Royal Free London NHS Foundation Trust

Band 4 Clinician Assistant

The closing date is 31 July 2025

Job summary

The North Central London and Hertfordshire Operational Delivery Network (ODN) provides community liver disease services across the region.

The key purpose of this post is to ensure patients receive all tests, assessments and monitoring in the community services with which they already engage so that they progress efficiently through the viral hepatitis and liver health care cascade. These services include drug and alcohol services, homeless hostels and GP surgeries.

We undertake assessment liver disease in these services and ensure patients with cirrhosis (advanced liver scarring) are engaged in specialist care. This is important for diagnosis of complications of cirrhosis, including liver cancer, at an early stage when they be cured.

This will require getting to know the care pathway for both alcohol and viral hepatitis-related cirrhosis in detail across the network, building close working relationships with a range of team members to maintain clear and regular communication with patients.

This is a community-based role although there will be regular meetings in the NCL ODN Hub at the Royal Free Hospital. You will work closely with and be supported by the ODN team which consists of two other clinician assistants, clinical nurse specialists, peer support workers, doctors, blood-borne virus nurses, drug and alcohol service staff and pathway coordinators.

Main duties of the job

You will need to use your judgement to prioritise tasks and you will need to acquire clinical skills for the assessment of patients using a number of testing methods for diagnosis, taking blood for further tests and performing elastography measures to assess liver disease.

To learn and maintain these technical skills you will also participate in the fibroscan clinics for general hepatology based at the Royal Free.

You will be based at the Royal Free Hospital in Hampstead, but the role requires travel across the north central London region which includes Hertfordshire (East, West and North), Barnet, Haringey, Enfield, Camden and Islington. It therefore includes access to a dedicated car and a van equipped with clinical examination and testing equipment. A full UK driver's license is therefore essential and must be evidenced on your application.

About us

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers' money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

Details

Date posted

17 July 2025

Pay scheme

Agenda for change

Band

Band 4

Salary

£33,094 to £36,195 a year Per annum inclusive of HCAS

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

391-RFL-7345644

Job locations

Royal Free London NHS Foundation Trust

Pond Street

London

NW3 2QG


Job description

Job responsibilities

1. Royal Free World Class Values

The post holder will offer World Class Care to service users, staff, colleagues, clients and patients alike so that everyone at the Royal Free can feel:

all of the time Confident because we are clearly

and cared for that they are always in safe hands

2. Training in clinical skills

Undertake training to enable you to order investigations.

Performing phlebotomy (venous blood sampling) after appropriate training.

Performing Fibroscan elastography after appropriate training

Perform hepatitis C testing by various modalities including blood spot, capillary sampling, Matrix test, oral swabs and Cepheid machine (GeneExpert) modalities.

3. Patient data and results processing

To be responsible for the ordering, chasing, recording and communication to the Multi-Disciplinary Group of results from investigations

To use the bespoke patient management system for recording testing, assessment, referral to MDT, treatment monitoring and outcomes

Assist in design of systems to improve processes for obtaining investigations and results, based on your experience in post.

4. Teamwork

This is a community-based role expectation to work on the sites of our community partners e.g. drug & alcohol services independently with support from ODN colleagues

It is essential the post-holder communicates clearly and effectively with all of these and builds strong working relationships across the region.

Devise, maintain and continually update a record of outstanding in-patient tests, reporting these to the nurse in charge/physician of the week as appropriate on a daily basis as well as keeping an audit of time waiting for in patient investigations.

5. Empathy

The NCL ODN purposefully cultivates a culture of inclusion health. We aim to provide healthcare to those who lack the capability, opportunity or motivation to do access this alone. You will work with patients in complex, challenging situations who often respond poorly to these. This role requires patience, an ability to empathise with those in challenging circumstances and a willingness to persevere with efforts to engage patients that may not be immediately fruitful.

Any other duties commensurate with the grading of your post.

Job description

Job responsibilities

1. Royal Free World Class Values

The post holder will offer World Class Care to service users, staff, colleagues, clients and patients alike so that everyone at the Royal Free can feel:

all of the time Confident because we are clearly

and cared for that they are always in safe hands

2. Training in clinical skills

Undertake training to enable you to order investigations.

Performing phlebotomy (venous blood sampling) after appropriate training.

Performing Fibroscan elastography after appropriate training

Perform hepatitis C testing by various modalities including blood spot, capillary sampling, Matrix test, oral swabs and Cepheid machine (GeneExpert) modalities.

3. Patient data and results processing

To be responsible for the ordering, chasing, recording and communication to the Multi-Disciplinary Group of results from investigations

To use the bespoke patient management system for recording testing, assessment, referral to MDT, treatment monitoring and outcomes

Assist in design of systems to improve processes for obtaining investigations and results, based on your experience in post.

4. Teamwork

This is a community-based role expectation to work on the sites of our community partners e.g. drug & alcohol services independently with support from ODN colleagues

It is essential the post-holder communicates clearly and effectively with all of these and builds strong working relationships across the region.

Devise, maintain and continually update a record of outstanding in-patient tests, reporting these to the nurse in charge/physician of the week as appropriate on a daily basis as well as keeping an audit of time waiting for in patient investigations.

5. Empathy

The NCL ODN purposefully cultivates a culture of inclusion health. We aim to provide healthcare to those who lack the capability, opportunity or motivation to do access this alone. You will work with patients in complex, challenging situations who often respond poorly to these. This role requires patience, an ability to empathise with those in challenging circumstances and a willingness to persevere with efforts to engage patients that may not be immediately fruitful.

Any other duties commensurate with the grading of your post.

Person Specification

Education

Essential

  • GCSE (or equivalent) in core subjects including English and mathematics

Desirable

  • Phlebotomy and/or fibroscanning skills

Ability to handle patients in a community setting

Essential

  • Previous community healthcare or patient peer experience
  • Ability to work independently with willingness to seek advice
  • Able to work as a member of a team and values the contribution of different skills and approaches

Desirable

  • Sensitive to needs of patients with reduced ability to access to routine healthcare

Skills and aptitudes

Essential

  • Computer literacy and confident using MS Office applications
  • Attention to detail and meticulous record keeping
  • Full UK drivers licence and confident to drive in London and Hertfordshire

Desirable

  • Previous patient / public involvement or experience in a related field
Person Specification

Education

Essential

  • GCSE (or equivalent) in core subjects including English and mathematics

Desirable

  • Phlebotomy and/or fibroscanning skills

Ability to handle patients in a community setting

Essential

  • Previous community healthcare or patient peer experience
  • Ability to work independently with willingness to seek advice
  • Able to work as a member of a team and values the contribution of different skills and approaches

Desirable

  • Sensitive to needs of patients with reduced ability to access to routine healthcare

Skills and aptitudes

Essential

  • Computer literacy and confident using MS Office applications
  • Attention to detail and meticulous record keeping
  • Full UK drivers licence and confident to drive in London and Hertfordshire

Desirable

  • Previous patient / public involvement or experience in a related field

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).

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).

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

Royal Free London NHS Foundation Trust

Pond Street

London

NW3 2QG


Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

Royal Free London NHS Foundation Trust

Pond Street

London

NW3 2QG


Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

NCL ODN Manager

Claire St John

clairestjohn@nhs.net

07976449947

Details

Date posted

17 July 2025

Pay scheme

Agenda for change

Band

Band 4

Salary

£33,094 to £36,195 a year Per annum inclusive of HCAS

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

391-RFL-7345644

Job locations

Royal Free London NHS Foundation Trust

Pond Street

London

NW3 2QG


Supporting documents

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