provision in line with Continued Professional Development.
Cardiff RAPS (Rapid Access Prescribing) is commissioned by the Cardiff & Vale Substance Misuse Area Planning Board to facilitate substitute opiate prescribing places including the option of Buvidal (long acting buprenorphine injection) on behalf of Cardiff Council MDT (Multiagency Disciplinary Team) for those service users experiencing entrenched homelessness within Cardiff.
The post holder will be expected to work as part of a larger substance misuse multiagency team, supporting on site dispensing of methadone and outreach delivery of buprenorphine and also attending Multiagency / Multidisciplinary housing options and homelessness care planning meetings at various community sites. Further information on the work of Cardiff MDT and Buvidal as a treatment option please see the links below.
https://www.cardiff.gov.uk/ENG/resident/Housing/Homeless-or-at-risk/Homelessness-Strategy/Documents/ENGLISH%20Cardiff%20Homelessness%20Strategy%202018_2022.pdf
https://cardiff.moderngov.co.uk/documents/s27153/hostel%20and%20support%20services.pdf
https://www.kaleidoscopeproject.org.uk/news/what-is-buvidal-and-is-it-right-for-you/
The post forms part of a wider delivery team within Dyfodol (South Wales Integrated Offender Management Service). Dyfodol delivers substance misuse services to those within the criminal justice system. Dyfodol is commissioned by the South Wales Police Crime Commissioner (SW PCC) and Her Majesties Prison and Probation Services (HMPPS).
This role is an outward facing role to engage and ensure continuity of care for vulnerable and hard to reach population group. The successful candidate will be required to provide outreach and active solution focused treatment plans working with professionals across Cardiff Housing and homelessness services. They will be expected to provide outreach to temporary accommodation, service user residences and community centers / support hubs encouraging engagement and therapeutic compliance while addressing traditional barriers to accessing service treatment.
The post holder will be expected to work in line with the Social Services and Well Being (Wales Act) 2014, and the Violence Against Women Domestic Abuse and Sexual Violence (Wales) Act 2015 to ensure safeguarding of individuals (adult and children) is at the heart of service delivery. A good understanding of confidentiality and information sharing legislation is required with the confidence to act professionally and seek guidance and support from line management and colleagues where appropriate.
Our Values:
The successful candidate will be expected to adhere to and embody our organisational values of Integrity, Engagement, Excellence and Innovation in their day to day activities working towards the organisational strategic objectives as part of a wider team.
Key duties
The Substance Misuse Nurse will:
Deliver onsite dispensing of substitute opiate medication and provide support for service users accessing community pharmacies when required.
Follow Controlled Drug Policies and Procedures
Provide advice, information and guidance on the management of substance misuse to clients engaged with services.
Undertake comprehensive clinical assessments
Agree treatment plans with clients, and review them regularly
Undertake drug screening
Ensure case notes and other statutory records are up to date and kept in accordance with Kaleidoscope policies and procedures / regional information sharing protocols
Deliver clinical interventions, including HCV testing, HBV immunisation and naloxone training/administration where appropriate and in partnership with LHB and PHW colleagues.
Liaise with Community Pharmacies to ensure prescriptions are in place and monitored appropriately.
Provide advice, support and training to GPs, pharmacists and other professionals where appropriate.
Participate in clinical audits and service reviews.
Facilitate the transfer of clients from secondary to primary care services, and lead with referrals / liaison with Community Mental Health Teams (CMHTs) and other community substance misuse treatment providers on leaving the criminal justice system.
Actively encourage service user involvement and feedback and ensure views are considered in informing the development of the service.
Collate and enter data electronically, and contribute to service reports
Professional Development
Maintain and develop personal expertise and knowledge by reading, networking and further training in order to develop professional competence and to contribute to the development of competence within the team
Help with the induction and orientation of new staff, volunteers and students
Where relevant, develop and maintain the competencies needed to undertake the role of Substance Misuse Nurse.
Ensure professional development by seeking regular supervision and annual appraisals.
Effectively manage own time and prioritise workload, maintaining own administration and accurate personal records regarding travel, diary appointments, TOIL, and expenses incurred.
Be accountable and responsible for own professional practice, operating in line with professional code of conduct and within organisational policy and procedures.
Service Development
Ensure a high quality service is delivered in line with the service specification and regional delivery plans.
Contribute to the delivery of internal teaching and training programmes
Work collaboratively with colleagues to further develop the service
This post has been identified as requiring the post holder to provide evidence of BBV immunisation status in order to carry out the role effectively. The role may require the post hold to undertake Dry Blood Spot Testing/ Substance Misuse Testing/ Working in Needle Exchange or is a clinical role and therefore Kaleidoscope wishes to ensure that staff are not at risk of infection or transmission of a disease that may affect their own or patient safety. Staff will therefore need to evidence their immunisation history, exemption or non-responder on commencement of employment or at routine intervals at the request of the Organisation
Person Specification
Qualifications
Essential
- RGN/RMN with valid NMC Pin.
Desirable
- One year post-registration experience in Substance Misuse
- Independent/supplementary nurse prescribing qualification
- Training in Anaphylaxis and BBV
- Relevant training in Phlebotomy
- Relevant specialist qualification in alcohol screening and brief advice and substance misuse treatment.
Experience
Essential
- Excellent care co-ordination skills, with experience in undertaking comprehensive clinical assessment, care-planning and treatment reviews with people who have diverse and complex needs.
- Experience and knowledge of working with substance misusers.
- Experience of using electronic case management / clinical notes recording system. E.g. PalBase / PARIS/ DELIUS
Desirable
- Experience of treating individuals requiring alcohol detoxification.
- Experience of developing and maintaining successful partnerships with GPs, treatment agencies and other healthcare providers.
- Experience in undertaking clinical audits.
- Experience of delivering outreach and engagement model of treatment and care.
- Knowledge of housing options pathways and experience of working with individuals at risk of homelessness.
Person Specification
Qualifications
Essential
- RGN/RMN with valid NMC Pin.
Desirable
- One year post-registration experience in Substance Misuse
- Independent/supplementary nurse prescribing qualification
- Training in Anaphylaxis and BBV
- Relevant training in Phlebotomy
- Relevant specialist qualification in alcohol screening and brief advice and substance misuse treatment.
Experience
Essential
- Excellent care co-ordination skills, with experience in undertaking comprehensive clinical assessment, care-planning and treatment reviews with people who have diverse and complex needs.
- Experience and knowledge of working with substance misusers.
- Experience of using electronic case management / clinical notes recording system. E.g. PalBase / PARIS/ DELIUS
Desirable
- Experience of treating individuals requiring alcohol detoxification.
- Experience of developing and maintaining successful partnerships with GPs, treatment agencies and other healthcare providers.
- Experience in undertaking clinical audits.
- Experience of delivering outreach and engagement model of treatment and care.
- Knowledge of housing options pathways and experience of working with individuals at risk of homelessness.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Kaleidoscope Project
Address
Bute Terrace
Cardiff
CF10 2FE
Employer's website
https://www.kaleidoscopeproject.org.uk/ (Opens in a new tab)
Employer details
Employer name
Kaleidoscope Project
Address
Bute Terrace
Cardiff
CF10 2FE
Employer's website
https://www.kaleidoscopeproject.org.uk/ (Opens in a new tab)
For questions about the job, contact:
Date posted
09 May 2023
Pay scheme
Other
Salary
£32,500 to £34,500 a year
Contract
Permanent
Working pattern
Full-time
Reference number
B0015-23-0006
Job locations
Bute Terrace
Cardiff
CF10 2FE