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Non-Medical Prescriber - Rough sleeper team

Barnet, Enfield & Haringey Mental Health NHS Trust
£49,178 to £55,492 Per annum, inclusive of Outer London HCAS
Closing date
4 Dec 2023

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Other Health Profession
Band 7
Contract Type
Full Time
We are looking for an experienced Band 7 NMP to join our community substance misuse team as we continue deliver our plans to transform our Homelessness Outreach Services. You will provide non-medical prescribing for substance misusing clients manage a caseload of complex clients, provide advice and be responsible for, opiate substance treatments (OST) interventions, benzodiazepine reductions, alcohol and opiate detoxifications and relapse prevention medications. Harm minimisation, assessments and regular reviews, BBV screening and vaccinations and supporting in the review and development of substance misuse clinical policy and procedures.

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-centred, 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 reports
  • To work effectively with partner agencies and other professional to ensure a joined-up approach to treatment and care planning
  • To work as a Non-Medical prescriber within agreed scope of practice.

About us

Barnet, Enfield and Haringey Mental Health NHS Trust provides local, regional and national award-winning healthcare services. We have more than 3.300 staff working out of 20 main sites serving a population of 1.2 million people.We provide community Substance Misuse Services, health services and mental health services for young people, adults and older people. Our North London Forensic Service treats and cares for people in the criminal justice system who have mental health conditions. We also provide one of the largest eating disorders services in England, as well as drug and alcohol services.

We are an organisation that is passionate about equality, diversity and inclusion one that prides itself in developing the leadership capabilities of its employees, looking after their health and wellbeing, creating safe spaces for staff to speak up and providing opportunities to mentor and be mentored.Our employees are the reason for delivering Good CQC ratings, excellent outcomes and outstanding patient experiences, so it is our aim to create a happy and healthy working environment where youcan thrive and succeed.

Job description

Job responsibilities

MAIN TASKS AND RESPONSIBILITIES:Clinical Responsibilities1.1. To provide controlled drug prescribing as a supplementary and independent prescriber to clients, within their sphere of competence, in accordance with agreed clinical management plans.1.2. To prescribe independently for a range of other drugs including antipsychotic, antidepressant, anxiolytics, mood stabilisers and hypnotics.1.3. To carry out comprehensive assessments of clients presenting to the service in need of substitute prescribing or alcohol dependence and to present prescribing and Recovery Plan recommendations to the Clinical Team Meeting.1.4. To accurately assess the multiple needs of this complex client group, including identifying and exercising judgments relating to homelessness, drug treatment, alcohol treatment psychological counselling, treatment plans, criminal justice system, Child protection, other agencies etc.1.5. To work collaboratively with Recovery Workers, Nurses and clients to develop comprehensive Recovery Plans suited to service users affected by rough sleeping.1.6. To provide advice and decisions to other team members in relation to crisis situations, conditions and treatment plans, based on medical and drug history and knowledge of certain conditions.1.7. To promote the health needs of clients with complex issues, and within their sphere of competence provide interventions for these needs.1.8. To carry out clinical review of clients, and in collaboration with Keyworker and client to update Recovery Plans.1.9. To promote clinical excellence by complying with agreed Trust and statutory policies and clinical guidance, while maintaining own clinical competencies in this role.1.10 In conjunction with other prescribers, to develop, review and evaluate prescribing policies and protocols.1.10. To carry out appropriate risk assessment regarding prescribing and non-prescribing interventions, and implement appropriate interventions to manage identified risks1.11. To manage FP10s, ensuring that all staff adhere to Trust Policy with regard to their storage, transportation, use and disposal.1.12. To manage the storage and administration of controlled drugs, in collaboration with the Consultant Psychiatrist and Trust Pharmacy, ensuring that all Trust Policies and Protocols are adhered to.1.13. To work within a Recovery model, which informs the projects work with professionals and clients.31.14. To support the Clinical Governance of the service, through reporting, investigating, recommending actions and learning lessons.1.15. To be a member of the Clinical Governance Improvement Group and to represent the service at Trust meetings as required.1.16. To respond to and manage accidents & incidents, in line with Trust policy. This will include incident investigation and action planning.1.17. To work within relevant NMC/RPSGB and other statutory requirements.

Person Specification



  • First Level Registered Nurse currently registered with the Nursing and Midwifery council
  • Certificate of completed of nonmedical prescribing course at post-graduate level. The course must be at least 6 months duration and have been validated by the RPSGB (Pharmacists) or/and the NMC (Nurses).
  • Hold current registration as an Independent and Supplementary non-medical prescriber with the RPSGB or the NMC


  • First Level degree
  • MSc in Advanced Clinical Practice
  • Community Practice Teacher/Practice Educator or other teaching qualification



  • Minimum 2 years experience at least at Band 6 level working to a higher degree of professional autonomy using advanced clinical skills in a Primary Care Setting
  • Recent/relevant experience of working in a substance misuse service/setting
  • Experience of working in a homeless service/setting


  • Current experience of managing adults in a rehabilitation setting or with Long Term Conditions (LTC



  • Effective communication and interpersonal skills with a proven ability to work with other professions
  • Effective Leadership and decision making skills
  • Proficient time management and organizational skills


  • Demonstrate innovation in own practice

Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust


Enable Drug & Alcohol Service

The Claverings, 12-12a Centre Way, Claverings Industrial Estate.


N9 0AH

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