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GDAS Assertive Outreach Clinical Keyworker
INTERLINK RCT
26,265 - 28,305 per year
NP12 2DY, Blackwood
Full-time
19th October 2025

GDAS Assertive Outreach Clinical Keyworker

About GDAS:

The aim of the Gwent wide Adult Drug, Alcohol & Family Support Service is to engage drug and/ or alcohol users and/or their concerned others in a continuum of service provision in order to reduce substance related harm, physical dependence, related health problems and improve psychological, family and social functioning in all domains of the service users, carers and concerned others lives. This will include, engaging and assessing Service Users, brief interventions, outreach, Tier One training, case management, health promotion and harm reduction initiatives, detoxification programmes, needle exchange, maintenance and relapse prevention prescribing (prescribing is part of the wider treatment programme that addresses co-existing physical, psychological, social and legal problems) and aftercare services.

The service user group served is the population (including those who are homeless) within the five Local Authority areas in Gwent. The Service is provided for adult drug and / or alcohol users aged 18 years of age and over. This may include engaging with their families, concerned others, the wider community and other professionals (e.g. teachers, social workers, primary care staff, criminal justice agencies, etc.)

Those service users identified on initial screening who have current involvement with the Criminal Justice System are referred to the Drug Interventions Programme. Those service users will be care coordinated by the G4S Criminal Justice Integrated Team.

The project provides a recovery orientated service to maximise service delivery and outcomes. These services are provided in a non-judgmental, non-discriminatory, non- patronising and professional manner and in a way that demonstrates courtesy and respect for individuals using substances, and sensitivity to their personal situation and experiences.

For alcohol dependence a detoxification service supports clients who are assessed as suitable for alcohol community detoxification, through providing a safe and supervised withdrawal from alcohol. Clients will be screened for clinical dependence in line with ICD-

10 diagnostic criteria to assess suitability, using the Severity of Alcohol Dependence Questionnaire (SADQ), a 20-item questionnaire designed by the World Health Organisation.

Role Purpose:

The post holder will report to the Clinical Services Manager. They will have working knowledge and experience of drug and alcohol detoxification and treatment programmes with an understanding of both clinical and psychosocial aspects of care.

The post holder will be responsible for supporting the delivery of community based medical support services that provides a community detoxification service and access to medical prescribing for the treatment of drug and alcohol dependence. They will work closely and in partnership with the other elements of GDAS.

The primary purpose of creating this role is to have within the team experienced key workers whose emphasis would be centred on Pharmacological treatment with a bias towards clinical rather than psychosocial needs.

This role will look at aspects of treatment such as dosing, testing frequency, the suitability of the client for non supervised take away doses and other enhanced privileges, and provide support to the current nursing team. The role may include covering Doctors clinics when required and supporting routine health checks.

This role will work collaboratively with the nurses as well as providing support to the doctors who are the prescribers. The role will have its own case load which will draw primarily from the existing case load of non complex clients who have already engaged in the service. This will be an opportunity for the Keyworker to concentrate on health aspects and effective engagement in the pharmacological treatment offered by Kaleidoscope for the clients.

The clinical key worker will be a supportive role for the nurse during home or in-house detoxifications and subsequent relapse prevention medication.

The postholder will deliver all services in line with Kaleidoscope’s Operational Policies and Standard Operating Procedures (SOPs), ensuring that care is safe, undertaken to a high standard and informed by up-to-date practice. The post holder should therefore be committed to evidence-based practice, sound clinical governance and continual improvement.

The post holder should enjoy face-to-face contact with people who have recognised that their use of substances has become problematic. S/he will have excellent communication skills, be able to work closely with other multi-disciplinary agencies and flexibly and efficiently within a team, to ensure services are delivered equitably and at times to suit the client.

S/he will have a non-judgmental approach to people who have substance misuse problems and be able to provide a welcoming and accessible service to existing and potential service users.

Individual and clinical supervision will be provided six weekly for one to two hours as required. There will be an induction period, during which training will be provided in specific areas.

Key Duties and Responsibilities:

The Clinical Key worker will:

  • Undertake regular treatment reviews Undertake drug screening.
  • Ensure case notes and other statutory records are up to date and kept in accordance with Kaleidoscope policies and procedures/regional information sharing protocols.
  • Deliver basic clinical interventions, including Harm minimisation Develop policies and strategies for improving client engagement.
  • Plan, develop, implement, monitor, and evaluate initiatives to promote effective engagement and motivation.
  • Ensure that work is underpinned by sound up to date knowledge of health promotion theory, and making sure that initiatives are based on evidence of effectiveness.
  • Provide support and cover colleagues delivering services when required.
  • Participate in clinical audits, service reviews and the evaluation of service user satisfaction, implementing resulting recommendations, in order to improve and develop the service.
  • Support the nursing teams health promotion initiatives and communicate any changes in need/ circumstances to the appropriate people.
  • Enable individuals to maintain and improve their knowledge to support the improvement of their health and well being.
  • Actively encourage service user involvement and feedback and ensure views are considered in informing the development of the service.
  • Collate data and contribute to service reports.
  • Work within the parameters of NICE guidelines, NMC Professional Code of Conduct and Welsh Assembly Government core standards

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