Assertive Outreach Nurse | Central and North West London NHS Foundation Trust

Posting date:	02 July 2025
Salary:	Not specified
Additional salary information:	£42,939 - £50,697 per annum pro rata inc HCAS
Hours:	Full time
Closing date:	01 August 2025
Location:	West Ealing, W13 9BP
Company:	CNWL NHS Foundation Trust
Job type:	Contract
Job reference:	7303399/333-D-AD-0538

Summary

The aim is to provide an extended service to hostels and street-homeless residents within the London Borough of Ealing. The Assertive Outreach Nurse will improve health outcomes and reduce health inequalities for individuals who are homeless, rough sleeping, or at risk of homelessness, particularly those who are hard to reach or continually consuming drug or alcohol, where traditional structured treatment may not be suitable. This role involves providing flexible, creative, and innovative assertive outreach to support access to healthcare and promote social inclusion, focusing on physical and mental well-being. A key purpose is to develop and maintain local referral routes and integrated pathways, ensuring seamless, efficient, and effective access to specialist services, primary care, and non-emergency healthcare, thereby removing barriers and addressing gaps in local areas. The role also aims to prevent fragmented services and reduce alcohol-related hospital admissions.

The role will include a range of activities addressing the client’s health and well-being, the development of pathways into specialist services, training of hostel and partnership outreach staff to manage residents out of hours, and improving the overall health inequalities via:
• Health promotion
• General Health screening
• Engagement in Primary Care services and facilitate access to organised health care

· To provide specialist drug and alcohol outreach clinics for local hostels, GP surgeries, and health services in Ealing, including follow-up referrals for hard-to-engage clients. Work closely with the GPs

· To work as a member of the multidisciplinary team.

· To assess the client’s overall health, facilitate early intervention, and guide signposting and referrals to other organised health services.

· Continuously assess the psychological, emotional, social, and rehabilitative needs of clients.

· To contribute to RISE Naloxone Strategy by training staff and service users in the use ofnaloxone. Ensuring naloxone is distributed to service users at every opportunity.

· Carry out adequate risk assessments and management.

· Conduct dry blood spot testing for BBV and urinalysis as needed.

· To ensure the CNWL and RISE Hepatitis care plan is used for all clients.

· 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.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

We expect you to show COMPASSION, contribute to a caring and kind environment and recognise that what you do and say helps can make the lives of others better.

We expect you to RESPECT everyone and acknowledge and welcome people’s differences rather than ignore them or see them as problematic.

We expect you to EMPOWER others and continually try to provide information, resources and support to help others make their own decisions and meet their own needs.

We expect you to work in PARTNERSHIP and behave in a way that shows that you recognise that commissioners and users of our services are the people who generate and pay for our work.

This role requires successful candidates to be able to engage in Therapeutic Management of Violence and Aggression (TMVA) training, including the use of force techniques and the ability to attend resuscitation training and perform CPR. This is because of the high-acuity nature of the ward / community environment and the need to ensure the safety of both patients and staff. The role is conditional upon candidates being able to engage in TMVA training and resus training during the course of their employment whilst undertaking this role

Please see attached JD&PS for full details of duties and responsibilities.

· To provide specialist drug and alcohol outreach clinics for local hostels, GP surgeries, and health services in Ealing, including follow-up referrals for hard-to-engage clients. Work closely with the GPs

· To work as a member of the multidisciplinary team in managing and providing specialist services to problem drinkers and drug users in hostels and remote areas, including harm minimisation, motivational interviewing, relapse prevention, ITEP care planning, individual intervention, health assessments, wound and injection site management, lifestyle and physical health checks, blood glucose, and urine tests. The role also involves mental health assessments, referrals, and group work.

· To assess the client’s overall health, facilitate early intervention, and guide signposting and referrals to other organised health services.

· Develop and maintain pathways to specialist services to ensure residents' health and well-being, including primary care.

· Signpost service users to appropriate health care settings.

· Act as the single point of contact for Primary care, local hospitals, and other health services.

· Refer dependent drinkers and those needing further input to specialist alcohol services.

·Develop and provide a training package for hostel staff on brief interventions and out-of-hours support.

· Develop and deliver training for primary care, hospitals, and local health services..

· Continuously assess the psychological, emotional, social, and rehabilitative needs of clients, considering family and community, and develop systematic care and treatment plans.

· To contribute to RISE Naloxone Strategy by training staff and service users in the use of

naloxone. Ensuring naloxone is distributed to service users at every opportunity.

· Assess and case manage clients who inject drugs, especially injection sites, and understand harm minimisation principles.

· Use established Outcome Monitoring Tools (TOP) and other quality measures.


This advert closes on Wednesday 16 Jul 2025

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