Job Description

The Clinical Nurse/ Midwife Specialist should be educated to first degree level in a health related subject and should have completed appropriate post registration education and development within their area of specialist practice.



The role of the Clinical Nurse/ Midwife Specialist includes the following supervised activities:



Receiving referrals to a caseload Providing assessment, planning, delivery, and evaluation of specialist care within defined guidelines and protocols Referring to other disciplines and agencies Ordering and interpreting relevant tests and investigations Providing advice and guidance to nurse/midwife and other disciplines Participating in the provision of training and education to own and other professions Monitoring standards Participating in audit and research activity Disseminating good practice Ensuring effective communication between all service providers across the care pathway

Please note:

this role will require weekend shifts, bank holiday cover and cover/ work cross-site.



Key responsibilities



To receive, triage and mange referrals independently. To chase, interpret and manage blood test results, histology results and other. To manage outpatient caseloads independently. To independently manage the telephone clinic and telephone protected lunch hours. To independently run scan clinics. To participate on counselling, discussion of options and management of cases. To assist/ participate on procedures. To assist with emergency admissions and urgent cases. To independently run the clinic/ lead by managing the capacity on daily basis, escalating concerns and leasing with consultants. To participate/ conduct audits. To teach/ supports other colleagues learning pathways. To work flexibly as per rota supporting clinic cover on weekends, bank holidays and cross-site cover when necessary.

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.



Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.



We continually invest in our facilities, including a 30m expansion of critical care at Chelsea and an 80m Ambulatory Diagnostic Centre at West Mid.



We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.



We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.



If you haven't heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation.



Some roles may require weekend shifts at multiple sites.



Roles and responsibilities



1. Clinical / direct care practice



1.1. To receive referrals within the specialty from the health care team and respond to requests for expert advice and guidance.



1.2. To work within an agreed job plan to meet service needs which should be reviewed annually



1.3. To conduct holistic assessment and providing supervision & guidance to colleagues in skilled h istory taking , p hysical examination , o bservation and o rdering, conducting and interpreting relevant tests and investigations



1.4. To work in collaboration with the multi professional team, contributing expert, evidence based knowledge and skills to relevant aspects of the patients care and treatment.



1.5. To maintain boundaries of own practice within agreed guidelines and protocols, use professional judgment in managing complex and unpredictable situations and seek guidance from other relevant experts



1.6. To address patient's risk factors and health promotion needs through comprehensive assessment of individuals for risk factors and early signs of illness.



1.7. To builds an environment of trust and rapport, enabling patent empowerment in their healthcare and acting as an advocate for the patient in treatment decisions and choices



1.8. To draw upon an appropriate range of multi-agency and inter-professional resources to ensure that patients receive appropriate services, making referrals to other professions and services as appropriate



1.9. To use effective communication and interpersonal skills to provide information, explanation and reassurance to patients and families.



1.10. To plan and conduct appropriate follow up, closure or transition of care for the patient



1.11. To maintain accurate and contemporaneous records of patients assessment, care and treatment



2. Leadership and Collaborative Practice



2.1 To provide advice, guidance and support to own and other professions to enable best practice in care and treatment within area of expertise



2.2. To work collaboratively with colleagues, patients and families to seek their views and to develop and improve practice and the service



2.3. To continually evaluate and develop own role and competencies to meet the evolving needs of patients and the service



2.4. To develop networks and collaborative working across professional, and organizational boundaries to develop, integrate and coordinate care



2.5. To support and contribute to delivering the wider Trust agenda as directed by the Chief Nurse and the Trust Senior Nursing and Midwifery Council



2.6 To participate and contribute to National objectives



3. Improving Quality and Developing Practice



3.1 To develop valid and reliable methods to continually evaluate and audit own practice and service outcomes, identifying, interpreting and acting on audit outcomes



3.2. To maintain records of activity including clinical coding, maintain appropriate documentation and participate in audit of documentation, clinical activity and outcomes



3.3. To use and develop information systems to support decision making and improve care



3.4. To maintain knowledge of contemporary epidemiological, demographic, social, political and professional factors relevant to the specialist area of practice.



3.5. To use a reflective and questioning approach to practice, identifying potential opportunities for clinical or service changes



3.6 To maintain awareness and application of relevant research and evidence based practice relating to area of clinical expertise and profession practice



3.7 To identify and responds to gaps in evidence and/or practice knowledge, and to contribute lead in research / audit/ practice development.



3.8 To enable the sharing of new knowledge and developments with others



3.9 To facilitate and enable change at individual and team levels to improve practice and health outcomes, monitoring and evaluating the impact of resultant changes in practice.



3.10. To continually assess, monitor and act on risks in own and others' practice through risk assessment



3.11. To ensure the appropriate and effective use of resources to ensure both cost effectiveness and quality.



3.12. To participate in business and service development including activity and income generation



4. Developing Self and Others



4.1 To participate in review of own practice with colleagues from own and other professions thorough case review and clinical supervision



4.2 To develop and provide patient education and information which is appropriate and responsive to individual needs and level of development.



4.3. To participate in the development of evidence based protocols, standards, policies and clinical guidelines



4.4. To evaluate knowledge and practice, identifying learning opportunities and continuing development through appraisal and personal development planning



4.5. To maintain a personal portfolio illustrating evidence of competence and continuing development



4.6 To supports colleagues in their learning and application of theory to practice through assessment, teaching and clinical supervision



4.7 To contribute to wider education and development programmes in external organizations



4.8. Contribute to the dissemination of knowledge through publication and presentation