Job summary
The aim of this role is to provide, as part of a multi-disciplinary team, comprehensive assessment and management of patients with allergy & severe asthma, providing excellent standards of care through improving and facilitating multi-professional working.
In allergy, the aim of the role is to work alongside the existing post-holders in delivering nurse-led allergy services including allergen immunotherapy (sub-cutaneous and sub-lingual); biologic injections for urticaria; food and drug allergen challenge testing include drug de-labelling. Other aspects of the role include entering clinical data onto the local allergy database; audit and quality improvement projects.
In severe asthma, the focus of this role is assessment of patient knowledge and self-management, for example inhaler technique, and then educational and supportive interventions for the patients to improve their asthma control. The second focus is the safe provision of biologic injections (e.g. Omalizumab, mepolizumab) for patients with severe asthma on the Day Unit. Clinical activity will be undertaken in regular outpatient clinics, the Day Unit and also rapid-access Hot Clinics. Additionally, this role has an administrative element, assisting with patient pathway coordination and entering clinical data on to local and national severe asthma databases.
There will be an expectation to cover colleague absence as necessary.
Main duties of the job
The St Bartholomew's Hospital Severe Asthma Service is one of three specialist units within London,designated by NHS England to provide regional tertiarycare services forpatients withsevere asthma. We provide expert coordinated care for patients with difficult to control asthma and targeted specialisttherapies toimprove asthma control for our patients.
Bart'sHealth Allergy Centre is a specialist unit designated by NHSE to provide regional tertiarycare services for allergy. We provide a day-case food and drug allergen challenge testing service and out-patient immunotherapy treatments.
The band 6 nurse will work within the day unit and out-patient areas providing treatment and education for this patient group, using our WeCare values to deliver a high standard of care.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.
Job description
Job responsibilities
Allergy Service
BartsHealth Allergy Centre is a specialist unit designated by NHSE to provide regional tertiarycare services for allergy. Inaddition,it receives primary and secondary care providers referrals. Conditions treated include: anaphylaxis, food and drug allergy, severe rhinitis, venom allergy, urticaria & angioedema. There are multiple,weekly clinics including AHP-led CNS, dietician and pharmacy lists and a weekly multi-disciplinary team meeting. There is a monthly clinical governance meeting. We provide day-case food and drug allergen challenge testing service and out-patient immunotherapy treatments with both sub-cutaneousimmunotherapy (SCIT) and sub-lingual immunotherapy (SLIT). We treat patients who require desensitisation to pollens, animal dander or venoms and thosewhoneed biologicinjections (omalizumab) for the management of urticaria. Patients are offered the opportunity to participate in allergy clinical trials, when appropriateat the William Harvey Clinical Research Centre.We offer attachments to SpRs in the Allergy & Clinical Immunology training programme and also have Respiratory SpRs working with us.
In allergy, the primary roleof thespecialist nursing postwill be to:
- Contributetodelivering the immunotherapy service,
- Perform food and drug allergy challenge testing including drug allergyde-labelling
- Administer biologicinjections for urticaria
- Provide patient education and supportincluding allergen avoidance and use of adrenaline auto-injectors
- Participate in nurse-led clinics lists providing patient education, chronic disease follow-up when appropriate, counselling for and regular review of patients on immunotherapy and biologics
- Participate in weekly MDT, including case presentation
- Maintainthe allergy database.
- Liaise with administrators regarding day case challenge bookings
Severe AsthmaService
The St Bartholomews Hospital Severe Asthma Service is one of three specialist units (Hubs) within London,designated by NHSE (NHS England) to provide regional tertiarycare services forpatients withsevere asthma.In north central and north east London, severe asthma care is provided through a Hub-and-Spoke network (North Central and East London Severe Asthma Service) of which Barts Hospital is the commissioned Hub. We provide expert coordinated care for patients in the region with difficult to control asthma, through detailed multi-disciplinaryassessments leadingto targeted specialisttherapies toimprove asthma control for our patients.Ourpatientshave the opportunity to participatein severe asthma clinical trials at the neighbouring William Harvey Clinical Research Centre.
The Severe Asthma Service at Barts has been receiving referrals for more than 10 years. There are multiple weekly asthma clinics and a well-established weekly multi-disciplinary team meeting. Weadministerasthma biologic injections (e.g.Omalizumab,mepolizumabetc.)which are only available through specialised commissioned centres. As a nationallycommissioned centre,we participate in national severe asthma research.
Severe asthma is part of the Asthma and Allergy service at Bart's, and team members work in both disciplines. The new post-holder will join four specialist severe asthma and allergy nurses.In severe asthma, the primary roles of this specialist nursing post will beto:
- Contributeto multi-disciplinary patientassessment,for example reviewing inhaler technique andFeNOtesting,
- Provide patient education and support and provide management plans and or asthma action plans
- Administer biologic injections and review efficacy
Job description
Job responsibilities
Allergy Service
BartsHealth Allergy Centre is a specialist unit designated by NHSE to provide regional tertiarycare services for allergy. Inaddition,it receives primary and secondary care providers referrals. Conditions treated include: anaphylaxis, food and drug allergy, severe rhinitis, venom allergy, urticaria & angioedema. There are multiple,weekly clinics including AHP-led CNS, dietician and pharmacy lists and a weekly multi-disciplinary team meeting. There is a monthly clinical governance meeting. We provide day-case food and drug allergen challenge testing service and out-patient immunotherapy treatments with both sub-cutaneousimmunotherapy (SCIT) and sub-lingual immunotherapy (SLIT). We treat patients who require desensitisation to pollens, animal dander or venoms and thosewhoneed biologicinjections (omalizumab) for the management of urticaria. Patients are offered the opportunity to participate in allergy clinical trials, when appropriateat the William Harvey Clinical Research Centre.We offer attachments to SpRs in the Allergy & Clinical Immunology training programme and also have Respiratory SpRs working with us.
In allergy, the primary roleof thespecialist nursing postwill be to:
- Contributetodelivering the immunotherapy service,
- Perform food and drug allergy challenge testing including drug allergyde-labelling
- Administer biologicinjections for urticaria
- Provide patient education and supportincluding allergen avoidance and use of adrenaline auto-injectors
- Participate in nurse-led clinics lists providing patient education, chronic disease follow-up when appropriate, counselling for and regular review of patients on immunotherapy and biologics
- Participate in weekly MDT, including case presentation
- Maintainthe allergy database.
- Liaise with administrators regarding day case challenge bookings
Severe AsthmaService
The St Bartholomews Hospital Severe Asthma Service is one of three specialist units (Hubs) within London,designated by NHSE (NHS England) to provide regional tertiarycare services forpatients withsevere asthma.In north central and north east London, severe asthma care is provided through a Hub-and-Spoke network (North Central and East London Severe Asthma Service) of which Barts Hospital is the commissioned Hub. We provide expert coordinated care for patients in the region with difficult to control asthma, through detailed multi-disciplinaryassessments leadingto targeted specialisttherapies toimprove asthma control for our patients.Ourpatientshave the opportunity to participatein severe asthma clinical trials at the neighbouring William Harvey Clinical Research Centre.
The Severe Asthma Service at Barts has been receiving referrals for more than 10 years. There are multiple weekly asthma clinics and a well-established weekly multi-disciplinary team meeting. Weadministerasthma biologic injections (e.g.Omalizumab,mepolizumabetc.)which are only available through specialised commissioned centres. As a nationallycommissioned centre,we participate in national severe asthma research.
Severe asthma is part of the Asthma and Allergy service at Bart's, and team members work in both disciplines. The new post-holder will join four specialist severe asthma and allergy nurses.In severe asthma, the primary roles of this specialist nursing post will beto:
- Contributeto multi-disciplinary patientassessment,for example reviewing inhaler technique andFeNOtesting,
- Provide patient education and support and provide management plans and or asthma action plans
- Administer biologic injections and review efficacy
Person Specification
Qualifications
Essential
- NMC Registered Nurse
- Intravenous accreditation
Desirable
- Post registration qualification appropriate to the specialty
- Physical examination qualification or working towards.
Experience
Essential
- Experience of ward or community nursing at band 5
- Evidence of continuing professional and personal development
- Experience of dealing with challenging/complex patients
Desirable
- Significant clinical experience specific to respiratory care and/or allergy Experience of carrying out research and audit
- Allergy testing
- Experience of working with patients with chronic health conditions
- Experience of providing personalised action plans for asthma and/or allergy
Knowledge
Essential
- Demonstrates an understanding of the management of allergy and asthma including anaphylaxis
Person Specification
Qualifications
Essential
- NMC Registered Nurse
- Intravenous accreditation
Desirable
- Post registration qualification appropriate to the specialty
- Physical examination qualification or working towards.
Experience
Essential
- Experience of ward or community nursing at band 5
- Evidence of continuing professional and personal development
- Experience of dealing with challenging/complex patients
Desirable
- Significant clinical experience specific to respiratory care and/or allergy Experience of carrying out research and audit
- Allergy testing
- Experience of working with patients with chronic health conditions
- Experience of providing personalised action plans for asthma and/or allergy
Knowledge
Essential
- Demonstrates an understanding of the management of allergy and asthma including anaphylaxis
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).
