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Dual Diagnosis Practitioner Acute Inpatient Care

South London & Maudsley NHS Foundation Trust
£46,836 to £52,849 a year per annum inc of HCAS
Closing date
31 Jan 2023

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Band 7
Contract Type
Full Time
Our expectation is for an experienced, passionate, and highly skilled practitioner who can work collaboratively with others to deliver high quality evidence-based interventions for service users with substance misuse issues.

There is great eagerness across the service for the benefits that integrated dual diagnosis input provides through rapid access to intervention, consultation, formulation and training. This requires a dynamic and creative but consistent approach to inpatient care.

Main duties of the job

The Croydon inpatient service provides mental health care for all Croydon residents.

About the role:

This is an exciting opportunity to lead and work within our inpatient services in the Croydon Directorate, focusing on improving the care and treatment of service users with co-occurring mental health and drugs and/or alcohol problems (Dual Diagnosis).

The Dual Diagnosis Practitioner post is a substantive Band 7 role where the successful applicant will be based within the inpatient services working closely with service users, carers, colleagues and other professionals involved in the care pathway.

The post holder will be well supported by an energetic multidisciplinary inpatient team as well as by dual diagnosis colleagues within the Trust. The successful candidate will have the opportunity to work autonomously to provide leadership and expertise regarding dual diagnosis on policy, practice, training and the evaluation and service improvement.

About the location:

You will be based at Bethlem Royal Hospital, BR3 3BX

The trust also provides services and operates across other locations, such as London boroughs of Croydon, Lambeth, Lewisham and Southwark; and substance misuse services for residents of Bexley, Lambeth, Greenwich and Wandsworth.

About us


We are committed to ensuring our staff get the most out of their benefits package and understand the importance of a healthy work life balance. There is an extensive range of excellent benefits for you and your family. We want you to feel like you are part of a close knit team at SLaM. It's important to us that you valued and appreciated and that are why we have a comprehensive benefits package on offer

Some of our benefits are highlighted here:
  • Generous pay, pensions and leave, we offer a comprehensive pay, pensions and leave package which is dependent on the role and length of service.
  • Work life balance, flexible working and support a range of flexible options, such as: part-time working and job sharing.
  • Career development, There are plenty of opportunities to progress your career and we support your development through a number of programmes such as mentoring, coaching, positive people management, collective leadership and other talent programmes
  • Car lease, our staff benefits from competitive deals to lease cars
  • Accommodation, our staff benefits from keyworker housing available which is available on selected sites
  • NHS discounts, with discounts up to 10% from a variety of well-known retail brands though Health Service Discounts website.

Other benefits include:
  • Counselling services
  • Wellbeing events
  • Long service awards
  • Cycle to work scheme
  • Season ticket loan
  • Childcare vouchers
  • Staff restaurants

Job description Job responsibilities

Key Responsibilities:

  • Provide clinical expertise and support in assessment, care/treatment and discharge planning and the evaluation of interventions to people with co-morbid mental health and substance misuse problems
  • Implement systems to ensure that all service users are being assessed for alcohol and drug use as part of a comprehensive assessment and information is recorded using the appropriate tools on EPJS (the Trust electronic data record system) in line with Trust standards
  • Promote safe and timely assessment and treatment for service users dependent on alcohol, opioids, benzodiazepines or GBL and prescribing for substance use management that is in line with NICE Guidelines and MPG
  • Promote the involvement of all relevant stakeholders in assessment, care and discharge processes by facilitating their participation in all relevant forums (eg ward rounds, CPA meetings)
  • Ensure that all service users with dual diagnosis are offered health education information, information about local substance misuse services and self-help/mutual aid groups to enable them to make informed choices about their ongoing care/treatment
  • Support the design and lead the implementation of ward based dual diagnosis educational activities
  • Lead development of, and support liaison with, local substance misuse services to promote effective joint planning and transfer of care when appropriate
  • Facilitate carers/family members involvement in assessment and care planning where appropriate and ensure they are offered information about substance misuse support groups
  • Work closely with team based dual diagnosis leads to promote the implementation of best practice standards on each ward.
  • Seek regular clinical supervision to ensure own continuous professional development and keeping up to date with any advances in the field
  • Support reviews of any Serious Incident in relation to Dual Diagnosis cases as appropriate

Training and Developmental
  • Act as a dual diagnosis resource for the Acute Wards, accessing and disseminating up to date information on local/national guidance, research and audit and promoting implementation of same.
  • Collaborate with other acute inpatient dual diagnosis practitioners to develop a dual diagnosis competency framework
  • Provide supervision and development opportunities for the team based dual diagnosis leads.
  • Identify individual and team training needs and design and deliver bespoke dual diagnosis training (ward, unit and/or cross directorate as appropriate).
  • Facilitate the availability on of resources to support the delivery of care and treatment to service users with dual diagnosis (e.g. standardised assessment tools, intervention tools, health education information, drug dog ward searches, patient searches and links to external resources.
  • Contribute to the delivery of Trust wide dual diagnosis training and provide post-training support and supervision to all health professionals such as nurses, doctors and occupational therapists to embed training into practice.
  • Support the wards to deliver on key areas such as CQUINs and other data collection to enhance evidence based practice.
  • Support the wards to supervise effectively other staff in relation to substance misuse issues including known risks, culture and attitude, unconscious bias and recovery planning.
  • Work collaboratively with team managers to inform the supervision, appraisal and development of PDPs of team members.

Communication and Liaison
  • Communicate regularly with partner agencies involved in the treatment of people with dual diagnosis. This will involves the establishment of relationships with other agencies that provide substance misuse treatment, acute physical health care, housing, education, and employment.
  • Maintain regular contact with substance misuse services to promote information sharing and joint care planning and seamless care pathways
  • Facilitate integrated working, ensuring good communication and coordination of care so that decisions concerning patients care are jointly made as often as possible.
  • Communicate regularly with senior directorate and Trust wide dual diagnosis leads and also keep abreast of developments in local substance misuse services
  • Attend Local Dual Diagnosis forums / three monthly Dual Diagnosis Leads Development days. Attend police liaison and site management meetings and update and report accordingly.
  • Meet with the acute inpatient dual diagnosis practitioners from the other inpatient units and senior dual diagnosis staff in the Trust to share learning and develop innovations.
  • Prepare reports/presentations for directorate wide meetings/forums as required.

Monitoring and Evaluation
  • Evaluate and report on the dual diagnosis minimum data set established as part of the core acute wards monitoring process.
  • Initiate, audit and use findings to inform service developments support implementing recommendations from service Use DATIX effectively and support wards to develop skills in this area to enhance data collection and up to date reporting of incidents relating to substance misuse
  • Keep up-to-date with policy and practice developments in substance misuse, mental health and dual diagnosis.

Personal development
  • To comply with both Trusts Supervision and Appraisal Policies.
  • To identify own training needs in order to update and maintain skills.
  • To maintain appropriate documentation to comply with professional registration requirements
  • To follow a model of reflective practice, questioning and assessing own performance and reviewing with his/her clinical supervisor or line manager.
  • Manage own time independently and effectively.
  • Meet regularly with Head of Pathway for line management and supervision and appraisal development needs
  • Meet regularly with Nurse Consultant for Dual Diagnosis, for clinical support, supervision and up to date involvement in relation to service development.

Person Specification Education/Qualification Essential
  • oA qualification in mental health nursing (RMN or part 13 of the NMC register), general nursing (RGN or part 12 or the NMC register), social work, occupational therapy or clinical psychology.
  • Professional registration appropriate to own discipline (e.g. NMC, HPC, BPS)
  • oEvidence of continuing professional development particularly in relation to the development of knowledge and skills for working with people with dual diagnosis
  • Mentorship/ENB998 or other Assessment and/or Teaching in Practice equivalent qualifications
  • oA qualification in a relevant area of practice eg dual diagnosis, substance misuse, motivational interviewing, cognitive behavioural therapy
  • Degree in nursing or relevant profession
  • Non-Medical Prescriber
Experience Essential
  • Extensive post qualification experience in relevant field
  • Significant experience of working with people with co-morbid mental health and substance misuse problems in a range of clinical settings
  • Working in busy challenging clinical setting and prioritising duties to maintain safety
  • Effective liaison with a range of professionals and agencies
  • Supporting the implementation of clinical practice improvement initiatives
  • Delivering team teaching/training
  • Helping to develop other colleagues and providing critical and constructive feedback
  • Managing a caseload of people with complex needs
  • Working clinically within a substance misuse team
  • Leading audit projects
  • Involvement in research
  • Delivery of level 2 dual diagnosis training (eg 'pan-London')
  • Being involved in audit projects
Knowledge Essential
  • Current mental health, substance misuse and dual diagnosis policy and best practice guidance (eg NICE) and legislation
  • Understanding of, and commitment to principles of equal opportunity, fair access and service user empowerment, with an ability to translate principles into practice
  • Current issues facing acute wards working with people with a dual diagnosis
  • Understanding of the experiences faced by service users with a dual diagnosis and their family/carers
  • Knowledge of quality standards & policy regarding current Mental Health, Substance Misuse and Dual Diagnosis best practice guidance and legislation re

    Any attachments will be accessible after you click to apply.


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