Integrated Substance Misuse Service Nurse

5 months ago


Exeter, United Kingdom Oxleas NHS Foundation Trust Full time

Are you ready to unlock your potential within a challenging, creative and fast paced work environment? Do you want to escape your current job role and work with people to build positive and productive lives, whatever their past? Now is the time to break into offender healthcare and develop your career.

As part of the South West Prison Healthcare contract awarded to Oxleas NHS trust in 2022, we are able to expand recruitment and are looking for two compassionate, knowledgeable and motivated Substance Misuse Nurses to join our friendly team at HMP Exeter

Our healthcare team have a real impact on promoting health and well-being to those in prison and we pride ourselves on using skills and strategies that instil hope for patients future resettlement back into the community. We directly deliver Mental Health, Physical Health, Pharmacy and Clinical Substance Misuse in an integrated healthcare delivery model to provide effective and responsive care to improve wellbeing and support better outcomes in the future.

As part of our substance misuse team, you will enjoy all the benefits of NHS AfC employment (inc pension) with the opportunity to work within a forward-thinking service, who encourage career and personal development to all staff to increase their clinical and interpersonal skills.

As a Substance Misuse Nurse you will be providing specialised assessments and clinical care to patients with identified substance misuse/dependency and related physical health issues. You will work closely with the wider healthcare and prison departments to manage immediate risks and develop person centred, collaboratively agreed recovery plan objectives.

Your main duties will include; referral management (screening assessments, triage and evidence-based interventions), care planning and risk assessing, one-to-one and group work facilitation and providing drug, alcohol and holistic health education to patients and colleagues.

You will assist in the clinical oversight of new arrivals over the first five days in prison and correctly identify indicators of withdrawal or sedation and request appropriate clinical interventions to support patients. This may include Opiate Replacement Therapy, alcohol detoxification and benzodiazepine detoxification. You will provide relevant harm minimisation and health education advice for patience with substance/alcohol use issues and educate in the administration of Naloxone.

Ideally, we are seeking a registered Nurse with substance misuse experience. However, we will welcome applicants from Nurses who have an interest in substance misuse and provide on the job training.

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London.

Our healthcare departments operate across three prisons in the Devon cluster each of which require a bespoke service responding to the prisoner and prison needs:

- HMP Channings Wood - Cat C - Population = 731
- HMP Dartmoor - Cat C - Population = 659
- HMP Exeter - Cat B (Remand) - Population = 412

Oxleas are the lead provider across 10 South West prisons and operate in Bristol, South Gloucestershire, Wiltshire and Dorset in addition to the above.

Our wider services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes. We have over 125 sites in a variety of locations in the South of England.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

- We’re Kind
- We’re Fair
- We Listen
- We Care

To provide comprehensive and timely reports and expert substance use/treatment information to multi agency public protection panels (MAPPA), police, probation services, solicitors and court liaison teams as directed.

Provide supervision to junior staff and to receive supervision as directed (line management and clinical).

To participate in resource centre services as directed, delivering specialist drug, alcohol and holistic healthcare activities under the direction of the clinical lead.

To work in a psychologically minded way with prisoners in achieving their agreed goals and quality health outcomes.

Close working relationships with all prison staff and other partners to improve patient care outcomes, to include participation in sentence planning, resettlement, safer custody, and ACCT processes.

To develop and take on a specialist lead role within the Integrated Substance Misuse Service as appropriate and provide peer support and training in this a



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