Clinical Nurse Specialist


Company:	NHS Jobs
Salary:	£45,953 - £54,254
Hours:	Full-time
Location:	Hillingdon, UB8 1JP
Job type:	Permanent
Posting date:	14 Aug 2026
Closing date:	24 Aug 2026

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Summary

To work as a member of the multidisciplinary team in the management and treatment provision of the specialist service to people with problematic use of novel psychoactive substances with associated problem drink and drug use attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning, individual intervention, health assessments and education and detoxification programmes, pre and post test BBVs counselling and vaccination and group work. To assess continuously the psychological, emotional, social and rehabilitative needs of own clients/patients, taking into account the needs of family, local community and developing systematic plans for care and evaluation of treatment plans. To be able to assess and case manage clients who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation. To use agreed and established Treatment Outcome Monitoring Tools (TOP) and any other relevant quality measures. To contribute to the development, provision and review of care plans. To manage the transfer of individuals between agencies and services. To counsel individuals about their substance use and related behaviours, using motivational interviewing, relapse management and other evidence-based interventions, To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with substance misuse. To be responsible for the safe and effective storage and administration of drugs, exercising responsibility for the custody and maintenance of statutory records of such drugs in accordance with the Trust Policies/Procedures on the supply and carriage of drugs in the community. To ensure full risk assessments and risk management is delivered effectively. To undertake dry blood spot testing for BBV and urinalysis when required. To screen clients at risk of, or affected by, blood borne diseases and to plan and agree service responses according to needs. To provide education and to assertively promote Hepatitis B vaccination for clients who are at risk of contracting the virus. To administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols. To provide pre and post test discussion to clients screened for blood borne viruses in accordance with CNWL guidelines. To ensure the CNWL Hepatitis care plan is used for all clients. To actively promote attendance at the hepatology clinic for clients affected by liver disease. To collaborate with the individual Statutory, Non-Statutory teams, GPs, Primary Care Services, Virology, Chemical Pathology and Liver/ Gastroenterology Departments, and provide expert care without direct medical supervision, using clinical guidance documents and patient group directions as agreed by the Trust. To assist in the transfer of individuals between the service and Hepatology/Gastroenterology and other relevant agencies. To be familiar with the Trust and local Resuscitation, Infection Control and Needle Stick Injury Policies and Procedures. To attend mandatory yearly updates on CPR and Anaphylaxis training.

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