Chelsea and Westminster Hospital NHS Foundation Trust

Clinical Nurse Specialist in Pain Management

The closing date is 18 December 2025

Job summary

Clinical Nurse Specialist in Pain Management, Band 7

Full time position (37.5h/week)

This is an exciting opportunity to join a dynamic and motivated Pain Management Service, working cross site at Chelsea & Westminster and West Middlesex University Hospitals. This is an established service that provides highly specialised services to adult and paediatric patients with acute and chronic pain, within a multidisciplinary setting. The Clinical Nurse Specialist is expected to support all areas of the service and work in conjunction with the Lead Clinical Nurse Specialist to help in developing individuals within the service and the service as a whole.

The outpatient role involves supporting the pain clinic, neuromodulation and capsaicin service. Additionally, conducting TENS, post procedure follow up and medication review clinics.

The individual must demonstrate excellent communication skills, be a role model, enthusiastic, and be able to motivate and support individuals in the team, to enable the continuing and on-going development of the service. They will be responsible for providing education and assist in developing audit and research strategies for the service.

There is great scope in this role to develop both personally and professionally. We are looking for an individual with some experience of working within a pain management service who is looking for a developmental opportunity or a new challenge.

Main duties of the job

The role of the Nurse Specialist includes:

Receiving referrals.
Providing skilled assessment, planning, delivery and evaluation of specialist care within defined guidelines and protocols.
Referring to other disciplines and agencies.
Providing expert advice and guidance to nurses & other disciplines.
Providing specialist training and education to own and other professions.
Setting and monitoring standards of care and treatment.
Participating in audit and research activity.
Disseminating good practice.
Providing skilled professional leadership.
Ensuring effective communication between all service providers across the care pathway.

The post holder will play a key role in improving the delivery of our service to meet the needs of our patients. This will be through working in both the inpatient and outpatient pain service. The role involves reviewing inpatients with acute and chronic pain. The outpatient role involves supporting the Pain Clinic, neuromodulation and capsaicin service. Additionally, conducting TENS, post procedure follow up and medication review clinics. This is an integrated role and the post holder will work closely with the rest of the pain service, to allow for cross cover and support for the service. The service has developed as a multidisciplinary service involving physiotherapists, psychologists, neurosurgeons, neurologists, as well as pain physicians and the successful applicant will be a valuable part of this team.

About us

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven't heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation. Some roles may require weekend shifts at multiple sites.

Date posted

04 December 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£56,276 to £63,176 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

289-PC-123

Job locations

Chelsea and Westminster Hospital and West Middlesex University Hospital

369 Fulham Road

London

SW10 9NH

Job description

Job responsibilities

Clinical Responsibilities

To work as an autonomous practitioner, delivering expert nursing service for inpatients and outpatients. This includes participating in nurse-led follow up clinics for patients after pain related procedures, including telephone clinics and medication review clinics.

Provide advice and support to patient and relatives during treatments or therapies such as spinal cord stimulators (SCS), percutaneous electrical nerve stimulation (PENS) and capsaicin treatment.

Manage and discharge patients within agreed department protocols and guidelines. To arrange appropriate follow up and discuss with the consultant as necessary.

To provide specialist advice and education to patients to ensure that they can make an informed choice about therapies and medicines.

To have a role in guiding neuromodulation services.

Accurately maintaining databases for SCS, capsaicin and inpatient pain patients.

Establishing and maintaining good working relationships with supporting clinical services.

Participating in pain service multidisciplinary meetings.

Learn and participate in reprogramming SCS patients.

To have a role in coordinating theatre lists for patients requiring neuromodulation. Ensuring effective communication between administration staff and consultants.

Responsibility for liaising with patients about their pain journey maintaining communication and answering their questions.

Being aware of side effects and efficacy of drugs and treatments involved, ensuring patients results are checked and abnormalities reported.

Contacting patients when they are required to attend theatre for the SCS trial and implant.

Providing a high standard of nursing care to patients whilst working in close collaboration and cooperation with other members of the multidisciplinary team.

Education

To recognise areas for clinical development and respond appropriately to these, utilising available resources.

To assist in the on-going development and structuring of the department as a learning environment.

To promote change and collaborating in the development of innovative practice.

To support the induction and orientation of new staff and evaluating staff performance.

Take part in the development of patient educational tools, such as written information.

To keep up to date with current and potential research, and information relevant to the care of patients in the clinical area.

To attend courses as deemed relevant and to attend meetings and conferences as appropriate.

To be responsible for developing and sustaining own knowledge, clinical skills and professional awareness.

Management Responsibilities

Report any potential complaints or untoward incidents to the Lead Nurse and participate in the Trusts Risk management process.

Provide clinical leadership to more junior nurses.

To have a role in ordering specialist equipment, such as TENS machines and Neuromodulation kit.

To develop new initiatives to run cost effective services, within the constraints of budgets and resources.

Professional and Personal Development

Ensure own professional learning needs are identified and met through the Knowledge & Skills Framework (KSF).

To promote an open and friendly working environment.

Actively participate in departmental educational meetings.

Keep abreast of current research and information relevant to the care of patients.

Meet regularly with members of own team and ensure effective communication with other team members.

Establish and maintain links with other clinical nurse specialists across the organisation and outside of the organisation to share knowledge and to provide mutual support.

Attend relevant education and training courses, including nurse network meetings and conferences to enhance own professional development.

Be involved in the setting of standards, clinical audit and maintain a high standard of nursing care.

Actively participate as a member of the team within the research department, disseminate research and audit by assisting in the preparation of posters, research papers for meetings, conferences and publications.

During periods of absence or leave ensure that appropriate cover is in place to provide continuous support for patients and carers.

Act in accordance with the Nursing & Midwifery Council Code of Professional Practice and guide others to do the same.

Conversant with and maintain local Trust policies such as fire, manual handling, sick policy.

Ensure that all activities are carried out within Chelsea and Westminster Healthcare policy guidelines and promote the objectives of the Trusts Nursing Strategy and Philosophy for Nursing.

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and their manager.

All duties must be carried out under supervision or within Trust policy and procedure. The post holder must never undertake any duties that are outside their area of skill or knowledge level. Where required, the post holder must seek clarification from a more senior member of staff.