Job summary
An exciting opportunity is available for an enthusiastic, compassionate, and experienced Senior Clinical Nurse Specialist (CNS) to join the Pain Team at the Denmark Hill site of King's College Hospital NHS Foundation Trust.
The suitable candidate will have relevant experience as a Band 7 Pain Management CNS, together with a master's qualification in Pain management, or in Advanced Clinical Practice with post-graduate Pain modules. You will be a non-medical prescriber or be working towards this qualification.
As the Lead Nurse for the Pain Service, you lead on the provision of high-quality pain management in both inpatient and outpatient settings on the Denmark Hill site. Inpatient settings include the Trauma Centre, Liver Transplant Unit, Haematology, general surgical and medical wards, and outpatient areas. The Pain Service is in the process of re-establishing nurse-led outpatient clinics, and you will have the opportunity to lead and co-ordinate this process.
You will be joining a friendly clinical team with a vision to develop the Pain Service across the hospital at Denmark Hill. The Trust is committed to supporting all staff to develop to their full professional potential. Access to appropriate continuing professional development will be supported, within service constraints, as part of the annual appraisal process.
Main duties of the job
As a Lead Clinical Nurse Specialist, you will:
Be responsible for leading, coordinating and developing a high-quality nursing Pain Service at the Denmark Hill site. You will develop standards, policies and pathways for clinical improvement. You will lead on audit, research and education relevant to the whole service. You will maintain an overview of governance and identify trends for service development
Be responsible for the professional, operational, and line management of the Clinical Nurse Specialists in the Pain Service at the Denmark Hill site, in accordance with the relevant Trust policies. You will act as a role model for all clinical staff
Lead on the delivery of evidence based clinical nursing practice in line with current research evidence and guidelines. Provide expert advice to clinical staff caring for patients referred to the service
Ensure that there are clear lines of communication within the Pain Service to facilitate the cohesive multidisciplinary management of patients
Work to develop a culture within the Pain Service where the Trust values and vision are integrated into the team practice
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 Reachis 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
- Defines objectives and plans activities to maintain high standards ofPain Management and as a senior clinical nurse specialist offerguidance and advice to nursing, medical and allied professionals within the field of pain management.
- Deliver a high degree of clinical decision-making utilising in-depththeoretical knowledge whilst using advanced autonomous clinical skills
- To assess and implement appropriate recommendations andcommence a treatment pathway, referring to relevant agencies where appropriate.
- To accept responsibility for allocated patient caseload, ensuring allpatients have an accurate plan of care, which reflects the assessmentundertaken and incorporates the issues and recommendations madeensuring clear documentation in the patients records and hand heldrecords.
- To be actively involved with in-patient care and liaising with ward staff to ensure high quality nursing care.
- Responsible for undertaking advanced assessments in an outpatient setting delivering and co-ordinating nurse led clinics on a1:1 basis with patients.
- To practise as an independent prescriber in accordance with theclinical setting and Trust Policy.
- To lead in the development of outpatient Nurse Led Clinics.
- To follow-up patients and ensure all relevant information is available to enable patients to make an informed choice about their treatment.
- To lead and co-ordinate MDT meetings ensuring all patients arerepresented.
- To deliver a seamless service through the development of enhancedMultidisciplinary team (MDT) processes and communication.
- To assist with and undertake the identification and development ofclinical protocols and strategies to enhance both the continuity andstandard of specialist care whilst ensuring equity of access to theservice.
- To participate and undertake the process of relevant operationalpolicies review annually in accordance with national standards
- To ensure all care is given in accordance with agreed protocols.
- To work with key staff members to establish and maintain nurse ledservice.
- Review the care and audit clinical notes of patients seen by the Clinical Nurse Specialists.
- Ensure that all patients have appropriate pain management follow up post discharge.
- Ongoing review of MDT referrals to the Clinical Nurse Specialists.
- Support the Enhanced Recovery Programmes within the organisation.
- To work with the MDT to develop, implement and evaluate integrated care pathways and systems of MDT documentation
- Liaise with local community, social services, paramedics and voluntary organisations in order to develop existing services for clients, carers and health professional.
- Actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.
- To participate in the development of appropriate patient groupdirectives to facilitate/enhance the discharge process.
- To participate in relevant fora at Divisional, Trust, KHP or CCG Level to represent the service perspective.
- To provide specialist knowledge and skills e.g. management /programming of PCA pumps / epidural systems and training medical /nursing staff within their scope of practice.
- To ensure all patients are fully informed of the risks and benefits ofproposed procedures / treatments, contributing to the process ofsecuring informed consent. To produce and provide all patients with relevant and accessiblewritten and verbal information regarding their treatment in accordance with Trust standards.
- To plan, supervise and participate in the delivery of programmes ofeducation and training according to the needs of clients, carers andothers, and implement changes in response to identified needs.
- To assist with the development of Trust-wide training programmes for nurses, medics and allied health in pain management.
- To develop robust training programmes, in conjunction with Head ofMedical Physics, for all pain management equipment.
- To review and develop a competency document for the pain specialist nurse from novice to advance practitioner.
- To work with other clinical staff to identify knowledge gaps in relation to specialist patients and ensure staff are appropriately educated.
- To participate in education programmes for all staff and identifyknowledge gaps in relation to specialist patients tailoring teachingaccordingly to enhance nursing practice / quality of care. To lecture as appropriately for university courses linked to Kings college hospital.
- To contribute to the development of nursing practice within the team. Additionally, where appropriate, to act as a practice supervisor to Trust and honorary contract employees.
- To actively participate in educational events provided by the Trust and primary care sector.
- To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally.
- To promote and facilitate evidence based practice and lead onidentifying areas for clinical audit within the Trust, raising the profileand enhancing the contribution of nursing to patient care and informing business and service development plans. To be responsible for analysis / dissemination and presentation of findings at Trust wide level.
- To participate in and assist with any appropriate/relevant Trustapproved research projects conducted within the department.
- To promote nursing research and evidenced based practice relevant to the speciality
Job description
Job responsibilities
- Defines objectives and plans activities to maintain high standards ofPain Management and as a senior clinical nurse specialist offerguidance and advice to nursing, medical and allied professionals within the field of pain management.
- Deliver a high degree of clinical decision-making utilising in-depththeoretical knowledge whilst using advanced autonomous clinical skills
- To assess and implement appropriate recommendations andcommence a treatment pathway, referring to relevant agencies where appropriate.
- To accept responsibility for allocated patient caseload, ensuring allpatients have an accurate plan of care, which reflects the assessmentundertaken and incorporates the issues and recommendations madeensuring clear documentation in the patients records and hand heldrecords.
- To be actively involved with in-patient care and liaising with ward staff to ensure high quality nursing care.
- Responsible for undertaking advanced assessments in an outpatient setting delivering and co-ordinating nurse led clinics on a1:1 basis with patients.
- To practise as an independent prescriber in accordance with theclinical setting and Trust Policy.
- To lead in the development of outpatient Nurse Led Clinics.
- To follow-up patients and ensure all relevant information is available to enable patients to make an informed choice about their treatment.
- To lead and co-ordinate MDT meetings ensuring all patients arerepresented.
- To deliver a seamless service through the development of enhancedMultidisciplinary team (MDT) processes and communication.
- To assist with and undertake the identification and development ofclinical protocols and strategies to enhance both the continuity andstandard of specialist care whilst ensuring equity of access to theservice.
- To participate and undertake the process of relevant operationalpolicies review annually in accordance with national standards
- To ensure all care is given in accordance with agreed protocols.
- To work with key staff members to establish and maintain nurse ledservice.
- Review the care and audit clinical notes of patients seen by the Clinical Nurse Specialists.
- Ensure that all patients have appropriate pain management follow up post discharge.
- Ongoing review of MDT referrals to the Clinical Nurse Specialists.
- Support the Enhanced Recovery Programmes within the organisation.
- To work with the MDT to develop, implement and evaluate integrated care pathways and systems of MDT documentation
- Liaise with local community, social services, paramedics and voluntary organisations in order to develop existing services for clients, carers and health professional.
- Actively involve service users in providing feedback of their experience of the current service and suggestions for improvements.
- To participate in the development of appropriate patient groupdirectives to facilitate/enhance the discharge process.
- To participate in relevant fora at Divisional, Trust, KHP or CCG Level to represent the service perspective.
- To provide specialist knowledge and skills e.g. management /programming of PCA pumps / epidural systems and training medical /nursing staff within their scope of practice.
- To ensure all patients are fully informed of the risks and benefits ofproposed procedures / treatments, contributing to the process ofsecuring informed consent. To produce and provide all patients with relevant and accessiblewritten and verbal information regarding their treatment in accordance with Trust standards.
- To plan, supervise and participate in the delivery of programmes ofeducation and training according to the needs of clients, carers andothers, and implement changes in response to identified needs.
- To assist with the development of Trust-wide training programmes for nurses, medics and allied health in pain management.
- To develop robust training programmes, in conjunction with Head ofMedical Physics, for all pain management equipment.
- To review and develop a competency document for the pain specialist nurse from novice to advance practitioner.
- To work with other clinical staff to identify knowledge gaps in relation to specialist patients and ensure staff are appropriately educated.
- To participate in education programmes for all staff and identifyknowledge gaps in relation to specialist patients tailoring teachingaccordingly to enhance nursing practice / quality of care. To lecture as appropriately for university courses linked to Kings college hospital.
- To contribute to the development of nursing practice within the team. Additionally, where appropriate, to act as a practice supervisor to Trust and honorary contract employees.
- To actively participate in educational events provided by the Trust and primary care sector.
- To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally.
- To promote and facilitate evidence based practice and lead onidentifying areas for clinical audit within the Trust, raising the profileand enhancing the contribution of nursing to patient care and informing business and service development plans. To be responsible for analysis / dissemination and presentation of findings at Trust wide level.
- To participate in and assist with any appropriate/relevant Trustapproved research projects conducted within the department.
- To promote nursing research and evidenced based practice relevant to the speciality
Person Specification
Qualifications
Essential
- NMC Level 1 or Level 15 Registered Nurse
- An advanced practitioner either through formal qualification (Degree) and/or extensive clinical experience pertinent to the area
- MSc in Pain Management
Desirable
- Non-Medical Prescribing course / or willingness to work towards
Knowledge and Experience
Essential
- Management experience
- Relevant, demonstrable experience in Pain Management at senior level (B7)
- Experience of undertaking and leading audit programmes
- Evidence of participation in research
- To have proven experience of service development
- Experience of delivering presentations
Skills and Competencies
Essential
- Excellent oral and written communication skills
- Ability to build up a rapport with patients and the MDT
- Ability to impart complex information to patients, relatives and carers, with different levels of understanding
- Ability to work independently and as part of a team
- Patient centred approach
- Basic Counselling skills
Desirable
- Project management skills
Person Specification
Qualifications
Essential
- NMC Level 1 or Level 15 Registered Nurse
- An advanced practitioner either through formal qualification (Degree) and/or extensive clinical experience pertinent to the area
- MSc in Pain Management
Desirable
- Non-Medical Prescribing course / or willingness to work towards
Knowledge and Experience
Essential
- Management experience
- Relevant, demonstrable experience in Pain Management at senior level (B7)
- Experience of undertaking and leading audit programmes
- Evidence of participation in research
- To have proven experience of service development
- Experience of delivering presentations
Skills and Competencies
Essential
- Excellent oral and written communication skills
- Ability to build up a rapport with patients and the MDT
- Ability to impart complex information to patients, relatives and carers, with different levels of understanding
- Ability to work independently and as part of a team
- Patient centred approach
- Basic Counselling skills
Desirable
- Project management skills
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).
