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Clinical nurse specialist in substance misuse

Norwich
Permanent
Northumbria Group.
Clinical nurse specialist
€50,710 a year
Posted: 18 February
Offer description

Job Summary

An exciting opportunity within the Substance Misuse Team at NNUH to recruit a Clinical Nurse Specialist who will also be part of the wider Complex Health Hub. The postholder will act as a specialist for drug and alcohol assessments and treatments within the hospital, supporting patients in recovery including Opioid Substitution Treatment and Alcohol detoxification, along with promotion of healthy lifestyles.


We Are Looking For

* Registered Nurse (RGN/RMN) with significant experience in substance misuse/addiction nursing and a non-medical prescribing qualification.
* Strong clinical skills in managing complex alcohol/drug issues and comorbidities.
* A passion for supporting vulnerable populations and addressing health inequalities.
* Excellent leadership, communication, and partnership-building skills.


Main duties of the job

To Undertake The Role Of Clinical Nurse Specialist The post holder will independently manage the care of patients, providing specialist assessment, planning, and implementation of evidence-based care for patients with complex alcohol and drug dependencies, including co-occurring physical/mental health needs. Responsibilities include:

* Formulating appropriate treatment plans.
* Prescribe and review medication for therapeutic effectiveness, in accordance with evidence-based practice, national guidelines, and within scope of practice.
* Bridge gaps between primary, secondary, and specialist services to improve access to care and reduce health inequalities.
* Support homeless populations, facilitate access to structured treatment, and manage complex cases.
* Champion integrated care pathways and collaborative working with multidisciplinary teams.
* Provide specialist supervision, education and training for healthcare professionals, students and other professional groups.
* Contribute to developing the service in collaboration with the Team Manager and implement/evaluate evidence-based standards, guidelines and policies.

Please note interviews are planned to take place on Monday 23rd February (subject to change).


About Us

Join us at the Norfolk and Norwich University Hospital and be part of a workforce of over 10,000 staff. The NNUH is one of the largest NHS trusts in the UK, providing first-class acute care for around one million people in Norfolk and surrounding areas. We are a teaching and research hospital, at the forefront of innovation, home to state-of-the-art facilities. We work closely with the University of East Anglia and attract professionals from across the country, with our workforce representing 94 countries.

We offer a range of NHS benefits and additional perks, including:

* Flexible working hours
* Fast Track Staff Physiotherapy Service
* Multi Faith prayer room
* Discounted gym memberships
* Excellent pension scheme and annual leave entitlement
* Wagestream – access up to 40% of pay as you earn it
* Free Park & Ride service direct to NNUH site
* Free 24-hour confidential counselling support
* On-site Nursery
* On-site cafes offering staff discounts
* Support in career development
* Flexible staff bank
* Salary Sacrifice schemes including lease cars, Cycle to Work and home electronics


Details

Date posted: 05 February 2026

Pay scheme: Agenda for Change

Band: Band 7

Salary: £47,810 to £54,710 per annum

Contract: Permanent

Working pattern: Full-time, Flexible working, Compressed hours

Reference number: 234-25-K1779

Job locations: Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY


Job Description


Job responsibilities

* Operate autonomously at an advanced level of clinical practice, providing research-based expert care and advice to colleagues, and managing a caseload effectively.
* Conduct comprehensive assessments of patients with drug and alcohol-related issues across acute hospital settings (A&E, inpatient, outpatient).
* Develop individualized care plans based on assessment findings, considering physical, psychological, and social aspects of substance misuse.
* Monitor and manage withdrawal, overdose, or acute intoxication, ensuring safe and appropriate interventions and communicating changes promptly to the MDT.
* Provide consultation and liaison using evidence-based, client-centered principles to assess, plan, implement and evaluate interventions.
* Lead the development of training packages for ward staff and contribute to delivery with the multidisciplinary team.
* Make clinical decisions related to care and treatment of individuals with substance use disorders, escalating to senior medical staff as appropriate.
* Recommend and prescribe medications for detoxification, withdrawal management, or opiate substitute medications.
* Deliver care in a compassionate, trauma-informed manner, recognising the relationship between addiction and past trauma, and tailor approaches to patient needs.
* Provide psychological support and advocate for patients, ensuring their voices are heard throughout care.

Please refer to the Job Description for the full specification of responsibilities and requirements for this post.


Person Specification

Essential

* Excellent communication and interpersonal skills
* Registered Nurse on the appropriate part of the NMC register
* Independent and Supplementary Prescribing Level 7 with valid V300 registration recorded with the NMC
* Extensive post-registration experience in assessment and treatment of individuals in Substance Misuse
* Demonstrates commitment to Equality, Diversity and Inclusion
* Demonstrates PRIDE values: People-focused, Respect, Integrity, Dedication and Excellence

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a DBS disclosure check.

Certificate of Sponsorship

Applications from job seekers who require UK skilled worker sponsorship will be considered together with all other applications. See UK Visas and Immigration for details. See guidance on overseas criminal records checks.

UK Registration

Applicants must have current UK professional registration. See NHS Careers for more information.

Employer details

Employer: Norfolk and Norwich University Hospital

Address: Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY

Employer's website: https://www.nnuh.nhs.uk/

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