Clinical Nurse Specialist

Lewisham and Greenwich; Greater London; On-site; GBP 43,000 - 60,000; Full time

Job summary

Lewisham and Greenwich NHS Trust is seeking an Integrated Sexual and Reproductive Health Nurse Specialist. The role requires holding DFRSH LOC SDI/IUD or BASHH STIF and working in an integrated service with high autonomy and clinical judgement.

You will provide advanced nurse/midwife led care, undertake interventional procedures with training completed, and contribute to service development in a dynamic NHS setting.

Qualifications

• RN/RM registration with UK NMC or equivalent.
• MSc level learning in nursing or related field.
• Mentorship course or equivalent training.
• Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality.
• Non-Medical Prescribing qualification is desirable.

Responsibilities

• Provide high quality advanced nurse/midwifery practice within Integrated Sexual and Reproductive Health.
• Take autonomous decisions and manage patient care from assessment to discharge.
• Work within the multidisciplinary team to develop and implement care plans.
• Lead and support interprofessional teams and nurse-led services.
• Engage in education, training, and clinical governance activities.

Skills

Advanced practice

Autonomous practice

Clinical assessment

Interprofessional collaboration

Mentorship

Education

RN/RM registered

MSc level learning

Specialist training

Non-Medical Prescribing

Job description

Step into a place where exceptional care, patients, culture, and careers come together.

Explore our current vacancies and take your first step toward making a real difference.

Join us. Make a difference. Be part of Team LGT.

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the IC

Job overview

Integrated Sexual and Reproductive Health Nurse Specialist .

The Clinical Nurse Specialist will be an advanced and experienced practitioner a holder of DFRSH LOC SDI /IUD or BASHH STIF , to be able to work in an Integrated Service .

To work independently or assisting with intervention /investigatory procedures in which full training has been undertaken based on clinical practice standards.

The role of Clinical Nurse Specialist/ requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute/community setting, which will require assessment, planning and implementation of treatment.

Main duties of the job

• To co-ordinate the speciality care within the Trust/CCG, including outreach clinics within the region.
• To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
• Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
• Carries out complex therapeutic/investigation procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
• To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service/midwifery-led service.
• To provide ongoing follow-up care and support (telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics)
• To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife.
• To develop interdisciplinary clinical management protocols and work within them.
• To line manage, a cohort of staff ensuring HR processes are followed.
• To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities

Working for our organisation

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

Detailed job description and main responsibilities

In line with the Trust’s Annual Business Plan you will provide a high quality advanced 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.

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.

To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.

The Clinical Nurse Specialist/Specialist Midwife will be an advanced and experienced practitioner within their speciality.

The role of Clinical Nurse Specialist/Specialist Midwife requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute/community setting, which will require assessment, planning and implementation of treatment.

To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice.

To be responsible for the nursing/midwifery leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The post holder will ensure delivery and expansion of an expert and advanced nurse-led/midwife-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment.

Qualifications and Training

• MSc level learning
• RN / RM – Part 1
• Relevant specialist course or similar
• Mentorship course (supervising and assessing)
• Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality
• In-depth knowledge of anatomy related to speciality
• Knowledge of conditions, management and treatment
• Knowledge of quality standards
• Counselling course
• Non-Medical Prescribing

Experience

• Senior clinical experience within their speciality
• Experience in Practice Guideline Development
• Audit and Research Experience
• Evidence of clinical leadership qualities
• Ability to prioritise and organise workload
• Ability to work autonomously and as a member of a multi-professional team
• Evidence of using primary and secondary healthcare teams and resources
• Ability to clinically lead and direct staff
• Experience in patient advocacy
• Lead an audit and/or research study
• Presentation and publishing experience
• Caseload management
• Leading a service

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision-making, and applications will remain subject to appropriate human review.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.