Detailed job description and main responsibilities

To deliver a range of specialist interventions at primary and secondary care level; to include
•    Referral management, screening assessment, triage, and evidence-based interventions
•    Care Planning and risk assessing 
•    One-to-one and group-work facilitation
•    managing a mixed and challenging caseload
•    providing appropriate, pragmatic harm minimisation advice to patients 
•    providing drug, alcohol and holistic health education to patients and colleagues 

Leadership
•    Provide supervision to junior staff and to receive supervision as directed (line management and clinical).
•    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 area.
•    To contribute towards support, advice, consultation, and training for other prison departments.
•    Provide supervision, mentorship & leadership for junior staff.

Clinical
•    To complete comprehensive clinical assessment, developing immediate risk management and safety planning and instigate recovery planning for all prisoners arriving in HMP Bristol who have an identified substance misuse need/dependency issue.
•    Through assessment, identify and escalate safeguarding concerns relating to patients and their families at the point of arrival into HMPPS.  
•    Assist in the clinical oversight of new arrivals over the first five days in prison.   
•    Correctly identify indicators of withdrawal or sedation and request appropriate clinical interventions to support patients including Opiate Replacement Therapy, alcohol detoxification and benzodiazepine detoxification.  
•    Provide relevant harm minimisation and health education advice for patients with alcohol and substance use issues, including education in the administration of Naloxone.
•    Provide a range of evidenced-based specialised clinical care in the treatment of alcohol and substance dependency, and signposting for co-morbid conditions associated with and compounding to, patients’ substance and/or alcohol use. 
•    Ensure that patients’ needs are addressed effectively and in a timely manner, ensuring equivalence of care or better that one would expect from accessing services in the community. 
•    Participate in and co-ordinate joint and collaborative care planning for patients with additional complexities, including developing appropriate signposting to specialised services and release planning. 
•    To perform robust assessment, screening, and interventions to offenders with a learning disability
•    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.
•    The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway. 
•    Provide joint reviews with your patients’ assigned Psychosocial Recovery Workers, being involved in developing holistic care plans designed to improve overall health and wellbeing outcomes.
•    Participate and positively contribute to the services integrated clinical governance arrangements
•    The post holder will be required to undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations. 
•    The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions, health promotion/prevention activity, and management of acute and long-term conditions using our stepped care approach.
•    The post holder will ensure that a single, integrated, care plan is developed for each patient, and the individualised care is regularly reviewed.  This will be reviewed in conjunction with the patient’s psychosocial recovery worker and ISMS prescriber.  
•    The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle. 
•    The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.  
•    The post holder will ensure that they undertake all training in evidence-based drug and alcohol treatment approaches, to enhance consistency and quality of care delivery
•    The post holder will support patients to manage their health at every stage, from oral health to long term conditions.
•    The post holder will ensure that health promotion embedded into every aspect of the service.
•    Participate in own supervision and continued professional development.
•    To maintain comprehensive and timely electronic clinical records ensuring confidentiality is maintained at all times.
•    Participate in the annual appraisal reviews and demonstrate reflective practice through the Knowledge and Skills Framework

Research
•    Carry out administrative tasks as directed including research, audit, data, and activity statistics.

Communication
•    Work closely with community drug and alcohol services (and other services as required) to ensure appropriate sharing of information, transfer and continuity of pharmacotherapy and psychosocial continuity of care for all prisoners as necessary.
•    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. 
•    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 communicate effectively on a range of issues that are often complex in their nature and in complex situations.
•    Take all necessary care in the working environment, adhering to relevant health and safety policies.
•    To understand the complexity of inter-agency involvement in offender welfare and to resolve issues that may occur across organisational boundaries.

Custodial Responsibilities 
Assume personal responsibility for the security of issued keys. 
Understand and comply with prison orders, procedures, and instructions in your area of work.
Comply with all security requirements. 
Respond to any situation or circumstance that might indicate a threat to security of the establishment or to the safety of an individual, completing Incident, Security, Injury, or other reports as appropriate. 
Report breaches of order and discipline including reporting and recording untoward incidents according to local protocol. 
Contribute to effective risk assessment and management procedures. 

IMPORTANT INFORMATION, PLEASE READ:

Sponsorship is not available for this post. 

All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.  

You will need to provide: 

• Proof of right to work documentation 
• Proof of ID, needs to include 1 photographic ID
• Proof of address documentation 
• Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code. 

Address History: 

5 years address history will be needed.  

Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously. 

Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.

In order to assist you in obtaining a Police Certificate, guidance can be sought from:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants

If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).