Specialty Doctor (GP with a special interest in Substance Misuse)

1. We are now seeking to recruit an enthusiastic, dynamic and passionate independent doctor to join our multi-disciplinary team offering comprehensive specialist clinical prescribing services.
2. The post holder will be required to work in a self-directed manner within agreed objectives as set by Kaleidoscope’s Medical Director.
3. There are opportunities to become involved with service-development and clinical governance.

Kaleidoscope offers a range of treatment options for indiviudals who are using drugs and or alcohol at harmful levels.  These include alcohol detoxifications in the community, Opiate Substitute Therapy (OST), harm minimisation information, case management, psychosocial interventions and therapeutic support, relapse prevention, group work as well as recovery / aftercare programmes to individuals across Wales. We have a strong focus on co-producing our aims and vision with the individuals who need our services along with the staff who deliver it.  

We are now seeking to recruit an enthusiastic, dynamic and passionate independent doctor to join our multi-disciplinary team offering comprehensive specialist clinical prescribing services.

The successful candidate will also be expected to have and/demonstrate the following:

• Experience in addiction medicine
• Current registration with GMC and on the GP register. They would ideally need to be on the Wales performers list if they are working as a GP to enable GP appraisal in Wales
• Previous experience of providing safe, effective and evidence-based assessment, care and interventions for substance users is desirable as is a knowledge and understanding of mental health
• Excellent communication skills and a higher level of tolerance of unpredictable behaviours is required.
• The legal right to work in the UK.

Job Purpose:

• Assess suitability for the prescription of substitute/ replacement medications, discuss with clients the options available, provide verbal and written information about the different medications and their pros and cons and attempt to establish realistic expectations about how medication may contribute to their overall recovery plan to ensure an effective trial of medication by clients who wish to use them. 
• Initiate prescribing of medication and provide follow up appointments at appropriate intervals for clients using substitute medication to review tolerability, effectiveness, individual ability to comply with dosing schedules and ensure that routine blood test monitoring is completed where clinically appropriate.
• Provide relevant clinical and prescribing supervision and contribute to discussions on the management of any cases under the service. These are also discussed in conjunction with the Non Medical and Independent prescribers and Clinical Pharmacist. 
• Provide guidance on safe prescribing of opiate replacement treatment (Methadone / Buprenorphine / Buvidal), alcohol detoxification (Chlordiazepoxide / Diazepam) and benzodiazepine withdrawal in discussion with other members of the clinical team