To work as a member of the multi-disciplinary team and participate in patient assessment and the delivery and evaluation of treatment. Responsibilities include assessment of new patients, review of existing patients and planning treatment with keyworkers To be responsible for day-to-day medical assessment and decision-making. To liaise closely with patients keyworkers, who will be primarily responsible for coordinating their care To provide clinical advice to team members on a 1:1 basis and within MDT meetings To manage patients undergoing detoxification (either community or inpatient) for drug and/or alcohol dependence To initiate, stabilise and maintain patients on opiate substitute treatment (OST) To undertake mental health reviews on patients To provide health care appropriate to the patients physical health needs by examination and make appropriate referrals to medical colleagues/GPs To provide support to designated and prospective Non-Medical Prescribers and work with the Addictions Lead Nurse to develop these roles and relevant governance arrangements To participate in providing training to staff as well as students (medical, nursing and social work) attending the service