Bank SMS Nurse HMP Elmley Band 6 | Oxleas NHS Foundation Trust

Oxleas NHS Foundation Trust; Borough of Swale; On-site; GBP 30,000 - 40,000; Part time

Job summary

A healthcare organisation in the United Kingdom is seeking dedicated Substance Misuse Service Nurses to provide specialised assessment and clinical care to prisoners facing substance misuse issues. This role includes managing referrals, conducting assessments, and developing collaborative recovery plans while working alongside multidisciplinary teams. The ideal candidate will have a nursing background and a strong commitment to harm reduction and patient care.

Qualifications

• Experience in providing clinical care for individuals with substance misuse issues.
• Ability to develop collaborative and person-centred recovery plans.
• Strong assessment skills to identify risks and needs in a prison setting.

Responsibilities

• Manage referral and triage for prisoners with substance misuse needs.
• Provide evidence-based clinical interventions.
• Conduct risk assessments and manage complex caseloads.
• Lead and supervise junior staff in clinical settings.

Skills

Referral management

Screening assessment

Risk assessing

Harm minimisation advice

Clinical oversight

Care planning

Communication

Education

Registered Nurse qualifications

Job description

We are looking for dedicated Substance Misuse Service Nurses to cover bank shifts providing specialised assessment and clinical care to prisoners with identified substance misuse / dependency and related physical health issues in prison. Working closely with wider healthcare and prison departments to manage immediate risks and develop person centred collaboratively agreed recovery plan objectives. To deliver a range of specialist interventions at primary and secondary care level;

Responsibilities

• Referral management, screening assessment, triage, and evidence-based interventions
• Care Planning and risk assessing
• One-to-one and group-work facilitation
• Managing a mixed and challenging caseload
• Providing appropriate, pragmatic harm minimisation advice to patients
• Providing drug, alcohol and holistic health education to patients and colleagues

Leadership

• Provide supervision to junior staff and receive supervision as directed (line management and clinical)
• Develop and take on a specialist lead role within the Integrated Substance Misuse Service as appropriate and provide peer support and training in this area
• Contribute towards support, advice, consultation, and training for other prison departments
• Provide supervision, mentorship & leadership for junior staff

Clinical

• Complete comprehensive clinical assessment, developing immediate risk management and safety planning and instigate recovery planning for all prisoners arriving in HMP Elmley who have an identified substance misuse need/dependency issue
• Through assessment, identify and elevate safeguarding concerns relating to patients and their families at the point of arrival into HMPPS
• Assist in the clinical oversight of new arrivals over the first five days in prison
• Correctly identify indicators of withdrawal or sedation and request appropriate clinical interventions to support patients including Opiate Replacement Therapy, alcohol detoxification and benzodiazepine detoxification
• Provide relevant harm minimisation and health education advice for patients with alcohol and substance use issues, including education in the administration of Naloxone
• Provide a range of evidenced-based specialised clinical care in the treatment of alcohol and substance dependency, and signposting for co‑morbid conditions associated with and compounding to, patients' substance and/or alcohol use
• Ensure that patients' needs are addressed effectively and in a timely manner, ensuring equivalence of care or better that one would expect from accessing services in the community
• Participate in and co‑ordinate joint and collaborative care planning for patients with additional complexities, including developing appropriate signposting to specialised services and release planning
• Perform robust assessment, screening, and interventions to offenders with a learning disability
• Participate in resource centre services as directed, delivering specialist drug, alcohol and holistic healthcare activities under the direction of the clinical lead
• Work in a psychologically minded way with prisoners in achieving their agreed goals and quality health outcomes

Teamwork

• Post holder part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway
• Provide joint reviews with patients' assigned Psychosocial Recovery Workers, being involved in developing holistic care plans designed to improve overall health and wellbeing outcomes
• Participate and positively contribute to the services integrated clinical governance arrangements

Training & Development

• Undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations
• Ensure a named care co‑ordinator is allocated for every patient with complex needs, implementing proactive, evidence‑based approach to clinical interventions, health promotion/prevention activity, and management of acute and long‑term conditions using the stepped care approach
• Ensure that a single, integrated, care plan is developed for each patient, and the individualised care is regularly reviewed in conjunction with the patient's psychosocial recovery worker and ISMS prescriber
• Ensure that comprehensive risk assessments and care plans are regularly reviewed in a needs‑led review cycle
• Ensure that care coordination criteria and MDT meetings for patients with complex needs are tailored to the needs of the establishment
• Undertake all training in evidence‑based drug and alcohol treatment approaches, to enhance consistency and quality of care delivery
• Support patients to manage their health at every stage, from oral health to long‑term conditions, ensuring health promotion embedded into every aspect of the service
• Participate in own supervision and continued professional development
• Maintain comprehensive and timely electronic clinical records ensuring confidentiality is maintained at all times
• Participate in the annual appraisal reviews and demonstrate reflective practice through the Knowledge and Skills Framework

Research

• Carry out administrative tasks as directed including research, audit, data, and activity statistics

Communication

• Work closely with community drug and alcohol services and other required services to ensure appropriate sharing of information, transfer and continuity of pharmacotherapy and psychosocial continuity of care for all prisoners as necessary
• Provide comprehensive and timely reports and expert substance use/treatment information to multi‑agency public protection panels (MAPPA), police, probation services, solicitors and court liaison teams as directed
• Maintain close working relationships with all prison staff and other partners to improve patient care outcomes, including participation in sentence planning, resettlement, safer custody, and ACCT processes
• Communicate effectively on a range of issues that are often complex in their nature and in complex situations
• Take all necessary care in the working environment, adhering to relevant health and safety policies
• Understand the complexity of inter‑agency involvement in offender welfare and resolve issues across organisational boundaries

Custodial Responsibilities

• Assume personal responsibility for the security of issued keys, understand and comply with prison orders, procedures, and instructions in your area of work
• Comply with all security requirements
• Respond to any situation or circumstance that might indicate a threat to security of the establishment or to the safety of an individual, completing Incident, Security, Injury, or other reports as appropriate
• Report breaches of order and discipline including reporting and recording untoward incidents according to local protocol
• Contribute to effective risk assessment and management procedures

About Disability Confident

A Disability Confident employer will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. It is important to note that in certain recruitment situations such as high‑volume, seasonal and high‑peak times, the employer may wish to limit the overall numbers of interviews offered to both disabled people and non‑disabled people. For more details please go to .