About this role
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 Carmarthenshire locality, based in Carmarthen.
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.
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); 99 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers Numerous mental health and learning disabilities services
Job description Job responsibilities
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews will be held on 12 & 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.
Person Specification
Qualifications and Knowledge Essential
Degree-level qualification in a relevant subject or equivalent knowledge and experience Level 3 QCF Health & Social Care (Adults) or equivalent or able to evidence KSF / DANOS competencies for role in CPD portfolio and willingness to work towards required Level 3 QCF Knowledge of Motivational Interviewing, Cognitive Behavioural Therapy, Care and Treatment Plan or other therapeutic approaches Sound knowledge of substance misuse issues
Desirable
Certificate / Diploma in Counselling or other related field
Experience Essential
Recent relevant experience & knowledge of Substance Misuse field
Desirable
Recent experience in health/social care agency Recent experience in Tier 3 Treatment provision
Language Abilities Desirable
Welsh Speaker (Level 1)
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 (Opens in a new tab).
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 (Opens in a new tab).
Employer details Employer name Hywel Dda University Health Board
Address Wellfield Resource Centre
Carmarthen
SA31 1DS
United Kingdom
Employer's website https://hduhb.nhs.wales/ (Opens in a new tab)