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Job overview
The Substance Misuse Recovery Worker (Band 5) role is based within Enable’s Enfield service and focuses on delivering holistic, strength‑based support to people experiencing homelessness and multiple disadvantage who are affected by drug and alcohol use. The postholder manages a caseload of individuals with complex needs, providing assessment, care planning, harm reduction interventions, and coordinated recovery support across community and outreach settings.
The role involves close multidisciplinary working and partnership engagement with health, housing, criminal justice, and voluntary sector agencies to promote engagement, reduce risk, and improve outcomes. Practice is underpinned by trauma‑informed, non‑judgemental approaches, with a strong emphasis on safeguarding, harm reduction (including OST, needle exchange and Naloxone), and supporting service users towards improved health, stability, and independence
Main duties of the job
- To work as an effective member of the multidisciplinary team actively participating in team meetings, group supervision and clinical team meeting
- To manage a caseload of service users with complex needs, completing comprehensive assessments, risk management and treatment plans, as well as co-produced care plans with service users.
- To work with service users who are in Opioid Substitute treatment substitute and non opiate . This includes testing service users for illicit drug use, liaising with pharmacies regarding dispensing and supervised consumption, GP liaison and producing/issuing prescriptions under the supervision of a medical prescriber.
- To adhere to local safeguarding protocols to safeguard children and vulnerable adults. including the completion of safeguarding assessment tools, referrals to social services and producing reports
- To work effectively with partner agencies and other professional to ensure a joined up approach to treatment and care planning
- Able to work flexibly according to the needs of the service i:e faciliatataing late evening and contributing to Duty rota.
Detailed job description and main responsibilities
- To work as an effective member of the multidisciplinary team actively participating in team meetings, group supervision and clinical team meetings
- To manage a caseload of service users with complex needs, completing comprehensive assessments, risk management and treatment plans, as well as co-produced care plans with service users.
- To work with service users who are in Opioid Substitute treatment substitute. This includes testing service users for illicit drug use, liaising with pharmacies regarding dispensing and supervised consumption, GP liaison and producing/issuing prescriptions under the supervision of a medical prescriber.
- To adhere to local safeguarding protocols to safeguard children and vulnerable adults. including the completion of safeguarding assessment tools, referrals to social services and producing reports
- To work effectively with partner agencies and other professional to ensure a joined up approach to treatment and care planning
This is not an exhaustive list, please see the attached Job Description and Person Specification for more information on the role requirements and duties.
Person specification
PERSONAL QUALITIES
Essential
- Should include team working, interpersonal skills and written and verbal skills, importance of a positive “can do” attitude and a positive attitude to change
SKILLS AND ABILITIES
Essential
- An understanding of the physical, psychological and social needs of those affected by drug & alcohol use and homelessness
- A good working knowledge of the specific health risks that those affected by drug & alcohol use and homelessness are exposed to.
- An understanding of the principles and practice of harm minimisation, and a commitment to work within the harm reduction model of practice
- An understanding of the theories and practices of safeguarding procedures for children and vulnerable adults.
EXPERIENCE AND KNOWLEDGE
Essential
- Recent and relevant experience of working with those affected by drug & alcohol use and homelessness
- Demonstrate relevant knowledge gained in previous employment or elsewhere
Desirable
- Experience in carrying out Dry Blood Spot Testing
EDUCATION AND QUALIFICATIONS
Essential
- NVQ Health and social care
Desirable
- Drug and alcohol related qualification
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Applying for this NHS job
This advert is for Substance Misuse Recovery Worker-Homelessness with Camden and Islington NHS Foundation Trust in London, London, England. It is listed as a Band 5 Healthcare support worker role. The advertised salary is £36,943 - £44,900 Per annum including Outer London Allowance. The contract type is Permanent. The application deadline is 02 Aug 2026.
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