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Job description

To provide specialised assessment and clinical care to prisoners with identified substance misuse / dependency and related physical health issues in a Local Remand 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; to include

• 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

To complete comprehensive clinical assessment, developing immediate risk management and safety planning and instigate recovery planning for all prisoners arriving in HMP Exeter who have an identified substance misuse need/dependency issue.

Through assessment, identify and escalate 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.

Provide joint reviews with your patients’ assigned Psychosocial Recovery Workers, being involved in developing holistic care plans designed to improve overall health and wellbeing outcomes.

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.

We have over 125 sites in a variety of locations in the South of England. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.

Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

• We’re Kind
• We’re Fair
• We Listen
• We Care

To 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.

Provide supervision to junior staff and to receive supervision as directed (line management and clinical).

To participate in resource centre services as directed, delivering specialist drug, alcohol and holistic healthcare activities under the direction of the clinical lead.

To work in a psychologically minded way with prisoners in achieving their agreed goals and quality health outcomes.

Close working relationships with all prison staff and other partners to improve patient care outcomes, to include participation in sentence planning, resettlement, safer custody, and ACCT processes.

To 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.

To contribute towards support, advice, consultation, and training for other prison departments.

The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.

The post holder will be required to undertake training to maximise uptake of screening, health promotion and prevention activity, including vaccinations.

The post holder will ensure a named care co-ordinator is allocated for every patient with complex needs who will ensure a proactive, evidence-based approach to clinical interventions, health promotion/prevention activity, and management of acute and long-term conditions using our stepped care approach.

The post holder will ensure that a single, integrated, care plan is developed for each patient, and the individualised care is regularly reviewed. This will be reviewed in conjunction with the patient’s psychosocial recovery worker and ISMS prescriber.

The post holder will ensure that a comprehensive risk assessments and care plans are regularly reviewed in a needs-led review cycle.

The post holder will ensure a care coordination criteria and MDT meetings for patients with complex needs will be tailored to the needs of the establishment.

The post holder will ensure that they undertake all training in evidence-based drug and alcohol treatment approaches, to enhance consistency and quality of care delivery

The post holder will support patients to manage their health at every stage, from oral health to long term conditions.

The post holder will ensure that health promotion embedded into every aspect of the service.