Job Description

To work within the Specialist Substance Misuse service/The Level (in-patient detox unit). Providing specialist health assessments, prescribing assessments, formulation, and a wide range of clinical interventions for adults living within Nottingham City Centre/admitted into the Level presenting with substance/alcohol misuse problems and who meet the referral criteria of the core areas of business.



This will be done by working as part of an effective team and providing flexible substance/alcohol misuse assessments and intervention within a wide variety of locality community settings.



They will be responsible for completing specialist health assessments and developing a wide range of psychosocial and/or pharmacological treatment plans as an autonomous practitioner, across the breadth of provision within Substance Misuse service



Please note applicants will be required to pay for their DBS check. Costs are deducted from salary following appointment. The cost of the DBS application is 26.40 (standard) or 54.40 (enhanced), this cost will be deducted from your salary over the first 2 months of employment.



You are encouraged to enrol for the DBS Update Service. An annual fee of 16 per year applies.



The post holder will be a member of the substance misuse team Which is a part of the Specialist Services Directorate. The post holder will be responsible for providing specialist health assessment, hypothesis and diagnosis, and intervention for service users accessing the substance misuse service



The post requires close liaison with a broad range of other disciplines and agencies, including health ,social services and voluntary agencies The post holder works autonomously within professional guidelines and the overall framework of the team's policies and procedures. The post holder will receive managerial supervision from the Team lead, clinical supervision, and prescribing supervision from the team's consultant in addictions.



They will be expected to share prescribing information, evidence and rationale for prescribing decisions.



#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.



We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.



We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.



The health and wellbeing of our colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.



The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment



Working Practice



The post holder will independent prescriber within the Substance Misuse Team



To provide specialist health assessments, and formulation and a wide range of clinical interventions to adults over the age of 18 who access the substance misuse service/admitted into The Level



To provide a highly specialist mental health prescribing service for adults within the specialist substance misuse service/in-patient unit. Where extreme clinical diagnostic uncertainty is not present, and where cases can be safely and effectively managed within a nursing and non-medical prescribing framework.



To ensure all baseline tests and investigations are carried out in accordance with national and local guidelines leading to a timely diagnosis / hypothesis in collaboration with the MDT.



To prescribe accordingly, discussing all treatment options, (including non-pharmacological treatments) potential side effects with service users.



To establish highly specialised clinical management treatment plans and reviews.



To provide specialist assessment, formulation and treatment for adults accessing the specialist substance misuse service/in-patient service.



To manage risk in accordance with local, national guidance and clinical governance and record interventions as required by the Trust.



To provide a seamless and integrated service that is flexible, holistic and responsive to the needs of the individual and their carers



Promote social inclusion by reducing stigmatisation. Education and Development



A - Self



To receive regular clinical professional supervision from a senior clinical professional on a monthly basis.



To receive regular managerial supervision, on a monthly basis.



To gain further post-qualification experience and to attend further, highly specialised training courses when appropriate, as identified in the annual professional appraisal and development (PAD) review.



To participate in regular team meetings, case discussions etc.



To achieve trust essential training requirements.



To attend NMP forum at least 4 time a year.



To ensure that they receive regular medical supervision regarding NMP, and record it appropriately.



B - Others



To provide highly specialised advice, consultation and training to staff working with the client group across a range of agencies and settings, where appropriate.



To contribute to pre and post qualification teaching to students, as appropriate.



To complete CPD in line with Trust policy in regards to Non Medical Prescribing and the Approval to practice Certificate.



To receive relevant Training in line with Trust Policy in regards to Non Medical Prescribing Policy.



Health and Safety



To work within a framework and guidelines of Nottinghamshire Health Care.



Trust and in accordance with national and professional guidelines.



To ensure that Health and safety issues, risk assessment and monitoring are effectively maintained.



Policies and Procedures



The duties and responsibilities of the post will be undertaken in accordance with the policies, procedures and practices of Nottinghamshire Healthcare NHS Trust, NICE and NMC.