Central and North West London NHS Foundation Trust

Dual Diagnosis Practitioner/Senior recovery worker

Information:

This job is now closed

Job summary

To be an active member of the multidisciplinary team at the NPGC and to undertake or provide triage, assessments, time-limited interventions, treatment and individually tailored care packages and to carry a defined caseload in relation to adults and some young people, and their families/carers, who have issues with gambling addiction or who otherwise require intervention or input from our service.

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.

To work in close liaison with GP's and a range of other professionals to provide a seamless service for our clients.

Main duties of the job

The postholder will be based at the National Problem Gambling Clinic at 69 Warwick Road SW5, but may also work remotely according to service needs. Some evening work/flexible hours may be a requirement of this role.

The post holder holds responsibility for providing effective day to day care and management to clients in Phase One of treatment at the NPGC. The post holder will be responsible for assessment, referral management and sign-posting on behalf of clients with more complex mental health. The post holder will offer short term interventions to support this client group. Some of the post holders working time will be spent liaising with GP practices and other related professionals involved in clients care.

About us

The Addictions Directorate within CNWL Foundation Trust is a large, well-established provider which offers a wide range of specialist NHS drug alcohol and behavioural treatment interventions to the diverse and multicultural populations in Central and North West London. Our drug and alcohol services include community services, A&E liaison services, Peripatetic nurses, Family Therapy, a National Problem Gambling Clinic and a Club Drug Clinic.

Our substance misuse services are dedicated to helping reduce the harm caused bysubstance misuse dependency;helping people overcome their dependency on substances and helpingclients and their familiesrebuild their lives and enable recovery.We arecommitted to working in partnership with other providers and service users in local systems of treatment and recovery.

CNWLis committed to providing high quality, evidence-based treatment options and is a learning organisation which promotes staff competence and training and valuesclinical governance, audit and research. We are linked with Imperial College, University of London and are committed to evaluating our services and developing new and innovative approaches.

The successful applicant may have contact with patients or service users. 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.

Details

Date posted

21 November 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,471 to £50,364 a year per annum inc. Inner HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

333-D-AD-0442

Job locations

National Problem Gambling Clinic

69 Warwick Road

London

SW5 9HB


Job description

Job responsibilities

Clinical Duties:

  • To work collaboratively as a member of the multidisciplinary team in the management and treatment provision of the specialist service to adults and young people with gambling disorder. To provide interventions including motivational interviewing, care planning, case management, individual intervention, health assessments and education
  • To liaise proactively with other services, agencies and providers to support client care, safeguarding, risk management and care planning
  • To assess continuously the psychological, emotional, social and rehabilitative needs of own clients/patients, taking into account the needs of family, local community and developing systematic plans for care and evaluation of treatment plans
  • To be able to assess and case manage clients with co-occurring mental health diagnoses and to liaise or refer on to relevant services as required
  • To be able to assess clients who use drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation
  • To provide case management and direct clinical care to a defined number of complex clients including clients dual diagnosed with mental health, substance misuse or physical health issues, concurrent with gambling disorder, as agreed with the Service Manager. This includes assessment, care planning and providing specialist nursing care
  • To provide support and advice to multi-disciplinary colleagues as required
  • To use agreed and established Outcome Monitoring Tools and any other relevant quality measures
  • To upload assessment documentation, keep clinical notes and use the clinical system (SystmOne)
  • To contribute to the development, provision and review of risk assessments and care plans.
  • To manage the transfer of individuals between agencies and services.
  • To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with gambling disorder
  • To ensure full risk assessment and risk management is delivered effectively
  • To ensure an understanding and implementation of clinical governance
  • The post holder will work within CNWLs Child Protection Policy and in partnership within all agencies responsible for ensuring compliance with the local Safeguarding Childrens Board working practices
  • To prepare reports and attend client meetings such as professional net work meetings, Child Protection Case Conferences and Core Group meetings as required
  • To recognise the professional duty of care to protect where clients present a risk to themselves or others, and comply with statutory requirements regarding Safeguarding Children, Child Protection including the Children Act 1989 and Hidden Harm guidelines
  • To proactively assess risk behaviours of clients, provide information and implications of any risks identified on health and social well being and work with clients to address and modify risk behaviours to promote positive changes.

Management and Leadership:

  • The post holder will also be expected to act up for the Service Coordinator as and when required.
  • To contribute to the development of a culture of risk assessment and management to be delivered effectively to own sphere of responsibility and practice.
  • To represent the team/sector on both internal and external clinical and strategic planning forums and to role model a professional and leadership style.

Communication:

  • To participate in multi-disciplinary and Phase 1 meetings
  • To attend business and clinical service wide meetings and external satellite / groups as team representative, as and when required
  • To communicate and cascade disseminated information to learners and other staff being directly supervised
  • To deliver training and/or undertake sessional clinics within other CNWL Addiction services as agreed by the Service Manager as part of a rota providing training and upskilling the local services to deliver the clinic themselves
  • To deliver external training to other agencies as requested
  • To liaise and communicate clinical information with partner agencies within the strict guideline/ protocol on shared confidential information between Addictions and the named partner agencies
  • To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued
  • To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication
  • To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted
  • To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.

Data management

  • To be able to use word processing and electronic monitoring of data-based system, for which training would be available, if needed
  • To maintain thorough, accurate and up to date documentation on the SystmOne database of all client records, ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol
  • To ensure that all information requirements on KPIs are complied with for own caseload, data entered onto appropriate administration systems and submitted as required
  • To ensure that appointment documentation including attendance details and discharges are relayed to the Data Administrator.

Personal/Professional Development and Training:

  • To receive management supervision in accordance with local line management arrangements and to undertake clinical supervision as required by Trust and local policy and professional requirements
  • To complete the CNWL annual appraisal/review process and personal development plans/objectives and identify own training needs
  • To participate in training initiatives as required both within the Sector and the wider professional community.
  • To keep up to date on evidence and practice in relation to dual diagnosis and to understand the significance of CPA and case management of drug/alcohol users with mental health problems.
  • To ensure all staff you hold responsibility for, receive appropriate line management and clinical supervision in line with Trust recommendations, participate in services appraisal system and have up to date Personal Development Plans
  • To plan and implement training and skills development initiatives for staff you are responsible for.

Policy and/or Service Development:

  • To provide information to the Service Manager on service/unit performance as requested for the Addictions Senior Management Team
  • To contribute to the development of the service in line with recommendations from National Guidelines
  • To assist the Service Manager in ensuring that all Trust policies and procedures, including Serious Incident policy are fully implemented and complied with
  • To contribute to the development/evaluation of clinical policies and procedures for submission/approval by the Clinical Governance Group
  • To ensure a high quality of service is delivered by following local and national quality and performance standards, guidance, protocols, procedures and practice guidelines
  • To participate in service reviews and contribute to the production of the annual review and report

Management of Resources:

  • To be responsible for the effective management of own caseload and to keep records of economical use of time and resources, daily travel logs, diary appointments and workload priorities
  • To adhere to Addictions service data recording policies as well as gathering additional information relevant to the study
  • To be responsible for ensuring monthly contract and other data reporting activities are submitted within agreed timescales
  • To maintain accurate and up-to-date documentation of records on clients, ensuring confidentiality is not breached and disclosed only with clients consent and on a need to know basis
  • To be responsible for use of resources allocated for the purpose of the post
  • To work closely with the Service Coordinator in resource strategy and planning
  • To demonstrate responsible time management

Research and Development:

  • To participate in clinical/service audits and research, ensuring these meet recommended standards
  • To support the Service Coordinator to ensure that audit/service evaluation findings are implemented.
  • To contribute to the development of an evidenced based culture to the work as a whole, using self-reflection and continuously appraising own performance and evaluation of clinical input and to make these outcomes known to the Line Manager
  • To attend research presentations and take an active part in the team/service teaching programmes
  • To take part in clinical and consumer audit and implement resulting recommendations.

Job description

Job responsibilities

Clinical Duties:

  • To work collaboratively as a member of the multidisciplinary team in the management and treatment provision of the specialist service to adults and young people with gambling disorder. To provide interventions including motivational interviewing, care planning, case management, individual intervention, health assessments and education
  • To liaise proactively with other services, agencies and providers to support client care, safeguarding, risk management and care planning
  • To assess continuously the psychological, emotional, social and rehabilitative needs of own clients/patients, taking into account the needs of family, local community and developing systematic plans for care and evaluation of treatment plans
  • To be able to assess and case manage clients with co-occurring mental health diagnoses and to liaise or refer on to relevant services as required
  • To be able to assess clients who use drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation
  • To provide case management and direct clinical care to a defined number of complex clients including clients dual diagnosed with mental health, substance misuse or physical health issues, concurrent with gambling disorder, as agreed with the Service Manager. This includes assessment, care planning and providing specialist nursing care
  • To provide support and advice to multi-disciplinary colleagues as required
  • To use agreed and established Outcome Monitoring Tools and any other relevant quality measures
  • To upload assessment documentation, keep clinical notes and use the clinical system (SystmOne)
  • To contribute to the development, provision and review of risk assessments and care plans.
  • To manage the transfer of individuals between agencies and services.
  • To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with gambling disorder
  • To ensure full risk assessment and risk management is delivered effectively
  • To ensure an understanding and implementation of clinical governance
  • The post holder will work within CNWLs Child Protection Policy and in partnership within all agencies responsible for ensuring compliance with the local Safeguarding Childrens Board working practices
  • To prepare reports and attend client meetings such as professional net work meetings, Child Protection Case Conferences and Core Group meetings as required
  • To recognise the professional duty of care to protect where clients present a risk to themselves or others, and comply with statutory requirements regarding Safeguarding Children, Child Protection including the Children Act 1989 and Hidden Harm guidelines
  • To proactively assess risk behaviours of clients, provide information and implications of any risks identified on health and social well being and work with clients to address and modify risk behaviours to promote positive changes.

Management and Leadership:

  • The post holder will also be expected to act up for the Service Coordinator as and when required.
  • To contribute to the development of a culture of risk assessment and management to be delivered effectively to own sphere of responsibility and practice.
  • To represent the team/sector on both internal and external clinical and strategic planning forums and to role model a professional and leadership style.

Communication:

  • To participate in multi-disciplinary and Phase 1 meetings
  • To attend business and clinical service wide meetings and external satellite / groups as team representative, as and when required
  • To communicate and cascade disseminated information to learners and other staff being directly supervised
  • To deliver training and/or undertake sessional clinics within other CNWL Addiction services as agreed by the Service Manager as part of a rota providing training and upskilling the local services to deliver the clinic themselves
  • To deliver external training to other agencies as requested
  • To liaise and communicate clinical information with partner agencies within the strict guideline/ protocol on shared confidential information between Addictions and the named partner agencies
  • To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued
  • To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication
  • To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted
  • To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.

Data management

  • To be able to use word processing and electronic monitoring of data-based system, for which training would be available, if needed
  • To maintain thorough, accurate and up to date documentation on the SystmOne database of all client records, ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol
  • To ensure that all information requirements on KPIs are complied with for own caseload, data entered onto appropriate administration systems and submitted as required
  • To ensure that appointment documentation including attendance details and discharges are relayed to the Data Administrator.

Personal/Professional Development and Training:

  • To receive management supervision in accordance with local line management arrangements and to undertake clinical supervision as required by Trust and local policy and professional requirements
  • To complete the CNWL annual appraisal/review process and personal development plans/objectives and identify own training needs
  • To participate in training initiatives as required both within the Sector and the wider professional community.
  • To keep up to date on evidence and practice in relation to dual diagnosis and to understand the significance of CPA and case management of drug/alcohol users with mental health problems.
  • To ensure all staff you hold responsibility for, receive appropriate line management and clinical supervision in line with Trust recommendations, participate in services appraisal system and have up to date Personal Development Plans
  • To plan and implement training and skills development initiatives for staff you are responsible for.

Policy and/or Service Development:

  • To provide information to the Service Manager on service/unit performance as requested for the Addictions Senior Management Team
  • To contribute to the development of the service in line with recommendations from National Guidelines
  • To assist the Service Manager in ensuring that all Trust policies and procedures, including Serious Incident policy are fully implemented and complied with
  • To contribute to the development/evaluation of clinical policies and procedures for submission/approval by the Clinical Governance Group
  • To ensure a high quality of service is delivered by following local and national quality and performance standards, guidance, protocols, procedures and practice guidelines
  • To participate in service reviews and contribute to the production of the annual review and report

Management of Resources:

  • To be responsible for the effective management of own caseload and to keep records of economical use of time and resources, daily travel logs, diary appointments and workload priorities
  • To adhere to Addictions service data recording policies as well as gathering additional information relevant to the study
  • To be responsible for ensuring monthly contract and other data reporting activities are submitted within agreed timescales
  • To maintain accurate and up-to-date documentation of records on clients, ensuring confidentiality is not breached and disclosed only with clients consent and on a need to know basis
  • To be responsible for use of resources allocated for the purpose of the post
  • To work closely with the Service Coordinator in resource strategy and planning
  • To demonstrate responsible time management

Research and Development:

  • To participate in clinical/service audits and research, ensuring these meet recommended standards
  • To support the Service Coordinator to ensure that audit/service evaluation findings are implemented.
  • To contribute to the development of an evidenced based culture to the work as a whole, using self-reflection and continuously appraising own performance and evaluation of clinical input and to make these outcomes known to the Line Manager
  • To attend research presentations and take an active part in the team/service teaching programmes
  • To take part in clinical and consumer audit and implement resulting recommendations.

Person Specification

Qualifications

Essential

  • NVQ level 3 in health and social care
  • Qualification in substance Misuse/mental health/Addictions

Desirable

  • Training in Psychosocial Interventions Other relevant training, e.g. psychosocial interventions
  • Qualification in substance Misuse/mental health/Addictions.
  • Qualification in substance Misuse/mental health/Addictions.

Experience

Essential

  • Substantial experience of working in a multidisciplinary team with clients with addiction problems.
  • Experience of managing a complex caseload of clients
  • Experience of working with people experiencing mental health issues

Desirable

  • Work with clients with acute/severe and enduring mental health problems.
  • Experience of working with Gambling Disorder
  • Work with people experiencing mental health crisis
  • Supervision of students and junior staff.
  • Audit and research; Teaching
Person Specification

Qualifications

Essential

  • NVQ level 3 in health and social care
  • Qualification in substance Misuse/mental health/Addictions

Desirable

  • Training in Psychosocial Interventions Other relevant training, e.g. psychosocial interventions
  • Qualification in substance Misuse/mental health/Addictions.
  • Qualification in substance Misuse/mental health/Addictions.

Experience

Essential

  • Substantial experience of working in a multidisciplinary team with clients with addiction problems.
  • Experience of managing a complex caseload of clients
  • Experience of working with people experiencing mental health issues

Desirable

  • Work with clients with acute/severe and enduring mental health problems.
  • Experience of working with Gambling Disorder
  • Work with people experiencing mental health crisis
  • Supervision of students and junior staff.
  • Audit and research; Teaching

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.

Certificate of Sponsorship

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).

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

National Problem Gambling Clinic

69 Warwick Road

London

SW5 9HB


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

National Problem Gambling Clinic

69 Warwick Road

London

SW5 9HB


Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Service Co-ordinator

Philip Adkins

philip.adkins@nhs.net

Details

Date posted

21 November 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,471 to £50,364 a year per annum inc. Inner HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

333-D-AD-0442

Job locations

National Problem Gambling Clinic

69 Warwick Road

London

SW5 9HB


Supporting documents

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