HMP Woodhill is a category A/B prison comprising of five residential wings (including a stabilisation unit), a segregation unit, clinical assessment unit, the close supervision centre and reception area. Each area has a group of dedicated healthcare staff committed to improving services and delivery of healthcare to prisoners with a range of complex health problems and diverse ethnic backgrounds.
The Addictions Team helps people in HMP Woodhill 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. We offer a variety of psychosocial and clinical interventions to support clients throughout their journey in custody, starting from their arrival into prison and through to their release.Main duties of the job
An exciting opportunity has presented itself within our service! This is a unique opportunity to be part of an integrated substance misuse service combining the elements of education, prevention, treatment and recovery within a prison environment.We are looking for an enthusiastic, self-motivated and empathic Band 7 Nurse Prescriber to complement our Addictions Team supporting the delivery of psychosocial interventions.
The post holder should be ready for a new challenge, demonstrate good communication skills and work collaboratively within the multi-disciplinary team. You should have experience of completing comprehensive assessments and risk management.About us
CNWL (Central and North West London NHS Foundation Trust) has almost 7,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organizations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff. We are recognized locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. See attached Staff Reward and Wellbeing Handbook detailing our benefits, discounts and wellbeing initiatives for staff.
Become part of our team. We care for you as much as you care for others.Job descriptionJob responsibilities
- To participate in the recruitment of nursing staff to the Addictions service in accordance with good employment practice.
- Provide local management to support the Sector Manager for nursing staff in accordance with CNWL policies, ensuring that objective setting, personal development plans and appraisals are carried out on a regular basis, that issues of poor performance and sickness absence are addressed, and that staff training needs are identified and plans are drawn up to meet these needs.
- Provide nursing care on the substance misuse unit as a member of the wider substance misuse clinical nurse team including clinical reviews, brief interventions and emergency medical response.
- The post holder will be expected to contribute to the objective of reducing use of agency and bank staff by providing emergency cover for essential nursing roles as requested by the clinical Nurse Lead or Substance Misuse service manager.
- Work in collaboration with the partner organisations and the HM Prison Service (HMPS) to ensure that effective risk management systems are in place within the ISMS.
- Support junior nurses in understanding their individual roles and responsibilities in achieving the 'CNWL Trust', 'Addictions and Offender Care Service' and HMP Woodhill ISMS team objectives.
- Demonstrate best practice standards through delivery of high quality clinical services and support other team members in achieving the same.
- To work with the Sector manager in the ISMS at HMP Woodhill to deliver a range of specialist treatments for patients, which include treatment matching, health education, group work, detoxification or maintenance programmes, one to one counselling and the management of self-harm.
- To provide teaching and education to staff and patients on issues related to substance misuse awareness, relapse prevention, blood borne viruses and tolerance/risk or overdose.
- To provide specialist clinical advice and support to other colleagues within the substance misuse setting and to other agencies concerned with substance misuse e.g. GPs, Discipline staff, Psychosocial staff, Chaplaincy, Psychology, Education Department etc
- To continuously assess the bio-psychological needs of patients, developing and evaluating systematic treatment/care plans with nursing staff and psychosocial staff working within the ISMS team.
- To ensure in conjunction with the clinical staff that controlled drugs are:
- prescribed legally and safely in accordance with national guidance, legislation and CNWL Trust Policies.
- Adequately monitored to ensure effective audit trails for ordering, storage, supply, administration and destruction.
- To maintain prescription records accurately and consistently with best practice guidelines.
- To be fully conversant with national guidelines in relation to prison healthcare, substance misuse, prison service orders/instructions and IDTS Guidelines.
- To provide clinical supervision and mentorship to nursing colleagues.
- Lead the delivery of the 'non-medical' first night prescribing service.
- The post holder will be expected to work Monday to Friday 08:00hrs till 16:00hrs
To work within the Scope of Practice agreed at the start of the role and participate in formal review at least every six months thereafter or as required.
- To supply medications that are outside your scope of practice only in accordance with approved policies or legal frameworks e.g. 'Patient Group Directions', 'Special Sick/ Homely Remedies protocols'.
- To adhere to the CNWL 'Non Medical Prescribing Policy' and contribute to the realisation of the 'Addictions/Offender Care Non Medical Prescribing Strategy'.
- To record all patient information on the designated electronic patient record system, in-line with trust and local record keeping policies and procedures and the utilisation of any pre-designated templates, auto-consultations where applicable.
- Contribute to the achievement of 'Key Performance Targets' imposed on the ISMS by commissioners and the 'CNWL Addictions/Offender Care service'
- To participate and lead in multidisciplinary team meetings/case discussion.
- To be a member of the, ISMS team meetings, 'Medicines Management' group and attend any business or clinical meetings delegated by the ISMS manager.
- To ensure that regular handover meetings take place, and that all information is communicated across the team. Use the electronic record system to communicate with team members and other healthcare services throughout the prison to ensure auditable communication.
- To provide specialist advice and support to colleagues throughout the prison
- To contribute to effective management of records, diary appointments, time management and workload prioritisation and ensure that service administration systems are followed.
- To encourage and facilitate the maintenance of accurate and temporaneous documentation by nursing staff and to ensure that the confidentiality of such records is maintained at all times.
- To ensure that all processing of sensitive or confidential information is in line with CNWL policies, Prison service policy and the Data Protection Act.
- To ensure that patient pathways/information on a service database system are carried out on a weekly basis.
- To reply to patient complaints via Prison of directly with CNWL within correct timescales.
- To provide a teaching programme to the team on aspects of Substance Misuse and related areas
- To encourage the learning of others through their participation in the teaching programme, group work, attendance at study days/courses.
- To present 'case studies' to healthcare staff and multidisciplinary colleagues to facilitate 'Learning Lessons' from complaints and incidents and improving quality of service.
Policy and service development
- To be directly accountable and responsible for own nursing practice and to operate in line with NMC Code of Professional Conduct in relation to rules, regulations and policies on direct patient care, e.g. Access to Medical Records Act, policies on HIV/AIDS/Hepatitis.
- To ensure high quality of service is delivered by ISMS team by applying the Quality Standards relating to Substance Misuse services.
- To take part in clinical audit, particularly in relation to Controlled Drug and Non Medical prescribing and implement resulting recommendations.
- To participate in team/service reviews and contribute to the production of the annual service description.
- To work within agreed guidelines and protocols of treatment and care for this client group.
- To ensure that treatment and care programmes are led by evidence based practice.
RESEARCH AND EVALUATION
- To contribute to policy development
- To be aware of national policies including models of care and the Integrated Drug Treatment System Guidelines.
- To oversee the implementation of policies in relation to safe prescribing, referral, admission and discharge procedures and continuity of care.
- To liaise with prison staff to ensure that the service is run in accordance with the prisons operational procedures and policies
- To apply evidence based approach to the service and to encourage reflective practice and accountability.
- Allocation of one session per month to either research or professional development.
- To maintain accurate monthly non medical prescribing statistics on service activity and outcomes
- To participate in management supervision on a monthly basis to review work objectives
- To participate in regular supervision with prescribing supervisor as agreed
- To participate in regular clinical supervision in line with NMC requirements and CNWL Trust Policy.
- To participate in annual appraisal and personal development planning. This will include setting objectives for the year and completing the NMP appraisal annex.
- To identify training needs as part of the annual appraisal process and complete evaluation of training events and courses attended.
To undertake any other duties/tasks as delegated by management, which falls within general sphere of competencies.Person SpecificationEssential and DesirableEssential
- RMN/RGN with Non- Medical Prescribing qualification
- Experience in Substance Misuse
- To be aware of security arrangements within a secure environment
Employer detailsEmployer name
- BBV Training RCGP part 1 & 2 Certificate in management of drug misuse.
- Knowledge and experience in using SystmOne IT program.
Central and North West London NHS Foundation TrustAddress
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