Clinical Nurse Specialist- Homeless Outreach
Central and North West London NHS Foundation Trust
High St, Uxbridge UB8 1JP, UK
Published today
Full Time
Job summary
Aim of outreach service/ Job Purpose
The aim is to provide a service specific to homeless individuals within the local authority catchment. The role will include a range of activities addressing the individuals health and wellbeing, the development of pathways into specialist services, training of hostel staff to managed residents out of hours, and improve the overall health inequalities via;
o Health promotion
o General Health screening
o Engagement in Primary Care services and facilitate access to organised health care
o Management of substance use and addiction disorders
The purpose of this role will be imperative in improving integrated pathways to prevent fragmented services that are efficient and effective. The role is specific to support those to improve health outcomes especially for those who continually consume alcohol where traditional structured treatment will not be appropriate. The role will require a peripatetic nurse led general health clinics within hostels, supported through general practice.
The collective aim of the service is to help those with a range of health needs including drug and alcohol to access the appropriate treatment, and to address the physical and mental health of homeless and hostel residents. The service will provide essential health promotion to increase the number of residents engaging with services to address their health and wellbeing.
Main duties of the job
CNWL- Addictions and Offender Care Directorates
CNWL Addictions is a well-established NHS provider offering a wide range of high-quality drug and alcohol treatment interventions to the diverse and multicultural population across Ealing, Brent, Hillingdon, Hounslow and Milton Keynes. In addition, we also have the tri-borough Club Drug Clinic as well as our National Problem Gambling Service.
The service is committed to a harm minimisation philosophy and to partnership working. Our main partners are primary care services, social and the third sectors.
Treatments are provided across all our clinical centres. Clinical Governance framework is well established and the service prides itself in its continuous development towards becoming a learning organisation.
Job description
Job responsibilities
Management and Leadership:
To contribute to the development of a culture of risk assessment and management to be delivered effectively to own sphere of responsibility and practice.
To contribute to the development and implementation of systems and process to support compliance with Care Quality Commission Essential Standards for Safety and Quality.
To represent peripatetic service at both internal and external clinical meetings and forums and to role model a professional and leadership style.
Ensure that feedback to others is positive and meaningful and that strengths are clearly acknowledged
To ensure delivery of all key quality, financial, cost improvement and performance targets
Education
Identify gaps in current knowledge base of staff and disseminate specialist knowledge to others in order to improve patient care.
Provide effective teaching to individual clients and their families.
Co-ordinate and contribute to the development of educational materials
Acts as a preceptor/ mentor for newly-appointed staff/ upgraded staff
Initiate and participate in clinical supervision and mentoring.
Provide high quality clinical environment and educational experience for pre-& post registration students.
To take responsibility for own professional development, and review and develop competencies as required to support clinical practice.
Contribute to the wider development of practice through publishing, presenting and networking locally and nationally.
Provide written information and education for patients with physical health conditions and their carers, and to regularly review this literature.
Communication:
To participate in multi-disciplinary meetings, both on-site and in the community relating to client management.
To attend business and clinical service wide meetings and external satellite / groups as team representative, as and when required.
To work collaboratively and communicate effectively with colleagues within your team, directorate, trust, partnerships agencies and other service providers while remaining within the boundaries of good practice.
To undertake satellite clinics in Primary Care Services when required providing guidance to GPs on the clinical management of substance misusing clients
To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued.
To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication.
To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted.
To provide specialist-nursing advice, when required, on drug/alcohol misuse to other colleagues in relation to the assessment, treatment planning and implementation of interventions to substance misusing clients.
To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.
To effectively communicate with health and social care agencies and other key professionals contributing towards patients care, to ensure effective and safe interventions where care is being delivered by multiple agencies.
Data management
To be able to use word processing and electronic monitoring of data-based system, for which training would be available, if needed.
To maintain the accurate and up to date documentation of all service clients records and ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol.
To ensure that all information requirements on KPIs are complied with for peripatetic caseload (including DET, TOP), data entered onto appropriate administration systems and submitted as required.
To adhere to service data recording and reporting policies and procedures as well as gathering additional information as required for data reporting.
Job description
Job responsibilities
Management and Leadership:
To contribute to the development of a culture of risk assessment and management to be delivered effectively to own sphere of responsibility and practice.
To contribute to the development and implementation of systems and process to support compliance with Care Quality Commission Essential Standards for Safety and Quality.
To represent peripatetic service at both internal and external clinical meetings and forums and to role model a professional and leadership style.
Ensure that feedback to others is positive and meaningful and that strengths are clearly acknowledged
To ensure delivery of all key quality, financial, cost improvement and performance targets
Education
Identify gaps in current knowledge base of staff and disseminate specialist knowledge to others in order to improve patient care.
Provide effective teaching to individual clients and their families.
Co-ordinate and contribute to the development of educational materials
Acts as a preceptor/ mentor for newly-appointed staff/ upgraded staff
Initiate and participate in clinical supervision and mentoring.
Provide high quality clinical environment and educational experience for pre-& post registration students.
To take responsibility for own professional development, and review and develop competencies as required to support clinical practice.
Contribute to the wider development of practice through publishing, presenting and networking locally and nationally.
Provide written information and education for patients with physical health conditions and their carers, and to regularly review this literature.
Communication:
To participate in multi-disciplinary meetings, both on-site and in the community relating to client management.
To attend business and clinical service wide meetings and external satellite / groups as team representative, as and when required.
To work collaboratively and communicate effectively with colleagues within your team, directorate, trust, partnerships agencies and other service providers while remaining within the boundaries of good practice.
To undertake satellite clinics in Primary Care Services when required providing guidance to GPs on the clinical management of substance misusing clients
To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued.
To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication.
To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted.
To provide specialist-nursing advice, when required, on drug/alcohol misuse to other colleagues in relation to the assessment, treatment planning and implementation of interventions to substance misusing clients.
To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.
To effectively communicate with health and social care agencies and other key professionals contributing towards patients care, to ensure effective and safe interventions where care is being delivered by multiple agencies.
Data management
To be able to use word processing and electronic monitoring of data-based system, for which training would be available, if needed.
To maintain the accurate and up to date documentation of all service clients records and ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol.
To ensure that all information requirements on KPIs are complied with for peripatetic caseload (including DET, TOP), data entered onto appropriate administration systems and submitted as required.
To adhere to service data recording and reporting policies and procedures as well as gathering additional information as required for data reporting.
Person Specification
Education and Qualifications
Essential
Essential
Essential
Essential
Education and Qualifications
Essential
Essential
Essential
Essential
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration
Applicants must have current UK professional registration. For further information please see
Additional information
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Central and North West London NHS Foundation Trust
Address
ARCH Hillingdon
64 High Street Hillingdon
Uxbridge
UB8 1JP
United Kingdom
Employer's website
Aim of outreach service/ Job Purpose
The aim is to provide a service specific to homeless individuals within the local authority catchment. The role will include a range of activities addressing the individuals health and wellbeing, the development of pathways into specialist services, training of hostel staff to managed residents out of hours, and improve the overall health inequalities via;
o Health promotion
o General Health screening
o Engagement in Primary Care services and facilitate access to organised health care
o Management of substance use and addiction disorders
The purpose of this role will be imperative in improving integrated pathways to prevent fragmented services that are efficient and effective. The role is specific to support those to improve health outcomes especially for those who continually consume alcohol where traditional structured treatment will not be appropriate. The role will require a peripatetic nurse led general health clinics within hostels, supported through general practice.
The collective aim of the service is to help those with a range of health needs including drug and alcohol to access the appropriate treatment, and to address the physical and mental health of homeless and hostel residents. The service will provide essential health promotion to increase the number of residents engaging with services to address their health and wellbeing.
Main duties of the job
- Develop pathways into specialist services for clients.
- Train hostel and partnership outreach staff to manage residents outside regular hours.
- Conduct nurse-led general health clinics within hostels and for street homeless individuals.
- Support clients, particularly those with alcohol dependency, where traditional treatment methods may not be suitable.
CNWL- Addictions and Offender Care Directorates
CNWL Addictions is a well-established NHS provider offering a wide range of high-quality drug and alcohol treatment interventions to the diverse and multicultural population across Ealing, Brent, Hillingdon, Hounslow and Milton Keynes. In addition, we also have the tri-borough Club Drug Clinic as well as our National Problem Gambling Service.
The service is committed to a harm minimisation philosophy and to partnership working. Our main partners are primary care services, social and the third sectors.
Treatments are provided across all our clinical centres. Clinical Governance framework is well established and the service prides itself in its continuous development towards becoming a learning organisation.
Job description
Job responsibilities
Management and Leadership:
To contribute to the development of a culture of risk assessment and management to be delivered effectively to own sphere of responsibility and practice.
To contribute to the development and implementation of systems and process to support compliance with Care Quality Commission Essential Standards for Safety and Quality.
To represent peripatetic service at both internal and external clinical meetings and forums and to role model a professional and leadership style.
Ensure that feedback to others is positive and meaningful and that strengths are clearly acknowledged
To ensure delivery of all key quality, financial, cost improvement and performance targets
Education
Identify gaps in current knowledge base of staff and disseminate specialist knowledge to others in order to improve patient care.
Provide effective teaching to individual clients and their families.
Co-ordinate and contribute to the development of educational materials
Acts as a preceptor/ mentor for newly-appointed staff/ upgraded staff
Initiate and participate in clinical supervision and mentoring.
Provide high quality clinical environment and educational experience for pre-& post registration students.
To take responsibility for own professional development, and review and develop competencies as required to support clinical practice.
Contribute to the wider development of practice through publishing, presenting and networking locally and nationally.
Provide written information and education for patients with physical health conditions and their carers, and to regularly review this literature.
Communication:
To participate in multi-disciplinary meetings, both on-site and in the community relating to client management.
To attend business and clinical service wide meetings and external satellite / groups as team representative, as and when required.
To work collaboratively and communicate effectively with colleagues within your team, directorate, trust, partnerships agencies and other service providers while remaining within the boundaries of good practice.
To undertake satellite clinics in Primary Care Services when required providing guidance to GPs on the clinical management of substance misusing clients
To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued.
To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication.
To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted.
To provide specialist-nursing advice, when required, on drug/alcohol misuse to other colleagues in relation to the assessment, treatment planning and implementation of interventions to substance misusing clients.
To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.
To effectively communicate with health and social care agencies and other key professionals contributing towards patients care, to ensure effective and safe interventions where care is being delivered by multiple agencies.
Data management
To be able to use word processing and electronic monitoring of data-based system, for which training would be available, if needed.
To maintain the accurate and up to date documentation of all service clients records and ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol.
To ensure that all information requirements on KPIs are complied with for peripatetic caseload (including DET, TOP), data entered onto appropriate administration systems and submitted as required.
To adhere to service data recording and reporting policies and procedures as well as gathering additional information as required for data reporting.
Job description
Job responsibilities
Management and Leadership:
To contribute to the development of a culture of risk assessment and management to be delivered effectively to own sphere of responsibility and practice.
To contribute to the development and implementation of systems and process to support compliance with Care Quality Commission Essential Standards for Safety and Quality.
To represent peripatetic service at both internal and external clinical meetings and forums and to role model a professional and leadership style.
Ensure that feedback to others is positive and meaningful and that strengths are clearly acknowledged
To ensure delivery of all key quality, financial, cost improvement and performance targets
Education
Identify gaps in current knowledge base of staff and disseminate specialist knowledge to others in order to improve patient care.
Provide effective teaching to individual clients and their families.
Co-ordinate and contribute to the development of educational materials
Acts as a preceptor/ mentor for newly-appointed staff/ upgraded staff
Initiate and participate in clinical supervision and mentoring.
Provide high quality clinical environment and educational experience for pre-& post registration students.
To take responsibility for own professional development, and review and develop competencies as required to support clinical practice.
Contribute to the wider development of practice through publishing, presenting and networking locally and nationally.
Provide written information and education for patients with physical health conditions and their carers, and to regularly review this literature.
Communication:
To participate in multi-disciplinary meetings, both on-site and in the community relating to client management.
To attend business and clinical service wide meetings and external satellite / groups as team representative, as and when required.
To work collaboratively and communicate effectively with colleagues within your team, directorate, trust, partnerships agencies and other service providers while remaining within the boundaries of good practice.
To undertake satellite clinics in Primary Care Services when required providing guidance to GPs on the clinical management of substance misusing clients
To promote an open dialogue culture where a positive culture on improving communication, and maintenance of a healthy therapeutic relationship with clients are enhanced and valued.
To contribute to the promotion of Team cohesiveness, multidisciplinary working and at all times work collaboratively with colleagues in all parts of the Trust to achieve healthy and effective communication.
To work collaboratively in developing professional links with other statutory and voluntary service providers, ensuring a corporate approach is adopted.
To provide specialist-nursing advice, when required, on drug/alcohol misuse to other colleagues in relation to the assessment, treatment planning and implementation of interventions to substance misusing clients.
To participate in a range of partnership arrangements both internal and external to the service/unit while remaining within the boundaries of good practice.
To effectively communicate with health and social care agencies and other key professionals contributing towards patients care, to ensure effective and safe interventions where care is being delivered by multiple agencies.
Data management
To be able to use word processing and electronic monitoring of data-based system, for which training would be available, if needed.
To maintain the accurate and up to date documentation of all service clients records and ensuring the confidentiality of such records of information are in line with the Data Protection Act and Information Sharing Protocol.
To ensure that all information requirements on KPIs are complied with for peripatetic caseload (including DET, TOP), data entered onto appropriate administration systems and submitted as required.
To adhere to service data recording and reporting policies and procedures as well as gathering additional information as required for data reporting.
Person Specification
Education and Qualifications
Essential
- RMN / RGN
- Experience of working with Rough Sleeper's client based
- Diploma in Drugs and Alcohol Studies or equivalent qualification
- Training in Cognitive Behavioural Therapy
- Completed the Motivational Interviewing Training Module
Essential
- Extensive post-registration experience in mental or general Health
- Relevant previous post-registration experience of working with drug and alcohol users
- Experienced in the supply and administration of Hepatitis vaccines
- Experienced and competent in the supply and administration of CNWL Trust Hepatitis Patient Group Directions
- Extensive clinical experience
- Case management experience
- Experience in undertaking Risk Assessments and Risk Management
- Teaching and Assessing qualification ENB 998 / SLICE or equivalent e.g.: mentorship
- Community Nursing Experience
- Experience of working in and delivering services to injecting drug users/street homeless clients
- Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
Essential
- Sound clinical knowledge and understanding of current NHS policies and national drug issues/policies
- Good verbal, written and presentation skills
- Good interpersonal skills in order to communicate and negotiate effectively, both inside and outside the Trust
- Ability to work independently and to prioritise effectively
- Ability to assess and treat people with dual diagnosis
- Evidence of effective leadership and organisational skills
- Evidence of the ability to work in a changing and stressful situation.
- Evidence of ability to teach/disseminate knowledge and skills
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person.
- Able to build constructive relationships with warmth and empathy, using good communication skills
- IT literate: competent using Microsoft Word and able to report clinical activity data on patient information systems.
- Experience of managing a caseload within the community
- Awareness/knowledge of research skills
- Awareness of counselling models
- Motivational Interviewing skills / Relapse Management skills
- Experience of working with stimulant users and people with alcohol problems.
- Experience of group facilitation
Essential
- Committed to multidisciplinary team work
- Committed to User involvement
- Flexible & responsive to a developing service. The post holder must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job
Education and Qualifications
Essential
- RMN / RGN
- Experience of working with Rough Sleeper's client based
- Diploma in Drugs and Alcohol Studies or equivalent qualification
- Training in Cognitive Behavioural Therapy
- Completed the Motivational Interviewing Training Module
Essential
- Extensive post-registration experience in mental or general Health
- Relevant previous post-registration experience of working with drug and alcohol users
- Experienced in the supply and administration of Hepatitis vaccines
- Experienced and competent in the supply and administration of CNWL Trust Hepatitis Patient Group Directions
- Extensive clinical experience
- Case management experience
- Experience in undertaking Risk Assessments and Risk Management
- Teaching and Assessing qualification ENB 998 / SLICE or equivalent e.g.: mentorship
- Community Nursing Experience
- Experience of working in and delivering services to injecting drug users/street homeless clients
- Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
Essential
- Sound clinical knowledge and understanding of current NHS policies and national drug issues/policies
- Good verbal, written and presentation skills
- Good interpersonal skills in order to communicate and negotiate effectively, both inside and outside the Trust
- Ability to work independently and to prioritise effectively
- Ability to assess and treat people with dual diagnosis
- Evidence of effective leadership and organisational skills
- Evidence of the ability to work in a changing and stressful situation.
- Evidence of ability to teach/disseminate knowledge and skills
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach, which considers the needs of the whole person.
- Able to build constructive relationships with warmth and empathy, using good communication skills
- IT literate: competent using Microsoft Word and able to report clinical activity data on patient information systems.
- Experience of managing a caseload within the community
- Awareness/knowledge of research skills
- Awareness of counselling models
- Motivational Interviewing skills / Relapse Management skills
- Experience of working with stimulant users and people with alcohol problems.
- Experience of group facilitation
Essential
- Committed to multidisciplinary team work
- Committed to User involvement
- Flexible & responsive to a developing service. The post holder must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration
Applicants must have current UK professional registration. For further information please see
Additional information
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Central and North West London NHS Foundation Trust
Address
ARCH Hillingdon
64 High Street Hillingdon
Uxbridge
UB8 1JP
United Kingdom
Employer's website