Job summary
An exciting opportunity exists to join the Gastroenterology Team as a Band 7 Clinical Nurse Specialist. We are seeking an enthusiastic, forward thinking and motivated nurse to join this busy service. The nurse will have the opportunity to build upon and develop their knowledge of Inflammatory Bowel Disease, as well as being supported to gain formal qualifications such as speciality specific modules and non-medical prescribing.
Working within the Inflammatory Bowel Disease CNS team, you will support Service development and improve patient experience based on emerging and best practice models of care which is responsive to patient feedback and audit findings.
You will work collaboratively with referring GPs and all members of the extended multidisciplinary team including; imaging departments, medical and surgical consultants, clinical nurse specialists, research teams, ward nursing teams and administrative teams.
After a period of induction you will be required to provide specialist advice and assessment, implementation and evaluation of care for patients with an IBD diagnosis and support the entire team in the delivery of inpatient, day case, outpatient and virtual clinical care.
For further information, please contact Shiela Tana Endoscopy Lead Nurse via email [email protected] or Dharmen Govinden ,EIC Deputy Divisional Director at [email protected]
Main duties of the job
KEY RESPONSIBILITIES:
To provide a specialist nurse led service working autonomously in providing care for IBD patients and their families according to agreed protocols or as specified by the Consultant Gastroenterologists.
- To promote a better understanding of IBD for patients and their carers through education, providing support and counselling where necessary in order to empower patients to take a greater part in self managing their disease.
- To check and prepare patients for biological therapy according to NICE and local guidelines and take consent for patients undergoing this therapy and provide counselling.
- To offer rapid access to specialist advice and disease management through telephone support and flare up appointments in the nurse clinic.
Education, Training and Development
- To act as a resource for pre and post registration nurses.
- To demonstrate expert knowledge of the literature regarding IBD by regularly reviewing the literature and applying to practice.
- To undertake responsibility for own professional development, undertake appropriate activities, attend relevant conferences to update clinical knowledge and skills and apply to practice.
- To recognise own limitations whilst working within the Scope of Professional Practice.
- To actively participate in Research and Audits.
About us
About the Trust
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that arePROUD to Carefor nearly one million people.Both hospitals provide full clinical services, including full maternity, emergency and children's,in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe,effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminsterand are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job description
Job responsibilities
Clinical
- To provide a specialist nurse led service working autonomously in providing care for IBD patients and their families according to agreed protocols or as specified by the Consultant Gastroenterologists.
- To clinically assess patients attending for routine follow-up of IBD, to monitor and evaluate disease activity, ordering and interpreting specific haematological, endoscopic investigations or imaging as indicated.
- To recommend treatment, alter drug dosages according to management guidelines.
- To encourage adherence with recommended management plans.
- To promote a better understanding of IBD for patients and their carers through education, providing support and counselling where necessary in order to empower patients to take a greater part in self managing their disease.
- To follow-up and monitor patients taking Azathioprine and other immunosuppressive agents.
- To request and act on blood results to avoid complications and improve safety.
- To co-ordinate requests for biological therapy with Consultants, pharmacy and Community partners.
- To counsel IBD patients pre biological therapy and perform immunity screening and improve safety with biological therapy.
- To check and prepare patients for biological therapy according to NICE and local guidelines and take consent for patients undergoing this therapy.
- To offer rapid access to specialist advice and disease management through telephone support and flare up appointments in the nurse clinic.
- To maintain a comprehensive functional database of IBD patients for clinical, audit and research purposes.
- To attend the Multidisciplinary Gastroenterology Team Meetings, document recommendations and refer to other medical or surgical specialities as appropriate.
- To act as the patient advocate at all times.
Education, Training and Development
- To plan, implement and evaluate teaching sessions for ward staff involved in caring for IBD patients.
- To act as a resource for pre and post registration nurses.
- To provide opportunities to shadow the IBD CNS, e.g. student nurses, newly qualified nurses, nurses on induction, dieticians, medical students.
- To demonstrate expert knowledge of the literature regarding IBD by regularly reviewing the literature and applying to practice.
- To undertake responsibility for own professional development, undertake appropriate activities, attend relevant conferences to update clinical knowledge and skills and apply to practice.
- To recognise own limitations whilst working within the Scope of Professional Practice.
Research and Audit
- To actively participate in clinical audits and monitor clinical effectiveness of the role.
- To use audit results to promote and drive change as appropriate.
- To actively disseminate good practice.
- To participate in research projects and submit papers for publication.
Managerial Responsibilities
- To maintain accurate records to ensure patient care is appropriate and that audit can be undertaken.
- Work across boundaries with medical and surgical teams to ensure the best care for IBD patients
- To work with On Call teams to arrange medical admissions for urgent patients to avoid A&E delays.
- To deal with and record incidents/complaints involving staff, patients, visitors etc when such issues are witnessed by or involve the nurse specialist.
- To attend and actively contribute to meetings
- To help manage the IBD database and any future upgrades.
- Professional and Legal responsibilities
- Lead on developments and innovations in nursing practice throughout the Trust and primary care.
- Provide a leadership role model, developing and demonstrating expert knowledge and high standards of clinical practice.
- Act as a role model and mentor to staff, providing formal and informal education and support for them in their provision of care for the IBD patients.
- Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan.
- Assess own educational needs and take steps to keeps up to date with clinical and nursing developments, in line with requirements by the NMC.
COMMUNICATION
- Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
- Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
- These duties are not exhaustive and will be reviewed with the post holder, allowing for amendments within the broad scope and band level of the role.
- All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.
- Appointment to this post is subject to the Rehabilitation of Offenders Act and the post holder is required to undertake a Disclosure & Barring Service Check (DBS).
Person Specification
Job title
IBD CNS
Band
Band 7
Division
EIC
Responsible to
Endoscopy Lead Nurse/ Deputy Divisional Director of Nursing
Accountable to
Divisional Director of Nursing
Type of contract
Permanent
Hours per week
37.5
Location
West Middlesex University Hospital Site
Evidence for suitability in the role will be measured via a mixture of application form, testing and interview.
Essential: E Desirable: D
Trust Values
Putting patients first
E
Responsive to, and supportive of, patients and staff
E
Open, welcoming and honest
E
Unfailingly kind, treating everyone with respect, compassion and dignity
E
Determined to develop our skills and continuously improve the quality of care
E
Education and Qualifications
Registered Nurse
Advanced knowledge of GI tract anatomy and physiology.
Knowledge of disease and care related to symptom management / treatments.
Documented evidence of CPD
Willingness to undertake further training
E
Non-medical prescribing
History taking and assessment course
IBD Module Course
D
Experience
Knowledge of IBD
Evidence of nursing management/leadership skills
Experience of case-load management
Data Protection
Safeguarding
E
Experience in practice and service development including nurse led services
Clinical Audit Skills
D
Skills and knowledge
Knowledge of gastro-intestinal disease processes
Willingness to extend clinical knowledge and skills and carry out research and audits of the clinical area
Understands physiological systems, disease processes and risks of associated medical technologies
Able to organise and prioritise workload
Time management and prioritisation skills
Able to work autonomously
Able to present and analyse complex data
Critical analysis skills
E
Personal qualities
Desire to develop and own knowledge and skills and lead on improvement in service provision for endoscopy patients
Able to communicate sensitively and effectively with patients, relatives, carers and MDT
Ability to work under pressure and to strict deadlines
Excellent Interpersonal Skills
Able to respond calmly in difficult situations (e.g. verbal aggression).
E
Person Specification
Education and qualification
Essential
- NMC Registered Nurse
- oAdvanced knowledge of IBD,GI tract anatomy and physiology. oKnowledge of disease and care related to symptom management / treatments.
- oDocumented evidence of CPD oWillingness to undertake further training
- oEvidence of nursing management/leadership skills oExperience of case-load management
- oknowledge of Data Protection oSafeguarding
Desirable
- oNon-medical prescribing
- oHistory taking and assessment course
- oIBD Module Course
- oExperience in practice and service development including nurse led services
Skills and Knowledge
Essential
- oKnowledge of gastro-intestinal disease processes
- oUnderstands physiological systems, disease processes and risks of associated medical technologies
- oAbility to organise and prioritise workload oTime management and prioritisation skills
- oAbility to work autonomously and work under pressure and to strict deadlines
- oAbility to respond calmly in difficult situations (e.g. verbal aggression).
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 .
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 .
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website .
Employer details
Employer name
Chelsea and Westminster Hospital NHS Foundation Trust
Address
West Middlesex University Hospital
Twickenham Road
Isleworth
TW7 6AF