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Substance Misuse Nurse Practitioner

Central & North West London NHS Foundation Trust
£32,720 to £39,769 per annum inc. Outer HCAS (pro rata if P/T)
Closing date
25 May 2024

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Exciting role suitable for a newly qualified nurse or a nurse wanting to make the transition into addictions.

Main duties of the job

The Addiction Recovery and Community Hillingdon (ARCH) offer a range of treatment for adults and young people who are residents or have a GP in the borough of Hillingdon.ARCH provides assessment and treatment for both substance misuse problems and any associated mental health issues. This may include substances such as heroin, club drugs, amphetamines other stimulants or alcohol addiction.We are seeking oneband 5 Nurse Practitioner who has an interest in substance misuse andwould like to gain furtherexperience working in substance misuse to join our dynamic team.Joining a large, forward-thinking Trust will bring successful candidates excellent development opportunities, an exciting career structure, and job satisfaction. Working within an experienced team, we are looking for the best clinicians, who will work well as part of a Team and Trust with a 'can do' attitude.

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.

About us

The Addictions Directorate with CNWL Foundation Trust is a large, well-established provider which offers a wide range of specialist NHS drug and alcohol 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 Service and a Club Drug Clinic.

Our substance misuse services are dedicated to helping reduce the harm caused by substance misuse dependency helping people overcome their dependency on substances and helping clients and their families rebuild their lives and enable recovery. We are committed to working in partnership with other providers and service users in local systems of treatment and recovery.

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

Clinical Duties:
  • 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 oftreatment 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 provide case management and direct clinical care to a defined number of complex clients including clients dual diagnosed with mental health and physical health issues, concurrent with substance misuse problems, as agreed with the Service Manager. This includes assessment, care planning and providing specialist nursing care.
  • 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 evidencebased 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 thesupply 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



  • RMN Practitioner
  • Evidence of continuing personal development and post-registration training in the nursing care, assessment and treatment of substance misuse clients


  • Completed the Motivational Interviewing Training Module

Skills and knowledge


  • oGood communication and presentation skills (verbal and written) plus good levels of numeracy.
  • oAbility to work independently and to prioritise effectively
  • oAn appreciation of the range of issues that may affect substance misusers
  • oAn understanding of harm minimisation and health promotion in the specific context of substance misuse
  • oIT literate: competent using Microsoft Word and able to report clinical activity data on patient information systems.


  • oAwareness/knowledge of research skills
  • oAwareness of counselling models
  • oAwareness of Public health issues



  • oExperience working in Mental Health setting or substance misuse setting
  • oExperience in undertaking Risk Assessment and Risk Management


  • oExperience of working in and delivering services to injecting drug users.
  • oExperience of working with stimulant users and people with alcohol problems
  • oExperience of group facilitation
  • oExperience of managing a caseload within the community
  • oExperience working with Patient Information Systems

Attitudes, aptitudes, personal characteristics


  • Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person.
  • Able to build constructive relationships with warmth and empathy, using good communication skills
  • Non-judgmental attitude to client group
  • The post holder must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job

Employer details

Employer name

Central and North West London NHS Foundation Trust


Old Bank House

64 High Street



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