North Cumbria Integrated Care NHS Foundation Trust

Hepatology Nurse Specialist

The closing date is 31 July 2025

Job summary

The post holder will collaborate with Hepatology nurses, consultants and MDT to ensure:

  • NCIC meets Key Performance Indicators for HCC surveillance defined by the Cancer Alliance and NICE
  • A nurse led coordinated paracentesis day case service
  • Nurse Led Hepatology clinics
  • Support for Hepatology Nurse Team

Main duties of the job

To work alongside the Hepatology team, and with their support lead the care for patients with liver disease including cirrhosis, on hepatocellular carcinoma surveillance and programme of care for patients with ascites.

  • To provide nurse led coordinated paracentesis day case service.
  • To provide nurse led HCC surveillance clinics for patients with stable cirrhosis.
  • Be responsible for the care delivery for patients undergoing liver surveillance for stable compensated cirrhosis and to meet the needs of patients.
  • Manage patients within the liver cancer surveillance pathway in accordance with relevant society and National guidance (e.g., NICE QS152).
  • To establish effective links with Hepatology multi-disciplinary team (MDT) in order to ensure that when cancer is detected, there is timely presentation and transfer of patients to the MDT.
  • To ensure patient records are completed to include results of all diagnostic investigations, onward referrals, and clinical communication
  • Covering Hepatology nurse colleagues.
  • Meet "RCN Caring for People with Liver Disease including Liver Transplantation: a Competence Framework for Nursing" in a outpatient / day case setting.

About us

At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':

  • Being a clinically led organisation
  • Quality and safety at the heart of our Trust
  • A positive patient experience every time
  • A great place to work
  • Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.

Details

Date posted

17 July 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year pa pro rata

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

262-A-25-7307656

Job locations

North Cumbria Integrated Trust - Cumberland Infirmary

Newtown road

Carlisle

CA2 7HY


Job description

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:

  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:

  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email: helpline@nacro.org.uk

Unlock Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website

Please note the cost of the DBS check is increasing from 2nd December and the new cost will be

Standard DBS check £21.50, Enhanced DBS check £49.50 + any admin costs.

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: £18 + Administration cost of £3.85 = £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months.

Enhanced Check: £38 + administration cost of £3.90 = £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position; further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Job description

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:

  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:

  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email: helpline@nacro.org.uk

Unlock Tel: 01634 247350, email advice@unlock.org.uk or complete the online form on the Unlock website

Please note the cost of the DBS check is increasing from 2nd December and the new cost will be

Standard DBS check £21.50, Enhanced DBS check £49.50 + any admin costs.

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: £18 + Administration cost of £3.85 = £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months.

Enhanced Check: £38 + administration cost of £3.90 = £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position; further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Person Specification

Other Requirements

Essential

  • To be flexible regarding early/ late appointment times as necessary.
  • Access to a car for work
  • Promotion of quality issues and development.
  • Ability to travel around North Cumbria.
  • Post reg development.
  • Promotion of quality issues and development

Desirable

  • Full driving license

Qualifications

Essential

  • Degree Level
  • Registered nurse.
  • Hepatology/ Gastroenterology qualification
  • Working at Band 6 RCN Caring for People with Liver Disease including Liver Transplantation: a Competence Framework for Nursing

Desirable

  • Essential IT skills (EITS) or equivalent.
  • Qualification in advanced communication skills

Knowledge and Experience

Essential

  • Knowledge and experience of Gastro/Hepatology Including complex patients Including relevant diagnostic investigations.
  • Competence in drug administration and titration of hepatic medication
  • Work and leading within MDT setting, including patient advocacy
  • Ability to manage own caseload in accordance with screening target
  • Experience in health promotion and harm minimisation.
  • Equality legislation and best practice
  • Quality issues
  • Risk management

Desirable

  • Understanding of Cancer Pathways relevant to liver disease surveillance and management
  • Equality impact assessment.
  • NHSE Operational Delivery Networks (ODNs)
  • Budget management

Skills and Aptitudes

Essential

  • Excellent communication and interpersonal skills, both written and verbal.
  • Works autonomously and within the MDT.
  • Computer literate, able to use databases and other relevant programmes.
  • Competent in taking blood and cannulation.
  • Analytical skills
  • Effective time management
  • Ability to prioritise work to meet deadlines
Person Specification

Other Requirements

Essential

  • To be flexible regarding early/ late appointment times as necessary.
  • Access to a car for work
  • Promotion of quality issues and development.
  • Ability to travel around North Cumbria.
  • Post reg development.
  • Promotion of quality issues and development

Desirable

  • Full driving license

Qualifications

Essential

  • Degree Level
  • Registered nurse.
  • Hepatology/ Gastroenterology qualification
  • Working at Band 6 RCN Caring for People with Liver Disease including Liver Transplantation: a Competence Framework for Nursing

Desirable

  • Essential IT skills (EITS) or equivalent.
  • Qualification in advanced communication skills

Knowledge and Experience

Essential

  • Knowledge and experience of Gastro/Hepatology Including complex patients Including relevant diagnostic investigations.
  • Competence in drug administration and titration of hepatic medication
  • Work and leading within MDT setting, including patient advocacy
  • Ability to manage own caseload in accordance with screening target
  • Experience in health promotion and harm minimisation.
  • Equality legislation and best practice
  • Quality issues
  • Risk management

Desirable

  • Understanding of Cancer Pathways relevant to liver disease surveillance and management
  • Equality impact assessment.
  • NHSE Operational Delivery Networks (ODNs)
  • Budget management

Skills and Aptitudes

Essential

  • Excellent communication and interpersonal skills, both written and verbal.
  • Works autonomously and within the MDT.
  • Computer literate, able to use databases and other relevant programmes.
  • Competent in taking blood and cannulation.
  • Analytical skills
  • Effective time management
  • Ability to prioritise work to meet deadlines

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

North Cumbria Integrated Care NHS Foundation Trust

Address

North Cumbria Integrated Trust - Cumberland Infirmary

Newtown road

Carlisle

CA2 7HY


Employer's website

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

Employer details

Employer name

North Cumbria Integrated Care NHS Foundation Trust

Address

North Cumbria Integrated Trust - Cumberland Infirmary

Newtown road

Carlisle

CA2 7HY


Employer's website

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

Employer contact details

For questions about the job, contact:

Advanced Hepatology Nurse Specialist

Ruth Harrington

ruth.harrington@ncic.nhs.uk

07920082192

Details

Date posted

17 July 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year pa pro rata

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

262-A-25-7307656

Job locations

North Cumbria Integrated Trust - Cumberland Infirmary

Newtown road

Carlisle

CA2 7HY


Supporting documents

Privacy notice

North Cumbria Integrated Care NHS Foundation Trust's privacy notice (opens in a new tab)