Enhanced Practitioner - Shared Care Drug & Alcohol Service
| Posting date: | 31 December 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 05 January 2026 |
| Location: | Workington, CA14 2DL |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A4837-25-0015 |
Summary
To provide a specialist and advanced professional contribution to the clinical management of patients attending within their specialist area. Work within the national clinical management guideline in line with the Drug Misuse and Dependence: UK Government on Clinical Management- Department of health & Social care 2017. Carry out a health check at a minimum annually incorporating Hepatitis B&C, & HIV- where appropriate and evidence of Hepatitis B vaccinations where applicable. Examples include but not limited to wound care, contraception, blood borne virus testing and immunisation, smoking cessation services, and mental health interventions. Carry out comprehensive assessment of patients with drug and alcohol needs, including physical and mental health screening. Undertake comprehensive biopsychosocial assessments of patients with substance misuse disorders Diagnose and manage drug and alcohol dependence, withdrawal syndromes, and co-morbid conditions Develop and deliver individualised care plans focused on harm reduction, stabilisation and health checks Initiate and manage opioid substitution therapy- OSTand alcohol detoxification plans Prescribe independently in line with national and local guidelines, supporting safe prescribing pathways in collaboration with GPs and pharmacists. Manage complex presentations including dual diagnosis, safeguarding concerns, and high-risk behaviours Provide brief clinical interventions, motivational interviewing, and relapse prevention strategies, including detox support, wound care , vaccinations and medication prescription where appropriate. Monitor treatment effectiveness, side effects, and adherence Manage acute presentations related to substance misuse, including overdose risk and withdrawal Actively work with Recovery Co-ordinator to support the individual to engage in a range of interventions and treatment options, to include substitute opiate prescribing and alcohol detoxification prescribing. To supply point of care drug screening equipment. Ensure the person has access to and is holding naloxone. To supply DBTS kits. Attend Multi-Disciplinary Team meeting with the GP to discuss complex cases with recovery Steps Cumbria. Use a combination of skills, knowledge, values and self-esteem to manage change and move beyond competency, moving from experienced to expert in area of specialism. Working at an enhanced level of practice- with strong autonomous decision making within scope of practice and current competencies Practice with autonomy and accountability. To be responsible for the follow up of the patients under their care. Adhere to the NMC/ HCPC/ professional body Code: Standards of Conduct, Performance and ethics for nurses / professional body at all times. To undertake assessments for clinical risk within the service and ensure all staff are aware of responsibilities and related policies. To participate in the identification, development, implementation and dissemination of local clinical protocols, policies, procedures, guidelines relating to individualised specialist service; which includes their management ensuring clinical governance is maintained.