Job summary
The Bone Health & Fracture Prevention Clinical Nurse Specialist (CNS) will provide specialist support for patients over the age of 50 who sustain a fragility fracture by coordinating the Fracture Liaison Service forWeston General Hospital. Aspects of this work will include:-Identifying patients who have recently suffered a low impact (fragility) fracture.-Referring patients under the age of 75 for assessment of bone mineral density (a Dual Energy X-ray Absorbtiometer ( DXA) scan) in line with NICE TA161.-Communicating the need for bone protection therapy and calcium/vitamin D3 supplementation to GP's ofpatients over the age of 75,without the need for a DXA scan, unless there a reasons for DXA scanning (as per protocol).- Identification of patients who will benefit from an osteoporosis specialist clinic review with either Rheumatologist or CNS.-Identification and coordination of patients requiring initiation on parenteral treatments eg Denosumab or IV bisphophonates or Teriparatide-Discussing DEXA results, treatment options, life style advise and pain management to patients in outpatient appointments (after training)-Provide education, training and health promotion sessions to patients and health professionals.-Carrying out audit programmes to establish effectiveness of fragility fracture patient identification, referral pathways and treatment interventions.-Involvement in Research and Development research studies appropriate to department.
Main duties of the job
-Demonstrate politeness, courtesy and sensitivity in providingcompassionate care for patients, visitors/relatives and colleagues.-Contribute towards sharing good practice within the multidisciplinary team.-Promote a positive image of University Hospital Bristol & Weston NHSFoundation Trust at all times.-Work cohesively with all members of the multidisciplinary team andpromote effective liaison with the team in ensuring that the very bestservices to patients are provided at all times.-Communicate effectively within the multidisciplinary team, participate inmotivating and supporting team members and maintain confidentiality withpatients and carers. Give written and verbal advice/teaching to patientsand carers
-Work with staff in Fracture Clinic, Orthopaedic Wards, Plaster Room, ERdepartment Radiology, Rapid Response Team, IT department and Elderly Caredepartments to further develop the systems in place that identify patients with lowtrauma (fragility) fracture .-Ensuring that suitable patients are referred to the DXA scanner.-Working with hospital teams to ensure that appropriate systems are in place andbeing followed for low-impact fracture patients to have suitable bloodinvestigations according to pre-defined protocols.-Continue the development of the Weston Fracture Reduction Service to follow
About us
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward- thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.
Job description
Job responsibilities
For a more detailed job description, main responsibilities, and Person Specification, please refer to the job description document attached to this vacancy.
Job description
Job responsibilities
For a more detailed job description, main responsibilities, and Person Specification, please refer to the job description document attached to this vacancy.
Person Specification
Qualifications and Training
Essential
- RGN
- Current NMC registration
- Degree in nursing health or related subject
- Relevant accredited post registration qualification at level 3
- Qualification in Teaching and Assessing
- Willingness to work towards Masters level academic study
- Prescribing qualification, or willingness to work towards
Knowledge and Experience
Essential
- Appropriate post registration experience in Rheumatology/Osteoporosis
- Appropriate proven leadership and management experience
- Proven commitment and experience and evidence in teaching
- Experience as preceptor / mentor
- Experience of managing own case load/clinics
Desirable
- Experience of undertaking research or audit projects
- Evidence of commitment to research based practice or evidence of project work undertaken
Skills and Abilities
Essential
- Organisational and management skills
- Excellent interpersonal and communication skills
- Teaching skills
- Flexibility and adaptability to meet the needs of a changing service
- Ability to work alone or as part of the team
- Ability to cope with emotional issues presented in the course of work and to support others
- Knowledge of national and local specialty specific issues
- IT skills including use of email a Microsoft office packages
- Act as a role model and as a mentor/assessor
- Innovate and participate with practice and policy change
- Awareness of professional responsibilities to self and others
- Commitment to the development and provision of high quality nursing care
- Awareness of current national changes in nursing/NHS
Aptitudes
Essential
- Flexibility to see what is needed in whole service, prioritise work and support the delivery of the service (not just focus on their own workload), with an ability to lead on change
- Empathy for patients with long term conditions in supporting self-management
- Ability to work effectively under pressure
- Ability to problem solve
Person Specification
Qualifications and Training
Essential
- RGN
- Current NMC registration
- Degree in nursing health or related subject
- Relevant accredited post registration qualification at level 3
- Qualification in Teaching and Assessing
- Willingness to work towards Masters level academic study
- Prescribing qualification, or willingness to work towards
Knowledge and Experience
Essential
- Appropriate post registration experience in Rheumatology/Osteoporosis
- Appropriate proven leadership and management experience
- Proven commitment and experience and evidence in teaching
- Experience as preceptor / mentor
- Experience of managing own case load/clinics
Desirable
- Experience of undertaking research or audit projects
- Evidence of commitment to research based practice or evidence of project work undertaken
Skills and Abilities
Essential
- Organisational and management skills
- Excellent interpersonal and communication skills
- Teaching skills
- Flexibility and adaptability to meet the needs of a changing service
- Ability to work alone or as part of the team
- Ability to cope with emotional issues presented in the course of work and to support others
- Knowledge of national and local specialty specific issues
- IT skills including use of email a Microsoft office packages
- Act as a role model and as a mentor/assessor
- Innovate and participate with practice and policy change
- Awareness of professional responsibilities to self and others
- Commitment to the development and provision of high quality nursing care
- Awareness of current national changes in nursing/NHS
Aptitudes
Essential
- Flexibility to see what is needed in whole service, prioritise work and support the delivery of the service (not just focus on their own workload), with an ability to lead on change
- Empathy for patients with long term conditions in supporting self-management
- Ability to work effectively under pressure
- Ability to problem solve
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).
Employer details
Employer name
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Address
Weston General Hospital
Grange Road,Uphill,Weston -Super-Mare
Weston-Super-Mare
BS23 4TQ
Employer's website
https://www.uhbw.nhs.uk/ (Opens in a new tab)
