Gastroenterology Clinical Nurse specialist

This job has been established to complement the current nurse specialist role; the post holder will act as an expert practitioner in specialist Gastroenterology nursing, working under supervision of the three nurse specialists and consultants, providing expert advice and care to referred patients/relatives for which counselling skills will be required. The post holder will act as a nursing resource providing advice, support and teaching to other health professionals in the trust.
He/she will continue to develop and provide Nurse led clinics for patients presenting with defined Gastroenterological and Liver conditions. The nature of the post will require the nurse specialist to analyse, interpret and compare range of options before making judgements with regards to treatments for certain designated conditions or with regards to onward referrals under supervision., + Provide and continue to develop Nurse Led clinics, adhering to protocol and guideline.
+ Provide high standard of Care for patient with Inflammatory Bowel disease, Autoimmune Hepatitis, Viral hepatitis and general Gastroenterology condition.
+ To Manage caseload independently.
+ To Complement the current nurse specialist role and be a nursing resource in providing Gastroenterology/Hepatology Nurse services such as telephone advice line, follow-up clinics, rapid access clinics, in-patient support, managing an immunosuppression service
administration and monitoring of biological therapy, assessment and monitoring viral hepatitis and other hepatology conditions.
+ Provide education, management, and optimisation of care for patients and carers.
+ Maintaining a database of all patients including Autoimmune hepatitis, Liver cirrhosis, BBV, IBD biological treatment., Clinical
Dependent upon existing level of skills, knowledge and experience, the post holder will be expected to work in a supervised or independent way. Relevant training will be provided with a view to expanding development of the role over a 2-3-year period.
+ Provide, and continue to develop, nurse led clinics, adhering to protocols as agreed with consultant physicians in gastrointestinal medicine/ Hepatology/Viral hepatitis. The post holder will be responsible for assessing, monitoring patients with designated conditions, developing care packages and management plans in partnership with senior CNS's, consultant's patients and carers under supervision for conditions involving General gastroenterology, Inflammatory Bowel Disease, Liver disease and Viral Hepatitis.
+ Record the patient's history and plan clinical management of the patient following interpretation of diagnostic investigations, within agreed protocols where appropriate and under supervision.
+ Undertake protocol led clinical assessment of newly referred patients from GP's or within the trust. With lower or upper GI symptoms and develop a management plan for these patients/ relatives under supervision
+ With necessary guidance refer patients for appropriate diagnostic investigations e.g. Endoscopy, blood analysis, diagnostic imaging and referrals to another centre.
+ Explain the findings of investigations, diagnoses and future management plans with patients and relatives as appropriate under supervision, ensuring documentation is in place. Provide support, counselling, advice and information to referred patients and their carers regarding their illness, treatments and service available.
+ Provide a telephone helpline service to gastroenterology patients. This service will facilitate the post holder to give advice, information and support over the telephone. It is anticipated that this service will reduce outpatient attendance and improve patient access to the service whilst improving patient satisfaction.
+ The post holder will work with colleagues to provide the highest possible standards of clinical care for gastrointestinal patients.
+ The post holder will perform venepuncture and administer intravenous therapy (such as monoclonal antibody treatment, infliximab and Anti TNF treatment for patients with Inflammatory Bowel Disease) with minimal supervision, as required and within hospital policies.
+ Liaise with medical staff and senior nurse specialist to provide the best management of difficult cases and where appropriate refer to medical /surgical /oncology teams.
+ Develop the nursing role in the gastroenterology team, working alongside the gastroenterologists to develop and promote the service within the hospital and primary care. Work with colleagues to provide the highest possible standards of clinical care for gastroenterology patients.
+ Be involved in the development of clinical guidelines for gastroenterology patients in collaboration with other members of the gastroenterology team.
+ The post holder will ensure that effective health promotion is incorporated within the role to appropriate patients/carers and ensure that health promotion initiatives are implemented at appropriate times, in conjunction with other trust staff. The post holder will also develop appropriate programmes to provide advice to patients and relatives on lifestyle and health promotion measures.
+ The post holder will act as an expert resource within the gastrointestinal service to provide clinical advice and support to hospital and community-based staff.
Managerial Responsibilities:
+ The post holder will discuss best management of difficult cases with members of the gastroenterology team and other clinicians, e.g colorectal surgeons, nurses and clerical staff to ensure that the patient receives the highest standards of service possible.
+ Collaborate with other clinical nurse specialists as required and act as an expert resource for newly appointed nurse specialists.
+ The post holder will ensure that adequate records of all patients are maintained, and that all relevant information is documented in patients medical/nursing notes
+ The post holder will ensure that General Practitioners are informed of appropriate/relevant details regarding patient care.
+ The post holder will efficiently utilise the available resources to meet service objectives and within trust budgets
+ Report all accidents/incidents to the senior nurse specialist and ensure that documentation is maintained, within Trust policy.
+ Undertake appraisal and development as trust policy; this includes maintenance of a professional portfolio.
+ The post holder will participate within a system of clinical supervision; this may involve undertaking the role of supervisor.
+ Maintain an up-to-date knowledge of developments in care of patients with gastroenterological conditions by attending and presenting at conferences, reading journals to ensure current practice is evidence based.
Educational Responsibilities:
+ The post holder will act as an expert resource, role model and mentor to staff, providing formal and informal education and support
+ Identify the specific training and education needs of patients/carers and facilitate meeting those needs. Prepare and provide learning materials and teaching programmes for nursing staff and patients /relatives for use within clinical areas.
+ The post holder will collaborate with other nurse practitioner/specialists as required and act as a resource and provide education and support for newly appointed nurse specialists
+ The post holder will act as a resource, role model and mentor to nursing staff, medical / nursing students providing formal and informal education and support.
+ Participate in the assessment of the educational requirements of and nursing staff and nursing students
+ The post holder will be educated to degree level and thereafter undertake relevant study and training in the development of this role.
. Audit and Research:
The post holder will:
+ In consultation with the multi-disciplinary team and collaboration with other specialist nurses, the post holder will identify and encourage research based practice in relation to gastroenterology and/or nursing within the Trust.
+ The post holder will participate in the multidisciplinary audit programme and will work in conjunction with the specialist nurses and the lead clinicians to achieve this.
+ The post holder will audit the role of the Gastroenterology nurse specialist, eliciting the views of patients, carers and professionals to ensure a high standard of service, To comply with the Trust's Safeguarding Children and Adults policies, procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to:
+ Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people.
+ Ensure you are familiar and comply with the London Multi Agency Safeguarding Vulnerable Adults Pan London Procedures.
+ Ensure you are familiar and comply with local protocols and systems for information sharing.
+ Know the appropriate contact numbers and required reporting lines.
+ Participate in required training and supervision.
+ Comply with required professional boundaries and codes of conduct
Whittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.
Your application form -
1. Provide only business email address for your referees - we are unable to request references from yahoo, Hotmail, Gmail accounts.
2. Make sure you to include all evidence of where you meet the essential requirement on the jobs description as this forms the base of our shortlisting criteria.
Our processes -
1. Closing dates are given as a guide; we are within our right to close adverts early so please ensure you submit your application as soon as possible to avoid delay.
2. If you do not hear from us up to 3 weeks after the closing date of the job unfortunately this means you have not been successfully shortlisted for interview. If your require feedback on your application please contact the appointing manager detailed in the body of the advert.
3. Please check your emails regularly as all correspondence from us will be via trac.systems - occasionally these emails will go into your Junk folder.
4. Employment at Whittington Health is offered subject to successful completion of a 6 month probationary period for all staff with the exception of GMC Registered Doctors.
Other important information -
+ Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.
+ Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.
+ In submitting an application form, you authorise Whittington Health NHS Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process should you be appointed to the post.
If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a "selfie" using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit www.trustid.co.uk
Please note that during the recruitment process your Identity Documentation (i.e. passport, driving licence, visa, etc.) will be scanned using a device which recognises UV, Infrared and Machine Readable Zone security features of the documents provided
The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.
We would welcome applications from individuals who are from underrepresented groups in the organisation

Working for our organisation
The Whittington Hospital has a reputation as one of the safest hospitals in England. As an integrated care organisation, providing both hospital and community services, we offer a range of development opportunities along with attractive benefits to staff at all levels of our organisation.
Our aim is to provide outstanding care. Care that is better coordinated, in the right place and designed around individual patient's needs. This means we can bring high quality services closer to home and speed up communication between community and hospital services, improving our patients' experience