This job has expired

Clinical Specialist Practitioner - Rough Sleeper/Dual-Diagnosis

Norfolk & Suffolk Foundation NHS Trust
Great Yarmouth
£41,659 to £47,672 a year gross per annum
Closing date
6 Feb 2023

View more

Band 7
Full Time

Job Details

The Access and Assessment Team (AAT) has an exciting opportunity for a Clinical Specialist Practitioner focusing on the Rough Sleeper Population with Dual-Diagnosis. This is a fixed-term contract with funding for 2 years.

The successful applicant will work within the mental health AAT Team as a specialist dual diagnosis worker to ensure that rough-sleeping clients are seen quickly. The post holder will understand and accommodate the challenges and chaotic nature of the lives of this population and build trust with clients. They will also deliver services and interventions as part of the wider outreach team.

Main duties of the job

  • Provide leadership to the clinical team in the care, treatment and therapy of the rough-sleeper client group.
  • Identify, assess and coordinate the long-term support needs of individuals with a dual diagnosis and other associated complex needs with the aim of facilitating improved outcomes.
  • Work as part of a wider MDT to provide the specialist outreach support to engage rough sleepers and those at risk with drug/alcohol issues.
  • Influence, lead and motivate staff within the clinical environment to deliver high quality care.
  • Provide support and advice to clinical practitioners regarding clinical care including implementing best practice based.
  • Co-ordinate the multi-agency approach, including sharing information to support engagement.
  • Sustain the clinically based training programme aimed at the development of staff within the clinical environment.
  • Provide information, education and support for service users and their carers re coping with diagnosis and treatments.
  • Develop a rapid access pathway into prescribing, detox, and rehab programmes as appropriate and to manage associated risks.
  • Maintain own expert status by developing training and improvement projects.
  • Contribute to relevant forums and meetings.
  • Take part/facilitate audits.
  • Take part in RCA reviews and implement any lesson's learnt from incidents/complaints.
  • Be accountable for accurate mental health clustering of all patients in caseload on admission, discharge and at review meetings.

About us
TRUST VALUES AND BEHAVIOURS To promote and adhere to the workplace values of NSFT. Our values and behaviours were created by 1,300 staff members, service users and carers all working together in the Putting People First project. They reflect what we all believe makes the most positive difference to the care we offer and to the way we work with one another. By 'living our values' we will develop our Trust, our people, and continue to improve the quality of everything we do.

Job description
Job responsibilities

Areas of Responsibility:

  • Provide advice and leadership to clinical staff in areas related to clinical care including, rough-sleeping, dual-diagnosis, substance misuse, therapy and clinical risk assessment and management
  • Provide consultation support and supervision to teams on issues relating to nursing practice.
  • Facilitate joint working arrangements between the Rough Sleeper Service and Drug and Alcohol Recovery services to ensure that individuals with a dual diagnosis do not fall through the net of services, by identifying, monitoring and responding to the needs of this group.
  • Work alongside the both the clinical care team and relevant teams including governance and research department to utilise information and data to support the implementation and embedding of best practice for rough-sleepers who have a mental illness.
  • Develop process and systems to share learning from local and national research and National guidance
  • Ensure any learning is embedded and sustained in clinical services

  • Seek out and receive appropriate level training to keep abreast of changing trends and practices
  • To build collaborative partnerships with Drug and Alcohol Recovery services within Norfolk enhancing care pathways for those with a dual diagnosis.
  • Adhere to all Trust policies and procedures contributing to policy development via Governance processes, particularly in relation to clinical care
  • Demonstrate a sound knowledge of current legislation and policy that underpins mental healthcare delivery including all aspects relating to the clinical area of practice.
  • Understand and appreciate the influences that training has on service delivery and offer specialist guidance, advice and support on improving service and developing services.
  • Participate in clinical audit, practice research initiatives, quality assurance and clinical governance.
  • Lead the development of training within the local environment to deliver high quality clinical care
  • Give a specialist support service to clinical areas throughout the Trust.
  • To discharge statutory social care with Norfolk County Council for Service Users and Carers on behalf of the organisation (For Norfolk Service Users only)
  • To provide appropriate health and social care interventions according to service users recovery goals (For Norfolk Service Users only)
  • To work with service users to remove any structural and social barriers to accessing treatment services
  • To assess health and social care needs as part of an integrated team, and implement/commission packages of care where appropriate. (For Norfolk Service Users only)

  • Communicate educational and practice information within the clinical environment, and undertake presentations to groups.
  • Employ motivational, persuasive, empathetic and communication skills within the clinical team
  • Be able to communicate with people in a form and manner which is consistent with their level of understanding, culture, background and preferred ways of communicating.
  • Be proactive in seeking out different styles and methods of communicating.
  • Be able to produce accurate and complete records consistent with current legislation, policies and procedures.
  • Demonstrate clinical expertise through personal practice and development.
  • Ensure that clinical practice adheres to the Trust policies and procedure.
  • Work effectively in a multi-disciplinary and multi-agency team, working across statutory and non-statutory settings.
  • Work collaboratively to assist individuals with a dual diagnosis to engage effectively with Mental Health services provided by Norfolk and Suffolk NHS Foundation Trust and other local providers.
  • Protect and maintain the confidential nature of the work at all times, both in written and verbal form.
  • Act as a role model to all staff and always act in a manner to uphold public confidence.
  • Be able to manage own time and workload effectively.
  • Seek out and receive appropriate level training to keep abreast of changing trends and practices.
  • Meet regularly with relevant service and clinical managers to identify specific needs or emerging trends.

  • Act consistently with legislation, policies, procedures and other quality approaches and promotes the values of quality approaches to others.
  • Maintain expert practice through further study, research, clinical practice and personal development.
  • Liaise and develop relationships with other Trusts and organizations.
  • Work unsupervised and organise own workload and work in a manner which maintains and promotes quality.
  • Communicate with other disciplines/professions as and when required.
  • Participate in supervision for both self and delivery to others
  • Provide expert advice and recommendations to improve service and training quality.
  • Maintain quality in own work and encourage others to do so.
  • Develop a culture that improves quality and take the appropriate action when there are persistent quality issues.
  • To deliver approaches which are person centred.
  • Assess and benchmark acceptable standard for practice.

Equality and Diversity

The role requires post holder to:
  • Act in ways that support equity and value diversity.
  • Support equality and value diversity.
  • Promote equality and value diversity.
  • Develop a culture that promotes equality and values diversity.
  • Participate in Equality and Diversity Impact Assessment.

Person Specification
  • Nursing degree or equivalent, Dip OT, Clinical Psychology, Diploma in Social Work or equivalent Study experience at Masters level

  • Non-Medical Prescriber

  • Ability to communicate widely in a clear manner
  • Ability to problem solve
  • Confident manner. Approachable, tactful and diplomatic.
  • Ability to self-manage time and meet agreed deadlines

  • Supervison and Mentorship of others
  • Direct clinical experience of supporting Rough Sleepers with mental illness
  • Direct experience of working with people who have a dual-diagnosis including drug and alcohol misuse
  • Proven track record in delivering high quality care within clinical area

  • Teaching or training experience or qualification
  • Experience of facilitation in groups
  • Experience of implementing evidence based practice and/or service improvement initiatives

  • Able to demonstrate sound clinical expertise and knowledge of mental health disorders and their treatments

  • Ability to travel independently

Any attachments will be accessible after you click to apply.



Priscilla N&S

“Welcome to Norfolk and Suffolk foundation Trust, we provide an extensive range of mental health services across two counties , working with our communities and partners we continue to develop and transform our services so we can really meet the needs of the people we serve .We are an organisation which truly values nurses , acknowledges the special , unique skills they bring and is committed to developing clinical, academic and leadership pathways whilst supporting, nurturing and caring for you .We have strengthened nurse leadership, created Nurse Consultant , Advanced Nurse Practitioner and Clinical Nurse Specialist roles with many more expected . We have over 80 Non medical prescribers and will continue to support more each year .  Nursing In NSFT is not without its challenges but we have used them to create opportunities, to learn, to improve and to work differently . Our absolute priority , our number one aim is to improve the care we provide and we will achieve this. Join us and be part of something very special" - Diane Hull, Chief Nurse

Diane Hull - NSNHSFT

Norfolk and Suffolk NHS Foundation Trust is the main provider of specialist mental health services for the counties of Norfolk and Suffolk, serving a population of 1.6 million people. We are a large organisation covering a wide geographical area divided into ‘Care Groups'. There are also Care Groups supporting children, family and young people’s services, and specialist services, including Forensic mental health services.

Each Care Group has its own Leadership team, with the aim of supporting clinically led decision making locally, to support the needs of people accessing services. 

We have inpatient facilities across both counties with smaller bases in rural locations. Many of the Trust’s services are offered in the community, enabling people accessing services to receive the support they need in an environment familiar to them.

At NSFT we believe in recovery and wellbeing, and understand the importance of good physical health, maintaining relationships and achieving a balance between treatments and continuing an active life.

The people in our care, families and carers are at the centre of all aspects of all we do and are vital in helping shape and support our service strategy. Our strategy supports and enables people with mental health problems to live a fulfilling life and make their personal recovery journey. 

Norfolk and Suffolk, in the East of England are some of the safest places to live in the UK, with low crime rates making it a community to be proud of. Housing prices are frequently cited as a reason to move here, as you get an incredible amount for your money compared with other major UK cities.

N&S Nurse Banner

About our location

Norwich in Norfolk has something for everyone. It has retained a strong local identity and, with that, a sense of community. Locals say hello to each other, baristas remember our coffee orders and you’ll be among the first to know about interesting local projects.  This strong sense of community, along with excellent shopping, eating out, affordable house prices and excellent schooling is why Norwich has been ranked by the Guardian as the UK’s best city to work in.

Ipswich in Suffolk is steeped in history, yet full of life. According to The London Economic, affordable house prices and hourly commutes to London have earned Suffolk’s county town a slot in their top ten property destinations. “In Ipswich we have got a fantastic cultural offer far better than what towns and cities bigger than us are offering.  We have got very good transport links, especially to London, and house prices are a lot cheaper in the area.

One of Norfolk’s most famous stretches of beaches, Great Yarmouth attracts around six million tourists each year! Situated at the mouth of the River Yare, this old port town is home to beautiful golden sandy beaches and neighbouring towns and villages with scenic views and homely charm.

Full to the brim of history and with a vibrant town centre, King’s Lynn is the ideal destination to enjoy the superb mix of history, shopping and entertainment on offer!  A small, historic market town, King's Lynn is the perfect place to live and work, with fantastic train links and short drives to fantastic beaches.

Bury St Edmunds in Suffolk is a unique and dazzling historic gem. An important market town with a richly fascinating heritage, the striking combination of medieval architecture, elegant Georgian squares and glorious cathedral and abbey gardens provide a distinctive visual charm. With prestigious shopping, an award-winning market, plus variety of attractions and places to stay, Bury St Edmunds is under two hours from London and convenient for Cambridge.

N&S Leader Banner


For family members who love (or need) to travel, you’re ideally located. Trains run to and from London every 30 minutes from both Ipswich and Norwich, and there are direct rail services from Manchester, Nottingham and Cambridge.   Both counties are well connected to major road networks and Norwich has an international airport. 

Some of our valued employees have told their story of working at Norfolk and Suffolk NHS Foundation Trust... use the links below to read these.

Find Us
Norfolk & Suffolk
United Kingdom

Get job alerts

Create a job alert and receive personalised job recommendations straight to your inbox.

Create alert