Job Description

An exciting opportunity has arisen in the Haemoglobinopathy nursing team for a vacant post to support the expanding apheresis service. Lewisham and Greenwich NHS Trust was granted Specialist Haemoglobinopathy Team (SHT) status in April 2019 and services an adult and paediatric haemoglobinopathy patient population of approximately 1000, one of the largest in the country.



The posts will join an established Clinical Nurse Specialist team at LGT and will develop clinical links with teams of the tertiary centres of KCH and GSTT when joint management of complex patients is required. The apheresis service is currently provided at the University Hospital site, however, with expansion of the service the successful candidates will be expected to travel to the Queen Elizabeth site to deliver the care.



The successful candidate is expected to be part of a dynamic team of Clinical Nurse Specialists to support the expanding apheresis service for the Trust.



There will be training and support provided until the successful candidate becomes independent. Expected to work as a member of the team providing apheresis services for haemoglobinopathies patients, offer to follow up and review.



Be ready to provide emergency Red Blood Cell exchange services to acutely unwell Haemoglobinopathy patients.



To provide a high-quality specialist nursing support to the erythrocytopheresis program. Successful candidates will be responsible for all aspects of clinical care for patients undergoing apheresis including line management as well as daily coordination of the service to ensure service efficiency through managing patient allocation and new referrals.



To work collaboratively with haematology multidisciplinary team, providing support, advice and formal education in caring for patients. Act in an advisory capacity and as a point of contact for patients with haemoglobinopathy conditions.



Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:



Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development



Widening access (anchor institution) and employability



Improving the experience of staff with disability



Improving the EDI literacy and confidence of trust staff through training and development



Making equalities mainstream

Job Summary:

In line with the Trust's Annual Business Plan you will be working as part of a Specialist Team providing expert nursing/midwifery practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home across primary and secondary care. The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting. Under the support and guidance of the Clinical Nurse Specialist make clinical judgements, which will require assessment, planning and implementation of treatment, ensuring that all specialist patients and their carers have access to appropriate advice and support.

Expectations:

To work with the multidisciplinary team across an integrated pathway of care to deliver quality standards in line with NICE guidance. To work with the nurse specialist team to ensure that all patients have equitable access to investigations, treatment and follow-up care. To work with the nurse/midwifery specialist team to develop best practice in line with NICE guidance. To work with the team to develop guidelines to enhance optimal management of patients. o To collect appropriate data against NICE guidance. To use audit as a tool to improve practice and evaluate services. To work with the team to implement recommendations from National audits and benchmarking. To identify objectives for own professional development which reflect local and national service needs, accessing advice, guidance and support as appropriate. Interviewer information pack Performance To demonstrate specialist knowledge and skills and share this with others to positively influence patient care. To develop own specialist clinical knowledge and skills and participate in the development of other staff To reflect on own practice through clinical supervision/mentorship To provide a comprehensive nursing service for patients with conditions within the specialty. To work in close liaison with the multi-disciplinary team across the pathway in order to meet the needs of patients and their families and to aim for seamless care. To use clinical judgement and skills in decision making to manage this caseload of patients. oTo develop skills of history taking and physical assessment to direct appropriate intervention. To assist in the development of the service To vigorously promote the patient's participation in decision-making, enabling informed choice of treatment. To contribute to any audits requested by the Trust, Commissioners or Nationally. To identify deteriorating patients and take the appropriate action to manage the situation, liaising with interdisciplinary team as appropriate. To obtain valid and effective consent from patients prior to any investigations and treatment.

Work force



To attend meetings relevant to the role and represent views of others in formal surroundings To contribute both formally and informally to the education, training and development of clinical staff across the integrated pathway of care. To contribute to the implementation of NICE guidance to ensure the continuous education of staff in appropriate clinical areas in relation to their understanding and utilisation of evidence-based practice. * To establish effective working relationships with other health care professionals whose role impinges on the services.