Health and Wellbeing Nurse Practitioner

Health and Wellbeing Nurse Practitioner

Current NMC registration required

Project/service name

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Resolutions

Base

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Luton

Main purpose of the role

As directed by the Lead Nurse, the post-holder will be an integral member of a multi disciplinary and multi-agency team offering:

• Support to specialist prescribing and alcohol services;
• Health and Wellbeing assessment;
• Vaccination programme;
• Naloxone programme as part of harm reduction;
• Responsive titration as part of initiation to a prescription;
• A range of clinical interventions to service users entering into the substance misuse treatment system, either through Open Access or the criminal justice system.

Reporting and working relationships

Reporting relationships:
The role will report directly to the Lead Nurse.
Reporting relationships may change. /
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Role-specific responsibilities

Clinical Practice
3.1 / To ensure service users are titrated at initiation of prescribing on to a therapeutic dose using CGL titration process. The process will be incorporated into the health and wellbeing assessment and can be supported by other team members, including community Pharmacists, to ensure continuity of care.
3.2 / Work within and consolidate integrated care and treatment pathways for individuals who are infected with Hepatitis B and Hepatitis C and will provide testing and onward referrals for HIV.
3.3 / Provide screening and vaccinations for blood borne viruses, alongside other clinical and psychosocial interventions.
3.4 / Undertake health and wellbeing assessments for service users and ensure appropriate sign posting to primary care for identified health issues.
3.5 / Undertake phlebotomy, as required, ensuring adherence to identified pathways for blood sample labelling, collection, obtaining results and signposting. Use blood results as motivational tools and to assess current health status, the need for specialist medical referral and the suitability for community detoxification.
3.6 / Conduct assessments of physical dependency using a symptomatic withdrawal scale, using results to determine safe detoxification as required. Where indicated, to refer for specialist inpatient detoxification and to liaise with hospital and inpatient unit staff.
3.7 / To contribute to CGL Naloxone Strategy by training staff and service users in the use of naloxone . Ensuring naloxone is distributed to service users at every opportunity.
3.8 / 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.
3.9 / Utilise psychosocial intervention, including ITEP, in both one-to-one and group settings to promote engagement in treatment services and ownership of Recovery Planning.
Communication
3.10 / Develop therapeutic alliances with people who have substance misuse problems and develop effective partnerships with service users to support their individual recovery journeys, engaging in key work sessions, offering health promotion and harm reduction advice.
3.11 / Adhere to Patient Group Directions and ensure requirements on updating are maintained.
3.12 / Engage proactively with both line management and clinical supervision and maintain a current knowledge of appropriate interventions. Ensure that all revalidation requirements are being met and communicated to line manager.
3.13 / As required develop and provide health education, especially in regard to problematic alcohol use and alcohol detoxification.
3.14 / Attend meetings appropriate to the development and maintenance of the role in agreement with and under the direction of the lead nurse.
Delivering a quality service
3.17 / The post-holder will contribute to the service to ensure that substance users consistently receive high quality services that adhere to the best practice guidelines and achieve high professional standards.
3.18 / Work flexibly across a number of operational sites as required and work flexibly within an agreed number of hours to maintain the most appropriate level of service provision. This will include evening and weekend working.
3.19 / Ensure that procedures are constantly reviewed to promote best practice and evidenced based practice in accordance with UK Guidelines on Clinical Management, NICE guidance, and CGL clinical protocols and procedures.
Leadership
3.20 / Provide support, coaching and teaching to staff working in the needle exchange around harm reduction and BBV.
Team Working
3.22 / To take part in assessing the suitability for transfer of clients to Shared Care services within the community.
3.23 / To work with others to ensure service users have timely access to safe and effective prescribing for community detoxification from substances, across operational sites.
3.24 / Contribute to the overall performance of the service to ensure that contractual output targets are achieved.
3.25 / Working with drug and alcohol workers to design and deliver a community detoxification plan utilising a care co-ordinated approach to clients care.
3.26 / Work alongside the designated Lead Clinician and Nurse Prescriber to formulate, plan and implement individual community detoxification programmes to ensure safety and optimise outcomes. This will include supporting service users’ detoxification from substances across operational sites.
Risk Management
3.27 / Provide harm reduction advice, information and equipment and ensure all equipment is disposed of safely.
3.28 / Utilise appropriate prevention techniques in order to reduce substance misuse related harm to aid in the prevention of multiple physical harms caused by drugs and alcohol.
Managing information
3.29 / Record and input client data and information in order that the service operates within contractual, administrative and financial requirements.
3.30 / Ensure that all data requirements in relation to your clients are met within defined deadlines.
The above is an outline of the post holder’s duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of CGL.
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CGL’s commitment to you

CGL works within the following framework and requires all employees to do the same.
4.1 / Equal Opportunities
CGL are committed to creating an inclusive environment, which celebrates difference and allows our staff and service users to flourish. CGL are committed to promoting and ensuring anti discriminatory practices through our organisational values, policies and procedures, which we expect all staff to promote and adhere to.CGL expect all staff to challenge prejudice and discrimination, to support staff with this we offer robust supervision alongside training and development opportunities to continually improve equality, diversity and inclusion practises.
4.2 / Vision
CGL enables people to make the positive changes necessary to lead independent and purposeful lives and create safer, healthier communities.
4.3 / Career Development and Progression
CGL is committed to providing its staff with opportunities for personal and professional development. We provide an internal training and development programme and aim to keep all our people up to date with new legislation and trends in social care work, with specialist training provided as required. Where appropriate, staff undertake external training courses in line with their development needs.
4.4 / Safeguarding
CGL are committed to ensuring the safeguarding and wellbeing of children and adults at risk, and all applicants will be required to demonstrate understanding of and commitment to best safeguarding practice.
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Your commitment to CGL

5.1 / CGL Vision and Values
Promoting and understanding the values and vision if CGL. To understand what it means to you in your respective role, to your team and to service delivery.
5.2 / Children and adults at risk
Demonstrating an understanding of and commitment to best safeguarding practice. Taking immediate and appropriate action as required.
Equal Opportunities[KF1]
5.3 / Boundaries and behaviours
Observing professional integrity in relationships with service users, peers and other relevant professionals.
5.4 / Health & Safety
Being responsible for your health and safety and that of colleagues and service users. Employees should co-operate with management and follow established systems of work.
5.5 / Confidentiality
Treating all information acquired through the course of your employment as confidential and complying with all the appropriate policies, systems and procedures.
5.6 / Information Governance

Applying information governance processes to ensure all necessary safeguards are in place regarding personal information – and its appropriate use – about our service users, workforce and members of the public.

5.7 / Continuous Professional and Personal Development
Working within a learning organisation, seeking learning opportunities either by attending learning and training events either externally or internally to improve and broaden their knowledge and skills and develop the personal qualities required in their professional lives.
This post is subject to a Disclosure and Barring Service check at an enhanced level.
[KF2]
How Competencies fit into the Organisation[KF3]

Person specification

Essential and desirable requirements (E & D) for the role and assessing and testing the necessary level of competence required for this role.
Please note - applicants are asked to evidence their ability to meet each aspect of the person specification below, e.g. by highlighting relevant key achievements and duties held within roles. / E/D
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Education, knowledge and experience

1.1 / First level registered nurse with recent relevant post qualification experience and a current PIN. / E
1.2 / Relevant recent experience of working within drug and alcohol treatment. / E
1.3 / A clear understanding of the need for and ability to deliver quality services. / E
1.4 / Sound and demonstrable knowledge of clinical prescribing issues. / E
1.5 / Sound and demonstrable knowledge of harm reduction and health promotion interventions. / E
1.6 / Knowledge of the issues facing substance misusers including appropriate medical interventions, social care and health issues. / E
1.7 / Experience of contributing to project development. / E
1.8 / Knowledge of local services and geography. / D
1.9 / Motivational interviewing techniques. / D
1.10 / Qualification(s) in substance misuse. / D
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Abilities and skills

2.1 / Ability to assess and recovery plan service users and formulate written reports as necessary. / E
2.2 / Maintain professional boundaries and work effectively with partnershipagencies. / E
2.3 / Demonstrate skills to undertake administrative duties. / E
2.4 / Clinical auditing skills to inform evaluation of the service and identify areas for development. / E
2.5 / Communicate confidently and effectively, verbally and in writing. / E
2.6 / Respond flexibly to the demands of the post. / E
2.7 /

Work as a member of a team.

/ E
2.8 /

Show a capacity to work alone and the ability to keep calm under pressure.

/ E
2.9 /

Employ a professional, empathetic and non-judgmental attitude towards service users.

/ E
2.10 /

Show commitment to facilitating positive outcomes for service users.

/ E
2.11 /

Access to own transport (non essential.)

/ D
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Working within CGL’s framework of commitments to employees

3.1 / A commitment to engaging with, understanding and promoting CGL’s values and vision. / E
3.2 / An understanding of and commitment to safeguarding best practice. / E
3.3 / An understanding of the importance of professional integrity in relationships with service users, peers and other relevant professionals. / E
3.4 / A responsibility for your own health, safety and wellbeing as well as those around you (e.g. colleagues and service users). / E
3.5 / An understanding of and commitment to treating all information acquired through the course of your employment as confidential. / E
3.6 / An understanding of information governance processes and a commitment to follow and apply all necessary safeguards. / E
3.7 / A commitment to seek learning opportunities to improve and broaden your own professional knowledge and skills and to contribute to and where relevant oversee the learning of others. / E
Authors
Version number / Date / Initials / Initials / Year
1.0 / 3rd June / KF / SS / 2015

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[KF1]Add statement

[KF2]Add nurses training statement - Bronagh

[KF3]Update diagram