Enhanced Practitioner - Shared Care Drug & Alcohol Service

Haringey GP Federation; Workington; On-site; GBP 60,000 - GBP 80,000; Full time

Job description

Enhanced Practitioner - Shared Care Drug & Alcohol Service

The Enhanced practice professionalswill use clinical decision making within a scope of practice, participate indecision making amongst the wider MDT and contribute specific knowledge of anarea of practice.

The Enhanced level of practiceincludes freedom to act. Practice is autonomous within the professional scopeof practice.

Main duties of the job

The post holder will have highlydeveloped specialist skills and advanced knowledge in a specific area ofinterest. They will have significant clinical experience in their area ofpractice. As an autonomous practitioner they will undertake independent consultationswith patients attending with specific symptoms within the post holdersspecialist scope of practice. They will assess, examine, investigate, diagnose,treat and follow up patients within their scope of practice.

About us

North Cumbria Primary CareLtd (NCPC) is an innovative not for profit social enterprise, established tocreate a network of great surgeries which sustains and supports the developmentof general practice across the local area. We enable our member generalpractices to continue to operate as local family practices with the benefit ofa large and robust infrastructure to provide support.

Job responsibilities

To provide a specialist and advancedprofessional contribution to the clinical management of patients attendingwithin their specialist area.

Work within the national clinical managementguideline in line with the Drug Misuse and Dependence: UK Government onClinical Management- Department of health & Social care 2017.

Carry out a health check at a minimum annuallyincorporating Hepatitis B&C, & HIV- where appropriate and evidence ofHepatitis B vaccinations where applicable. Examples include but not limited towound care, contraception, blood borne virus testing and immunisation, smokingcessation services, and mental health interventions.

Carry out comprehensive assessment of patientswith drug and alcohol needs, including physical and mental health screening.

Undertake comprehensive biopsychosocial assessments of patientswith substance misuse disorders

Diagnose and manage drug and alcohol dependence, withdrawalsyndromes, and co-morbid conditions

Develop and deliver individualised care plans focused on harmreduction, stabilisation and health checks

Initiate and manage opioid substitution therapy- OSTand alcoholdetoxification plans

Prescribe independently in line with national and local guidelines,supporting safe prescribing pathways in collaboration with GPs andpharmacists.

Manage complex presentations including dualdiagnosis, 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, includingoverdose risk and withdrawal

Actively work with Recovery Co-ordinator tosupport the individual to engage in a range of interventions and treatmentoptions, to include substitute opiate prescribing and alcohol detoxificationprescribing.

To supply point of care drug screeningequipment.

Ensure the person has access to and is holdingnaloxone.

To supply DBTS kits.

Attend Multi-Disciplinary Team meeting withthe GP to discuss complex cases with recovery Steps Cumbria.

Use a combination of skills, knowledge, valuesand self-esteem to manage change and move beyond competency, moving fromexperienced to expert in area of specialism.

Working at an enhanced level of practice- withstrong autonomous decision making within scope of practice and currentcompetencies Practice with autonomy and accountability.

To be responsible for the follow up of thepatients under their care.

Adhere to the NMC/ HCPC/ professional bodyCode: Standards of Conduct, Performance and ethics for nurses / professionalbody at all times.

To undertake assessments for clinical riskwithin the service and ensure all staff are aware of responsibilities andrelated 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.

Person Specification

Other requirements

• Full clean driving licence

Personal attributes

• Positive attitude, self-motivated
• Willingness to learn new skills
• Ability to work with a team and independently
• Ability to adapt to change within working situation

Experience

• Advanced clinical assessment and diagnostic skills
• Strong knowledge of substance misuse pharmacology and harm reduction
• Excellent communication and motivational interviewing skills
• Ability to manage risk, safeguarding, and complex psychosocial needs
• Non-medical prescribing experience in substance misuse
• Significant and extensive experience within Drug and Alcohol miss-use.
• EMIS clinical system

Qualifications

• Registered healthcare professional (NMC / HCPC)
• Possess the right to work in the UK and be on the performers register
• Evidence of continuous professional development
• Significant post-qualification experience in substance misuse
• RCGP Certificate in the Management of Drug Misuse (Part 1) and
• RCGP in in the Management of Alcohol problems in Primary Care

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.