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Job summary

Main area
Clinical Practitioner
Grade
NHS AfC: Band 6
Contract
Fixed term: 12 months (Maternity Cover)
Hours
Full time - 37.5 hours per week
Job ref
334-CLI-6848921
Employer
South London and Maudsley NHS Foundation Trust
Employer type
NHS
Site
Blue Star House
Town
Brixton
Salary
£44,806 - £53,134 pa
Salary period
Yearly
Closing
18/02/2025 23:59

Employer heading

South London and Maudsley NHS Foundation Trust logo

Substance Misuse Clinical Practitioner

NHS AfC: Band 6

 

South London and Maudsley NHS Foundation Trust has a rich history, well-established community links and an international reputation. We deliver specialist services in the London boroughs of Croydon, Lambeth, Lewisham and Southwark, Bexley, Bromley, Greenwich, Wandsworth and Richmond.

We are committed to provide a high quality and specialist care to our service users and we are recognised for our care and treatment we provide. The Care Quality Commission already rates our services as ‘good’.

We launched our five-year strategy, Aiming High; Changing Lives  in 2021 together with Our Care Improvement System as our quality management system methodology  to make a positive impact on patient care, outcomes and staff experience. By joining SLaM, all staff will get the opportunity to be part of this exciting improvement journey supported with learning and development to harness everyone’s potential as change makers.

The trust recognises the unique and valuable contribution that people with lived experience of mental illness can bring to a role. We therefore welcome applications from people with lived experience and consider them as an asset to the Trust. 

Our Values

We take pride in providing specialist care to our service users where our Trust values and our promise to be caring, kind, polite, prompt, honest, listen and do what I say I’m going to do is at the heart of everything we do. When you join us, you’ll be part of something special.

As a Trust we are happy to talk flexible working.

Job overview

An exciting opportunity has arisen to take on a Clinical Practitioner role with a specialism in substance misuse within a pan-London Integrated Community Pathways Service (ICPS), as part of the Offender Personality Disorder (OPD) pathway. This input will focus on supporting the effective management and engagement of people on probation who present with complex personality difficulties and a high risk of harm to others, with the joint aims of reducing offending and improving psychological wellbeing.

Please note, as well as DBS checks you will also be expected to undertake HMPPS security vetting.

Development opportunities:
We are committed to get the very best out of our staff and support staff in their career aspirations. Opportunities for ongoing in-house training and development are offered to all staff on the OPD Pathway, where you will be able to develop your skills and build on your experience.

Flexible working:
As one of the few Trusts in London we are proud to offer flexible working as part of our new ways of working, and we are happy to talk flexible working at the interview stage.

Main duties of the job

The postholder will work directly with complex, high-risk service users with personality difficulties to assist their effective desistance, and be expected to provide enhanced substance misuse support to people on probation screened onto the OPD Pathway. They will provide specialist consultation and advice on resettlement support to staff, particularly with regards to issues around substance misuse, ensuring that case formulations consider the function and role of substances in individuals’ offending behaviour and personality difficulties.

The postholder will contribute to workforce development by providing training to staff to increase confidence and competence in working with people with substance misuse problems. They will liaise with probation, third sector and other agencies to address the support and wellbeing needs of service users and workers, working within a framework informed by best practice and the literature on working with personality disordered offenders and effective risk management, with an emphasis on desistance. 

The postholder will contribute to the development and implementation of effective governance frameworks, and to the audit and evaluation of developing services. They will work autonomously within professional guidelines, policies and procedures of London Pathways Partnership (LPP)’s services, and overarching objectives of LPP and the OPD Pathway.

Working for our organisation

The London Pathways Partnership (LPP) is a consortium of five NHS Trusts co-delivering a pan-London ICPS for the OPD Pathway. The OPD Pathway provides services to men and women with complex psychological difficulties and serious offending histories, and to multi-agency professionals working with them.

The South West ICPS is a multidisciplinary team made up of psychologists, probation officers, clinical practitioners and specialists from other sectors (e.g. housing). We deliver consultation, training and joint casework to PSL, and stabilisation/therapeutic interventions to people on probation. We have active social inclusion and user involvement programmes developed in partnership with service users and the PSL in line with desistance principles. LPP’s social inclusion projects include the development of community ‘hubs’ in north and south London offering a range of socially inclusive activities and support to service users. We cover the following areas: Hounslow; Kingston & Richmond; Merton & Sutton; Wandsworth; Lambeth; and Croydon.

Blue Star House is based in south London, zone 2 and is close to a vibrant high street with lots of shops and restaurants. It is within walking distance of Brixton rail and tube station, Stockwell tube station and Clapham High Street rail station, offering easy transport links. Please note the postholder will be expected to regularly travel across London to other settings, such as approved premises and probation offices. 

Detailed job description and main responsibilities

Clinical:    
•    To provide specialist psychosocial interventions, risk management and advice for highly complex service users with significant psychological difficulties following their release from prison; integrating highly complex information from a variety of sources addressing both risk and personality difficulties, and requiring analysis, interpretation and comparison of a range of options. 
•    To provide enhanced substance misuse support to people screened in to the OPD Pathway. This should be delivered in conjunction with, and avoiding duplication with, mainstream support available to people on probation, e.g., through the Dependency and recovery service for people on probation (London) - Forward Trust.
•    To identify services and play a key role in building relationships with substance misuse services across South West London.
•    To ensure that case formulations consider the function and role of substances in individuals’ offending behaviour and personality difficulties.
•    To formulate and implement plans for service users’ effective support and management, based upon an appropriate theoretical and evidence-based framework of the person on probation’s problems, and employing methods based upon evidence and practice and professional guidelines. 
•    To provide specialist substance misuse advice and consultation on resettlement to probation and prison staff, mental health services, and other relevant criminal justice, health and third sector agencies.  
•    To plan, organise and implement a range of specialist psychosocial interventions and activities requiring formulation and adjustment in response to service users, and where appropriate carers and involved professionals; co-working with clinical and non-clinical colleagues as appropriate. 
•    To evaluate and make decisions about interventions and support, taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group.
•    To communicate highly sensitive information and decisions in situations where there may be barriers to acceptance and a hostile, antagonistic or highly emotive atmosphere. 
•    To exercise autonomous professional responsibility for assessment and interventions with people on probation whose problems are managed by psychosocially informed care/pathway plans within the OPD Pathway. 
•    To ensure that case formulations consider the function and role of substances in individuals’ offending behaviour and personality difficulties.
•    To undertake risk assessment and risk management for people on probation in community settings, and to provide advice to other professions on psychosocial aspects of risk assessment and risk management.
•    To take responsibility for initiating planning and review of psychosocial interventions and care/pathway plans including service users, their carers, referring agents and others involved in the network of care. 
•    To provide specialist psychosocial advice, guidance and consultation to other professionals contributing directly to people on probation’s formulations and pathway plans.  
•    To contribute directly and indirectly to a psychosocially-based framework of understanding and care to the benefit of all users of the service, across all settings and agencies.
•    To communicate in a skilled and sensitive manner information concerning the assessment, formulation, intervention and support plans of people on probation within the OPD Pathway and to monitor progress during the course of multi-agency pathway delivery.

Teaching, training and supervision:
•    To offer consultation and training to substance misuse providers in order to reduce exclusion on the grounds of organisational anxiety.
•    To offer support and training for OPD Pathway staff to increase confidence and competence in working with people with substance misuse problems.
•    To receive regular supervision and line management from a senior clinical psychologist and/or relevant senior professional colleague.
•    To continue to gain post-qualification experience in psychosocial interventions and management, within the principal service area where the post holder is employed. 
•    To develop skills in teaching, training and supervision.
•    To contribute to external and internal training programmes.

Policy and service development:
•    To contribute to the development, evaluation and monitoring of the team’s operational policies and services, through the deployment of professional skills in research, service evaluation and audit.
•    To adhere and contribute to the development of the service’s governance and strategy, and to implement and monitor policy and practice initiatives as required. 
•    To work closely with partner agencies to ensure treatment planning and review is in line with sentence and risk planning, and clinical interventions are integrated with psychosocial interventions.
•    To signpost individuals into a range of health, social care and wrap-around services to support treatment and recovery goals, ensuring mapping of a wide range of internal and external referral partners.
•    To support information sharing and shared processes with key partners. 
•    To regularly undertake research and development projects to continually improve service delivery.

IT responsibilities:
•    To be proficient in the use of IT for email, intranet and clinical record purposes. To be familiar with word processing and database packages; to use appropriate computer software to develop and create clinical or other service-related reports or documents.
•    To ensure all service activity and service user information is recorded to a high standard using the required case management platforms, and within agreed timeframes.

Research and service evaluation:
•    To use theory, evidence-based literature and research to support evidence-based practice in individual work and work with other team members.  
•    To contribute to the evaluation, monitoring and development of the service, including audit and service evaluation, with colleagues within and across the service, to help develop and improve services to all service users.
•    To contribute to the evaluation, monitoring and development of the multi-disciplinary team.
•    To contribute to the development, implementation, evaluation and monitoring of the Directorate’s and Trust’s operational policies and services. 

General:
•    To contribute to the development and maintenance of the highest professional standards of practice, through active participation in internal and external CPD training and development programmes, in consultation with the post holder’s professional and service manager(s).
•    To contribute to the development and articulation of best practice across the service, by continuing to develop relevant professional skills taking part in regular professional supervision and appraisal and maintaining an active engagement with current developments in the relevant disciplines. 
•    To maintain the highest standards of clinical record keeping including electronic data entry and recording, report writing and the responsible exercise of professional self-governance in accordance with professional codes of practice and Trust policies and procedures.
•    To maintain up to date knowledge of legislation, national and local policies and issues in relation to both the specific client group and mental health.

Person specification

Qualifications

Essential criteria
  • Degree in a relevant subject, or equivalent experience Or NVQ level 4 in Health and Social Care, and/or equivalent professional qualification (e.g. Health Care, Social Work, equivalent overseas qualification)
  • Training in a model or approach relevant to drug and alcohol intervention, e.g. Motivational Interviewing, or CBT, or other psychosocial interventions
Desirable criteria
  • Received training (either formally or through experience) in risk assessments and/or formulation
  • Received training (either formally or through experience) in substance use and related issues

Experience

Essential criteria
  • Minimum of 1 year’s clinical employment within a forensic service, substance misuse team or dual diagnosis team
  • Experience of delivering individual and/or group interventions
  • Experience of working in a multidisciplinary team
  • Experience of working with service users with co-existing mental health and substance use problems
Desirable criteria
  • Experience of working with service users with complex needs and/or personality difficulties
  • Experience of working in diverse inner-city areas
  • Experience of working with offending behaviour and/or with criminal justice agencies

Knowledge

Essential criteria
  • Knowledge of the theoretical frameworks of care of forensic service users with substance use problems and mental health problems
  • Knowledge of current legislation and initiatives within substance misuse and mental health
  • Knowledge of the legal and ethical issues relating to issues around substance misuse in a forensic setting
Desirable criteria
  • Knowledge of the Offender Personality Disorder Community Pathway

Skills

Essential criteria
  • Ability to work under pressure and to deal with emergency situations/crises/highly emotional situations safely and effectively
  • Skills in planning, organising and delivering appropriate interventions and activities based on analysis, formulation, monitoring and adjustment of individual and environmental factors
  • Ability to establish rapport work therapeutically with a diverse client group, and maintain a safe therapeutic environment
Desirable criteria
  • Ability to give specialist advice on the recovery/desistance process with respect to people with serious offence histories and personality disorder

Employer certification / accreditation badges

London Healthy workplaceCapital Nurse, LondonNo smoking policyLondon Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage FoundationImproving working livesMindful employer.  Being positive about mental health.Stonewall Silver 2022Disability confident employerStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Armed Forces Covenant Bronze AwardHappy to Talk Flexible WorkingArmed Forces Covenant

Applicant requirements

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Maria Stokes
Job title
Service Lead
Email address
[email protected]
Telephone number
07890 533182
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