Clinical Nurse Specialist

This post is only open to internal applicants.

Clinical Nurse Specialist NHS AfC: Band 7 Main area HIV Services Grade NHS AfC: Band 7 Contract Permanent Hours Full time - 37.5 hours per week Job ref 196-NM13017

Employer Guy's and St Thomas' NHS Foundation Trust Employer type NHS Site Harrison Wing, Guy's Hospital Town London Salary £54,320 - £60,981 per annum Salary period Yearly Closing 06/07/:59

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 In partnership with members of the multidisciplinary team the post holder will develop, implement and evaluate a seamless specialist service, ensuring that patients receive the highest standard of clinical care. They act as a lead specialist and will demonstrate a high level of expertise within the HIV service, providing specialist advice, education and support to health care professionals and patients. The post holder will actively undertake clinical audits and research within the specialist area. The post holder will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, including development of policies, protocols and guidelines and contribute to service developments in collaboration with multidisciplinary colleagues. Also ensures the safety and well being of services users, and always working in a manner that promotes dignity and human rights through the adoption of person centered care principles.

Main duties of the job The focus of this Clinical Nurse specialist is the management and support of our most vulnerable patients. The role is crucial to keeping individual patients well and out of hospital and also the prevention of onwards transmission of HIV. Working closely with one of the HIV consultants, the successful applicant will be responsible for: the HIV failsafe; management of the VIP (Vulnerable/Vireamic Patients in Need) pathway; the DNA pathway; the Lost-to-Follow-up pathway. They will also be expected to contribute to the wider nursing activity within the department.

Working for our organisation 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.

Detailed job description and main responsibilities Qualifications/ Education - Essential

• BSC/1 st degree (health related) or equivalent qualification/training and experience
• Your professional knowledge acquired at degree level will be supplemented by specialist training, experience and short courses to Masters level equivalent.
• To have or working towards a non-medical prescribing course
• Qualifications/ Education - Desirable
• To have or working towards a masters degree
• To have or working towards a non medical physical assessment course

Professional/ Statutory Registration

• RN1 or RN Child Registered Nurse on the NMC register. To hold the appropriate level for the area of speciality .
• Extensive experience of working autonomously at an advanced level within HIV, delivering effective patient focused care.
• Proven evidence of management / leadership skills and autonomous practice
• Previous experience of student supervision and clinical education at undergraduate level
• Experience of delivering patient advocacy
• Experience of audit, research & evidence based care
• Experience of managing change
• Skills/ Knowledge/ Ability
• Advanced clinical and leadership skills in HIV
• Proven listening / counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes
• Evidence of teaching skills in particular teaching patients in how to manage their conditions and raise their awareness of their condition.
• Ability to clinically lead & influence staff
• Up to date knowledge of current clinical and professional issues
• Sound knowledge of current issues in the profession and practice of nursing
• Able to use skills of history taking and physical assessment to direct patient care
• Time management and organisation skills
• Ability to conduct & evaluate own projects successfully
• Knowledge of current clinical & nursing research
• Ability to carry out audit and research
• IT Skills
• A knowledge of and commitment to the equality, diversity and inclusion agenda.

Person specification Experience

• Extensive experience of working autonomously at an advanced level within HIV, delivering effective patient focused care.

Registration

• RN1 or RN Child Registered Nurse on the NMC register. To hold the appropriate level for the area of speciality.

Clinical

• Advanced clinial and leadership skills in HIV

Guy's and St Thomas'celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
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