Clinical Nurse Specialist- Dermatology Faster Diagnostic Pathway

Lewisham and Greenwich NHS Trust

Information:

This job is now closed

Job summary

To provide a comprehensive service for patients referred to the faster diagnostic pathway within Dermatology, supporting with improving quality of life through assisting with diagnostics, treatment, control of symptoms, as well as offering support following diagnosis and educating the patient regarding their treatment plan.

In line with the Trust's Annual Business Plan, you will provide a high-quality advanced expert nursing and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home.

The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting.

Main duties of the job

To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.

The Clinical Nurse Specialist will be an advanced and experienced practitioner within their speciality.

The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute/community setting, which will require assessment, planning and implementation of treatment.

To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice.

To be responsible for the nursing leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment.

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

Date posted

28 November 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year per annum plus HCA

Contract

Permanent

Working pattern

Full-time

Reference number

197-HF4659

Job locations

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Job description

Job responsibilities

All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.

  • To co-ordinate the specialty care within the Trust, including outreach clinics within the region.
  • To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
  • Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
  • Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
  • To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service/midwifery-led service.
  • To provide ongoing follow-up care and support ( telephone support / nurse led clinics / outpatient clinics and outreach clinics)
  • To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist.
  • To develop interdisciplinary clinical management protocols and work within them.
  • Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
  • To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
  • To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
  • To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
  • To assess, develop, implement and evaluate programmes of care within the acute and community setting
  • To control patient admission via direct referral and with consultant guidance and supervision.
  • Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing/midwifery care, in order to participate in the re-formulation of nursing/midwifery aspects of the plan.
  • When required, investigate the nursing aspects of incidents/complaints and initiate corrective action

Job description

Job responsibilities

All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.

  • To co-ordinate the specialty care within the Trust, including outreach clinics within the region.
  • To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
  • Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
  • Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
  • To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service/midwifery-led service.
  • To provide ongoing follow-up care and support ( telephone support / nurse led clinics / outpatient clinics and outreach clinics)
  • To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist.
  • To develop interdisciplinary clinical management protocols and work within them.
  • Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
  • To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
  • To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
  • To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
  • To assess, develop, implement and evaluate programmes of care within the acute and community setting
  • To control patient admission via direct referral and with consultant guidance and supervision.
  • Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing/midwifery care, in order to participate in the re-formulation of nursing/midwifery aspects of the plan.
  • When required, investigate the nursing aspects of incidents/complaints and initiate corrective action

Person Specification

Qualifications and Training

Essential

  • RN / RM - Part 1
  • Relevant Dermatology course or similar
  • Mentorship course (supervising and assessing)
  • Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality.
  • In-depth knowledge of anatomy related to speciality
  • Knowledge of conditions, management and treatment

Desirable

  • Knowledge of quality standards
  • Counselling course
  • Non-Medical Prescribing
  • MSc level learning
  • Minor procedure experience

Experience

Essential

  • Band 6 clinical experience within a Dermatology setting
  • Experience in Practice Guideline Development
  • Audit and Research Experience
  • Evidence of clinical leadership qualities
  • Evidence of using primary and secondary healthcare teams and resources
  • Ability to clinically lead and direct staff
  • Experience in patient advocacy/key worker

Desirable

  • Lead an audit and/or research study
  • Presentation and publishing experience
  • Caseload management
  • Leading a service

Knowledge

Essential

  • Understanding of holistic needs for dermatology patients
  • Counselling skills
  • Computer skills

Desirable

  • Change management
  • Statistics and report writing
  • Knowledge of diagnostic pathways & performance
Person Specification

Qualifications and Training

Essential

  • RN / RM - Part 1
  • Relevant Dermatology course or similar
  • Mentorship course (supervising and assessing)
  • Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality.
  • In-depth knowledge of anatomy related to speciality
  • Knowledge of conditions, management and treatment

Desirable

  • Knowledge of quality standards
  • Counselling course
  • Non-Medical Prescribing
  • MSc level learning
  • Minor procedure experience

Experience

Essential

  • Band 6 clinical experience within a Dermatology setting
  • Experience in Practice Guideline Development
  • Audit and Research Experience
  • Evidence of clinical leadership qualities
  • Evidence of using primary and secondary healthcare teams and resources
  • Ability to clinically lead and direct staff
  • Experience in patient advocacy/key worker

Desirable

  • Lead an audit and/or research study
  • Presentation and publishing experience
  • Caseload management
  • Leading a service

Knowledge

Essential

  • Understanding of holistic needs for dermatology patients
  • Counselling skills
  • Computer skills

Desirable

  • Change management
  • Statistics and report writing
  • Knowledge of diagnostic pathways & performance

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

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

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Employer's website

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


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Employer's website

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


For questions about the job, contact:

Senior Matron -Specialist Medicine

Janet Carroll

janet.carroll5@nhs.net

07393468779

Date posted

28 November 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year per annum plus HCA

Contract

Permanent

Working pattern

Full-time

Reference number

197-HF4659

Job locations

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Supporting documents

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