Job summary
This fantastic job opportunity has become available for an AA/BMF CNS to join our highly motivated, professional and dynamic myeloid CNS team within the Department of Haematological Medicine. We have a large established myeloid team who include physicians and nurses with specialist interests in myeloid leukaemia's (AML, CML), Myelodysplastic syndromes (MDS), Myeloproliferative Neoplasms (MPNs), Aplastic Anaemia (AA), Paroxysmal nocturnal haemoglobinuria (PNH), constitutional bonemarrow failures (BMF) and other myeloid diseases. We are highly recognised as an nationally and internationally established and comprehensive Myeloid/BMF referral service.
We strongly urge you to request an informal visit/or Teams meeting or if require further information please contact Janet Hayden, Lead Myeloid Clinical Nurse Specialist on 020 3299 4093janethayden@nhs.net
Main duties of the job
You will have significant experience in caring for and supporting patients with Hematological malignancies and a comprehensive understanding of all treatment modalities and the associated complexities involved in caring for this group of patients. With a clear understanding of the role of the Clinical Nurse Specialist as a clinical expert, leader, researcher and educator, you will possess excellent communication and organizational skills. You will also be committed to the development of specialist nursing practice and demonstrate evidence of ongoing professional and academic development. You will have a first degree and be willing to undertake a Masters degrees or stand along modules to enhance your practice in the future.
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job description
Job responsibilities
This new & exciting post forms part of a new initiative within the Department of Haematological Medicine in developing the existing bone marrow failure (BMF) service. Recent appointments of consultants with specialist interests in Aplastic Anaemia (AA) & Paroxysmal nocturnal haemoglobinuria (PNH) complement our existing national & international reputation in the management of myelodysplastic syndromes (MDS) & other myeloid diseases allowing us to establish a more comprehensive BMF service.
The post holder will work closely in a team of 5 clinical nurse specialists together with Consultant Haematologists, Specialist Registrars & other senior nurses in establishing a patient centred service for a large cohort of patients with myeloid malignancies, MDS, Aplastic Anaemia and PNH to ensure local & national objectives are achieved. Each clinical nurse specialist will be responsible for leading and developing the service for PNH or Aplastic Anaemia but will also be responsible in delivering a nurse led service to other bone marrow failure disease groups.
Practitioners will assess patients, plan & implement care, provide specialist advice, maintain associated records, be the lead specialist in a defined area of nursing care, provide specialist education & training to other staff & students as well as participate in relevant research and clinical audits.
The main responsibilities of the post are focused on:
- Specialist clinical practice
- Clinical & professional leadership
- Research, audit and service development
- Education, training and development
Specialist Clinical Practice
- Work in a team lead by the Senior Myeloid CNS together with another BMF CNS in providing a seamless and comprehensive nurse led service in delivering and coordinating expert care to a large specialist group of patients.
- Develop and implement strategies to improve clinical practice.
- Work with other team members in the wider haematology department to meet service needs and improve patient experience.
- Assess health, health related and nursing needs of patients or clients, their families and other carers by identifying and initiating appropriate steps for effective care for individuals and groups. This can include:
- Managing a patient caseload as key worker;
- Ordering diagnostic tests;
- Making and receiving referrals;
- Admitting and discharging patients for specified conditions and within agreed protocols;
- Set, implement and evaluate standards and criteria of nursing intervention by planning and providing and evaluating specialist clinical nursing care across a range of care provision to meet the health needs of individuals and groups requiring specialist nursing.
- Support and empower patients and clients, their families and other carers to influence and participate in decisions concerning their care by providing information on a range of specialist nursing care and services.
- Act as a resource for the development of clinical expertise in this particular field offering expert clinical advice and support to both patients and healthcare professionals.
- Liaise with the clinical trials co-ordinator in respect of BMF clinical developments. To be able to identify appropriate patients for admission into clinical trials. Act as resource for the clinical trails team and take back the responsibility of key worker when patients leave trials.
- Develop a comprehensive cross cover strategy between the CNSs across the patient groups to maintain an uncompromised and high standard of service delivery at all times.
- Manage a caseload of patients as key worker.
- Provide and develop relevant patient support groups/patient forums
Clinical and Professional Leadership
- Provide effective clinical leadership and act as a role model to other nurses in the Care group and Trust to improve standards and quality and to develop professional practice.
- Develop communication networks to support patients and practitioners within the Trust, local and tertiary level.
- Ensure care interventions are evidence based and reflect best clinical practice.
- Actively participate in relevant fora at Care group, Trust, or PCG/PCT or National/ International level to represent the service perspective.
- Ensure that all new patients with a new diagnosis or new referral to Kings are discussed at the relevant MDTs in accordance with the IOG.
- Co-ordinate local and regional multidisciplinary BMF meetings.
- Remain knowledgeable about Care group objectives and work corporately to support development projects and strategies.
- Identify aspects of the service that require specific attention and to apply problem-solving techniques in order to achieve improvement in clinical outcomes.
Education, Training and Development
- Create a learning environment for all levels of nursing staff.
- Initiate and lead developments to enhance the nursing contribution and quality of care. As a clinical expert, provide advice on educational opportunities that will facilitate the development and support of their specialist knowledge and skills to ensure they develop their clinical practice.
- Develop information and advice for patients, carers and staff on all aspects involved in BMF care.
- Aim to represent the organisation at internal and external conferences.
- Aim to publish and present relevant clinical practice and service developments.
Management
- Liaise effectively with all other disciplines within the Trust and at local level.
- Participate in the management of change to improve standards and communication links from Acute Trusts through to Primary Care.
- Actively contribute to any relevant initiatives within the care group and provide support to colleagues and Heads of Nursing.
- Contribute positively to the leadership of nursing within the care group acting as an effective role model.
- Comply with measures to actively manage and reduce risk to patients. Ensuring the formal reporting and recording of adverse incidents in line with Trust policy
- Network with the team of clinical nurse specialists within the Trust to evaluate, develop and promote the specialist-nursing role
- Utilise and maintain information systems to aid audit and to provide regular activity analysis reports
- Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested. Participate in the evaluation of the service in terms of clinical effectiveness, clinical excellence and value for money
- Forge effective links within primary, secondary and tertiary care to ensure effective communication
- Ensure compliance with the Trust's Equality and Diversity Policy, supporting the delivery of the Trusts Race Equality Scheme and the Trust's duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.
Research, Audit and Service Development
- Initiate or assist in nursing research and support research activity within the Care group and also through collaboration with other agencies.
- Identify, apply and disseminate research findings relating to specialist nursing practice.
- Implement and manage a clinical audit system suitable for this particular client group and to take appropriate actions to address improvements required.
- Explore and implement strategies for quality assurance and quality audit, determining criteria against which they should be judged, how success might be measured and who should measure success.
- Effectively contributes to clinical research through investigation and analysis of information
- Responsible for the process of monitoring quality care, ensuring high standards of care is delivered to patients. Actively participates in local audit process and presents research findings when required.
- Ensure that the rights of patients and others are protected at all times when involved in audit and research studies.
- Ensure a system of patient satisfaction, user groups and other feedback methods are used to make changes as part of continuous quality improvement.
- Responsible for developing clinical guidelines that are based on best clinical and evidence based practice.
- Responsible for essential data collection for the purposes of monitoring quality performance, business planning and nursing research within the department.
- Participate in business planning as appropriate, identifying priorities and areas for development.
- Participate in the recruitment of new members of nursing staff within the department of Haematological Medicine.
Personal Development
- Personal Professional Development
- To achieve a range of clinical competencies as required to fulfil the role
- To keep up-to-date with current literature and research in the speciality.
- To maintain your own personal and professional development in accordance with PREP requirements, attending mandatory study sessions as required.
- To undergo and actively participate in own performance appraisals
- To keep up to date with NMC, relevant specialist Faculty & Trust guidelines and protocols.
- To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence.
- To be working towards higher degree or equivalent.
Job description
Job responsibilities
This new & exciting post forms part of a new initiative within the Department of Haematological Medicine in developing the existing bone marrow failure (BMF) service. Recent appointments of consultants with specialist interests in Aplastic Anaemia (AA) & Paroxysmal nocturnal haemoglobinuria (PNH) complement our existing national & international reputation in the management of myelodysplastic syndromes (MDS) & other myeloid diseases allowing us to establish a more comprehensive BMF service.
The post holder will work closely in a team of 5 clinical nurse specialists together with Consultant Haematologists, Specialist Registrars & other senior nurses in establishing a patient centred service for a large cohort of patients with myeloid malignancies, MDS, Aplastic Anaemia and PNH to ensure local & national objectives are achieved. Each clinical nurse specialist will be responsible for leading and developing the service for PNH or Aplastic Anaemia but will also be responsible in delivering a nurse led service to other bone marrow failure disease groups.
Practitioners will assess patients, plan & implement care, provide specialist advice, maintain associated records, be the lead specialist in a defined area of nursing care, provide specialist education & training to other staff & students as well as participate in relevant research and clinical audits.
The main responsibilities of the post are focused on:
- Specialist clinical practice
- Clinical & professional leadership
- Research, audit and service development
- Education, training and development
Specialist Clinical Practice
- Work in a team lead by the Senior Myeloid CNS together with another BMF CNS in providing a seamless and comprehensive nurse led service in delivering and coordinating expert care to a large specialist group of patients.
- Develop and implement strategies to improve clinical practice.
- Work with other team members in the wider haematology department to meet service needs and improve patient experience.
- Assess health, health related and nursing needs of patients or clients, their families and other carers by identifying and initiating appropriate steps for effective care for individuals and groups. This can include:
- Managing a patient caseload as key worker;
- Ordering diagnostic tests;
- Making and receiving referrals;
- Admitting and discharging patients for specified conditions and within agreed protocols;
- Set, implement and evaluate standards and criteria of nursing intervention by planning and providing and evaluating specialist clinical nursing care across a range of care provision to meet the health needs of individuals and groups requiring specialist nursing.
- Support and empower patients and clients, their families and other carers to influence and participate in decisions concerning their care by providing information on a range of specialist nursing care and services.
- Act as a resource for the development of clinical expertise in this particular field offering expert clinical advice and support to both patients and healthcare professionals.
- Liaise with the clinical trials co-ordinator in respect of BMF clinical developments. To be able to identify appropriate patients for admission into clinical trials. Act as resource for the clinical trails team and take back the responsibility of key worker when patients leave trials.
- Develop a comprehensive cross cover strategy between the CNSs across the patient groups to maintain an uncompromised and high standard of service delivery at all times.
- Manage a caseload of patients as key worker.
- Provide and develop relevant patient support groups/patient forums
Clinical and Professional Leadership
- Provide effective clinical leadership and act as a role model to other nurses in the Care group and Trust to improve standards and quality and to develop professional practice.
- Develop communication networks to support patients and practitioners within the Trust, local and tertiary level.
- Ensure care interventions are evidence based and reflect best clinical practice.
- Actively participate in relevant fora at Care group, Trust, or PCG/PCT or National/ International level to represent the service perspective.
- Ensure that all new patients with a new diagnosis or new referral to Kings are discussed at the relevant MDTs in accordance with the IOG.
- Co-ordinate local and regional multidisciplinary BMF meetings.
- Remain knowledgeable about Care group objectives and work corporately to support development projects and strategies.
- Identify aspects of the service that require specific attention and to apply problem-solving techniques in order to achieve improvement in clinical outcomes.
Education, Training and Development
- Create a learning environment for all levels of nursing staff.
- Initiate and lead developments to enhance the nursing contribution and quality of care. As a clinical expert, provide advice on educational opportunities that will facilitate the development and support of their specialist knowledge and skills to ensure they develop their clinical practice.
- Develop information and advice for patients, carers and staff on all aspects involved in BMF care.
- Aim to represent the organisation at internal and external conferences.
- Aim to publish and present relevant clinical practice and service developments.
Management
- Liaise effectively with all other disciplines within the Trust and at local level.
- Participate in the management of change to improve standards and communication links from Acute Trusts through to Primary Care.
- Actively contribute to any relevant initiatives within the care group and provide support to colleagues and Heads of Nursing.
- Contribute positively to the leadership of nursing within the care group acting as an effective role model.
- Comply with measures to actively manage and reduce risk to patients. Ensuring the formal reporting and recording of adverse incidents in line with Trust policy
- Network with the team of clinical nurse specialists within the Trust to evaluate, develop and promote the specialist-nursing role
- Utilise and maintain information systems to aid audit and to provide regular activity analysis reports
- Maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested. Participate in the evaluation of the service in terms of clinical effectiveness, clinical excellence and value for money
- Forge effective links within primary, secondary and tertiary care to ensure effective communication
- Ensure compliance with the Trust's Equality and Diversity Policy, supporting the delivery of the Trusts Race Equality Scheme and the Trust's duty to positively promote race equality and equality of opportunity for disabled people ensuring services are responsive to the needs of equality groups.
Research, Audit and Service Development
- Initiate or assist in nursing research and support research activity within the Care group and also through collaboration with other agencies.
- Identify, apply and disseminate research findings relating to specialist nursing practice.
- Implement and manage a clinical audit system suitable for this particular client group and to take appropriate actions to address improvements required.
- Explore and implement strategies for quality assurance and quality audit, determining criteria against which they should be judged, how success might be measured and who should measure success.
- Effectively contributes to clinical research through investigation and analysis of information
- Responsible for the process of monitoring quality care, ensuring high standards of care is delivered to patients. Actively participates in local audit process and presents research findings when required.
- Ensure that the rights of patients and others are protected at all times when involved in audit and research studies.
- Ensure a system of patient satisfaction, user groups and other feedback methods are used to make changes as part of continuous quality improvement.
- Responsible for developing clinical guidelines that are based on best clinical and evidence based practice.
- Responsible for essential data collection for the purposes of monitoring quality performance, business planning and nursing research within the department.
- Participate in business planning as appropriate, identifying priorities and areas for development.
- Participate in the recruitment of new members of nursing staff within the department of Haematological Medicine.
Personal Development
- Personal Professional Development
- To achieve a range of clinical competencies as required to fulfil the role
- To keep up-to-date with current literature and research in the speciality.
- To maintain your own personal and professional development in accordance with PREP requirements, attending mandatory study sessions as required.
- To undergo and actively participate in own performance appraisals
- To keep up to date with NMC, relevant specialist Faculty & Trust guidelines and protocols.
- To adhere to the NMC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence.
- To be working towards higher degree or equivalent.
Person Specification
Academic and Professional Qualifications
Essential
- NMC registration, first degree, post registration haematology course
- 5 years experience in haematology and 3 at band 6
- Evidence of professional development, innovative practice, service delivery
- Organisation, problem solving, knowledge mdt, autonomous practice
Desirable
- Masters degree or working towards
- Post grad course- teaching, advanced clinical assessment, non medical prescribing advanced communication
Person Specification
Academic and Professional Qualifications
Essential
- NMC registration, first degree, post registration haematology course
- 5 years experience in haematology and 3 at band 6
- Evidence of professional development, innovative practice, service delivery
- Organisation, problem solving, knowledge mdt, autonomous practice
Desirable
- Masters degree or working towards
- Post grad course- teaching, advanced clinical assessment, non medical prescribing advanced communication
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.
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.
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).
