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Job summary

Main area
NHS AfC: Band 7
Full time - 37.5 hours per week
Job ref
Central and North West London NHS Foundation Trust
Employer type
Milton Keynes
£43,742 - £50,056 per annum
Salary period
12/12/2023 23:59

Employer heading

Central and North West London NHS Foundation Trust logo

Non Medical Prescriber (Senior Clinical Nurse Specialist)

NHS AfC: Band 7

Job overview

An exciting opportunity has arisen for a Non-Medical Prescriber (Senior Clinical Nurse Specialist) with an independent prescribing qualification (V300) to join us ARC in Milton Keynes.  This is a unique opportunity to be part of an innovative, integrated addiction service combining the elements of education, prevention, treatment and recovery within addiction treatment pathways.

The Addiction Recovery Community (ARC) is and NHS service working in partnership with We Are With You to help people in Milton Keynes break the cycle of addiction.  We support those with addiction to gambling and substances such as heroin, club drugs, other types of stimulants or long-term alcohol addiction. The service represents a strong holistic, partnership approach, bringing together of a variety of services under one roof to meet the complex needs of our service users.

You will be an experienced and qualified nurse with who wishes to gain in-depth experience of working with a range of drug and alcohol issues, willing to work with individuals with common mental health and substance use problems. You will possess the relevant skills and attributes to facilitate service user engagement in the service. You must have a strong commitment to partnership working, building networks and able to work sensitively within a culturally diverse environment.

Main duties of the job

We are looking for a Non-Medical Prescriber (NMP) who loves talking to people with different needs, is genuinely interested in helping them, and possesses a deep level of empathy, understanding and patience.

The post holder will have ability to work as an autonomous prescriber (with access to guidance and supervision where needed) to develop supportive care packages that are creative, flexible, and tailored to the needs of each individual.

  • You will work with individuals who experience multiple complex disadvantages, including homelessness, injecting drug use, unmet mental and physical health needs and current or historical offending.
  • You will work within a multi-disciplinary team as part of a collaborative partnership.
  • You will have a real opportunity to help shape service delivery and contribute to delivering clinically excellent services.
  • You will act as a senior staff member in the multi-disciplinary team taking responsibility for the delivery of high standards of nursing care to clients assessed according to their clinical needs and in accordance with up-to-date evidence-based practice and relevant Trust clinical protocol and policies.
  • You will ensure the delivery of the care and management of this client group is undertaken in compliance with the Care Quality Commission Standards for quality and safety.

Working for our organisation

We are passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient’s own home. Patients are at the heart of everything we do.

We’re always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we’re hoping to find our future leaders and we’ll support our staff by providing opportunities to develop your career. We prioritise supporting prospective applicants to learn new skills in working with providing service users addictions support. We have ample opportunities to gain a greater understanding of essential skills underpinning clinical practice such as motivational interviewing techniques, relapse management and clinical specialist skills such venepuncture, ECG, dry blood spot testing and fibro scan training.

With a diverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more – whatever stage of your career you're at, there's always a place for you at CNWL.

Detailed job description and main responsibilities

  • To work as a member of the multidisciplinary team in the management and treatment provision of the specialist service to people with problematic use of novel psychoactive substances with associated problem drink and drug use attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning, individual intervention, health assessments and education and detoxification programmes, pre and post test BBV’s counselling and vaccination and group work
  • To assess continuously the psychological, emotional, social and rehabilitative needs of own clients/patients, taking into account the needs of family, local community and developing systematic plans for care and evaluation of treatment plans
  • To be able to assess and case manage clients who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation
  • To provide case management and direct clinical care to a defined number of complex clients including clients dual diagnosed with mental health and physical health issues, concurrent with substance misuse problems, as agreed with the Service Manager. This includes assessment, care planning and providing specialist nursing care
  • To use agreed and established Outcome Monitoring Tools (TOP) and any other relevant quality measures
  • To contribute to the development, provision and review of care plans.
  • To manage the transfer of individuals between agencies and services.
  • To counsel individuals about their substance use and related behaviours, using motivational interviewing, relapse management and other evidence-based interventions
  • To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with substance misuse
  • To be responsible for the safe and effective storage and administration of drugs, exercising responsibility for the custody and maintenance of statutory records of such drugs in accordance with the Trust Policies/Procedures on the supply and carriage of drugs in the community
  • To ensure full risk assessments and risk management is delivered effectively
  • To undertake dry blood spot testing for BBV and urinalysis when required
  • To screen clients at risk of, or affected by, blood borne diseases and to plan and agree service responses according to needs
  • To provide education and to assertively promote Hepatitis B vaccination for clients who are at risk of contracting the virus
  • To administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols
  • To provide pre and post test discussion to clients screened for blood borne viruses in accordance with CNWL guidelines
  • To ensure the CNWL Hepatitis care plan is used for all clients
  • To actively promote attendance at the hepatology clinic for clients affected by liver disease
  • To collaborate with the individual Statutory, Non-Statutory teams, GPs, Primary Care Services, Virology, Chemical Pathology and Liver/ Gastroenterology Departments, and provide expert care without direct medical supervision, using clinical guidance documents and patient group directions as agreed by the Trust
  • To assist in the transfer of individuals between the service and Hepatology/Gastroenterology and other relevant agencies
  • To be familiar with the Trust and local Resuscitation, Infection Control and Needle Stick Injury Policies and Procedures
  • To attend mandatory yearly updates on CPR and Anaphylaxis training
  • To ensure an understanding and implementation of clinical governance
  • The post holder will work within CNWL’s Child Protection Policy and in partnership within all agencies responsible for ensuring compliance with the local Safeguarding Children’s  Board working practices
  • To prepare reports and attend client meetings such as professional net work meetings, Child Protection Case Conferences and Core Group meetings as required
  • To plan and agree service responses which meet the individual need and circumstances of clients at risk of, or affected by, substance misuse during pregnancy
  • To recognise the professional duty of care to protect where clients present a risk to themselves or others, and comply with statutory requirements regarding Safeguarding Children, Child Protection including the Children Act 1989 and Hidden Harm guidelines
  • To assess risk behaviours of clients, provide information and implications of any risks identified on health and social well being and work with clients to address and modify risk behaviours to promote positive changes.

Person specification


Essential criteria
  • Registered Nurse/RMN/RN
  • V300 Prescribing qualification
  • Relevant post graduate qualification
  • Evidence of continuing personal development and post-registration training in the nursing care, assessment and treatment substance misuse clients.
Desirable criteria
  • Advanced assessment skills
  • Completed the Motivational Interviewing Training Module
  • Degree/ Masters in Drugs and Alcohol Studies or equivalent qualification


Essential criteria
  • Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
  • Experience in undertaking Risk Assessments and Risk Management
  • Relevant post-registration experience
  • Substantial experience working in a drug and alcohol service
  • Experience of practising as an Independent Nurse Prescriber
  • Experience of providing line management in a team
Desirable criteria
  • Community Nursing Experience
  • Experience of working in and delivering services to injecting drug users.
  • Experienced and competent in the supply and administration of CNWL Trust Hepatitis Patient Group Directions
  • Experienced in the supply and administration of Hepatitis vaccines
  • Advanced assessment skills

Employer certification / accreditation badges

Trust IDWe are a Living Wage EmployerEmployers for CarersPurple SpaceHealthy Workplace - Excellence 2018No smoking policyMenopause Friendly EmployerAge positiveDefence Employer Recognition Scheme (ERS) - BronzeNational Autistic SocietyDisability confident committedStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.AccessAbleStonewall Gold 2022Step into healthCarer Confident -AccomplishedNHS Rainbow Badge - BronzeArmed Forces Covenant

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Emily Clare
Job title
Sector Manager
Email address
[email protected]
Additional information

Wendy Burke - Peripatetic Service Manager

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