Clinical Nurse Specialist in City of London

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CNWL

Clinical Nurse Specialist

Clinical Nurse Specialist in City of London

City of London Full-Time On-site

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to up skill or to simply change your career direction.
Become part of our team.
We care for you as much as you care for others.

There’s a place for you at CNWL.
We’re passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient’s own home. Patients are at the heart of everything we do.
Providing top quality care depends on our ability to employ the best people.
We’re always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we’re hoping to find our future leaders and we’ll support our staff by providing opportunities to develop your career.
With a diverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more – whatever stage of your career you're at, there's always a place for you at CNWL.

Warning alert

Fraud alert: Please be cautious if you are asked for a fee at any stage in the recruitment process. CNWL does not charge fees for job applications, recruitment processes, sponsorship arrangements or employment offers. Always check with the recruitment contact or team if you are asked.

Site Hillingdon Hospital Town Hillingdon, Uxbridge Salary £45,953 - £54,254 per annum inc. Outer HCAS (pro rata if P/T) Salary period Yearly Closing 23/10/2026 23:59

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.

We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.
We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.

We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page

Become part of our team. We care for you as much as you care for others.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

Job overview

The Addictions Directorate with CNWL Foundation Trust is a large, well-established provider which offers a wide range of specialist NHS drug and alcohol treatment interventions to the diverse and multicultural populations in Central and North West London. Our drug and alcohol services include community services, A&E liaison services, Peripatetic nurses, Family Therapy, a National Problem Gambling Service and a Club Drug Clinic.

Main duties of the job

Job Purpose
To be the Keyworker responsible for the delivery of high standards of nursing care to clients assessed and admitted according to their clinical needs, and in accordance with up-to-date evidence-based practice and relevant Trust clinical protocol and policies.
To ensure that the delivery of the care and management of this client group is done in compliance with HCC Quality Standards.

Working for our organisation

Our substance misuse services are dedicated to helping reduce the harm caused by substance misuse dependency; helping people overcome their dependency on substances and helping clients and their families rebuild their lives and enable recovery. We are committed to working in partnership with other providers and service users in local systems of treatment and recovery.
CNWL is committed to providing high quality, evidence-based treatment options and is a learning organisation which promotes staff competence and training and values clinical governance, audit and research. We are linked with Imperial College, University of London and are committed to evaluating our services and developing new and innovative approaches.

Detailed job description and main responsibilities

To work as a member of the multidisciplinary team in the management and treatment provision of the specialist service to people with problematic use of novel psychoactive substances with associated problem drink and drug use attending the service/unit, including harm minimisation approaches, motivational interviewing, relapse prevention, care planning, individual intervention, health assessments and education and detoxification programmes, pre and post test BBV’s counselling and vaccination and group work.
To assess continuously the psychological, emotional, social and rehabilitative needs of own clients/patients, taking into account the needs of family, local community and developing systematic plans for care and evaluation of treatment plans.
To be able to assess and case manage clients who inject drugs, in particular assessing injection sites and be conversant with the precepts of harm minimisation.
To provide case management and direct clinical care to a defined number of complex clients including clients dual diagnosed with mental health and physical health issues, concurrent with substance misuse problems, as agreed with the Service Manager. This includes assessment, care planning and providing specialist nursing care.
To use agreed and established Outcome Monitoring Tools (TOP) and any other relevant quality measures.
To contribute to the development, provision and review of care plans.
To manage the transfer of individuals between agencies and services.

To counsel individuals about their substance, use and related behaviours, using motivational interviewing, relapse management and other evidence-based interventions,
To provide clinical advice and support to other colleagues within the health care setting and to other agencies concerned with substance misuse.
To be responsible for the safe and effective storage and administration of drugs, exercising responsibility for the custody and maintenance of statutory records of such drugs in accordance with the Trust Policies/Procedures on the supply and carriage of drugs in the community
To ensure full risk assessments and risk management is delivered effectively.
To undertake dry blood spot testing for BBV and urinalysis when required
To screen clients at risk of, or affected by, blood borne diseases and to plan and agree service responses according to needs.
To provide education and to assertively promote Hepatitis B vaccination for clients who are at risk of contracting the virus.
To administer Hepatitis B vaccination in accordance with CNWL Medicine Policies and Protocols.
To provide pre and post test discussion to clients screened for blood borne viruses in accordance with CNWL guidelines.
To ensure the CNWL Hepatitis care plan is used for all clients.
To actively promote attendance at the hepatology clinic for clients affected by liver disease.

Person specification

Education and Qualifications

Evidence of continuing personal development and post-registration training in the nursing care, assessment and treatment substance misuse clients.
Diploma in Drugs and Alcohol Studies or equivalent qualification
Training in Cognitive Behavioural Therapy
Completed the Motivational Interviewing Training
Module
BBV Training

Experience

Experience of teaching others and willingness to undertake Teaching and Assessing qualification within six months of commencing post.
Assessing risky health behaviour
CNS training programme
Experience of working with clients with drug/ alcohol problems or completion of AOCD
Experience in Mental Health
Experience with community based working
Community Nursing Experience
Experience of working in and delivering services to drug users.
Research experience
Knowledge of Patient Information Systems
Completion of PGD for BBV screening and vaccination

Skills and knowledge

Knowledge of different treatment models and pathways in substance misuse
Able to build constructive relationships with warmth and empathy, using good communication skills
An understanding of safeguarding issues in relation to adults and children
Good interpersonal skills
Ability to work independently and to prioritise effectively
Experience of working within a multi-disciplinary team.
Ability to work within a harm minimisation model
Motivational Interviewing skills / Relapse Management 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
IT literate
Knowledge of prescribing issues in a drug service
Experience of group facilitation
Experience of managing a caseload within the community
Awareness/knowledge of research skills
Awareness of counselling models
Non-judgemental
Able to engage in frank discussions with clients about intimate and sexual topics
Committed to multidisciplinary team work
Committed to Service User involvement
Flexible & responsive to a must have the ability to understand and implement the Equal and Diversity policy at a level appropriate to the job developing service.

Use of Artificial Intelligence (AI)

AI can be used as a support tool, not a replacement for the applicant’s own work.Applications must remain personal, accurate, and reflective of the candidate’s real experience.AI-generated content must not misrepresent skills, qualifications, or experience.Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success.

We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system
Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

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.

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