Nurse Consultant in Clinical Substance Misuse

HMP Durham and HMP Holme House
12 Jun 2017
02 Jul 2017
Nursing Field
Community Care
Job Type


The Nurse Consultant post in Clinical Substance Misuse is a new clinical leadership post for the North-East Prison Cluster. Hosted within Spectrum with a cluster wide remit, the post holder will have a clear role in leading expert nursing practice, shaping and developing the integrated substance misuse service at Holme House and influencing the care pathways that will support the achievement of the desired  outcomes of the Holme House Drugs Recovery Prison 

The post holder will be a senior clinician with a track record of leading complex teams to deliver holistic patient centred outcomes in substance misuse and recovery.

The post holder will have a remit working with nursing and medical colleagues in the reception prison, HMP Durham - thereby ensuring integrated care pathways that commence in the reception prison, integrate seamlessly with the care provided in Holme House Drugs Recovery Prison and through resettlement planning, into probation supported pathways in the community, such as Community Rehabilitation Company and National Probation Service.

The individual will be a dynamic compassionate leader comfortable leading beyond authority and focussed on tackling stigma, health inequality and working with colleagues in providing trauma informed nursing care. Their role will demand that they contribute strategically to reviews and service developments and they will be expected to uphold the philosophy of dynamism, being both proactive and responsive to the health needs of patients. He/she will empower nurses to promote high quality care and to be patient led throughout the service. The post will be firmly based in clinical practice and involves working with patients for at least a third of the time. The remaining time will be utilised in education, research, strategic leadership and service development role modelling excellence within the specialism of substance misuse. The Nurse Consultant will promote effective nursing leadership in accordance with the Nursing Framework: Leading Change Adding Value and ensure it is in place at every level to achieve effective implementation of policy and practice. The post holder is responsible for developing the substance misuse team.


1. Expert clinical practice 

  • To provide evidence based expert clinical practice development across the organisation and the implementation of practice development initiatives in line with the most up to date clinical guidance and policy
  • Develop core, specialist and advanced practice across the organisation related to substance misuse and recovery oriented care
  • To maintain a local and national profile through a network of peers 
  • To provide substance misuse clinics for patients who are complex

2. Strategic leadership & service development 
3. To provide strategic leadership across all partner agencies supporting the development and implementation of change initiatives.
4. To manage change across complex environments ,providing challenge where necessary

  • To work directly with multi-professional care teams, offering expert advice and clinical consultancy 
  • Provide professional and clinical leadership in service redesign working across clinical systems of care and in conjunction with specialities of addiction psychiatry, psychology and general practice  
  • Contribute to the operational and strategic management and development of the service 
  • To contribute to the development of national initiatives

5. Education and training 

  • To lead on specific projects related to substance misuse e.g. Holme House Drugs Recovery programme
  • Lead training at all levels, in conjunction with other professionals ensuring that nursing practice is evidence based 
  • Develop and establish links with commissioned universities and other training providers
  • To develop a total learning environment which includes the provision of supervision , coaching, mentoring and the establishment of a robust training needs analysis which provides staff with individually tailored training as well as team focused activities 

6. Research, audit and publication 

To contribute to the development of knowledge and expertise in substance misuse by contributing to or undertaking research in the field of substance misuse

  • To lead in the development of the evidence base for substance misuse by measuring the outcome and effectiveness of the practice development initiatives and sharing these findings with the local and wider networks
  • To contribute to and /or undertake research
  • Build research capacity and capability across NEPC and Spectrum 
  • Implementing research and audit, ensuring a multidisciplinary approach at all times. 
  • Provide continuous audit data for new ways of working