Assertive Outreach Nurse

Change Grow Live; East Midlands; On-site; Confidential; Full time

Benefits offered by this job

Generous holiday entitlement

Flexible working arrangements

Contributory pension scheme

Wellness resources

Job summary

Change Grow Live in Nottinghamshire seeks an enthusiastic Assertive Outreach Nurse to deliver community-based clinical outreach interventions for individuals experiencing severe multiple disadvantage. You will perform comprehensive assessments, support access to primary and secondary care, and administer Buvidal injections in line with clinical guidance.

The role emphasizes trauma-informed, recovery-focused care, working across housing settings and outreach venues to reduce health inequalities

Qualifications

• Registered nurse with current NMC PIN.
• Experience delivering care in community settings.
• Skilled in assessment, planning and risk management.
• Trauma-informed, recovery-focused approaches.

Responsibilities

• Deliver clinical outreach interventions to individuals experiencing severe multiple disadvantage.
• Undertake comprehensive physical assessments in community settings and support access to healthcare services.
• Administer Buvidal injections safely within community/outreach environments.
• Initiate and support Buvidal treatment programs for multiple pathways to care.
• Coordinate referrals with prescribers and partner agencies to ensure timely access to treatment.
• Provide harm reduction, wound care, and health promotion in outreach contexts.

Skills

NMC registered nurse

Community nursing

Assessment and risk management

Trauma-informed approach

Education

Nursing qualification

Job description

Believe in people?

The best people have one thing in common.

They care. At

Believe in people? The best people have one thing in common. They care. At Change Grow Live, we’re more than just a substance misuse charity, we’re a community driven by our core values Be Open, Be Compassionate, Be Bold. A fantastic, new opportunity has arisen to become an Assertive Outreach Nurse, improving choice and control for individuals who may be rough sleeping, homeless or at risk of homelessness. We are hoping this role will be for you.

The role will be based within our Rough Sleeping Drug and Alcohol Team (RSDAT), supporting individuals across Nottinghamshire County who are experiencing Severe Multiple Disadvantage (SMD) and facing barriers to accessing services due to rough sleeping or homelessness.

The post holder will work within the community using our Health Bus, supporting individuals to access treatment and services, while working collaboratively with partner organisations to improve engagement and outcomes.

If you're ready to inspire change, this is the place for you.

Why work with us? Are you seeking a role where every day brings new challenges and opportunities? At Change Grow Live, we embrace a whole-person approach to care, treating each person accessing treatment with us as a unique individual on their recovery journey. Our team thrives on collaboration, bringing together service managers, consultant psychiatrists, dedicated healthcare professionals, compassionate nurses, empathetic recovery staff, enthusiastic volunteers, and supportive peer mentors.

This is an excellent opportunity for an energetic and passionate Assertive Outreach Nurseto help shape our vision in how we provide clinical services to individuals whose lives have been affected by drugs and alcohol.

Where Nottinghamshire

Hours 37.5 hours per week

Contract Type Fixed Term Contract until 31st March 2028

Full-time hours at Change Grow Live are 37.5 hours per week. For part-time roles, the salary and payments will be pro rata based on contracted hours.

We are looking for an experienced and motivated Assertive Outreach Nurse to join our multidisciplinary team, delivering flexible, person-centred support to individuals experiencing severe multiple disadvantage (SMD) across Nottinghamshire County.

This is a unique opportunity for a nurse who is passionate about reducing health inequalities and engaging people who may struggle to access traditional treatment settings. Working predominantly in the community, you will provide specialist substance misuse nursing interventions directly to individuals in supported housing, our health bus, community venues and other outreach settings.

You will play a key role in improving access to treatment for people facing multiple and complex needs, including substance misuse, homelessness, poor mental health, offending histories, and social exclusion.

About The Role Working autonomously across Nottinghamshire County, you will

• Deliver clinical outreach interventions to individuals experiencing severe multiple disadvantage.
• Undertake comprehensive physical assessments in community settings and support access to primary and secondary healthcare services.
• Identify, engage and support individuals who would benefit from Buvidal treatment, including those who may be disengaged from traditional services.
• Administer Buvidal injections safely within community and outreach environments in line with prescribing guidance and organisational protocols.
• Initiate and support Buvidal treatment programmes for individuals transitioning from oral buprenorphine, methadone or entering treatment for the first time.
• Provide harm reduction advice, overdose prevention education, wound care support, and interventions aimed at reducing drug-related deaths.
• Conduct comprehensive alcohol assessments to determine levels of dependence, identify risks, and recommend the most appropriate treatment pathway, including community detoxification, inpatient detoxification, or residential rehabilitation.
• Work closely with prescribers and partner agencies to facilitate referrals, support treatment readiness, and ensure individuals receive timely access to alcohol treatment and recovery services.
• Train service users and partner agencies in the use of Naloxone and ensure widespread access across the SMD population.
• Deliver BBV screening, health promotion and Hepatitis B vaccinations where clinically appropriate.
• Build and maintain effective therapeutic relationships with people who may have experienced trauma, exclusion, stigma and barriers to healthcare.
• Work closely alongside housing providers, outreach teams, mental health services, social care professionals and other partner agencies to coordinate support.
• Maintain accurate clinical records and contribute to service performance, governance and quality assurance processes.
• Participate in safeguarding processes, risk management and multidisciplinary case discussions.
• Provide advice, screening support and signposting to appropriate sexual health services, including access to STI testing, contraception and HIV prevention initiatives such as PrEP, helping to reduce barriers to healthcare engagement.
• Deliver basic wound care interventions within community settings and assess ongoing clinical needs, providing advice and signposting to appropriate healthcare services, including Street Health and primary care providers, to ensure continued treatment and support.

About You You will be

• A first level Registered Nurse with a current NMC PIN.
• An experienced practitioner who is confident working independently in community settings.
• Passionate about supporting people with multiple disadvantage and reducing barriers to treatment.
• Skilled in assessment, care planning and risk management.
• Knowledgeable about substance misuse treatment, harm reduction and health promotion interventions.
• Able to establish professional, empathetic and non-judgemental relationships with people who may have complex presentations.
• Comfortable working flexibly across a large geographical area and managing your own caseload.
• Experienced in working collaboratively with multiple agencies and professionals.
• Committed to trauma-informed, recovery-focused and strengths-based approaches.

Additional Requirements

• Full UK driving licence and access to a vehicle for business use.
• Ability to travel throughout Nottinghamshire County on a daily basis.
• Willingness to work in a variety of community settings, including supported accommodation, hostels, day services and outreach locations.
• Understanding of the challenges faced by individuals experiencing homelessness, multiple disadvantage and social exclusion is highly desirable.

We want to support you to recognise and achieve your goals

• We hold regular national nurse and HCA forums, and you will have regular 11s and appraisals
• We actively support our nurses with revalidation with protected continuing professional development time, which totals up to 6 days per year.
• We also have a wide range of educational opportunities including free access to the RCNi learning platform and we reimburse your NMC fee
• We offer you the opportunity to use the government backed Apprenticeship Levy fund to develop nursing practice in line with your specific role
• All our team members are encouraged to take a wellbeing hour every week and access personal well -being resources
• Our nursing pay is competitive with the NHS Agenda for Change pay bands

What we offer you

• Generous holiday entitlement (+ bank holidays), increasing annually for first five years’ service
• Flexible working arrangements
• Paid ‘Wellness’ hour each week, plus access to our Wellness Hub and Employee Assistance Program
• Contributory pension scheme
• Discounts on shopping, cinema, holidays, and more
• A friendly and supportive team environment
• Free eye test vouchers
• Extensive training, career development, and progression opportunities
• Cycle to Work and generous Refer a Friend Scheme

As part of our commitment to patient safety and professional standards, all nurses are required to wear the designated company uniform while on duty. This ensures a consistent, hygienic, and professional appearance in line with our healthcare protocols

Please ensure that when completing your application form and supporting statement, you reflect on the details outlined in the job description. This will help us understand how your skills and experiences align with the requirements of the role

CGL points 33 to 39 (£38,114.53 - £44,469.24)

N/A - Outside London Weighting Area

30/10/2026

18/10/2026

Megan Russell | [e-mail] | 07833029148

This post is subject to a Disclosure and Barring Service (DBS) check at an enhanced level.