Service Cranstoun Sandwell

Location Sandwell

Cranstoun is a charity empowering people to live healthy, safe and happy lives. Our skilled and compassionate teams work with service users, families and communities, helping them to make positive changes. We offer a wide range of services across England, including community-based outreach, treatment and recovery, detox, supported housing, and specialist services for young people and families and carers. We’ve been making a difference since 1969 by combining our expertise with innovative approaches, and putting people at the heart of what we do.

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Diamorphine Assisted Treatment Nurse

JOB DESCRIPTIONJob purpose / Context:

Work flexibly within the service to provide a range of clinical services to drug and alcohol users across Sandwell. A significant element of this role will include supporting our new Diamorphine Assisted Treatment programme. Therefore weekend and Bank Holiday working will be required.

Responsible to:Clinical Lead and Clinical Team Leader

1. Service Delivery

Support the delivery of the Diamorphine Assisted Treatment programme in Sandwell which will include:

o Complying with the organisation’s medicines policies and procedures for controlled drugs.

o Assessing and monitoring service users who are part of the Diamorphine Assisted Treatment programme

o Deliver safer injecting and harm reduction adviceo Liaise with key workers to ensure a comprehensive package of care

and support is delivered Provide a clinical service to alcohol and drug users consistent to their needs

including an evidence based non-medical prescribing service (the latter if suitably qualified). This may include working at a range of locations, including service user’s homes.

Provide tailored treatment interventions including general health assessments and screening, undertaking community detoxification and other associated duties

Assess and recommend service users on their suitability for detoxification (community or inpatient) as appropriate.

Develop and undertake clinically safe and effective detoxification plans with individuals that are; comprehensive, person-centred and individualised based on a clear assessment of that individual’s physical and mental needs, substance and circumstances.

Ensure accurate notes of all interventions and professional contacts relating to service users are recorded clearly and fully in clinical notes.

Undertake brief interventions with service users, providing support through a range of treatment models.

Completing accurate, person-centred and individualised risk assessments and risk management plans.

Offer wound care assessment and basic wound dressing to clients. Organise signposting to other services as required, and ensure clear

pathways into other treatment arenas as appropriate. Undertake phlebotomy and dry blood spot testing, as required, to undertake

routine screening and testing, ensuring adherence to identified pathway for

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blood sample labelling, collection, obtaining results and signposting follow-up and any next steps planning.

Administer relevant vaccinations including Hepatitis and Pabrinex. Take all reasonable steps to ensure the safety of service users, relevant

others (particularly children and vulnerable adults) and members of the community.

Communicate effectively with service users and their carers, actively listening to understand their needs.

Work effectively with partner agencies to deliver a quality service, focussed on achieving positive outcomes for service users.

Liaise with other relevant partners within Sandwell (e.g. GP, hospitals, prisons etc.) to ensure consistency of clinical approach for substance misuse patients with acute medical problems, with a focus on continuity of care post-discharge.

Participate and lead in multi-disciplinary case reviews for our most complex service users.

2. Human Resources

Ensure that procedures are constantly reviewed to promote best practice and evidenced based practice in accordance with UK Guidelines on Clinical Management, NICE guidance, NMC guidance and Cranstoun Group’s clinical protocols and procedures.

Take responsibility of training and registration to ensure practice is up to date with guidelines.

Delivering on your own role performance commitments and seek to maximise own learning and potential.

Train team members in new guidelines and procedures when required. Develop and participate in relevant training, coaching and mentoring

sessions, as required.

3. Health, Safety & Facilities

To ensure the services provides a good quality working environment. Ensure the Service has a safe, quality & conducive environment for

employees to work & clients to use. Ensure that any dangerous situations, occurrences and incidents are

appropriately reported and investigated. Work within Cranstoun Group’s environmental plan in order to achieve

environmental best practise within this sector.

4. Financial Management

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Support the Clinical lead to manage and control medical supply budgets in line with Cranstoun Group’s financial regulations and policies.

Contribute to effective financial management in Cranstoun Sandwell by ensuring your day to day activities and workplace decisions reflect an understanding of costs.

Maximise the use and effectiveness of available resources.

5. Outcomes & Performance

Deliver high levels of performance in a way that realises your potential by;-

Ensuring that the agreed quality and regulatory objectives are met by prioritising, planning and organising own workload.

Contributing to Cranstoun Group’s growth and business development plans by advocating for Cranstoun Sandwell to clients, their families, stakeholders and other external contacts and partners through delivering on commitments and presenting Cranstoun Group in a positive image.

Pro-actively maintaining an up to date knowledge of medicine management and both local and national guidelines and agreements.

Actively engage in clinical supervision and CPD. Providing effective mentoring, and support to the nursing team and wider

service team. Provide information to support decision making. Ensure records are kept up to date and relevant via the digital database and

ensure any papers are scanned to the system. Support the DAT team to collate data to enable effective monitoring of DAT

programme progress in line with partner requirements Ensuring all data and information relating to clients is accurate and shared in

the appropriate way. Inputting outcomes data and other information into corporate systems in

accordance with stated policies and procedures.

6. General

Observe Cranstoun Group’s information management strategy by;-

Carry out day to day tasks in accordance with stated policies, procedures and regulations to assist the service achieve its compliance obligations, including CQC.

Ensure the effective flow of information within the service, with managers and external parties by passing on and seeking information required, raising unresolved concerns and taking an active interest in Cranstoun Sandwell internal communications.

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Help Cranstoun Group to increase its performance and long term sustainability by optimising the management of IT, facilities and other physical resources that support the achievement of the Service plan.

Project the desired image of Cranstoun Sandwell by;-

Understanding and promoting Cranstoun Group’s values. Being a role model of the values through own example while ensuring they

are demonstrated by the staff in your team. Ensure adherence to confidentiality policy in all aspects of work Undertake any other duties within your capabilities that are relevant to the

job and reasonably requested of you by your manager.

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PERSON SPECIFICATIONQualifications

Diploma/Advanced Diploma/Degree in Nursing or Advanced Clinical Practitioner with current registration with either NMC or GPHC.

Demonstrable experience of post registration Demonstrable experience and knowledge working with substance misuse Desirable: Non-medical Prescriber

Experience & Knowledge Experience of working with people who have complex health needs Experience of working with people who face barriers to engaging with

services and identifying ways to remove these obstacles/barriers Experience of working with substance misuse users, including harm reduction

practices and clinical management of community/inpatient alcohol and/or drug detoxification.

Knowledge of the ‘Drug misuse and dependence: UK guidelines on clinical management (2017)’.

Knowledge and understanding of the general health issues affecting drug users in crisis

Knowledge and experience of care planning and case management Experience of working within a multi-disciplinary team Knowledge of primary healthcare & treatment relating to drug users Experience of working with service users with mental health problems Experience of clinically supervising other health care professionals Clinical auditing skills to inform evaluation of the service and identify areas of

development. Knowledge of relevant legislation, including safeguarding vulnerable adults

and children.

Abilities and attributes A commitment to working with drug and alcohol users A commitment to providing high quality services to drug and alcohol users A commitment to the mission and strategic objectives of Cranstoun Group A commitment to the values and philosophies of Cranstoun Group Ability to work independently and manage own workload Ability to work to deadlines

Skills Willingness and desire to work in an environment of continual change. A non-condemnatory approach The post holder will possess team-working skills and have the ability to

motivate and support others and work using own initiative. Good interpersonal, oral and written skills An ability to establish and maintain clear boundaries with clients and staff To have an understanding of, and an ability to promote and implement equal

opportunity policies in all areas of work Advocacy, liaison and referral skills Good IT skills and the ability to use MS Office (Outlook, Word, Excel,

Powerpoint). This should also include ability to produce own prescriptions in line with Prescription Security Policy as well as

An ability to use an electronic case management system effectively

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An extremely flexible approach to working hours, location and ability to travel independently within work area.

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