Job summary
Are you a motivated, experienced addictions nurse with an in-depth knowledge or passion to learn about addictions and community detox?
An exciting opportunity to work within a a dynamic and innovative specialist addiction team with a focus on community alcohol/opioid detox.
Addictions nurses are pushing the boundaries of nursing skills and have exciting opportunities for training in Fibro scan, venepuncture, smoking cessation, blood Bourne virus and much more.
To work in a therapeutic, client-centred way and use a range of evidence-based interventions to help promote recovery through individual or joint working with other professionals
The statutory requirement to be fully Covid-19 vaccinated as a condition of deployment from April 2022 is subject to legislative review. The successful applicant may have contact with patients or service users and we will therefore be seeking proof of vaccination or medical exemption during the recruitment process.As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings
Main duties of the job
The post-holder will need to be a Registered Mental Health Nurse(RMN) who will be able to manage a caseload across the numbers of GP surgeries on the scheme and responsible for the delivery of high standards of nursing care. The Band 6 nurse will be expected to be able to assess and manage substance misusing clients by applying the concepts of harm minimisation approaches, relapse prevention, motivational Interviewing, detoxification programmes according to their clinical needs, and in accordance with up-to-date evidence-based practice and relevant Trust clinical protocol and policies.
About us
The Addictions Directorate with CNWL Foundation Trust is a large, well-established provider which offers a wide range of specialist NHS drug and alcohol treatment interventions to the diverse and multicultural populations in Central and North West London. Our drug and alcohol services include community services, A&Eliaison services, Peripatetic nurses, Family Therapy, a National Problem Gambling Service and a Club Drug Clinic.
Our substance misuse services are dedicated to helping reduce the harm caused by substance misuse dependency; helping people overcome their dependency on substances and helping clients and their families rebuild their lives and enable recovery. We are committed to working in partnership with other providers andservice users in local systems of treatment and recovery.
We are a forward facing trust who believes in training and development of nursesskills and can prioritise supporting prospective applicants to learn new skills in working with providing service users addictions support. We have ample opportunities to gain a greater understanding of essential skills underpinning clinical practice such as motivational interviewing techniques, relapse management and clinical specialist skills such venepuncture, ECG, dry blood spot testing and fibro scan training.
Job description
Job responsibilities
Clinical Duties: To work as a member of the multidisciplinary team in the management andtreatment provision of the specialist service to people with problematic use ofnovel psychoactive substances with associated problem drink and drug useattending the service/unit, including harm minimisation approaches,motivational interviewing, relapse prevention, care planning, individualintervention, health assessments and education and detoxificationprogrammes, pre and post test BBVs counselling and vaccination and groupwork. To assess continuously the psychological, emotional, social and rehabilitativeneeds of own clients/patients, taking into account the needs of family, localcommunity and developing systematic plans for care and evaluation oftreatment plans. To be able to assess and case manage clients who inject drugs, in particularassessing injection sites and be conversant with the precepts of harmminimisation. To provide case management and direct clinical care to a defined number ofcomplex clients including clients dual diagnosed with mental health andphysical health issues, concurrent with substance misuse problems, asagreed with the Service Manager. This includes assessment, care planningand providing specialist nursing care. To use agreed and established Outcome Monitoring Tools (TOP) and anyother relevant quality measures. To contribute to the development, provision and review of care plans. To manage the transfer of individuals between agencies and services. To counsel individuals about their substance use and related behaviours,using motivational interviewing, relapse management and other evidencebased interventions, To provide clinical advice and support to other colleagues within the healthcare setting and to other agencies concerned with substance misuse. To be responsible for the safe and effective storage and administration ofdrugs, exercising responsibility for the custody and maintenance of statutoryrecords of such drugs in accordance with the Trust Policies/Procedures on thesupply and carriage of drugs in the community To ensure full risk assessments and risk management is delivered effectively. To undertake dry blood spot testing for BBV and urinalysis when required To screen clients at risk of, or affected by, blood borne diseases and to planand agree service responses according to needs. To provide education and to assertively promote Hepatitis B vaccination forclients who are at risk of contracting the virus. To administer Hepatitis B vaccination in accordance with CNWL MedicinePolicies and Protocols. To provide pre and post test discussion to clients screened for blood borneviruses in accordance with CNWL guidelines. To ensure the CNWL Hepatitis care plan is used for all clients. To actively promote attendance at the hepatology clinic for clients affected byliver disease. To collaborate with the individual Statutory, Non-Statutory teams, GPs,Primary Care Services, Virology, Chemical Pathology and Liver/Gastroenterology Departments, and provide expert care without directmedical supervision, using clinical guidance documents and patient groupdirections as agreed by the Trust. To assist in the transfer of individuals between the service andHepatology/Gastroenterology and other relevant agencies To be familiar with the Trust and local Resuscitation, Infection Control andNeedle Stick Injury Policies and Procedures. To attend mandatory yearly updates on CPR and Anaphylaxis training. To ensure an understanding and implementation of clinical governance The post holder will work within CNWLs Child Protection Policy and inpartnership within all agencies responsible for ensuring compliance with thelocal Safeguarding Childrens Board working practices. To prepare reports and attend client meetings such as professional net workmeetings, Child Protection Case Conferences and Core Group meetings asrequired. To plan and agree service responses which meet the individual need andcircumstances of clients at risk of, or affected by, substance misuse duringpregnancy. To recognise the professional duty of care to protect where clients present arisk to themselves or others, and comply with statutory requirementsregarding Safeguarding Children, Child Protection including the Children Act1989 and Hidden Harm guidelines. To assess risk behaviours of clients, provide information and implications ofany risks identified on health and social well being and work with clients toaddress and modify risk behaviours to promote positive changes.
Job description
Job responsibilities
Clinical Duties: To work as a member of the multidisciplinary team in the management andtreatment provision of the specialist service to people with problematic use ofnovel psychoactive substances with associated problem drink and drug useattending the service/unit, including harm minimisation approaches,motivational interviewing, relapse prevention, care planning, individualintervention, health assessments and education and detoxificationprogrammes, pre and post test BBVs counselling and vaccination and groupwork. To assess continuously the psychological, emotional, social and rehabilitativeneeds of own clients/patients, taking into account the needs of family, localcommunity and developing systematic plans for care and evaluation oftreatment plans. To be able to assess and case manage clients who inject drugs, in particularassessing injection sites and be conversant with the precepts of harmminimisation. To provide case management and direct clinical care to a defined number ofcomplex clients including clients dual diagnosed with mental health andphysical health issues, concurrent with substance misuse problems, asagreed with the Service Manager. This includes assessment, care planningand providing specialist nursing care. To use agreed and established Outcome Monitoring Tools (TOP) and anyother relevant quality measures. To contribute to the development, provision and review of care plans. To manage the transfer of individuals between agencies and services. To counsel individuals about their substance use and related behaviours,using motivational interviewing, relapse management and other evidencebased interventions, To provide clinical advice and support to other colleagues within the healthcare setting and to other agencies concerned with substance misuse. To be responsible for the safe and effective storage and administration ofdrugs, exercising responsibility for the custody and maintenance of statutoryrecords of such drugs in accordance with the Trust Policies/Procedures on thesupply and carriage of drugs in the community To ensure full risk assessments and risk management is delivered effectively. To undertake dry blood spot testing for BBV and urinalysis when required To screen clients at risk of, or affected by, blood borne diseases and to planand agree service responses according to needs. To provide education and to assertively promote Hepatitis B vaccination forclients who are at risk of contracting the virus. To administer Hepatitis B vaccination in accordance with CNWL MedicinePolicies and Protocols. To provide pre and post test discussion to clients screened for blood borneviruses in accordance with CNWL guidelines. To ensure the CNWL Hepatitis care plan is used for all clients. To actively promote attendance at the hepatology clinic for clients affected byliver disease. To collaborate with the individual Statutory, Non-Statutory teams, GPs,Primary Care Services, Virology, Chemical Pathology and Liver/Gastroenterology Departments, and provide expert care without directmedical supervision, using clinical guidance documents and patient groupdirections as agreed by the Trust. To assist in the transfer of individuals between the service andHepatology/Gastroenterology and other relevant agencies To be familiar with the Trust and local Resuscitation, Infection Control andNeedle Stick Injury Policies and Procedures. To attend mandatory yearly updates on CPR and Anaphylaxis training. To ensure an understanding and implementation of clinical governance The post holder will work within CNWLs Child Protection Policy and inpartnership within all agencies responsible for ensuring compliance with thelocal Safeguarding Childrens Board working practices. To prepare reports and attend client meetings such as professional net workmeetings, Child Protection Case Conferences and Core Group meetings asrequired. To plan and agree service responses which meet the individual need andcircumstances of clients at risk of, or affected by, substance misuse duringpregnancy. To recognise the professional duty of care to protect where clients present arisk to themselves or others, and comply with statutory requirementsregarding Safeguarding Children, Child Protection including the Children Act1989 and Hidden Harm guidelines. To assess risk behaviours of clients, provide information and implications ofany risks identified on health and social well being and work with clients toaddress and modify risk behaviours to promote positive changes.
Person Specification
Education and Qualifications
Essential
- Registered Mental Health nurse Qualifications
Desirable
Previous Experience
Essential
- Experience managing a caseload in the community
- Experience of working with addictions
- Experience of working with dual diagnosis clients and those experiencing mental health issues
- Experience in Risk Management and care planning
- Experience in delivering/planning of community alcohol detox
Desirable
- Experience of working with people who use club drugs and engage in 'chemsex'
- Experience of working in and delivering services to injecting drug users
- Experience of providing counselling interventions
Skills and knowledge
Essential
- Knowledge of different treatment models and pathways in substance misuse
- Able to build constructive relationships with warmth and empathy, using good communication skills
- An understanding of safeguarding issues in relation to adults and children
- Good verbal, written and presentation skills.
- Good interpersonal skills
- Ability to work independently and to prioritise effectively
- Experience of working within a multi-disciplinary team.
- Ability to work within a harm minimisation model
- Motivational Interviewing skills / Relapse Management skills
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person.
- IT literate
Desirable
- Knowledge of prescribing issues in a drug service
Attitudes, aptitudes, personal characteristics
Essential
- Non-judgemental
- Able to engage in frank discussions with clients about intimate and sexual topics
- Committed to multidisciplinary team work
- Committed to Service User involvement
- 5.Flexible & responsive to a must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job developing service
Person Specification
Education and Qualifications
Essential
- Registered Mental Health nurse Qualifications
Desirable
Previous Experience
Essential
- Experience managing a caseload in the community
- Experience of working with addictions
- Experience of working with dual diagnosis clients and those experiencing mental health issues
- Experience in Risk Management and care planning
- Experience in delivering/planning of community alcohol detox
Desirable
- Experience of working with people who use club drugs and engage in 'chemsex'
- Experience of working in and delivering services to injecting drug users
- Experience of providing counselling interventions
Skills and knowledge
Essential
- Knowledge of different treatment models and pathways in substance misuse
- Able to build constructive relationships with warmth and empathy, using good communication skills
- An understanding of safeguarding issues in relation to adults and children
- Good verbal, written and presentation skills.
- Good interpersonal skills
- Ability to work independently and to prioritise effectively
- Experience of working within a multi-disciplinary team.
- Ability to work within a harm minimisation model
- Motivational Interviewing skills / Relapse Management skills
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person.
- IT literate
Desirable
- Knowledge of prescribing issues in a drug service
Attitudes, aptitudes, personal characteristics
Essential
- Non-judgemental
- Able to engage in frank discussions with clients about intimate and sexual topics
- Committed to multidisciplinary team work
- Committed to Service User involvement
- 5.Flexible & responsive to a must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job developing service
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
