Uro-Gynaecology Clinical Nurse Specialist

The purpose of the post is to contribute to a specialist urogynaecology nursing service for women with pelvic floor and bladder dysfunction alongside the existing Urogynaecology Nursing staff, Urogynaecology Consultants, and the rest of the multidisciplinary team.
· Develop clinical expertise in all aspects of care for urogynaecology patients
· Together with the Urogynaecology Consultants and members of the immediate urogynaecology clinical team, effectively co-ordinate and deliver an expert nursing service within the specialist area with a view to managing their own nurse-led outpatient (including vaginal pessary, bladder retraining, patient education/catheter care, TWOC, PTNS, bladder instillations, management of prolapse & medication reviews), urodynamic diagnostic clinics & flexible cystoscopies (following appropriate training and assessment) and in collaboration with the urogynaecology team advise on appropriate treatment plan.
· Ensure a positive impact on the experience of patients and carers
· Develop evidence based clinical nursing practice in line with current research and guidelines, Clinical responsibilities:
Work alongside the Urogynaecology consultants and immediate members of the Urogynaecology team to
· Provide clinical expertise, specialist advice and support to women across Urogynaecology Nursing Services, ensuring that the provision of excellent evidence-based nursing care is maintained.
· Identify changing health care needs at all stages of pelvic floor and bladder dysfunction, liaising as necessary with other members of the healthcare team
· Support a client case-load, ensuring continuity of a high standard of evidence-based nursing care, from point of referral through to conservative treatment and/or post-operative management and discharge.
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Working for our organisation
We are committed to being an inclusive and diverse employer. We strive to employ people who reflect the communities we serve, and aim to create an inclusive culture where everyone can reach their full potential. Whatever your race, ethnicity, belief, generation, sexual orientation, gender or gender identity, disability or experience, you'll appreciate the opportunities we give you to work in an inclusive atmosphere. We welcome applications from people of diverse backgrounds, perspectives and experiences to build on the progress we've achieved to make our Trust diverse and the best place to work. We celebrate the diversity of thought, viewpoints and ideas that help us overcome challenges and embrace new possibilities. We have signed the Armed Forces Covenant Pledge and have a commitment to the Armed Forces Community.
We are dedicated to using our Continuous Quality Improvement (CQI) approach as our shared organisation model of change to enhance our services and ensure excellence in patient care.
If you are considering applying for a role, please be aware that as an NHS Employee you may have contact with vulnerable service users. We strongly encourage that all our staff are vaccinated against COVID-19 and are vaccinated annually against Flu, in order to protect the health and safety of our staff and patients. Your commitment will help us to put the safety and care of our patients first, as well as helping us to protect you and your colleagues.

Detailed job description and main responsibilities
Managerial responsibilities:
· Delivery of Trust/department objectives and business plans
· Daily organisation of service/ patient caseload
· Documentation
· Data collection and monitoring
· Human resources and recruitment
· Staff appraisal
· Supervision and mentorship
· Induction
· Monitoring of service
· Service development
· Complaints handling/monitoring
Professional responsibilities:
· Professional standards and codes of conduct
· Mandatory training
· Training records
Education and development responsibilities:
· Maintain own registration with the Nursing and Midwifery Council (NMC) with recognised revalidation process.
· Maintain own personal and professional development including in areas specific to urogynaecology, attending mandatory study sessions as required.
· Maintain and update Trust mandatory training as appropriate.
· Maintain and expand knowledge base in respect of on-going developments and best practice in urogynaecology. This will include acquiring and/or maintaining:
o own continuous certification and accreditation in urodynamics with the United Kingdom Continence Society (UKCS)
o specialist knowledge and care of women with a vaginal pessary device for pelvic organ prolapse
o knowledge and care of women undergoing outpatient procedures (flexible cystoscopy, Botox, Bulkamid)
· Assist and maintain evidence-based quality standards that are regularly audited and participate in appropriate changes in practice.
· Provide written health information for patients with specialist urogynaecology conditions including disease, investigation, treatment, management and on-going care.
· Provide education and support for visiting junior doctors and nurses within the Trust and Care Commissioning Group, community staff that care for specialist urogynaecology patients through evidence-based practice.
· Contribute to informal and formal teaching of all visiting staff e.g. nurses, GP trainees, specialist registrars, midwives through evidence-based practice.
· Ensure user involvement in the development of urogynaecology specialist services through the use of surveys, audit and attendance at relevant meetings
· Provide patients and their carers, with information and advice associated with specialist urogynaecology diagnosis and treatment, ensuring the best level of understanding and self-care as appropriate.
· Act as a mentor for students and other junior staff ensuring learning is appropriate with education needs
· Present cases at multidisciplinary team meetings taking full advantage of the opportunity of learning outcomes
Service improvement:
· Assist in the collection of PROM's to evaluate services and involvement of FFT to evaluate and develop nurse led and urogynae services.
· Support the urogynaecology service in the continuing operational and strategic development of specialist services within Urogynaecology. This includes out-patient flexible cystoscopy and associated treatments (BOTOX, urethral bulking) and SNS/PTNS.
· Assist in the continuing development of the urogynaecology service and the implementation of the NICE guidelines on women with urinary incontinence, best practice in urodynamics and RCOG/ BSUG guidelines.
· Disseminate patient data including post-operative findings through the national urogynaecology BSUG database to present a performance audit within the department.
· Support the unit on obtaining and maintaining unit accreditation for Urogynaecology (BSUG).
· Initiate and participate in management of change to broaden activities, standards and communication links through Acute Trust and Primary Care.
· Actively contribute to any relevant initiatives within the directorate and provide support to senior colleagues and matron.
· Utilise and maintain information systems to aid required audit and to provide regular activity analysis reports.
· Contribute to effective and efficient working to ensure a good quality patient experience.
· Manage and participate in specific projects as required.
General responsibilities
Patient Experience
· Staff should ensure that they always put the patient at the heart of everything they do. All staff will strive to create a positive patient experience at each stage of the patient's/service users care journey
Trust Policies and Procedures
· To adhere to the Trusts agreed policies and procedures.
Equal Opportunities
· To promote and develop the equality of opportunity in accordance with the Trust's Equal Opportunities Policy
Confidentiality
· To protect the confidentiality of information relating to the Trust, Patient and Staff or other agencies
Quality
· To provide a quality service to internal and external agencies and participate/ develop clinical governance within sphere of responsibility.

· All Trust employees are required to be familiar with, and comply with, Trust polices and guidelines for infection control and hand hygiene in order to prevent the spread of healthcare-associated infections.
· For clinical staff with direct patient contact, this will include the uniform and dress code policy, the use of personal protective equipment guidance, the guidance on aseptic techniques and the safe handling and disposal of sharps.
· All staff are required to attend mandatory training in Infection Control and be compliant with all measures known to be effective in reducing healthcare-associated infections.
Health and Safety
· To share responsibility for abiding by health and safety policies and regulations, infection prevention and control policies and act in accordance with the Risk Management Policy.
Sustainability
· It is the responsibility of all staff to minimise the Trust's environmental impact by recycling wherever possible, switching off lights, computers, monitors and equipment when not in use, minimising water usage and reporting faults promptly.
Our staff are our most valuable asset. We are committed to making staff feel appreciated, supported and included in the Trust's successes. Our mission is to be an outstanding place to work providing the very best care for our patients and excellent career opportunities for our staff. Everything we do is guided by our core values and behaviours, identified by our staff and embedded throughout the organisation.
Would you like to work flexibly? In the NHS, we are reminded every day of how important life is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement
We have the highest CQC rating of all Acute NHS Trusts in Kent and Medway (Good). The CQC highlighted that managers promoted a positive culture that supported, valued staff and created a sense of common purpose based upon shared values.
The Trust is a great place to work, stay, develop a career and enjoy a healthy work life balance. We have made and are delivering on a wide range of commitments to staff; health and wellbeing; equality; diversity and inclusion; access to education and career development. During 2020 we sett up quality councils, driven by our staff to create a culture of shared governance and quality improvement.
We have a strong focus on innovation and improvement. Part of Guy's and St Thomas' (GSTT) 'Healthcare Alliance' we are introducing new models of care to improve clinical outcomes for patients. Our association with GSTT also gives staff wishing to develop their skills excellent opportunities to work across numerous specialities.
As our local population increases, our services and skills are expanding and adapting to meet demand. We are continuously looking at best practice models to enhance and improve the services we offer.
The Trust provides services at Darent Valley Hospital and Queen Mary's Hospital, for a local population of over 500,000 people.
If you would like to be part of our innovative and forward thinking team putting patients at the centre of all we do, we invite you to #joinourfamily.
The NHS are striving towards "we work flexibly" as a workforce, we want to ensure that you can work in a way that is best for us, our patients, and importantly for you. We offer many flexible working opportunities, speak to us about how we might be able to accommodate a flexible working arrangement for you and if it works for the service, we will do our best to make it work for you.
Please note this vacancy may close earlier than stated to aid efficient processing of applications. To ensure your application will be considered please submit it at your earliest convenience. If you have not heard from us within 21 days of the closing date please assume that you have not been shortlisted on this occasion.
Please note, that due to the limited number of car parking spaces, car parking permits will be allocated subject to compliance with the Trusts eligibility criteria and availability of spaces. Permit holders are not guaranteed a car parking space.
Dartford and Gravesham NHS Trust is a smoke free organisation. To improve public health smoking or vaping is not permitted anywhere on the hospital site.