Substance Misuse Lead

Substance Misuse lead - Band 7

An expert practitioner, the post holder is a source of expert advice to clinicians, allied health care professionals, service users and their carer's, providing specialist nurse interventions to patients.

You will assess service users with substance misuse needs, prescribe accordingly, discussing all treatment options (including non-pharmacological treatment) and provide specialist advice and guidance relating to their management, care and onward pathways within the prison and in prepare for release back into community.

Responsible for the leadership of a nurse-led substance misuse service and develop a specialist practice-based clinical model of care to HMP Erlestoke, HMP Ashfield and HMP Leyhill. The post holder will lead the provision of care to service users with complex substance misuse problems and in partnership with other disciplines for service users with Dual Diagnosis from the point of entry into the prison to re-entry into the community.
- Quality services based on evidence-based practice.
- The post holder will have an ability to reach complex and critical judgements and have decision making skills to satisfy the expectations and demands of the role.
- The post holder will deliver and direct others to provide a range of evidence based clinical interventions for service users.
- The post holder will be required to take an active role in training and development both within their team and the establishments in general.
- The post holder will work closely with the Quality and Standards team to develop audit and evaluation tools and improve the quality and clinical effectiveness of their service.

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our 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 multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. 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. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. 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. We are proud of the care we provide and our people.
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
- The post holder will exercise a high degree of personal and professional autonomy, make complex and critical judgments, and have decision making skills to satisfy the expectations of the role.
- To participate in the comprehensive assessments of service users referred to the team, including specialist assessments of service users requiring non-medical prescribing, ensuring that a medical history and medication history, is undertaken and implemented where required.
- To prescribe and change medications within area of speciality and competence.
- To strategically develop, deliver, clinically audit and evaluate the substance misuse services for the prison. This will include development and implementation of appropriate referral/care pathway for service users identified as having a dual diagnosis.
- To demonstrate and provide robust expert clinical leadership to junior staff with a sound understanding of evidence-based nursing practice to provide a pro-active approach to ensure quality and outcome driven practice on a day-to-day basis.
- To support the development of monitoring systems, to promote the development of evidence-based practice in the specialist field and to promote research as appropriate.
- To participate and lead as directed in the managerial and professional clinical supervision programme, to ensure all junior staff receive appropriate supervision, training and annual appraisal, and to ensure that it becomes an integral part of team practice.
- To ensure the implementation of effective and appropriate service user centred care plans and consistent delivery throughout the prison.
- To promote engagement with the Mayor’s Office for Policing and Crime (MOPAC) dual diagnosis programme with service users.
- The post holder will work collaboratively with the Operational Manager, Clinical Leads, GPs and other clinicians to