North London NHS Foundation Trust

Non Medical Nurse prescriber

The closing date is 18 February 2026

Job summary

To work as a member of a multidisciplinary disciplinary specialist drug team, providing information, advice, assessment, caseload management, physical health checks and blood borne virus screening, vaccinations and treatment. One of the main remits of the posts is the initiation of clients onto opiate substitute medication, via observed administration in our onsite care clinic. Monitoring treatment through regular clinical reviews. Offering advice and offer dose review.

Main duties of the job

Assess opiate dependence and in conjunction with the medical team support the prescribing of evidence based opiate substitution treatments, providing person-centered, flexible care (to include stabilization, intermediate maintenance and detox regimes)
Initiate clients onto opiate substitute medication, via observed administration in our onsite care clinic and be responsible for the operational running of the clinic

Hold a caseload complex client, undertake comprehensive assessments, physical and mental health needs, social and support issues to develop clinical safe and client centered treatment plans

Delivery of a range of health interventions, including advice and information, physical health checks, BBV screening & vaccination ad support the delivery of the onsite Hepatitis C treatment clinic

To work as an effective member of the multidisciplinary team actively participating in clinical team meetings, group supervision and contributing to the yearly service development plan
To adhere to local safeguarding protocols to safeguard children and vulnerable adults, including the completion of safeguarding assessment tools, referrals to social services and producing report.
To work as a Non-Medical prescriber within agreed scope of practice.
To work effectively with partner agencies and other professional to ensure a joined-up approach to treatment and care planning

About us

North London NHS Foundation Trust (NLFT) is committed to improving mental health care across North London to deliver excellent services to our local people.

Our Five-Year Strategy:

We will provide consistently high-quality care closer to home.
With our partners in North London and each borough we will ensure equity of outcome for all
We will offer great places to work, providing staff with supportive environment to deliver outstanding care

Why NLFT?

We develop and retain our staff through leadership behaviours and managers programme and many more opportunities.
We promote flexible working and support staff with a range of health and wellbeing initiatives.
NHS Discounts, generous annual leave and NHS pension scheme
Excellent internal staff network

In order to meet the needs of the Trust you may be required from time to time to work at different locations to your normal place of work. This may mean that you are required to work at any location that fall under Barnet, Camden, Enfield, Haringey or Islington. The Trust reserves the right to require staff to work at such other places or locations as it considers reasonable and necessary on a temporary or permanent basis.

Date posted

04 February 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£56,276 to £63,176 a year Per annum including HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

455-NLFT-0635

Job locations

The Grove Drug service

09 Bruce Grove

Haringey

N17 6RA

Job description

Job responsibilities

To assess clients level of opiate dependence and level of opiate withdrawal, to manage their initiation onto methadone or buprenorphine, in conjunction with the medical team.

To carry out physical monitoring of clients undergoing methadone and buprenorphine titration, maintenance programmes, reduction and detoxification programmes.

To initiate clients onto opiate substitute medication, via observed administration in our onsite care clinic.

To undertake comprehensive assessments, physical and mental health needs, social and support issues and to present this information together with a proposed treatment plan to the multidisciplinary team. This will include clients who require prescribed medication i.e. Methadone or Buprenorphine or medication like Naltrexone.

To accurately assess the multiple needs of this complex client group, including identifying and exercising judgments relating to homelessness, drug treatment, psychological counselling, treatment plans, criminal justice system, child protection, other agencies etc.

To manage a caseload of complex clients and provide one to one key working ensuring that care and recovery planning is conducted on an individual basis according to the specific needs of the service user.

To carry out appropriate risk assessment regarding prescribing and non-prescribing interventions, and implement appropriate interventions to manage identified risks

To follow local safeguarding procedures in order to promote the safety and well-being of children and vulnerable adults.

To support the production of reports necessary for social services, courts or other external organisations.

To make home visits consistent with need and in line with Trust policies.

To provide harm reduction services, such as Needle Exchange, in line with Trust guidelines.

To support services users to become involved in local service user activities, planning and co-production

Where appropriate, to engage friends and family of the service user in their treatment, where explicit consent has been given.

To carry out urine drug screening and breath alcohol testing in order to assess safety of prescribing. To provide advice and guidance to other practitioners around safety of prescribing in relation to results.

To provide advice and guidance to practitioners on mental health and physical health issues.

To carry clinical reviews
To participate in the delivery of the primary healthcare services, including the delivery of health and wellbeing clinics

To promote the health needs of clients with complex issues, and within their sphere of competence provide interventions for these needs.

To carry out HIV and Hepatitis C testing and pre/post-test counselling.

To support the delivery of the onsite Hepatitis C treatment clinic.

To carry out Hepatitis B testing and vaccination.

To promote clinical excellence by complying with agreed Trust and statutory policies and clinical guidance, including Infection Control while maintaining own clinical competencies in this role.

To support the Clinical Governance of the service, through reporting, investigating, recommending actions and learning lessons.

To respond to and manage accidents & incidents, in line with Trust policy. This will include incident investigation and action planning.

To work in partnership with an independent medical prescriber, as a supplementary non-medical prescriber, within the designated area of practice.

As a supplementary non-medical prescriber prepare clinical management plans and prescribe only in accordance with these and within their scope of practice/competency taking full responsibility and accountability for their prescribing decisions.

Ensure that patients are aware of the scope and limits of non-medical prescribing and ensure patients understand their rights in relation to non-medical prescribing. Patients have the right to refuse treatment/prescribing from a NMP

Job description

Job responsibilities

To assess clients level of opiate dependence and level of opiate withdrawal, to manage their initiation onto methadone or buprenorphine, in conjunction with the medical team.

To carry out physical monitoring of clients undergoing methadone and buprenorphine titration, maintenance programmes, reduction and detoxification programmes.

To initiate clients onto opiate substitute medication, via observed administration in our onsite care clinic.

To undertake comprehensive assessments, physical and mental health needs, social and support issues and to present this information together with a proposed treatment plan to the multidisciplinary team. This will include clients who require prescribed medication i.e. Methadone or Buprenorphine or medication like Naltrexone.

To accurately assess the multiple needs of this complex client group, including identifying and exercising judgments relating to homelessness, drug treatment, psychological counselling, treatment plans, criminal justice system, child protection, other agencies etc.

To manage a caseload of complex clients and provide one to one key working ensuring that care and recovery planning is conducted on an individual basis according to the specific needs of the service user.

To carry out appropriate risk assessment regarding prescribing and non-prescribing interventions, and implement appropriate interventions to manage identified risks

To follow local safeguarding procedures in order to promote the safety and well-being of children and vulnerable adults.

To support the production of reports necessary for social services, courts or other external organisations.

To make home visits consistent with need and in line with Trust policies.

To provide harm reduction services, such as Needle Exchange, in line with Trust guidelines.

To support services users to become involved in local service user activities, planning and co-production

Where appropriate, to engage friends and family of the service user in their treatment, where explicit consent has been given.

To carry out urine drug screening and breath alcohol testing in order to assess safety of prescribing. To provide advice and guidance to other practitioners around safety of prescribing in relation to results.

To provide advice and guidance to practitioners on mental health and physical health issues.

To carry clinical reviews
To participate in the delivery of the primary healthcare services, including the delivery of health and wellbeing clinics

To promote the health needs of clients with complex issues, and within their sphere of competence provide interventions for these needs.

To carry out HIV and Hepatitis C testing and pre/post-test counselling.

To support the delivery of the onsite Hepatitis C treatment clinic.

To carry out Hepatitis B testing and vaccination.

To promote clinical excellence by complying with agreed Trust and statutory policies and clinical guidance, including Infection Control while maintaining own clinical competencies in this role.

To support the Clinical Governance of the service, through reporting, investigating, recommending actions and learning lessons.

To respond to and manage accidents & incidents, in line with Trust policy. This will include incident investigation and action planning.

To work in partnership with an independent medical prescriber, as a supplementary non-medical prescriber, within the designated area of practice.

As a supplementary non-medical prescriber prepare clinical management plans and prescribe only in accordance with these and within their scope of practice/competency taking full responsibility and accountability for their prescribing decisions.

Ensure that patients are aware of the scope and limits of non-medical prescribing and ensure patients understand their rights in relation to non-medical prescribing. Patients have the right to refuse treatment/prescribing from a NMP

Person Specification

operience in mentaExperience of titration/dose induction o

Essential

Extensive experience of working with those affected by substance misuse

Desirable

Extensive experience of working with those affected by substance misuse

A non -judgemental approach to drug use and drug users

Essential

A non -judgemental approach to drug use and drug users

Desirable

A non -judgemental approach to drug use and drug users

oFirst Level Registered Nurse (RMN/RGN))

Essential

Non Medical Prescriber

Desirable

First Level Registered Nurse (RMN/RGN))

Person Specification

operience in mentaExperience of titration/dose induction o

Essential

Extensive experience of working with those affected by substance misuse

Desirable

Extensive experience of working with those affected by substance misuse

A non -judgemental approach to drug use and drug users

Essential

A non -judgemental approach to drug use and drug users

Desirable

A non -judgemental approach to drug use and drug users

oFirst Level Registered Nurse (RMN/RGN))

Essential

Non Medical Prescriber

Desirable

First Level Registered Nurse (RMN/RGN))

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).

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

Certificate of Sponsorship

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

North London NHS Foundation Trust

Address

The Grove Drug service

09 Bruce Grove

Haringey

N17 6RA

Employer's website

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

Employer details

Employer name

North London NHS Foundation Trust

Address

The Grove Drug service

09 Bruce Grove

Haringey

N17 6RA

Employer's website

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