Clinical Nurse Specialist for Cardiothoracic Pre-assessment

Posted 2 days 18 hours ago by Guys & St Thomas Hospital

Permanent
Full Time
Academic Jobs
London, United Kingdom
Job Description
This post is only open to internal applicants.

Clinical Nurse Specialist for Cardiothoracic Pre-assessment NHS AfC: Band 7 Main area Cardiothoracic Preassessment Grade NHS AfC: Band 7 Contract Fixed term: 12 months (maternity cover) Hours Full time - 37.5 hours per week Job ref 196-NM13022

Employer Guy's and St Thomas' NHS Foundation Trust Employer type NHS Site Guys and St Thomas' NHS Foundation Trust - St Thomas Hospital site Town London Salary £54,320 - £60,981 pa in HCA Salary period Yearly Closing 11/07/:59 Interview date 17/07/2025

Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.

Job overview The pre assessment nurses have advisory, clinical caseloads and teaching responsibilities on an equal basis in order to fulfil the role, including:
  • Provision of expert advisory and consultative services to healthcare professionals within the organisation and to GP's if further investigations are required.
  • Provide leadership and vision within the multidisciplinary team to affect the modernisation of pre assessment service.
  • Have responsibility for the assessment of surgical patients to prepare them safely for surgery.
  • Facilitate the pathway of care prior to, in between and after surgery whilst developing strong links with the Surgeons and the wider multi-disciplinary teams eg Scheduling, Anaesthetists, ACPs, Ward nurses
  • Identifying through pre assessment patients who are suitable for same day admissions and which require admission prior to surgery.
  • Scheduling of patients within the agreed timeframe for and following the investigation provide a full report to the referrer within 3 working days
Main duties of the job Utilise evidence-based, advanced specialist skills, knowledge, and expertise to deliver high standards of clinical practice.

Develop and enhance the role of the Cardiac Clinical Nurse Specialist to ensure the delivery of holistic, patient-centred care.

Integrate into the existing clinical structure and support other healthcare professionals in managing the surgical service.

Be responsible for conducting routine assessments, including history taking and clinical examination, arranging relevant investigations, and communicating results to the lead clinician and scheduling staff where appropriate.

Take a lead role in organising the pre-admission clinics, in collaboration with the Clinical Nurse Specialist team, including coordinating the staff rota to ensure appropriate cover.

Perform physical assessments for surgical patients during the pre-assessment process and complete the relevant medical and nursing documentation. (If you have not yet completed a physical assessment course, you will be required to undertake this training, however that might mean we will not be able to appoint you as Band 7, but Band 6 instead)

Working for our organisation Behaviours for Everyone These behaviours apply to everyone at the Trust.
Additional behaviours apply when we are managing and supporting others, or leading people and the organisation.

Ambitious - We innovate and strive for excellence.

Inclusive - We respect each other and work collaboratively.

Our Values and Behaviours Framework describes what it means for each of us at the Trust to put our values into action. The full framework is available on our Trust careers pages and the GTIntranet.

Detailed job description and main responsibilities Department Information The department comprises Clinical Nurse Specialists, Consultants, Advanced Clinical Practitioners, and Pharmacists. The team is responsible for reviewing and preparing patients for elective cardiac surgery. Patients are identified from the waiting list and scheduled according to clinical priority. These are multidisciplinary-led clinics where teamwork is central to delivering high-quality, patient-centred care.

Job Description - Band 7 Pre-Assessment Nurse Clinical Responsibilities Utilise evidence-based, advanced specialist knowledge, skills, and expertise to provide high-quality clinical care.

Develop the role of the Cardiac Nurse Specialist to support the delivery of holistic, patient-centred care.

Integrate into the existing clinical structure and support the wider multidisciplinary team in managing the cardiac surgical service.

Undertake routine patient assessments, including history taking and clinical examination. Arrange and interpret relevant investigations, and communicate findings to the lead clinician and scheduling staff as appropriate.

Lead the organisation of pre-admission clinics in collaboration with the CNS team, including coordinating staff rotas to ensure appropriate cover.

Perform physical assessments during pre-assessment and complete all medical and nursing documentation. (If you have not completed a physical assessment course, training will be required.)

Provide individualised support and guidance to surgical patients and their families.

Liaise with ward managers, administrative staff, and the multidisciplinary team to ensure a smooth transition of patients along the surgical pathway.

In collaboration with the Lead Nurse and operational lead, contribute to setting goals and benchmarking standards for pre-assessment and pathway management.

Maintain accurate documentation in line with Trust standards, including electronic patient records.

Produce reports related to all aspects of the pre-assessment and discharge service.

Ensure continuity of care across the multidisciplinary team, from hospital to community settings including communication with GPs.

Adhere to the Trust's infection prevention and control policies.

Act as an advocate for patients and their families, supporting them in expressing their needs effectively.

Manage and communicate complex or sensitive information with compassion and clarity.

Management and Leadership Maintain and develop clinical skills and knowledge in pre-assessment, ensuring practice remains evidence-based and aligned with best practice principles.

Take responsibility for maintaining your own professional scope of practice and demonstrating competence.

Act as a role model and clinical expert, supporting the multidisciplinary team with evidence-based guidance.

Work autonomously, making accountable clinical decisions in accordance with the NMC Code of Conduct.
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