Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

Working under the delegated authority of a Registered Nurse, the post holder will compliment and form a 
key part of the multi-disciplinary healthcare services, providing high standards of individualised, nonjudgemental care for patients and supporting the operational requirements of delivering Prison Healthcare 
across Primary care, Mental Health and Substance misuse services to support the delivery of holistic care 
packages within our integrated services.
The post holder will undertake delegated duties covering the patient journey from reception of prisoners 
into prison through to their discharge through the gate. This includes reception screening, providing agreed 
care packages, undertaking appropriate physical health observations, appropriate clinical duties, 
undertaking clinics such as Phlebotomy clinics, ECG Clinics and NHS health checks, sexual health and health 
promotion to improve mental, physical and social needs. The post holder will also be expected to work as 
part of the emergency response team as required.
The post holder will have the skills to support patients showing low level mental ill health and withdrawal 
from illicit substances by providing support in accordance with agreed care plans.
The post holder will be expected to operate in line with our shared commitment to our values, Working 
Together, Integrity, Respect and Recognition, Compassion, and Innovation.

1. Communication and Relationships 
• Maintaining contemporaneous patient records and care plans on the electronic patient record in 
line with NHS Information governance standards.
• Work across professional boundaries to develop therapeutic, purposeful and meaningful activity.
• To work cooperatively and collaboratively with other members of the team by developing effective 
working relationships to provide a therapeutic working environment conducive to rehabilitation 
and recovery.
• Provide information as appropriate to support the prison operator in fulfilling the wider offender 
management processes such as drug testing schemes.
• Participate in local assurance audits to provide accurate information on performance. 
• Support patients to address issues that affect their own health, behaviour, and social welfare.
• Support patients and exercise positive relationships within professional boundaries as part of a 
purposeful and caring regime.
• Adhere to Spectrum’s information sharing policies when dealing with requests for potentially sensitive information .
• To actively participate in individual and/or group clinical supervision.
2. Analytical Data and Information
• To undertake reception screening in accordance with agreed SystmOne template to identify any 
clinical risks to the prisoner and signpost accordingly.
• To assess fitness to travel and complete documentation for transfer and escorts outside of the establishment.
• To improve the standards of patient care by adhering to care plans and support evaluation of care 
for patients. 
• Demonstrate knowledge, skills and understanding of minor health and substance misuse issues to 
support patient’s health and wellbeing.
• Works under the direction of senior staff during the core day whilst carrying out duties 
• Ability to closely observe and monitor patients at risk of self-harm and ensure appropriate escalation to Mental health services.
• The ability to assess, observe and respond to prisoners at risk of suicide and/or self-harm using 
raising concerns at first sign of distress.
• To support the clinical intervention with Substance / Alcohol detox units which includes completing 
clinical assessment tools.
• Work within a demanding and high emotion environment with challenging patients which requires 
compassion and empathy.
• Participate in assurance audit, Health and Justice performance indicators and NHS data 
collection activity.
3. Planning and Organisational Work
• To attend and participate in staff meetings, shift handovers and clinical inpatient meetings as required.
• To help service users to access resources and to provide information on health education /promotion.
• To escalate any patient, staff or environmental concerns and report any incidents in a timely manner to line manager and via Spectrum electronic reporting systems. 
• Support the safety and security procedure within the prison to ensure that patient and staff safety 
is paramount.
• Participate in clinical governance and quality improvement projects as outlined with your manager.
• To participate in the investigation and take corrective actions relating to untoward incidents, accidents, and complaints in accordance with policies and Procedures.
• Undertake delegated tasks to contribute to the safe and smooth running of the unit.
4. Patient/Client Care
• The post holder will support, implement, and provide high standards of care to patients under the 
supervision of a qualified nurse/practitioner.
• Undertake clinical observations of patients e.g., blood pressure tests.
• Develop appropriate and professional relationships with service users, which will promote effective 
communications and recovery. 
• Ensure consent is obtained at every intervention.
• Promote patient engagement and personal responsibility to manage their health providing the necessary support to do so. 
• To support the development of appropriate care plans and contribute to the review and evaluation.
• To carry response radio and respond to emergencies with qualified nurse undertaking relevant interventions as directed.
• Deliver 1:1 intervention as agreed within care package.
• Support patients presenting to the service in crisis ensuring appropriate onward referrals and flag 
immediate risks.
• To have a good understanding of System1 and complete electronic documentation using the 
agreed read codes where appropriate.
• To record, use and store information in accordance with Caldicott and GDPR.
5. Financial Resources
• To be responsible for equipment used in carrying out clinical duties, and to adhere to departmental 
policy, including competence to use equipment. 
• To reduce waste and ensure efficient use of resources both material and physical.
• Support Spectrum’s SAVE cost improvement programme, working efficiently and effectively, identifying, and realising potential cost savings.
6. People Management and Development
• Strictly adhere to Spectrum Community Health CIC policies and procedures.
• To participate in regular clinical and managerial supervision meetings as determined by your line 
manager and within the Supervision Policy.
• The ability to resolve conflict in a solution focused manner.
• To participate in the Spectrum’s Appraisal Process and complete a Personal Development Plan on a 
yearly basis.
• To participate in all mandatory training and ensure skills and competencies are kept up to date and 
that a portfolio of training is maintained and signed off by supervisor. 
• To exercise good time management, punctuality and maintain consistent and reliable attendance.
• To show flexibility by working a rotational shift pattern including, days, nights, weekends 
and public holidays according to the needs of the service.
The post holder will be expected to operate in line with our shared commitment to our values; 
Working Together, Integrity, Respect and Recognition, Compassion and Innovation. These values 
and behaviours are extremely important to us and we expect everyone who works with us in any 
capacity, including employees, bank staff, contractors, agency staff, people who hold honorary 
contracts, students and volunteers to demonstrate behaviours consistent with Spectrum’s values 
and behaviours.
GENERAL
• Confidentiality
Maintain high levels of confidentiality at all times, ensuring that information is not 
communicated except in the course of recognised duty and in accordance with Spectrum’s 
policy.
• Equality and Diversity
Support the equality, diversity and rights of patients, clients and colleagues by working in a way 
that recognises the importance of people’s rights and respects and promotes their privacy, dignity, 
needs and beliefs.
• Safeguarding
The post holder will be expected to undertake safeguarding training (Children and Adults) 
appropriate to their role and adhere to policies and procedures relevant to the area they work in.
• Infection Prevention 
Duty and responsibility to comply with Spectrum’s Infection, Prevention & Control Standards 
Precaution Policy, ensuring compliance with any specific role and responsiblities outlined within 
this policy.
• Health and Safety
Promote and maintain the health, safety and security of self and others as defined in the Health 
& Safety Policy.
• Mandatory Training
To complete and update all Mandatory Training requirements.
The above indicates the main duties of the post which may be reviewed in the light of experience 
and development within the service. Any review will be undertaken in conjunction with the post 
holder.