Lewisham and Greenwich NHS Trust

Lead Viral Hepatitis CNS

Information:

This job is now closed

Job summary

To provide a high quality service across Lewisham and Greenwich Healthcare NHS Trust. Through line management of the clinical nurse specialists and working in close collaboration with consultants and other clinical colleagues lead the development in the delivery and expansion of an expert nurse-led service across the organisation. The post holder will contribute to advancing the body of knowledge through education, research and audit with the aim of improving access to treatment services. The post holder will have a key role in ensuring seamless, co-ordinated and timely approach to care for their patient group. The post holder will also provide leadership, management and a high level of clinical expertise in their specialism and contribute to the support, education and training for their team and other healthcare professionals. The post holder will have a clear understanding of the strategic political view and challenges faced by primary and secondary care through the STP in meeting recommendations for the development of the service and will work collaboratively with the multi-disciplinary team in the planning and development of a more integrated service for patients across primary and secondary care.

This post will include working and travelling to all hospital and community sites.

Main duties of the job

To work as an autonomous Clinical Nurse Specialist within the Hepatology service specialising in viral hepatitis, providing expert and complex care advice, clinical care, education, advice and support for individuals and their carers through the development and provision of nurse led clinics, a designated telephone support line and the training of nursing and medical staff. Admitting and discharging patients from own caseload as appropriate.

By working collaboratively within multi-professional teams, the Nurse Specialist will maintain effective communication systems especially with all other healthcare staff within the Trust responsible for the care of viral hepatitis, delivering timely and appropriate information in line with current best practice.

To continually develop the viral hepatitis service working as part of the multidisciplinary team caring for patients with liver disease, aiming to provide a comprehensive, patient focused service for this patient group

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Details

Date posted

19 September 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£50,952 to £57,349 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

197-LC4351

Job locations

University Hospital Lewisham

Lewisham High Street

London

SE13 6LH


Job description

Job responsibilities

To provide and undertake nurse led clinics that will deliver direct clinical care, monitoring efficacy and compliance of patients undergoing treatment.

To undertake advanced clinical care, interventions and procedures commensurate and as required within the specialty.

To provide expert evidence based advice to patients, carers and other healthcare professionals.

Employ effective decision making skills to address complex, distressing and sensitive issues and use effective change management skills to complement them.

Undertake comprehensive assessment of patient health needs.

Assess, monitor and evaluate disease activity and drug therapy of patients where necessary by initiating and interpreting clinical data, explaining treatment goals and managing side effects.

To act as the point of contact for the service.

To act as an advocate to empower patients, their families and other carers to participate in decisions regarding their care.

Engage patients and carers/families in the planning and delivery of care and the development of services to enhance the patient experience.

To ensure optimum liaison and co-ordination of care for patients between primary, community and secondary care.

To participate in the business planning process for the service participating in the formation of business cases.

Lead the nursing service review and redesign of pathways ensuring consistency across the organisation and parity of access.

To develop, influence and update policy, guidelines/protocols and integrated care pathways within the service and implement service improvement, while ensuring a high standard of care continues through ongoing review.

To provide expert clinical information and advice to patients, carers and GPs and staff through telephone advice lines / email, which is appropriate and responsive.

To provide effective teaching to individual patients and their families about their condition, treatment options and possible side effects.

Act as lead investigator to selected clinical incidents and provide reports to a high standard.

Undertake root cause and trend analyses for complaints and incidents relating to relate to nursing and participate in SI investigations.

To manage and maintain any disease specific registers as required by the service and participate in National and Local audits and peer reviews as required.

Challenge poor practice.

Prioritise own workload and manage time effectively, ensuring integration with existing support networks.

Identify risks within the area of responsibility and identify, plan, implement and evaluate strategies to reduce and manage risk.

To influence strategic development to advance quality of care and enhance the patient experience.

Utilise research findings, as applicable, in the delivery of specialist patient care, disseminating relevant information to colleagues

Contribute to the development of research / evidence based practice within the team.

Identify areas for and participate in, nursing and multi-disciplinary research

Identify areas for and actively participate in service performance reviews and clinical audit, the Nurse Specialist will contribute to the implementation of clinical improvements which will increase service effectiveness, efficiency, and quality of care.

Take responsibility for maintaining clinical expertise in relation to current research and evidence-based practice.

To represent the Trust at Network meetings.

Work force

Act as a resource to others by providing specialist teaching and improving knowledge and skills.

Act as a role model, supervise, mentor and offer peer support to colleagues, junior staff and students in line with Trust Values and Behaviours.

To share and develop good practice and promote evidence based practice.

Develop strategies to communicate new developments to staff and other colleagues actively.

To line manage the team and develop the nursing service within the specialty ensuring that performance, appraisals and mandatory training is in accordance with Trust standards.

To participate in the development and delivery of pre-registration and post-registration education effectively in order to deliver the Trusts objectives.

Financial

To be the budget holder for the service

To work closely with the Head of Nursing to contribute to the identification, analysis and discussion of cost pressures and financial constraints in a timely manner.

To contribute to the effective financial management of the service by ensuring effective use of manpower and non-pay resources and equipment, ensuring that expenditure is kept within budget targets and in accordance with the Trusts Standing Financial Instructions (SFIs).

Job description

Job responsibilities

To provide and undertake nurse led clinics that will deliver direct clinical care, monitoring efficacy and compliance of patients undergoing treatment.

To undertake advanced clinical care, interventions and procedures commensurate and as required within the specialty.

To provide expert evidence based advice to patients, carers and other healthcare professionals.

Employ effective decision making skills to address complex, distressing and sensitive issues and use effective change management skills to complement them.

Undertake comprehensive assessment of patient health needs.

Assess, monitor and evaluate disease activity and drug therapy of patients where necessary by initiating and interpreting clinical data, explaining treatment goals and managing side effects.

To act as the point of contact for the service.

To act as an advocate to empower patients, their families and other carers to participate in decisions regarding their care.

Engage patients and carers/families in the planning and delivery of care and the development of services to enhance the patient experience.

To ensure optimum liaison and co-ordination of care for patients between primary, community and secondary care.

To participate in the business planning process for the service participating in the formation of business cases.

Lead the nursing service review and redesign of pathways ensuring consistency across the organisation and parity of access.

To develop, influence and update policy, guidelines/protocols and integrated care pathways within the service and implement service improvement, while ensuring a high standard of care continues through ongoing review.

To provide expert clinical information and advice to patients, carers and GPs and staff through telephone advice lines / email, which is appropriate and responsive.

To provide effective teaching to individual patients and their families about their condition, treatment options and possible side effects.

Act as lead investigator to selected clinical incidents and provide reports to a high standard.

Undertake root cause and trend analyses for complaints and incidents relating to relate to nursing and participate in SI investigations.

To manage and maintain any disease specific registers as required by the service and participate in National and Local audits and peer reviews as required.

Challenge poor practice.

Prioritise own workload and manage time effectively, ensuring integration with existing support networks.

Identify risks within the area of responsibility and identify, plan, implement and evaluate strategies to reduce and manage risk.

To influence strategic development to advance quality of care and enhance the patient experience.

Utilise research findings, as applicable, in the delivery of specialist patient care, disseminating relevant information to colleagues

Contribute to the development of research / evidence based practice within the team.

Identify areas for and participate in, nursing and multi-disciplinary research

Identify areas for and actively participate in service performance reviews and clinical audit, the Nurse Specialist will contribute to the implementation of clinical improvements which will increase service effectiveness, efficiency, and quality of care.

Take responsibility for maintaining clinical expertise in relation to current research and evidence-based practice.

To represent the Trust at Network meetings.

Work force

Act as a resource to others by providing specialist teaching and improving knowledge and skills.

Act as a role model, supervise, mentor and offer peer support to colleagues, junior staff and students in line with Trust Values and Behaviours.

To share and develop good practice and promote evidence based practice.

Develop strategies to communicate new developments to staff and other colleagues actively.

To line manage the team and develop the nursing service within the specialty ensuring that performance, appraisals and mandatory training is in accordance with Trust standards.

To participate in the development and delivery of pre-registration and post-registration education effectively in order to deliver the Trusts objectives.

Financial

To be the budget holder for the service

To work closely with the Head of Nursing to contribute to the identification, analysis and discussion of cost pressures and financial constraints in a timely manner.

To contribute to the effective financial management of the service by ensuring effective use of manpower and non-pay resources and equipment, ensuring that expenditure is kept within budget targets and in accordance with the Trusts Standing Financial Instructions (SFIs).

Person Specification

Qualifications and Training

Essential

  • Degree Registered nurse [Part 1] / or Registered Post registration qualification or equivalent experience in specialty.
  • Master's degree in relevant discipline or in process of studying to Masters level. Teaching and assessing qualification

Desirable

  • Independent non-medical prescribing qualification.
  • Professional Nursing Advocate (PNA) course

Experience

Essential

  • Proven experience of working in the specialty.
  • Senior clinical experience within speciality
  • Partnership/multi-professional working
  • Managing staff.
  • Developing and implementing service development initiatives
  • Demonstrate experience of change management
  • Experience of running nurse-led clinics
  • Developing and implementing educational programmes for patients and staff
  • Research and audit. Proven track record of staff development and team working.

Desirable

  • Effective budget management
  • Service/professional presentations to a wide group

Knowledge and Skills

Essential

  • Advanced nursing skills relevant to specialty
  • Advanced verbal, written and interpersonal communication skills
  • Experience of managing and leading a team
  • Working with and within a diverse community
  • Demonstrates innovative thinking. Facilitation skills.
  • Understanding of the health and social care agenda and commissioning processes in the current political environment

Desirable

  • Presentation and publishing experience. Finance and resource management. Knowledge base of research methodology.
  • Project management skills. IT skills word/excel. Keyboard skills

Personal Qualities

Essential

  • Leadership qualities.
  • Facilitative working style. Sensitivity to emotional situations
  • Able to use own initiative.
  • Ability to deal with stressful situations and to manage conflicting priorities
  • Able to cope with interruptions and adapting workload to service need
  • Ability to work autonomously and as a member of a multi-disciplinary team
  • Good attendance record. Flexible and able to work on any hospital site, or community sites.
Person Specification

Qualifications and Training

Essential

  • Degree Registered nurse [Part 1] / or Registered Post registration qualification or equivalent experience in specialty.
  • Master's degree in relevant discipline or in process of studying to Masters level. Teaching and assessing qualification

Desirable

  • Independent non-medical prescribing qualification.
  • Professional Nursing Advocate (PNA) course

Experience

Essential

  • Proven experience of working in the specialty.
  • Senior clinical experience within speciality
  • Partnership/multi-professional working
  • Managing staff.
  • Developing and implementing service development initiatives
  • Demonstrate experience of change management
  • Experience of running nurse-led clinics
  • Developing and implementing educational programmes for patients and staff
  • Research and audit. Proven track record of staff development and team working.

Desirable

  • Effective budget management
  • Service/professional presentations to a wide group

Knowledge and Skills

Essential

  • Advanced nursing skills relevant to specialty
  • Advanced verbal, written and interpersonal communication skills
  • Experience of managing and leading a team
  • Working with and within a diverse community
  • Demonstrates innovative thinking. Facilitation skills.
  • Understanding of the health and social care agenda and commissioning processes in the current political environment

Desirable

  • Presentation and publishing experience. Finance and resource management. Knowledge base of research methodology.
  • Project management skills. IT skills word/excel. Keyboard skills

Personal Qualities

Essential

  • Leadership qualities.
  • Facilitative working style. Sensitivity to emotional situations
  • Able to use own initiative.
  • Ability to deal with stressful situations and to manage conflicting priorities
  • Able to cope with interruptions and adapting workload to service need
  • Ability to work autonomously and as a member of a multi-disciplinary team
  • Good attendance record. Flexible and able to work on any hospital site, or community sites.

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High Street

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High Street

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

CNS Liver Disease

Angel Hart

Angelahart1@nhs.net

07941316078

Details

Date posted

19 September 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£50,952 to £57,349 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

197-LC4351

Job locations

University Hospital Lewisham

Lewisham High Street

London

SE13 6LH


Supporting documents

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