Community Substance Misuse WorkerNHS

Job summary

An opportunity has arisen within the Community Drug and Alcohol team for a Community Substance Misuse Worker to join a developing substance misuse team within the Ceredigion locality, based in Aberystwyth.

We are looking for an individual who has experience of working with substance misuse and can demonstrate core and specific competencies related to tier 3 substance misuse work or who is keen to develop their skills and experience within a tier 3 substance misuse service.

Experience in the assessment and treatment of service users with opiate dependency would be an advantage as well as a good working knowledge of harm reduction approaches and managing prescribing regimes within a recovery focused treatment framework.

Main duties of the job

The post holder will act as care manager for the caseload and any significant change in circumstances that may result in increased risk to the service user or their significant others must be discussed in the appropriate forum. This will include:

Comprehensive assessment of the service user's substance misuse problem including their health and wellbeing needs and level of motivation to change

Agreeing a care plan /aftercare / discharge plan with the service user that may include other professionals or onward referral as appropriate.

Implementation and review of the care plan and associated evaluation in line with service and Health Board policy

Consideration of the needs of significant others and the opportunity to engage them in the care plan.

Joint working with partner agencies and contributing the treatment and clinical components of the agreed care plan where the service user is subject to a treatment order through the courts

The post holder must at all times respect the rights, dignity and interests of service users.

They should treat all individuals equitably, and must not discriminate on grounds of Age, Sex, Disability, Gender re-assignment, Marriage or civil partnership, pregnancy and maternity, Race, Religion or belief, Sexual orientation against service users, colleagues, or anyone else with whom they have dealings in the course of their work.

Job description

The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.

Interviews to be held on 13/10/2026.

You will be able to find a full job description and person specification attached within the supporting documents.

The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.

The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.

About us

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