North Cumbria Integrated Care NHS Foundation Trust

Clinical Nurse Specialist - Early Pregnancy Care *Internal Applicants*

The closing date is 28 January 2026

Job summary

INTERNAL ONLY TO NORTH CUMBRIA INTEGRATED CARE NHS FOUNDATION TRUST (NCIC) EMPLOYEES ONLY

Clinical Nurse Specialist in Early Pregnancy Care B7 - 30hrs

An exciting opportunity has arisen within Early Pregnancy , to work within our small team. You will be involved in the triaging of Early Pregnancy referrals from other Healthcare Professionals, providing telephone advice, undertaking Early Pregnancy Clinics and providing Outreach support to other areas of the hospital e.g . A&E, SDEC & the wards.. This post is to complement the existing CNS Early Pregnancy team at the Cumberland Infirmary and West Cumberland Hospital.

Main duties of the job

You will require excellent communication skills, the ability to work as a team member and also autonomously. You will be required to prioritise your case loads.

The post will involve:

  • Act as an Independent Practitioner, using advanced skills, including medical ultrasound imaging to assess, diagnose and prescribe management plan
  • Triage Early Pregnancy referrals - Email / ICE / Private scan clinic and mobile phone referrals
  • Carry the EPAU mobile
  • Outreach with A&E / SDEC / day case / theatre / Wards
  • Manage Pregnancy Tissue - collection - storage - testing - results
  • Deal with incidences / complaints
  • Assist with organising Medical Management of Miscarriage (MMM )/ Surgical Management of Miscarriage (SMoM) to aid smooth running of clinic
  • Mifepristone administration
  • Update Policies / Guidelines / SOP's
  • Review Blood / swab results and create management plans
  • Attend handover / liaise with On Call Gynaecology team to address any pending patients
  • Administer Methotrexate
  • Manage hyperemesis patient

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

13 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year Per Annum Pro Rata

Contract

Permanent

Working pattern

Part-time

Reference number

262-A-25-7616520

Job locations

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.

CERTIFICATE OF SPONSORSHIP

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. For further information visit theUK Visas and Immigration website (Opens in a new tab).

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

Disclosure and Barring Service:

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.

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: £21.50 + Administration cost of £5.90 = £27.40. Deducted from salary over a 4 month period or a one-off payment.

Enhanced Check: £49.50 + administration cost of £5.90 = £55.40. Deducted from salary over a 4 month period or a one-off payment.

NCIC can offer successful future employees the following benefits:

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

NHS Discounts*

Salary Sacrifice schemes including lease cars and Cycle to Work*

Excellent opportunities for development*

Competitive NHS Pension scheme

Vivup is a free, confidential counselling and information service to assist with personal or work-related problems

*Subject to eligibility

Important Information

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.

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

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.

CERTIFICATE OF SPONSORSHIP

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. For further information visit theUK Visas and Immigration website (Opens in a new tab).

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

Disclosure and Barring Service:

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.

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: £21.50 + Administration cost of £5.90 = £27.40. Deducted from salary over a 4 month period or a one-off payment.

Enhanced Check: £49.50 + administration cost of £5.90 = £55.40. Deducted from salary over a 4 month period or a one-off payment.

NCIC can offer successful future employees the following benefits:

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

NHS Discounts*

Salary Sacrifice schemes including lease cars and Cycle to Work*

Excellent opportunities for development*

Competitive NHS Pension scheme

Vivup is a free, confidential counselling and information service to assist with personal or work-related problems

*Subject to eligibility

Important Information

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.

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

Person Specification

Qualifications

Essential

  • Registered nurse/midwife with current registration
  • Substantial broad experience relevant to area of practice
  • Professional knowledge acquired through degree supplemented by post graduate diploma specialist training, experience, short courses plus further specialist training to master's equivalent level
  • Mentor/teaching qualification
  • Postholder will have a Post graduate Medical Ultrasound qualification

Desirable

  • Independent Prescriber
  • Qualification in Sexual and Reproductive Health
  • Hold Letter of Competence FSRH in sub-dermal implant fitting and removal.
  • Hold Letter of Competence FSRH in intrauterine device fitting

Knowledge and Experience

Essential

  • Significant post registration experience. Experience of working in gynaecology in particular early pregnancy
  • Demonstrate ability to manage own workload.
  • In depth knowledge of early pregnancy, the treatment and care related to it.
  • Awareness of recent developments in practice
  • Demonstrate continued learning.
  • Be aware of and act in accordance with the NMC code of professional conduct.
  • Be aware of the Trusts Nursing and Midwifery Strategy.

Desirable

  • Autonomous Practitioner in Early Pregnancy, Gynaecology, Contraception and Termination of Pregnancy clinics.
  • Evidence of audit and research based practice.
  • Active role in service development
  • Ultrasound experience within Gynaecology specifically early pregnancy
  • Up to date knowledge of all forms of contraception and their suitability for the individual using concordance as an advisory tool.
  • Safeguarding knowledge and experience, identifying those at risk and making appropriate referrals
  • Experience in budget management
  • Has the knowledge to support safe clinical decision making in relation to treatment of patients in women's outpatients

Skills and Aptitudes

Essential

  • Willingness to perform and or learn advanced clinical skills appropriate to area of practice
  • Ability to manage a team of patients and prioritise workload, managing own caseload within dedicated clinics
  • Demonstrates excellent interpersonal skills
  • Demonstrates effective team management
  • Highly motivated and experienced practitioner
  • Understands and overcomes barriers to effective communication
  • Able to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance
  • Utilises above skills to communicate information to patients and relatives including delivering unwelcome, potentially life changing news
  • Excellent communication skills, written and oral, including highly effective interpersonal skills
  • Well-developed facilitation and influencing skills, effective negotiation and conflict management skills
  • Ability to manage conflict
  • Able to present information to a wide audience using a variety of methods to suit audience type
  • Maintain patient/client records - produces contemporaneous and complete records to include the trusts current network package
  • Understand data protection and Caldicott issues
  • Present clinical data and information as required
  • Act as the patient's advocate at all times

Desirable

  • Publications
  • Audits
  • Advanced Clinical Assessment skills
  • Clinical audit experience
  • Evidence of proven leadership ability
  • Support research and participate in clinical trials relevant to area of practice and role
  • Ensure audit and research findings are utilised to inform delivery of care
  • Work as an independent practitioner but support inter and intra-professional working.
  • Work within Trust policy and clinical guidelines relating to Advanced Clinical Practice and professional registration
  • Use initiative within established procedures and need to establish how policies should be interpreted, taking responsibility for own actions
Person Specification

Qualifications

Essential

  • Registered nurse/midwife with current registration
  • Substantial broad experience relevant to area of practice
  • Professional knowledge acquired through degree supplemented by post graduate diploma specialist training, experience, short courses plus further specialist training to master's equivalent level
  • Mentor/teaching qualification
  • Postholder will have a Post graduate Medical Ultrasound qualification

Desirable

  • Independent Prescriber
  • Qualification in Sexual and Reproductive Health
  • Hold Letter of Competence FSRH in sub-dermal implant fitting and removal.
  • Hold Letter of Competence FSRH in intrauterine device fitting

Knowledge and Experience

Essential

  • Significant post registration experience. Experience of working in gynaecology in particular early pregnancy
  • Demonstrate ability to manage own workload.
  • In depth knowledge of early pregnancy, the treatment and care related to it.
  • Awareness of recent developments in practice
  • Demonstrate continued learning.
  • Be aware of and act in accordance with the NMC code of professional conduct.
  • Be aware of the Trusts Nursing and Midwifery Strategy.

Desirable

  • Autonomous Practitioner in Early Pregnancy, Gynaecology, Contraception and Termination of Pregnancy clinics.
  • Evidence of audit and research based practice.
  • Active role in service development
  • Ultrasound experience within Gynaecology specifically early pregnancy
  • Up to date knowledge of all forms of contraception and their suitability for the individual using concordance as an advisory tool.
  • Safeguarding knowledge and experience, identifying those at risk and making appropriate referrals
  • Experience in budget management
  • Has the knowledge to support safe clinical decision making in relation to treatment of patients in women's outpatients

Skills and Aptitudes

Essential

  • Willingness to perform and or learn advanced clinical skills appropriate to area of practice
  • Ability to manage a team of patients and prioritise workload, managing own caseload within dedicated clinics
  • Demonstrates excellent interpersonal skills
  • Demonstrates effective team management
  • Highly motivated and experienced practitioner
  • Understands and overcomes barriers to effective communication
  • Able to effectively communicate highly complex, sensitive or contentious information using highly developed interpersonal skills to overcome barriers to acceptance
  • Utilises above skills to communicate information to patients and relatives including delivering unwelcome, potentially life changing news
  • Excellent communication skills, written and oral, including highly effective interpersonal skills
  • Well-developed facilitation and influencing skills, effective negotiation and conflict management skills
  • Ability to manage conflict
  • Able to present information to a wide audience using a variety of methods to suit audience type
  • Maintain patient/client records - produces contemporaneous and complete records to include the trusts current network package
  • Understand data protection and Caldicott issues
  • Present clinical data and information as required
  • Act as the patient's advocate at all times

Desirable

  • Publications
  • Audits
  • Advanced Clinical Assessment skills
  • Clinical audit experience
  • Evidence of proven leadership ability
  • Support research and participate in clinical trials relevant to area of practice and role
  • Ensure audit and research findings are utilised to inform delivery of care
  • Work as an independent practitioner but support inter and intra-professional working.
  • Work within Trust policy and clinical guidelines relating to Advanced Clinical Practice and professional registration
  • Use initiative within established procedures and need to establish how policies should be interpreted, taking responsibility for own actions

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

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

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:

Matron for Gynaecology

Matron Amanda Miller

amanda.miller@ncic.nhs.uk

07468708869

Details

Date posted

13 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year Per Annum Pro Rata

Contract

Permanent

Working pattern

Part-time

Reference number

262-A-25-7616520

Job locations

Cumberland Infirmary

Newtown Road

Carlisle

CA2 7HY


Supporting documents

Privacy notice

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