Job summary
Milton Keynes (Central and north West London NHS Foundation Trust)
The Addiction Recovery Community (ARC) helps people in Milton Keynes who want to break a cycle of addiction to substances such as heroin, club drugs, other types of stimulants or long term alcohol addiction. It represents the bringing together of a variety of services under one roof to provide a better service to 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.
Main duties of the job
Clinical Nurse Specialist
An exciting opportunity has become available in Milton Keynes to work within the Addictions Team as a Band 6 Clinical Nurse specialist . Newly qualified nurses will be considered for a developmental role commencing as band 5 to band 6.
The aim of the role is to provide specialist addiction nursing support in the form of assessment, engagement and intervention for patients with substance use needs, supporting integration into the community, preventing reoffending and facilitating engagement to the local community substance misuse team 'ARC-MK' .
The role involves working with a wide range of services. Successful candidates will need to have excellent communication skills as well as the flexibility to work alongside these different groups.
Candidates will need to be able to work effectively as part of a team as well as having the skills and confidence to work as individuals in a range of environments. Supervision and consultation is available to the team to support practice.
We are looking for an experienced registered nurse, with knowledge of mental health, substance misuse disorders demonstrable experience in specialist assessment and decision making.
About us
We are a forward facing trust who believes in training and development of nurses skills 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
- To work as a member of the multidisciplinary team in the management and treatment provision of the specialist service to people with problematic use of novel psychoactive substances with associated problem drink and drug use attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning, individual intervention, health assessments and education and detoxification programmes, pre and post test BBVs counselling and vaccination and group work.
- 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 who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation.
- To use agreed and established Outcome Monitoring Tools (TOP) and any other 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 evidence-based interventions,
- To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with substance misuse.
- To be responsible for the safe and effective storage and administration of drugs, exercising responsibility for the custody and maintenance of statutory records of such drugs in accordance with the Trust Policies/Procedures on the supply 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 plan and agree service responses according to needs.
- To provide education and to assertively promote Hepatitis B vaccination for clients who are at risk of contracting the virus.
- To administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols.
- To provide pre and post test discussion to clients screened for blood borne viruses 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 by liver 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 direct medical supervision, using clinical guidance documents and patient group directions as agreed by the Trust.
- To assist in the transfer of individuals between the service and Hepatology/Gastroenterology and other relevant agencies
- To be familiar with the Trust and local Resuscitation, Infection Control and Needle 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 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 plan and agree service responses which meet the individual need and circumstances of clients at risk of, or affected by, substance misuse during pregnancy.
- 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 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.
Job description
Job responsibilities
- To work as a member of the multidisciplinary team in the management and treatment provision of the specialist service to people with problematic use of novel psychoactive substances with associated problem drink and drug use attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning, individual intervention, health assessments and education and detoxification programmes, pre and post test BBVs counselling and vaccination and group work.
- 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 who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation.
- To use agreed and established Outcome Monitoring Tools (TOP) and any other 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 evidence-based interventions,
- To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with substance misuse.
- To be responsible for the safe and effective storage and administration of drugs, exercising responsibility for the custody and maintenance of statutory records of such drugs in accordance with the Trust Policies/Procedures on the supply 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 plan and agree service responses according to needs.
- To provide education and to assertively promote Hepatitis B vaccination for clients who are at risk of contracting the virus.
- To administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols.
- To provide pre and post test discussion to clients screened for blood borne viruses 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 by liver 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 direct medical supervision, using clinical guidance documents and patient group directions as agreed by the Trust.
- To assist in the transfer of individuals between the service and Hepatology/Gastroenterology and other relevant agencies
- To be familiar with the Trust and local Resuscitation, Infection Control and Needle 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 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 plan and agree service responses which meet the individual need and circumstances of clients at risk of, or affected by, substance misuse during pregnancy.
- 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 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.
Person Specification
Education and Qualifications
Essential
- RMN / RN
- Evidence of continuing personal development and post-registration training in nursing care.
- Knowledge and current relevant clinical experience within substance misuse services.
Desirable
- Diploma in Drugs and Alcohol Studies or equivalent qualification
- Training in Cognitive Behavioural Therapy
- Completed the Motivational Interviewing Training Module
- Completed the 'Non Medical Prescriber' course oBachelors degree
- Knowledge of the criminal justice system
- Bachelors degree
Experience
Essential
- Experience in Mental or general Health
- Experience in supervising junior staff
- Experienced in the supply and administration of Hepatitis vaccines
- Experienced and competent in the supply and administration of CNWL Trust Hepatitis Patient Group Directions
- Extensive clinical experience
- Case management experience
- Experience in undertaking Risk Assessments and Risk Management
- Teaching and Assessing qualification ENB 998 / SLICE or equivalent eg: mentorship
Desirable
- Community Nursing Experience
- Experience of working in and delivering services to injecting drug users.
- Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
Person Specification
Education and Qualifications
Essential
- RMN / RN
- Evidence of continuing personal development and post-registration training in nursing care.
- Knowledge and current relevant clinical experience within substance misuse services.
Desirable
- Diploma in Drugs and Alcohol Studies or equivalent qualification
- Training in Cognitive Behavioural Therapy
- Completed the Motivational Interviewing Training Module
- Completed the 'Non Medical Prescriber' course oBachelors degree
- Knowledge of the criminal justice system
- Bachelors degree
Experience
Essential
- Experience in Mental or general Health
- Experience in supervising junior staff
- Experienced in the supply and administration of Hepatitis vaccines
- Experienced and competent in the supply and administration of CNWL Trust Hepatitis Patient Group Directions
- Extensive clinical experience
- Case management experience
- Experience in undertaking Risk Assessments and Risk Management
- Teaching and Assessing qualification ENB 998 / SLICE or equivalent eg: mentorship
Desirable
- Community Nursing Experience
- Experience of working in and delivering services to injecting drug users.
- Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
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).
