Job Description

Are you passionate about making a real difference to the lives of patients and families living with heart failure? We are looking for a highly motivated and compassionate Clinical Nurse Specialist to join our consultant-led Heart Failure and Device Remote Monitoring Service at Liverpool Heart and Chest Hospital.



This is an exciting opportunity to be part of a dynamic and innovative service at the forefront of cardiac care. You'll deliver expert, holistic care to heart failure patients using remote monitoring systems, supporting earlier intervention and better outcomes for patients across our region. You will play a vital role in providing specialist nursing input across inpatient and outpatient settings, supporting patients through the optimisation of evidence-based therapies and holistic care planning, supporting patients with implantable cardioverter defibrillators (ICDs) and other cardiac devices, providing post-implant education, and integrated device-HF management

What We're Looking For:

Registered Nurse with relevant postgraduate qualifications

Minimum three years' experience in a cardiology setting

Qualified Non-Medical Prescriber (essential)

Excellent communication, interpersonal and clinical decision-making skills

Knowledge or experience of cardiac devices/CIED care is desirable (training and support will be provided)

A strong commitment to innovation and patient-centred care

A car driver with access to a vehicle is desirable



At LHCH, we're proud to be leading innovation in heart failure management and device care pathways in partnership with our regional and national colleagues. As the largest complex CIED (Cardiac Implantable Electronic Device) implanting centre in the UK, LHCH offers you the opportunity to be at the cutting edge of cardiac device care, working alongside a growing team of device-implanting consultants and specialist nurses. This includes supporting patients pre/and post ICD implantation, patient education, preparing and contributing to ICD education days, and working closely with device physiologists and consultants to ensure safe, seamless care.



Manage your own caseload of heart failure patients



Conduct comprehensive assessments, plan and implement personalised care

Use your Non-Medical Prescribing qualification to optimise therapy

Deliver care across inpatient and outpatient setting in trust, including remote monitoring follow-up

Provide structured education for ICD patients

Prevent unnecessary hospital admissions, triage and act on HF risk alerts, undertaking patient calls and initiating timely interventions and enhance palliative and long-term condition care (including ICD deactivation discussions when appropriate.



As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.



We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.



We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.



Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.



Please visit our website - https://www.lhch.nhs.uk/



Please follow this link for a tour of our site - https://bit.ly/36ylsoq



The post holder is an autonomous expert practitioner accountable for their own professional outcomes and will be expected to treat patients in the hospital, outpatient's clinics and remote monitoring and alert-based management systems . They will work closely with the lead Consultant and HF/Device Multidisciplinary Team (MDT) in reducing the impact of symptoms and prevent unnecessary admissions to hospital by ensuring optimal therapeutic interventions. When patients are admitted to hospital the post holder will support and review patients in hospital as required. Non-Medical Prescribers will be working autonomously and prescribing in line with NICE guidelines (108) for the management of heart failure.



1. To promote and liaise with multi-disciplinary team, by improving patient and carers quality of life and satisfaction.



2. To reduce impact of symptoms and prevent unnecessary admissions through ensuring optimal therapeutic interventions, including early action on remote monitoring heart failure risk alerts.



3. Maintain and utilize advanced clinical skills to analyze and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of the patient. To liaise closely with the lead Consultant in complex clinical decision making.



4. As an independent/supplementary non-medical prescriber you are responsible for the initiation and prescribing of Heart failure therapies; as per NICE guidelines personal formulary. You are responsible for evaluation of patient response and monitoring. You are accountable for prescribing activities by ensuring you are aware of your Professional accountability and any restrictions or special considerations in your prescribing practice. To note: they act as a Prescriber within the whole clinical team involved with individual patient care and communicate this appropriately. Also to be aware of, and adhere to, the NMC Standards for the Administration of Medicines Act 1992, and the Misuse of Drugs Act 1971.



5. To be aware of, and adhere to, the NMC Standards for the Administration of Medicines Act 1992, and the Misuse of Drugs Act 1971.



6. To ensure all eligible patients with heart failure and post-ICD implant are appropriately referred to cardiac rehabilitation, providing relevant clinical information, and to liaise with the Cardiac Rehabilitation Lead and multidisciplinary agencies to support delivery of the Programme



7. Address psychosocial-economic needs of both patients and carers and refer onto other agencies as appropriate. Use appropriate evidence based assessment tools to identify any concerns.



8. Advanced communication skills will be required to provide patients and their carers with highly complex, controversial or sensitive information, including discussing preferred priorities of care (PPC) and end of life issues (EoL) in an empathetic and reassuring manner, using persuasive, motivational and negotiation skills.



9. To manage heart failure and device patients in the hospital, give discharge advice as required and refer patients to the appropriate community services.



10. To work closely with the heart failure and device consultants in the hospital to ensure all patients have a clinical management plan