JOB DESCRIPTION Job Title: Primary Care Recovery Service Nurse Service/Department: Primary Care Recovery Service Location: Lewisham Grade: Band 7 Reports To: Service Manager and GP Shared Care Senior Nurse/Practitioner Job Purpose The post holder will work as part of an integrated treatment recovery system across the borough of Lewisham to encourage and facilitate participation in the Primary Care Recovery Service (PCRS); and provide health interventions including service user assessment, BBV screening and immunisation, detoxification (including prescribing) and on-going contribution to recovery planning. The post holder will also provide nursing support for the Primary Care Recovery Service and support the development and provision of enhanced primary care provision for community alcohol detoxification within a recovery model. Main Duties and Responsibilities 1. Primary Care Liaison and Engagement 1.1 Coordinate the participation and engagement of GPs and community pharmacies in the primary care recovery service. 1.2 Proactively visit all participating and interested surgeries and pharmacies to build relationships, instil confidence in the new service and troubleshoot any issues. 1.3 Support GP shared care arrangements, advising health care professionals in relation to opiate substitute treatment, alcohol and other drugs. 1.4 Comply with NMP protocols, NICE and Clinical Management (2010) guidelines to facilitate community alcohol detoxifications in primary care settings. 1.5 Provide direct nursing expertise and support /advice to the alcohol community detox hubs. 1.6 Undertake comprehensive assessments, risk assessments, provide alcohol brief interventions, and detox and recovery care planning to service users within a primary care setting. 1.7 Offer testing, pre and post-test information for BBVs including onward referrals for further interventions and treatment when necessary. 1.8 Support GP Shared Care Workers with client work where required. 1.9 Ensure high standards of patient care are maintained in line with shared care practice standards. 1.10 Contribute to the development of formalised pathways to wraparound and physical and mental health services. 1.11 To attend GP meetings and GP clinic review meetings where appropriate. 1.12 Maintain professional links with related organisations to ensure elements of continuity of care, up to date profiling of the service, referral links and general information sharing. 1.13 To work in partnership with other voluntary agencies and statutory services and support the Joint Providers Forum. 1.14 Maintain effective working relationships with local lead GPwSIs. 1.15 To attend external meetings as directed by the Operational/Clinical leads. 1.16 To attend and contribute in Organisational clinical forums. 2. Training and Development 2.1. Develop training programme on alcohol brief interventions and deliver to GPs and pharmacies across the partnership. 2.2. Develop training programme on BBV interventions and deliver to GPs and pharmacies across the partnership. 2.3. Develop and coordinate protocols on the delivery of dried blood spot testing and referral. 2.4. Provide support for the development of enhanced primary care provision within GP surgeries, including the development of community alcohol detox programmes in targeted clinics. 2.5. Provide advice and training to partnership teams on health and wellbeing, clinical issues, resolving conflict, as well as supporting staff who are working with service users with more complex needs. 2.6. Work in partnership with PCSR Workers to co-ordinate service user pathways and to maintain positive developmental relationships with service users, GPs and pharmacies. Pharmacy/GP Liaison Nurse Page 2 of 7 1. Recording, Monitoring and Evaluating 3.1. To co-ordinate the maintenance of client records in such a way that conforms to Blenheim policies and procedures and complies with medical and legal requirements. 3.2. Support the effective recording of interventions and activity on BOMIC and relevant data and case management systems. 3.3. To assist the Manager and administrator in the provision of information that enable data collection, input and retrieval. 3.4. To ensure that all interventions are underpinned by sound theoretical methods to ensure that outcomes are measurable. 3.5. To ensure that all communications take account of information governance policies to ensure appropriate levels of confidentiality. 2. General Duties and Responsibilities 4.1. To maintain all policies and procedures in place in Blenheim. 4.2. To attend supervision, appraisal and other meetings as directed by line Manager. 4.3. To represent Blenheim in a professional manner at all times. 4.4. To treat all colleagues and service users with respect and dignity. 4.5. To contribute to the strategic development of Blenheim by identifying skill sharing opportunities, training provision and the exchange of information. 4.6. To undertake any task in line with role and responsibilities as directed by the line manager. This job description is not exhaustive and may be subject to change, in consultation with the post holder and GP Shared Care Senior Nurse/Practitioner, Service Manager, and Medical Officer during the course of development of the post and service. Information Governance Follow all information security policies, procedures and guidelines and ensure information security is considered in all aspects of your role. Safeguarding Responsibility To be familiar with the Safeguarding Children and Adults at Risk Policies and Procedures within the wider organisation and the specific service. To report any concerns about a child’s wellbeing no matter how insignificant it may first appear to the nominated Safeguarding Lead. Pharmacy/GP Liaison Nurse Page 3 of 7 Organisational Position (in chart) Organisational Medical Officer GP Shared Care Senior Nurse/Practitioner PCRS Manager PCSR Nurses PCSR Workers Key Relationships Relationship management is a key task, and this applies both within the organisation and externally. Key relationships include: Internal: Primary Care Recovery Service Manager Primary Care Recovery Service Workers & Alcohol Worker Primary Care Recovery Service Nurse Blenheim GPwSI/Medical Officer GP Shared Care Senior Nurse/Practitioner External: Borough lead GPwSIs Local pharmacists Local GPs and Practice Managers Commissioners CRI Directions Hospital Liaison workers Other voluntary agencies and statutory services Supervisory Accountabilities Pharmacy/GP Liaison Nurse Page 4 of 7 To attend supervision as required. To reflect on practice and development needs and actively contribute to the supervision process. Financial Accountabilities Not applicable. Disclosure Requirements Enhanced DBS Disclosure every three years. Further requirement to disclose any convictions/cautions or criminal investigations incurred at any time during your employment. Information Governance Follow all information security policies, procedures and guidelines and ensure information security is considered in all aspects of your role Organisational Objectives You will have responsibility for ensuring the services under your control meet the agreed organisational objectives. These include: ASPIRE – To be Accountable, Successful, Professional, Innovative, Responsible, and Effective in all our interactions Environmental Objectives – to reduce our environmental impact by taking practical action and promote energy saving initiatives Equality & Diversity – to promote equality and diversity in employment and service provision and comply with our E&D policies and procedures Health & Safety – to comply with all H&S policies and procedures Learning & Development Requirements The post holder is expected to be a registered nurse with at least three years post qualification experience and a current PIN. You are responsible for your Continuing Professional Development (CPD) by ensuring your management and treatment knowledge is kept up-to-date, e.g. through attending the training identified on your training plan and other learning events such as conferences etc. Pharmacy/GP Liaison Nurse Page 5 of 7 PERSON SPECIFICATION Job Title: Primary Care Recovery Service Nurse Service/Department: Primary Care Recovery Service Reports To: Service Manager and GP Shared Care Senior Nurse/Practitioner Job Criteria Application Interview /test Experience 1. 3 years post nursing qualification experience including a minimum 12 months experience of working with people with substance misuse problems. 2. Experience of delivering training to a range of health and social care professionals. Qualifications 3. RGN/RMN Nursing Qualification at Band 7 with active registration and current PIN. 4. Current Pabrinex administration training certificate Knowledge, Skills and Abilities 5. A good understanding of the complex needs and problems that confront those with a history of problematic substance misuse, e.g. physical, psychological, mental health, legal etc. 6. A good understanding of harm minimisation and how it can be used as an intervention to reduce the risk of harm to individuals and the wider community. 7. Able to assess the complex needs of drug users, identify risks and formulate action plans to identify how these can best be addressed. 8. Knowledge of the types of services available to people who have substance misuse issues and how they are accessed or referred into. 9. Ability to work independently and travel around the community whilst being an active team member. Pharmacy/GP Liaison Nurse Page 6 of 7 Job Criteria Application 10. Able to respond flexibly to meet the demands of the post. Interview /test 11. Able to establish and maintain good productive working relationships both within a multi-disciplinary team and with external partners using communication skills appropriate to the audience. 12. Good written communication skills with ability to write clear concise case notes, care plans, letters and prepare reports (including use of relevant IT). 13. A good understanding of safeguarding for both children and adults and the ability to apply safeguarding practices. 14. Able to reflect on own working practice to identify appropriate learning and development. Make effective use of supervision. 15. Awareness of local and National substance misuse issues, including awareness of Public Health Agenda. 16. Demonstrates respect for the diversity, culture, values and choices of clients. Promotes equal opportunities and challenges discriminatory practice. Primary Care Recovery Service Specific 17. Experience and knowledge of GP Shared Care arrangements and an ability to advise and support primary health care professionals in relation to opiate substitute treatment, BBV’s, alcohol and other drugs. 18. Previous experience of prescribing within a drug and/or alcohol treatment setting. 19. Working knowledge of case management systems within primary care. Pharmacy/GP Liaison Nurse Page 7 of 7
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