Job summary
- Main area
- Offender Healthcare
- Grade
- Band 6
- Contract
- Permanent
- Hours
- Part time - 25 hours per week
- Job ref
- 277-7286000-BRIS
- Employer
- Oxleas NHS Foundation Trust
- Employer type
- NHS
- Site
- HMP Bristol
- Town
- Bristol
- Salary
- £37,338 - £44,962 pa pro rata
- Salary period
- Yearly
- Closing
- 14/07/2025 23:59
Employer heading

Substance Misuse Nurse
Band 6
Job overview
Are you ready to unlock your potential within a challenging, creative and fast paced work environment? Do you want to work with people to build positive and productive lives, whatever their past?
This is an excellent opportunity for a Registered Nurse with experience or an interest in substance misuse to join our team of diverse, talented healthcare professionals to deliver care that is not only efficient but deeply centred on the patient. In this impactful role, you'll be at the forefront of treatment management, directly influencing health outcomes. Your guidance and oversight will play a crucial role in the health and recovery of individuals under your care, making a significant difference in their lives.
Our healthcare team have a real impact on promoting health and well-being to those in prison and we pride ourselves on using skills and strategies that instil hope for patient’s future resettlement back into the community. We directly deliver Mental Health, Physical Health, Pharmacy and Clinical Substance Misuse in an integrated healthcare delivery model to provide effective and responsive care to improve wellbeing and support better outcomes in the future.
This position isn’t just a job; it’s a chance to blend your clinical knowledge, personal skills and a commitment to delivering the highest standards of care in an environment that is as rewarding as it is challenging.
Main duties of the job
As a key member of our team, your role will be instrumental in shaping our strategies and patient outcomes. Your insights and contributions will be invaluable, and you'll collaborate with a diverse group of professionals, contributing to the delivery of an integrated healthcare model.
You will manage a mixed and challenging caseload of patients, delivering a range of specialist interventions including referral management, screening assessments, triage, care planning, risk assessing and evidence-based interventions.
You will provide drug, alcohol and holistic health education to patients and colleagues, including one-to-one and group-work facilitation. You will also champion health promotion initiatives that empower the prison population on substance misuse, focusing on preventative measures and aiming to diminish drug-related harm and improve the overall health and lives of those under our care.
As a leader in our team, you will play a crucial role in maintaining the highest professional standards and clinical practices. Your mentorship and role-modelling of clinical excellence will foster a culture of continuous improvement, ensuring the best possible care for our patients.
Join us in a role that offers endless opportunities for professional development. You'll be encouraged and supported to continue learning, pushing the boundaries of our understanding about substance misuse and its place within the criminal justice system.
Working for our organisation
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. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. 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
Detailed job description and main responsibilities
To deliver a range of specialist interventions at primary and secondary care level including:
· 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 prison 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.
· Ensure that patients’ needs are addressed effectively and in a timely manner, ensuring equivalence of care or better that one would expect from accessing services in the community.
· Participate in and co-ordinate joint and collaborative care planning for patients with additional complexities, including developing appropriate signposting to specialised services and release planning.
· To perform robust assessment, screening, and interventions to offenders with a learning disability
· 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.
· The post holder will be part of skilled multidisciplinary teams comprising all healthcare staff, including strategic partners, and prison managing a single referral pathway.
· 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.
· Participate and positively contribute to the services integrated clinical governance arrangements
· 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.
Important Sponsorship Information for this post: Due to service budget restrictions we are currently unable to offer a certificate of sponsorship for this post.
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Person specification
Education/ Qualifications
Essential criteria
- Professional Qualification. (Registered General Nurse) (Essential)
- Post Graduate Qualification or equivalent experience.
Experience
Essential criteria
- Minimum of two years’ experience at Band 5.
- Experience of working within secure & prison settings (desirable but not essential)
- Working knowledge of current issues/agendas facing prison/offender healthcare
Skills/Abilities/Knowledge
Essential criteria
- Ability to communicate effectively both verbally and in writing, presenting ideas with clarity in a persuasive and influential style.
- Ability to demonstrate an understanding of change management and new ways of working.
- Excellent interpersonal skills
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
Further details / informal visits contact
- Name
- Grace Loughlin
- Job title
- ISMS Clinical Lead
- Email address
- [email protected]
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