Tees Esk and Wear Valleys NHS Foundation Trust
Clinical Nurse Specialist/Dual Diagnosis (Complex Housing Needs)

The closing date is 29 November 2026

Job summary
The REACH Team (Reducing Exclusion for Adults with Complex Housing needs), based in Scarborough, supports those who have complex multiple disadvantage needs and homelessness.

The team utilises an assertive approach to connection and care, to support clients in a holistic way, working as a multi-agency 'one team' around the person to ensure the housing, care and wider needs of the client are met.

The ability to build therapeutic connections with vulnerable individuals who have experienced trauma and homelessness as well as managing complex and fast changing situations in a community setting are key skills to the role.

As part of the role, access to training in brief and motivational interventions, harm reduction, and substance use related skills will be expected. Given the complexity of the clinical interventions and care offered access to regular supervision is provided.

This role may be eligible for sponsorship under the UK Visas & Immigration (UKVI) Skilled Worker route. However, sponsorship can only be provided where applicants meet the specific requirements, therefore, we recommend that you assess your eligibility before applying for this position. Visit https://www.gov.uk/skilled-worker-visa

Main duties of the job
The post holder will operate autonomously, applying a high level of professional judgement in complex clinical situations. Key responsibilities include informed decision-making, the assessment and management of referrals, and the provision of specialist consultation and advice.

The post holder will be confident in working independently to manage a caseload of patients with complex housing needs and dual diagnosis presentations.

The role requires advanced knowledge of risk associated with complex housing needs and dual diagnosis, with responsibility for providing expert clinical advice and guidance to colleagues within the service and to professionals across the wider Trust on effective risk management strategies.

About us
We are the Mental Health & Learning Disability NHS Trust for County Durham and Darlington, Teesside, North Yorkshire, York and Selby.

From education and prevention, to crisis and specialist care, our talented and compassionate teams work in partnership with our patients, communities and partners to help the people of our region feel safe, understood, believed in and cared for.

We nurture the recovery journey of anyone in need of our help. In Our Trust, everyone has a say in how they are supported and treated because we listen to every person in our care until they feel understood. Our patients, their families and carers work together with us towards better mental health.

We're committed to new thinking that improves the wellbeing of our region. We connect with our communities and partners to get mental health care right, in areas that really need it.

We won't rest until everyone in our region has the mental health care they need, to lead their best possible life.

Details
Date posted: 13 November 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 346-NYA-188-26-A
Job locations: Town Hall, St Nicholas Street, Scarborough, YO11 2HG, United Kingdom

Job description
Job responsibilities
Please see the attached job description and person specification which outlines the main duties and responsibilities of the role.
This job advert may close early if a high volume of applications have been received. If interested, please apply for this post as soon as possible.

Person Specification
Qualifications/Experience
Essential

• Current Professional Registration with Nursing and Midwifery Council - RMN / RNLD/ (RNSC - CAMHS Only)
• Recognised Practice Assessor/Practice Supervisor
• Trained in Clinical Supervision and providing Clinical Supervision
• External Applicants - must have Professional clinical knowledge and experience acquired through degree (or equivalent post registration study), supplemented by specialist training, experience, short courses, Module (20 credit) at level 7 see below For example Postgraduate Certificate/Diploma/Masters Degree, Intermediate Systemic Family Therapy/Postgraduate diploma in CBT/British Isles Dialectical Behaviour Therapy /NMP (Independent Prescriber), Psychosocial Interventions,
• Internal Applicants - in the absence of professional clinical knowledge as outlined above, must achieve within 24 months of being in post
• And have (all applicants) Equivalent significant clinical experience such as working (minimum of 2 years) as a band 6 (or above) in relevant clinical area, together with evidence of relevant CPD to Level 7 or equivalent
• Significant experience working with patients with complex needs in the specialist field.
• Significant experience working with patients who display risk behaviours
• Clinical risk assessment and management and its application in practice
• Working collaboratively with service users their families and carers
• Working in a multi disciplinary team
• Quality improvement activities

Knowledge
Essential

• Extensive knowledge of current issues relating to health needs of patients in the field of practice, regionally and nationally
• Understanding and working knowledge of the legal framework and statutory obligations under the Mental Health Act, Mental Capacity Act
• Detailed understanding of Safeguarding and its application in practice.
• Clinical Risk Assessment and Management and its application in practice.
• Clinical governance and its application in practice
• Working knowledge of clinical medicines management
• Understanding psychosocial models of care and treatment (depending on specialist area)

Other requirements
Essential

• Ability to travel independently in accordance with Trust policies and service need.

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Tees Esk and Wear Valleys NHS Foundation Trust
Address: Town Hall, St Nicholas Street, Scarborough, YO11 2HG, United Kingdom
Employer's website: https://www.tewv.nhs.uk/

Employer contact details
For questions about the job, contact: Service Manager, Andrew Granville, andrewgranville@nhs.net, 07841617752

Supporting documents
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