Job Description

As a Specialist Practitioner, you will deliver person-centred care and harm reduction interventions directly to individuals affected by drug and alcohol use--in the community, on the streets, and within outreach settings. You'll engage with people who may be experiencing homelessness, trauma, or social exclusion, helping reduce barriers to care.



You'll work with individuals who may be rough sleeping, living in hostels, or transient accommodation--often with co-occurring physical, mental health, and substance use challenges.



Working as part of a dynamic outreach team delivering healthcare in partnership with BDP's harm reduction services, working closely with peer workers, prescribing teams, and local support services.



Who We're Looking For



Essential Clinical Skills



NMC registration

Experience in A&E, minor injuries, or practice nursing

Competency in venepuncture and complex wound management

Qualifications in chronic disease management are advantageous



Experience



Venipuncture Working with people affected by homelessness and substance misuse

Contribution to MDTs and multi-agency working

Delivery of health promotion and healthcare advice



Knowledge & Approach



Understanding of trauma-informed care and safeguarding

Legal and ethical responsibilities in autonomous practice

Commitment to reducing health inequalities



Recognising Your Value



Part - time 22.5 hours per week (3 days per week to be agreed)

Competitive salary 23.50 per hour (45,957.37 per annum pro rata), NHS pension, enhanced pay rates

Generous annual leave entitlement (25 days + bank holidays)

Comprehensive wellbeing support, NHS discounts, cycle-to-work scheme, employee assistance programme, and annual discretionary bonuses

Support for your professional development with training and career growth opportunities



Join a Leading Social Enterprise As part of BrisDoc, an employee-owned social enterprise, you'll be empowered as a co-owner to shape the future of healthcare delivery. We're deeply committed to equity, diversity, inclusion, sustainability, and innovation--ensuring your career grows in a direction aligned with your values.



Clinical



Work as an autonomous practitioner within nurse led, drop-in clinics and hostel outreach sessions using evidence-based nursing practice and client care



Provide individual health assessments involving holistic consideration for an individual's physical, mental and emotional health



Produce patient specific care plans, assessing, planning, implementing and evaluating in collaboration with the client and other professionals



Assessment and management of complex wounds including those requiring compression bandaging



Perform doppler measurements as part of assessment of patient's with leg ulceration



Identify, manage and refer appropriately, service users at risk of potentially life-threatening conditions including sepsis, acute alcohol withdrawal and suicide



Provide emergency care to patients on and off-site including liaising with emergency medical services and supporting non-clinical staff



Safe Administration of PGD medication including IM Naloxone as required



Administer appropriate immunisations in line with PGD's (Patient Group Directions)



Keep accurate, confidential and contemporaneous records of interventions



Ensure prompt referrals to appropriate services e.g. GP, A&E, AWP, Blood Borne Virus (BBV) Nurse



Participate in partnership working with statutory and voluntary staff e.g. BBV team, St Mungos, Housing and One25



Effective liaison and communication with clients, carers, primary and secondary health services and other agencies



Participate in clinical, team and other meetings as appropriate to services

Maintain clinics and other work places and ensure adequate stocks are available at all times



Education and Health Promotion



Act as a facilitator to student nurses and medical students who spend time with the team



Develop and participate in health promotion initiatives with team members and other agencies as appropriate



Help to educate local and statutory organisations to the needs of the homeless and to facilitate the assimilation of clients who are homeless into mainstream services



Prescribers Only



Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice



Communication



Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Communicate with and support patients who are receiving 'bad news'



Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background, languages, and preferred ways of communication



Anticipate barriers to communication and take action to improve communication



Maintain effective communication with all multi-disciplinary team members, as well as with external stakeholders



Act as an advocate for patients and carers



Ensure awareness of sources of support and guidance (e.g., PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate



To be able to maintain accurate electronic written patient records for users of services provided



To be aware of responsibilities under the Data Protection Act



Other responsibilities



The primary focus of this role is to provide clinical services to patients, however there are a wealth of opportunities to engage with and drive initiatives, take leadership development roles and contribute to service improvement.



Ability to adhere to organisational policies Maintain active NMC or HCPC registration Continue to develop and expand own personal clinical expertise as autonomous/independent practitioner. Understand own role and scope and identify how this may develop over time In partnership with others, challenge and critically evaluate the boundaries of autonomous practice, such that patient access, choice and outcomes will improve Help in the development and evaluation of clinical guidelines, policy, competency tools and continuous improvement opportunities to support in the expansion of Health care professional roles in the delivery of optimal care Identify and perform audit relevant to clinical area in order understand current practice, review evidence-based research and drive improvement Develop own areas of specific clinical expertise to link acute, primary, community and emergency care sectors in expanding nursing and AHP practice across BrisDoc Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients * Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines