Job Description

Urology Lead Nurse - Band 8a (CW Site)



Are you a dynamic and experienced nurse ready to take the next step in your leadership journey? We're looking for a passionate and forward-thinking Band 8a Nurse to lead and shape our specialist Urology service.



This is a unique opportunity to work within a progressive and supportive multidisciplinary team, delivering high-quality, patient-centred care across a diverse and evolving urology pathway. You'll play a pivotal role in service development, clinical leadership, and innovation--ensuring our patients receive the best possible outcomes.



As a lead nurse, you'll bring advanced clinical expertise, strategic insight, and a commitment to excellence. You'll lead on quality improvement initiatives, mentor junior staff, and collaborate with consultants, allied health professionals, and operational teams to drive service transformation.



We're proud of our inclusive culture and our commitment to professional development. You'll be supported to grow your leadership skills, contribute to research and audit, and influence policy and practice .

What we offer:

A welcoming and innovative team environment



Opportunities for continued professional development



A chance to shape the future of urology nursing



Flexible working options and a strong wellbeing ethos



The Lead Nurse works with a high degree of independence and autonomy to provide care and treatment to patients within the specialty of Urology with some cross cover with Uro-oncology.



The Lead Nurse utilises advanced clinical judgment and decision making to manage complex clinical situations, formulate appropriate care plans and follow up as required throughout the patient's pathway.



The Lead Nurse is educated or working towards a Masters Level qualification and has ideally completed relevant practice competencies such as non-medical prescribing, physical assessment and advanced communication skills or working towards. Additionally, with specific reference to Urology be able to undertake or be willing to gain competency in flexible cystoscopy, prostate biopsy and urodynamic studies.



The role is proactive in pioneering and further advancing nursing/midwifery in response to challenging healthcare needs and advances in practice. The post is intended to provide improved outcomes for patients by improving clinical outcomes and the quality of the service.



You will also manage a team of urology nurse specialist.

Please note:

Some roles may require weekend shifts at multiple sites.



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.

Clinical Responsibilities:

1. Use advanced expertise and clinical skills to accurately assess individual needs of urology patients and to manage their care appropriately informed by evidence based practice or expert opinion



2. Obtain a medical, surgical and urological history in a systematic manner, including physical, social, emotional, psychological and environmental factors



3. Undertake appropriate urological physical examination as per protocols/guidelines



4. Orders and interprets appropriate laboratory tests within agreed Trust and Directorate guidelines



5. Distinguishes between normal and abnormal findings on history and physical examination and relates this to possible diagnosis/ differential diagnoses



6. To make appropriate diagnoses and identify, plan, assess, implement and evaluate patient care and needs both independently and in collaboration with other members of the multi-professional team



7. To undertake specialist procedures including flexible cystoscopy and prostate biopsy when appropriately trained and assessed within agreed Trust and Directorate guidelines/protocols



8. To prescribe treatment as a Non-Medical Prescriber or utilising Patient Group Directions, as appropriate within Trust guidelines/protocols



9. To participate in the Clinical Governance agenda as set by the Directorate and the Trust



1. To independently manage a caseload of Urological patients within protocols/guidelines as agreed within the Trust and Directorate guidelines



1. To accurately and concisely document all care provided



1. To provide expert clinical advice to patients and colleagues



1. To demonstrate specialist skills and knowledge through expert nursing practice



1. To maintain a high profile in the clinical area acting as a role model for other health care professionals



1. To assist in establishing, implementing and monitoring Trust/directorate guidelines, policies and protocols

Professional and Personal Responsibilities:

1. To act as a role model and promote excellence in nursing practice as well as promoting professional and clinical nursing skills within the Directorate/Trust



2. To be responsible for working within the NMC Code of Professional Conduct and all Trust and Directorate guidelines, with the ability to practice independently and with freedom to act as appropriate



3. To maintain and respect patient confidentiality in accordance with the NMC Code of Professional Conduct and the Trust and Directorate Policies



4. To work within both local and national clinical guidelines



5. To maintain an expert level of competence and continue with own personal and professional development through relevant professional and academic study



6. To maintain accurate and up to date medical and nursing records



7. To act in an advisory/collaborative role with all members of the multi-professional team and contribute to project work, research, clinical audit and developments within the Surgical/Urology Division



8. To undertake Personal Development Review (PDR) with the Divisional Nurse for Planned Care, and to critically reflect on own performance through clinical supervision and mentoring



9. To establish and maintain a mentor relationship with a named medical consultant.

Educator Responsibilities:

1. To lead and support the nursing team and junior doctors to complete competency based training programmes appropriate to their level



2. To promote excellence in nursing practice by teaching and developing staff within the directorate and to organise and participate in educational events both locally and nationally.



3. To become involved in the development and facilitation of the Directorates education strategy.



4. 4. To initiate and co-ordinate teaching and assessing in clinical practice and to facilitate the ongoing development of competencies



5. To act as an educator, practice developer and leadership role model for other members of staff



6. To advocate improved health through relevant health promotion, advice and education and by encouraging patient participation in their care

Research/Audit Responsibilities:

1. Critically evaluates research and audit findings and incorporates evidenced based practice into care of patients.



2. Responsible for policy/protocol development and implementation within Urology and the Trust



3. To initiate and undertake audit as appropriate either individually or as part of the multi-disciplinary team



4. To generate questions for research arising out of practice and to collaborate with the multi-disciplinary team in order to investigate these questions



5. To attend relevant departmental and Directorate meetings relating to clinical practice and clinical governance

Consultation/Collaboration Responsibilities:

1. To provide specialist support, advice, share knowledge and expertise and act as a resource both within the Directorate and other agencies



2. To establish and maintain links with other agencies outside the Directorate with relevance to the speciality



3. To be able to recognise own professional/clinical limitations and to seek advice and support when required



4. Recognises the unique contribution to patient care of both own and other disciplines and to refer patients to other specialists and act as an advocate to patient needs



5. Shares knowledge and expertise related to clinical and professional both within the Trust and other agencies



6. To be involved and play an active role in new service developments as required

Leadership/Management Responsibilities:

1. Directly line manages the Clinical Nurse Specialists (Urology), providing all HR aspects e.g. PDR, sickness, annual leave etc.



2. To ensure, maintain and promote effective communication with all staff groups, colleagues, managers, patients and carers



3. To be a role model for junior members of the team and a support to colleagues and managers



4. To actively participate and encourage others to participate in clinic, Directorate, Division and Trust meetings



5. Ensure staff work in a professional manner at all times and challenge when this is not adhered to



6. To participate in investigating and report immediately complaints, accidents, incidents and losses, in accordance with Trust Policy



7. Acts in a supervisory and supportive role to multi-professional members of staff within the Directorate



8. To liaise with other members of the multi-professional team to ensure that there is efficient use of resources including finance



9. To provide support/manage the nursing team in the absence of the Clinic Manager or Senior Nurses



1. Ensure at all times that there is a safe and acceptable working environment for patients and members of the multi-professional team



1. To act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills



1. To work within the Trust's Health & Safety Policy Guidelines

Communication Responsibilities:

1. Ensure all communication, which may be complex or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.



2. Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.