# Assertive Outreach Substance Misuse Worker > NHS job listing from Job Clerk for Central and North West London NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/assertive-outreach-substance-misuse-worker/093c62d6-01ec-4c13-b7ad-3eaafadbc29e - **Markdown:** https://www.jobclerk.com/job/assertive-outreach-substance-misuse-worker/093c62d6-01ec-4c13-b7ad-3eaafadbc29e.md ## Summary - **Status:** Live - **Employer:** Central and North West London NHS Foundation Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Healthcare support worker - **Grade:** Band 6 - **Salary:** £47,951 - £56,863 Per annum incl. HCAS (pro rata if p/t) - **Contract type:** Permanent - **Employment type:** Part time - 15 hours per week (Maybe required to work earlier start times or later finish times at times) - **Closing date:** 2026-08-06T23:59:00.000Z - **Posted:** 2026-07-23T11:31:41.563Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Central_North_West_London_NHS_Foundation_Trust/Assertive_outreach_open_mental_health_registered_workers/Assertive_outreach_open_mental_health_registered_workers-v8069835 - **Application URL:** https://apps.trac.jobs/job-advert/8069835?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.cnwl.nhs.uk ## Job Content ### Job overview ### Main duties of the job - Hold a caseload (10–15) to enable high‑frequency, flexible outreach - Act as AO Keyworker, building strong, consistent therapeutic relationships - Deliver specialist substance misuse interventions, including harm‑minimisation, motivational interviewing, and relapse prevention - Complete comprehensive assessments (risk, mental state, substance use, social needs) - Lead on care planning and safety planning - Work assertively and creatively to maintain engagement – including home visits, community meetings, and flexible contact - Provide clinical leadership to Band 4 AO Support Workers - Liaise closely with REST, D&A services, crisis teams, third sector,inpatient wards, housing, and social care - Support safe transition back to routine CMHH care This role is ideal for someone who enjoys autonomy, problem‑solving, and working with complexity in a supportive MDT environment. We are looking for a clinician who is: - Professionally registered (NMC, HCPC, SWE or equivalent) - Experienced in substance misuse assessment and treatment pathways - Skilled in working with people with severe mental illness and co‑occurring conditions - Confident in managing risk in community settings - Able to work flexibly, assertively, and creatively - Compassionate, trauma‑informed, and non‑judgemental - A strong communicator and team player Experience in  substance misuse is essential. ### Detailed job description and main responsibilities Act as AO Keyworker for service users with co‑occurring SMI and substance misuse, delivering assertive, flexible engagement in line with the AO stepped model. Complete specialist substance misuse assessments, including dependence severity, withdrawal risk, harm‑minimisation needs, and treatment readiness. Conduct comprehensive clinical assessments, including mental state, risk, safeguarding, social needs, and physical health concerns related to substance use. Develop and lead on integrated care plans addressing both mental health and substance misuse needs. Deliver evidence‑based substance misuse interventions, such as: Motivational interviewing Relapse prevention Harm‑minimisation Psychoeducation Engagement with D&A services Provide clinical leadership and guidance to Band 4 AO Support Workers, including joint visits and case formulation. Liaise closely with REST, community D&A services, inpatient wards, third sector  crisis teams, housing, and social care to coordinate care and manage risk. Maintain a “no discharge for DNA” approach, using persistent, creative engagement strategies. Support safe and timely transition back to routine CMHH care, ensuring structured handover and updated documentation. Participate in AO huddles, zoning meetings, MDT reviews, and joint visits with CMHH clinicians. ## Person Specification ### Knowledge **Essential** - Understands & promotes equality, diversity and human rights in accordance with legislation, policy and procedures - Understanding of confidentiality in the workplace ### Experience **Essential** - Substantial Experience of working in the community mental health - Experience of supervision of junior staff - Experience of working with complex and high risk patients with SMI - Experience of working with third sector organizations and collaborating with wider system stakeholders - Working in a multi-disciplinary team including liaising senior managers and clinicians - Experience of recording and monitoring data and clinical outcomes **Desirable** - Experience in working with patients who have dual diagnosis/ patients who use drug and alcohol - Demonstrable experience in safeguarding children /adult practice and procedures. - Teaching and group facilitation experience. - Working with other stakeholders. LA/ICB and inpatient staff. ### Qualifications **Essential** - Current NMC registration /or equivalent Allied Health Professional with current professional registration - Evidence of further mental health courses attended/training **Desirable** - Full driving license and use of a car for business purposes ### Key Skills and Abilities **Essential** - Ability to develop & maintain high standards of communication both orally and in writing with people about difficult matters & / in difficult situations - Excellent interpersonal skills - Excellent clinical judgment skills. **Desirable** - Ability to prioritise & plan own workload to meet deadlines & competing demands ## Documents - [cnwl values (pdf, 182.9kb)](https://www.healthjobsuk.com/documents?edoc=1162) - [cnwl staff charter (pdf, 684.7kb)](https://www.healthjobsuk.com/documents?edoc=2868) - [cnwl staff networks (pdf, 320.0kb)](https://www.healthjobsuk.com/documents?edoc=1160) - [cnwl reward and wellbeing handbook 2020 (pdf, 1.1mb)](https://www.healthjobsuk.com/documents?edoc=1773) - [cnwl culture scarf behaviour framework (pdf, 710.2kb)](https://www.healthjobsuk.com/documents?edoc=2869) - [job description and person specification (pdf, 488.3kb)](https://www.healthjobsuk.com/documents?vdoc=10361129) - [accommodation information for new starters (pdf, 120.6kb)](https://www.healthjobsuk.com/documents?ddoc=2438) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.