Deputy CNS in Paediatric Cardiology

Guys & St Thomas Hospital; London; On-site; GBP 44,000 - 54,000; Full time

Job summary

An exciting opportunity exists at Guy's & St Thomas’ for a Deputy Clinical Nurse Specialist within the Inherited Cardiac Conditions team. This role involves working with children in outpatient and inpatient settings, treating various cardiac conditions and requires strong communication and assessment skills, as well as experience in paediatric cardiac care.

Qualifications

• Experience in Paediatric Cardiology including managing patients with Inherited Cardiac Conditions.
• Previous post registration experience in a relevant specialty required.

Responsibilities

• Involved in outpatient clinics, virtual clinics, and supporting complex discharges.
• Act as a resource of expert advice for healthcare professionals.

Skills

Good communication skills

Ability to assess, plan, implement and evaluate care

Demonstrates specialist expertise underpinned by theory

Education

BSC/1st degree (health related) or equivalent qualification

Post registration specialist course relevant to area

RN1/RN2/RN12 or RN Child Registered Nurse on the NMC register

Job description

Employer Guy's and St Thomas' NHS Foundation Trust Employer type NHS Site Royal Brompton Hospital Town London Salary £44,806 - £53,134 per annum inc HCA (Pro Rata) Salary period Yearly Closing 04/07/2025 23:59 Interview date 14/07/2025

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.

Job overview

An exciting opportunity has arisen to join our well-established Paediatric Cardiology Service, as a Deputy Clinical Nurse Specialist. The area of focus is within the Inherited Cardiac Conditions team.

We are looking for a highly-motivated nurse to be part of a multi-disciplinary team who will have the opportunity to enhance their skills and knowledge in this specialty.

We treat children in various clinical settings such as, outpatients and those admitted to our paediatric in-patients wards. We work closely with our colleagues across Paediatric Cardiology and encourage and facilitate exposure and team-working across the specialities.

Closing Date: 04/07/2024

Interview Date: 14/07/2024

Main duties of the job

The successful candidate will be involved with outpatient clinics, virtual clinics, pre assessment, transition from paediatric to adult care clinics, MDT clinics, as well as assisting with complex discharges.

They will act as a resource of expert advice for other healthcare professionals and must be competent to deliver health promotion and education to parents, their families and others.

The Paediatric Inherited Cardiac Conditions Nurse role supports children, young people and their families with conditions such as dilated and hypertrophic cardiomyopathy, as well as channelopathies including Long QT, Brugada syndrome and CPVT.

The scope of the role is across our hospital sites of Royal Brompton and Harefield and Evelina London. This role also links closely to our Lifelong cardiac network, with communication to local centres and across the MDT.

The successful candidate will be kind and compassionate, be an excellent communicator, a great team player, be a critical problem solver, be able to multitask, and to use basic computer software such as Windows, PowerPoint, and Excel.

Working for our organisation

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

Detailed job description and main responsibilities

Overseen by the B7 CNS colleagues, the successful candidate will gain experience in the following areas- as well as the wider Paediatric Cardiology team:

CLINICS

- CNS consultation for new patients (education, genetics , family history taking, receive family history medical info. e.g. post mortems, support for new diagnoses)
- Health transition consultations
- General support (school, finance, housing).
- Pre-clinic CNS consultation to introduce service and gather sensitive family history, support for bereavement
- Screening clinic lists and adding requests for investigations, ensuring relevant investigations have been performed (clinical and family trees).

INPATIENT
- Meeting newly diagnosed patients on PICU/HDU/ward and day case: offer support, education and introduce service
- Discharge planning as per discharge pathway (to include ensuring parents receive BLS training, CCNT referrals, symptom tracker, medication awareness, family screening, arrange follow-up appointment)
- Post discharge CNS consultation to check in and ask about wellbeing, medications etc
- General – liaise with school, arrange family screening, psychology input, support any housing/work/finance
- For transplant candidates, liaising with GOSH transplant team and palliative care

OUTPATIENT
- Ad-hoc CNS consultations
- General patient queries and advice via email and voicemail
- Triage majority/all referrals across the ICC service (CM/IA), request appropriate appointment and send CNS letter, ensure appropriate investigations are requested and co=ordinate with NIV/Schedulers/echo
- Arranging service-initiated referrals (as per protocol)
- Liaising with genetics teams – supporting genetic counselling, relaying genomic information to patients and explaining results
- School care plans
- School meeting for education or support
- Letters of support/advice/education (housing, travel, school, financial support, insurance, DLA)
- Safeguarding (regularly supervision/meetings, attending SG and social care meetings)
- Delivering parental BLS training
- MDTs – ICC care group (monthly), cardiomyopathy flags (weekly), inherited arrhythmia MDT (monthly), cardiomyopathy/ICD MDT
- Liaising with local health care teams

GENOMICS (INPATIENT AND OUTPATIENT)
- Gathering genomic information to support family screening
- Relaying complex information to patients/families
- Supporting patients with decision making and understanding of processes
- Taking detailed family history information and creating family trees
- Identifying family member who require screening, offering cascade screening letters and facilitating predictive genetic testing for family members where appropriate
- Awareness of ‘at risk’ geneotype and ensuring patients receive regular surveillance and monitoring in addition to the ‘norm’

SERVICE DEVELOPMENT
- Complete a service development/QI project with support of B7 colleagues.

EDUCATION
- Education for in-house training, on the wards/PICU, external study days, MSc programmes and patient days
- Presenting research at conference (poster and oral)

Person specification

Skills

• Good communication skills and ability to deal with sensitive information. To include dealing with distressed relatives, care of terminally ill & other challenging situations
• Ability to assess, plan, implement and evaluate specialist care delivered to patients/clients and give relevant advice/information to patients and relatives.
• Up to date with current clinical and professional issues within specialty
• Demonstrates specialist expertise underpinned by theory
• Experience in Paediatric Cardiology including experience in caring for children with Inherited Cardiac Conditions.

Values and Behaviours

• Demonstrates Trust Values and Behaviours

Experience

• Previous post registration experience within the relevant specialty
• Experience of teaching/ assessing/ supervising others in a clinical setting.
• Experienced and competent in managing patients within speciality

Qualifications

• BSC/1st degree (health related) or equivalent qualification/training and experience
• Post registration specialist course relevant to area
• Evidence of professional/clinical knowledge in area supplemented by specialist clinical, managerial training and CPD
• RN1/ RN2/ RN12 or RN Child Registered Nurse on the NMC register.
• Leadership Course

Guy’s and St Thomas’celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personalcircumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.

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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.

Name Alice Ciovina Job title Lead CNS Paediatric Cardiology CNS Team RBH site Email address [e-mail] Telephone number 07794020390

Our dedicated and talented staff make it their mission to provide outstanding care for our patients.

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