Clinical Nurse Specialist - Rapid Access Chest Pain

NHS; Redditch; On-site; GBP 46,000 - 53,000; Full time

Job summary

A leading healthcare organization is looking for an enthusiastic Cardiac Specialist Nurse to join their team at Worcestershire Royal Hospital. This role will involve managing patient care in the rapid access chest pain clinic, offering a unique opportunity to advance your career in cardiology. Applicants should possess a strong background in nursing with cardiology experience, and will be responsible for triaging referrals, organizing clinics, and ensuring high-quality patient assessments.

Qualifications

• Registered Nurse on sub-part 1 or 2 of the professional register.
• Demonstrable clinical skills in specialty field.
• Experience in partnering across organizational boundaries.

Responsibilities

• Lead rapid access chest pain clinic service and manage patient caseload.
• Conduct assessments and provide ongoing patient care.
• Educates patients on health management for cardiac risk.

Skills

Advanced communication

Problem-solving

Decision-making

Education

Registered Nurse

Adult health assessment module

Cardiology care course or equivalent

Tools

Computer literacy

Job description

Job summary

WORCESTERSHIRE ROYAL HOSPITAL

RAPID ACCESS CHEST PAIN CLINIC

COUNTYWIDE CARDIAC SPECIALIST NURSE

BAND 7

FULL TIME - 37.5 HRS PER WK

FIXED TERM - 6 MONTHS

An exciting opportunity has arisen for an enthusiastic individual to join the nurse led countywide Cardiac Assessment specialist team. The post is 6 months fixed term and will provide an excellent professional development opportunity for someone with experience and skills in cardiac assessment.

The ideal candidate will be a RGN experienced in cardiology having worked at senior level.

The successful candidate will lead the rapid access chest pain clinic service and be responsible for triaging referrals, organising clinics and managing a patient caseload as outlined in the job description.

Join us and make a difference, we would be delighted to have you!

Informal visits are encouraged and welcomed.

For further information or to arrange an informal visit please contact:

Kerry ODowd, Lead Nurse Cardiology on [phone], bleep 278 via switchboard on [phone] Email: [e-mail]

Main duties of the job

It is a requirement for this position that candidates have adult health assessment.

Non-medical prescribing would be an advantage.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is over 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:

• Best services for local people
• Best experience of care and best outcomes for our patients
• Best use of resources
• Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Details Date posted

06 June 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

C9365-25-0503

Job locations

The Alexandra Hospital

Woodrow Drive

Redditch

Worcestershire

B98 7UB

Job description Job responsibilities

The Cardiac nurse specialist (CNS) role in the rapid access chest pain clinic is key to cardiology services with non-medical practitioners crossing professional boundaries, undertaking traditional medical roles and leading the way for inter-professional practice.

The CNS will be able to assess and treat patients presenting with chest pain having advanced skills to assess the patient with a differentiated or undifferentiated clinical diagnosis. Advanced communication, problem-solving and decision-making skills will be used to initially assess and provide on-going patient care.

The post holder will provide clinical expertise, demonstrate advanced skills and competencies and ensuring that evidence-based practice is inherent in all aspects of care and treatment. Working within local and nationally agreed protocols and guidelines, the CNS exercises independent judgement. To practice autonomously as a CNS in all aspects of the service. Using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients

Perform safe and correct analysis of ECGs and take appropriate action to determine on-going management and treatment.

To participate in the stratification of cardiac risk factors for patients, providing appropriate health education and guidance to minimise the risk of future cardiac events.

To organise and interpret, as appropriate, CTCA, ETT, ECHO, 24-hour tape and other investigations following completion of IRMER training and other relevant competencies and guidelines.

Organise and facilitate early cardiac investigations and prompt referral to a cardiologist

To share knowledge and expertise, acting as an expert resource to others across primary and secondary care, as appropriate.

Contribute to the development and improvement of systems and processes that facilitate patient flow.

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

As a qualified non-medical prescriber, prescribe drugs for cardiac patients as per the legal requirements for the NMC, National Prescribing Centre and national guidelines.

To maintain up to date patient records in accordance with Trust policy, utilising all hospital systems.

Maintain clear accurate and concise records on every patient. Up-to-date written information to GPs and the patient.

To provide specialist advice on patient care to the healthcare team, considering all aspects of clinical governance and act as a specialist resource within acute medicine, other assessment areas and the Trust.

Responsible for both initiating and then terminating an episode of care by either or referring on to another agency or by autonomously discharging the patient.

Contribute to the review and development of clinical patient pathways to ensure a standardised approach to care.

Educates patients, relatives and staff as necessary ensuring understanding has been interpreted accurately.

To identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these to the Departmental Risk Lead and or Consultant Leads for Clinical Governance.

Please see attached Job Description and Person Specification for further requirements.

Job description Job responsibilities

The Cardiac nurse specialist (CNS) role in the rapid access chest pain clinic is key to cardiology services with non-medical practitioners crossing professional boundaries, undertaking traditional medical roles and leading the way for inter-professional practice.

The CNS will be able to assess and treat patients presenting with chest pain having advanced skills to assess the patient with a differentiated or undifferentiated clinical diagnosis. Advanced communication, problem-solving and decision-making skills will be used to initially assess and provide on-going patient care.

The post holder will provide clinical expertise, demonstrate advanced skills and competencies and ensuring that evidence-based practice is inherent in all aspects of care and treatment. Working within local and nationally agreed protocols and guidelines, the CNS exercises independent judgement. To practice autonomously as a CNS in all aspects of the service. Using collaborative and independent judgement to assess, investigate, diagnose, plan, implement, manage, and evaluate clinical nursing and medical care in the management of patients

Perform safe and correct analysis of ECGs and take appropriate action to determine on-going management and treatment.

To participate in the stratification of cardiac risk factors for patients, providing appropriate health education and guidance to minimise the risk of future cardiac events.

To organise and interpret, as appropriate, CTCA, ETT, ECHO, 24-hour tape and other investigations following completion of IRMER training and other relevant competencies and guidelines.

Organise and facilitate early cardiac investigations and prompt referral to a cardiologist

To share knowledge and expertise, acting as an expert resource to others across primary and secondary care, as appropriate.

Contribute to the development and improvement of systems and processes that facilitate patient flow.

To improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients.

As a qualified non-medical prescriber, prescribe drugs for cardiac patients as per the legal requirements for the NMC, National Prescribing Centre and national guidelines.

To maintain up to date patient records in accordance with Trust policy, utilising all hospital systems.

Maintain clear accurate and concise records on every patient. Up-to-date written information to GPs and the patient.

To provide specialist advice on patient care to the healthcare team, considering all aspects of clinical governance and act as a specialist resource within acute medicine, other assessment areas and the Trust.

Responsible for both initiating and then terminating an episode of care by either or referring on to another agency or by autonomously discharging the patient.

Contribute to the review and development of clinical patient pathways to ensure a standardised approach to care.

Educates patients, relatives and staff as necessary ensuring understanding has been interpreted accurately.

To identify and intervene proactively where circumstances contribute to an unsafe environment for patients, staff or relatives and escalate these to the Departmental Risk Lead and or Consultant Leads for Clinical Governance.

Please see attached Job Description and Person Specification for further requirements.

Person Specification Qualifications Essential

• Registered Nurse on sub-part 1 or 2 of the professional register.
• Cardiology care course or equivalent.
• Adult health assessment module.

Desirable

• Leadership course.
• Non-medical prescribing qualification.
• MSC advancing practice.
• Portfolio of evidence in line with specialty.

Skills and Knowledge Essential

• Advanced knowledge of the range of presentations, diagnoses & current management options within the specialty area.
• Computer literacy.
• Demonstrates good communication skills, including emotional resilience, conflict management.
• Ability to work flexibly within the confines of the team and service.
• Provides support to all members of the multidisciplinary team.
• Able to travel across site.

Desirable

• Advanced Life Support.

Experience Essential

• Demonstrable clinical skills in specialty.
• Evidence of planning & organisational skills.
• Evidence of being able to work in partnership across organisational boundaries, delegating and referring as appropriate.

Desirable

• Independent working and autonomy.
• Experience of applying research evidence to clinical practice.
• Previous clinical experience including setting up and running clinics and services.

Person Specification Qualifications Essential

• Registered Nurse on sub-part 1 or 2 of the professional register.
• Cardiology care course or equivalent.
• Adult health assessment module.

Desirable

• Leadership course.
• Non-medical prescribing qualification.
• MSC advancing practice.
• Portfolio of evidence in line with specialty.

Skills and Knowledge Essential

• Advanced knowledge of the range of presentations, diagnoses & current management options within the specialty area.
• Computer literacy.
• Demonstrates good communication skills, including emotional resilience, conflict management.
• Ability to work flexibly within the confines of the team and service.
• Provides support to all members of the multidisciplinary team.
• Able to travel across site.

Desirable

• Advanced Life Support.

Experience Essential

• Demonstrable clinical skills in specialty.
• Evidence of planning & organisational skills.
• Evidence of being able to work in partnership across organisational boundaries, delegating and referring as appropriate.

Desirable

• Independent working and autonomy.
• Experience of applying research evidence to clinical practice.
• Previous clinical experience including setting up and running clinics and services.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details Employer name

Worcestershire Acute Hospitals NHS Trust

Address

The Alexandra Hospital

Woodrow Drive

Redditch

Worcestershire

B98 7UB

Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)

Employer details Employer name

Worcestershire Acute Hospitals NHS Trust

Address

The Alexandra Hospital

Woodrow Drive

Redditch

Worcestershire

B98 7UB

Employer's website

https://www.worcsacute.nhs.uk/ (Opens in a new tab)