Clinical Nurse Specialist (XR06)

Job description

Job responsibilities

Expected Shortlisting Date

30/06/2025

Planned Interview Date

14/07/2025

JOB PURPOSE

The Jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care. The jobholder will provide specialist nursing care and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will ensure cost effective use of resources.

JOB DIMENSIONS

The jobholder will work within the Pain Management Department as part of a multidisciplinary team alongside other clinical nurse specialists consultants and other allied health professionals to provide a comprehensive package of care to chronic pain patients

This role will include daily clinics, telephone reviews of patients, liaison with members of the MDT, administration, outpatients, management of neuromodulation devices (spinal cord stimulators, peripheral nerve stimulators, intrathecal pumps), on-going service management and service development and patient and staff education. New skills will be learned by the post holder including theatre support, programming neurostimulators, assessment of patients and the application of Qutenza treatments, opioid reduction and Intrathecal pump refilling and re programming. Training and support will be provided.

PRINCIPLE DUTIES AND AREAS OF RESPONSIBILITY

Acts in accordance with the Nursing and Midwifery Code of Conduct

Clinical

Clinical care delivery

- Provide a clinical lead and role model to nursing staff by delivering high quality care.

- Undertakes clinical procedures where dexterity and accuracy are required.

- Maintain a safe working environment

Responsibilities for patient and client care

- Assesses, plans, implements and evaluates care and treatments using specialist clinical knowledge and skills.

- Organises own clinical workload.

- Receives supervision of clinical care and outcomes from Team Leader and Matron.

Freedom to act

- Refer patients as appropriate to other members of the multi-disciplinary team

- Make clinical assessments and treatment decisions within clearly defined policies and protocols

Communication

- Maintains accurate clinical and other records using the Leeds Teaching Hospitals Trusts documentation.

- Support patients and their families communicating sensitive condition related information and ensuring they receive required information to enable them to participate in their care delivery

- Liaise with Community Services (as appropriate) to ensure seamless provision of care delivery

Education and Training

- Provide training and education of learners and other junior staff

- Actively participate in the development of own personal development plan and performance review

- Provide education and training to patients and their carers.

- Keep up to date with developments, advances within the specialty

- Leadership and management

- Investigate and respond to accidents, complaints, untoward incidents and other significant events

- Participates in the setting, monitoring and improvement of standards and the quality of patient care, including those standards defined in the National Benchmarks for Essential Care

- Promote evidence based practice, wherever possible

- Engages users and carers views on service delivery and development

- Implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate

- Contribute to policy and protocol development for speciality area

- Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately.

Research and Audit

- Contribute to the research agenda

- Undertake audit programmes specific to client group, treatments and developments.

- Participate in clinical trials as appropriate.

HEALTH AND SAFETY/RISK MANAGEMENT

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

INFECTION CONTROL

The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment.

EQUALITY AND DIVERSITY

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

PATIENT AND PUBLIC INVOLVEMENT

The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback.

TRAINING AND PERSONAL DEVELOPMENT CONTINUOUS PROFESSIONAL DEVELOPMENT

The jobholder must take responsibility, in agreement with his/her line manager, for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The job holder will undertake all mandatory training required for the role.

RESPECT FOR PATIENT CONFIDENTIALITY

The job holder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

10. COMMUNICATION AND WORKING RELATIONSHIPS

Matron

All grades nursing staff

Allied Health Professionals

Medical staff

Members of Clinical Management Team

Primary Care Trusts

11. SPECIAL WORKING CONDITIONS

i) PHYSICAL EFFORT

There is a frequent requirement for job holder to spend a substantial proportion of their working time sitting or standing in a restricted position and an occasional requirement to exert moderate physical effort.

ii) MENTAL EFFORT

There is a frequent requirement for the job holder to concentrate where their work pattern may be unpredictable.

iii) EMOTIONAL EFFORT

The nature of the clinical and none clinical duties will require the job holder to be involved in distressing or emotional circumstances on a frequent basis.

iv) WORKING CONDITIONS

The nature of the clinical and none clinical duties will require the job holder to be involved in occasional exposure to unpleasant or highly unpleasant working conditions.

Person Specification

Other Criteria

Essential

• Able to fulfil Occupational Health requirements for the post.

Skills and Behaviours

Essential

• Excellent written and verbal skills
• Ability to organise and prioritise own and others workload
• Capable of lateral thinking
• Excellent interpersonal skills
• Good team working skills

Desirable

• Knowledge of current issues in healthcare
• IT skills

Experience

Essential

• Significant post registration experience at Band 5 or equivalent and experience within a relevant speciality
• Audit & Standard setting

Desirable

• Service development and/or change management Involvement in the development of Guidelines, policies and procedures

Qualifications

Essential

• Registered Nurse (Level 1)
• Recognised teaching/assessing qualification

Desirable

• Post registration qualification in specialty

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

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

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