Community Substance Misuse Nurse

PLEASE NOTE THAT WE WILL ONLY ACCEPT APPLICATIONS FROM STAFF CURRENTLY EMPLOYED BY HYWEL DDA UNIVERSITY HEALTH BOARD An opportunity has arisen within the Community Drug and Alcohol Team for a Community Substance Misuse Nurse to join a developing Substance Misuse Service. The Community Substance Misuse Nurse will take responsibility for the effective care management of a clinical caseload of clients with substance misuse problems, including those with more complex health needs including co-occurring mental health/substance misuse and physical health complications.

Interviews to be held on 26/10/2026.

We are looking for an experienced Nurse within the Substance Misuse field to manage a caseload of clients with complex needs including related physical and mental health concerns. The post holder will also undertake community based detoxification programmes, and have an active role in the effective management of BBV’s. To support the Team Leader in providing clinical leadership and supervision, particularly in regard to complex health needs and to act up for the Team Leader during periods of short-term absence.

To work in conjunction with the Team Leader and take the lead on agreed areas in the overall development, monitoring and evaluation of the service. To work in close collaboration with other partner agencies and act as a source of specialist advice in regard to individual service user care and service delivery. The role also involves working with significant others, and working within an overall recovery focused treatment model.

The team works closely with other specialist statutory and third sector substance misuse agencies. Experience in adult mental health and/or general health care settings would also be an advantage. The post holder will be involved with key areas of practice and service development, and strengthen links with partner agencies in mental health and general care settings.

Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties. We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services. We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.

Our services are provided in:

• Four main hospitals:
  Bronglais Hospital in Aberystwyth;
  Glangwili Hospital in Carmarthen;
  Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
• Five community hospitals:
  Amman Valley and Llandovery hospitals in Carmarthenshire;
  Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
• Two integrated care centres:
  Aberaeron and Cardigan in Ceredigion, and several other community settings
• 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
• Numerous mental health and learning disabilities services

Hywel Dda University Health Board operates a bilingual policy. All applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English.

To work in the UK, all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship to obtain either a Health and Care visa or Skilled Worker visa , unless you have permission to work via another route. Non UK / RoI candidates wishing to apply should self-assess the likelihood of obtaining a Certificate of Sponsorship by visiting Work in the UK .

If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.