Job Description

Job overview



The post holder will use their specialist foundation knowledge and skills in substance misuse to undertake assessment, care planning, implementing and evaluating the case and treatment of clients.



The role will involve working within the borough of Hillingdon including high frequency areas such as Heathrow airport with the target population of rough sleepers or individuals at risk of rough sleeping. They will work closely with partnering agencies, enabling rough sleepers to access drug and alcohol treatment. The post holder will support the team by assisting clients to register with the local GP and by supporting clients to access healthcare and wellbeing services.



The role will also involve working in close partnership with Criminal Justice services to ensure Rough Sleepers, with forensic offending behaviour are able to receive holistic and responsive support. This will help to positively influence behavioural changes whilst working towards overall person centrered recovery goals.



The successful candidate will perform duty assessments to clients that are new to the service, in addition to acting as keyworker to a defined allocated caseload of clients with a low to medium degree of complexity, under the supervision of designated Senior Drug & Alcohol Practitioner within the team.



The post holder will be responsible for ensuring that the delivery of the care and management of this client group is done in compliance with HCC Quality Standards.

Main Responsibilities:

Clinical Duties:

To work as a member of the multidisciplinary team which provides a range of specialist services to problem drinkers and problematic club drug takers attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning individual intervention, health education and detoxification programmes, mindfulness, counselling and group work. To make continuous assessments, under supervision, of the psychological, emotional, social and rehabilitative needs of clients, taking into account the needs of family, local community and developing care plans and evaluation of these plans. To be able to assess and case manage clients who inject club drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation, taking a predominant role in providing duty assessments to clients who are new to the service. To provide case management and direct clinical care to a defined number of clients as agreed with the Service Co-ordinator and under the supervision of a designated professional within the team. This includes assessment, planning and providing specialist care. It is expected that the caseload will consist of clients with needs of a low to medium complexity. To use agreed and established Outcome Monitoring Tools and any other relevant quality measures.

CNWL Addictions Directorates



The Addictions Directorate within 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 7 community services, 1 in-patient service. We also run a national 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.



CNWL is committed to providing high quality, evidence-based treatment options and is a learning organisation which promotes staff competence and training and values clinical governance, audit and research. We are linked with Imperial College, University of London and are committed to evaluating our services and developing new and innovative approaches.



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.



Clinical duties



To manage the transfer of individuals between agencies and services



To manage the transfer of individuals between agencies and services.



To counsel individuals about their substance use, using motivational interviewing, relapse management and other evidence-based interventions, To ensure full risk assessments and risk management is delivered effectively, under supervision. To ensure an understanding and implementation of clinical governance.

To ensure the highest quality of service is delivered by following local and national quality and performance standards, guidance, protocols, procedures and practice guidelines.



To ensuring that all work is performed in accordance with Trust policies and procedures, including the Serious Incident policy. To ensure criminal justice rough sleeping service users are supported in an outward facing model and assertive engagement attempts are utilised. To work closely with partnering agencies to bridge gaps in service provision with service users that may be resistant to traditional engagement models. To work in a safe autonomous capacity, by attending outreach clinics and intensive needs locations such as Heathrow Airport, with a transient population of service user. To ensure concerns are raised and escalated appropriately and outreach worker is able to link in with main teams where needed to seek guidance/hand over.

Communication:

To participate in multi-disciplinary meetings, both on-site and in the community relating to client management. To develop close links with Primary Care Services. To liaise and communicate clinical information with partner agencies on shared care clients within the strict guidelines / protocol on shared confidential information between Addictions and the named partner agencies. To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued. To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication. To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted. To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.

Information and Resource Management:

To be responsible for the effective management of own caseload and to keep records of economical use of time and resources, daily travel logs, diary appointments and workload priorities. To maintain accurate and up to date documentation of all service clients records, ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol. To adhere to all Addictions service data recording policies including TOP and DET To be responsible for ensuring monthly contract and other data reporting activities are submitted within agreed timescales To ensure that all local and Addictions service administration systems are followed To ensure that client information is entered in the service database system and to ensure activity input to JADE is accurate and timely To be responsible for use of resources allocated for the purpose of the post To demonstrate responsible time management

Personal/Professional Development and Training:

Be responsible for maintaining live registration with own relevant professional body, and ensuring personal professional profile requirements are met. To be directly accountable for own practice and to operate in line with the relevant code of professional conduct in relation to policies on direct client care. To undertake Operational Supervision in accordance with local line management arrangements and to undertake Professional/Clinical Supervision as stated in the CNWL Supervision Policy, in relation to own clinical work and professional development plan. To complete the CNWL annual appraisal/review process and personal development plans/objectives identifying own training needs To take part in the teaching and training programme organised by the team/service. To participate in training initiatives as required both within the Sector and the wider professional community. To have a clear understanding of the National Service Framework 'Models of Care', its application and implementation in the case management of own key working clients * To facilitate the learning environment for pre and post registration students.