Ibd Clinical Nurse Specialist (Annex 21)
Mersey And West Lancashire Teaching Hospitals Nhs Trust
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Job summary
Mersey and West Lancashire Teaching Hospitals NHS Trust is recruiting an enthusiastic IBD Nurse Specialist to join our gastroenterology service. You will manage a dedicated caseload, run nurse-led clinics, and provide inpatient care while closely collaborating with gastroenterologists and other nurse specialists.
You will develop and implement clinical management plans, undertake independent prescribing, monitor therapies and deliver patient education to improve quality of life and disease
Qualifications
- Registered Nurse with ongoing professional development.
- Specialist qualification or post-registration training in IBD/gastroenterology.
- Experience in advanced clinical assessment and care planning.
Responsibilities
- Provide specialist nursing care within multidisciplinary team.
- Manage IBD patient caseload including clinics and in-patient care.
- Develop and evaluate complex care pathways and protocols.
- Independent prescribing and review of management plans.
- Deliver education and psychological support to patients and carers.
- Lead and participate in governance, audits and research initiatives.
- Coordinate with community and hospital teams for seamless care.
Skills
Education
Job description
We are looking to recruit an enthusiastic and self-motivated individual with experience in the management of patients with gastrointestinal conditions.
The post holder will work within an established service, work autonomously and within the multidisciplinary team with the support of Gastroenterologists and other nurse specialists. The IBD Nurse Specialist will have a caseload of patients and would run Nurse-led clinics. They would also manage a caseload of in-patients and would be expected to have close communication with community health services. New developments within the service include the need to safely switch patients to bio similar drug therapies.
The IBD Nurse Specialist would provide expert care including patient assessment, clinical examination and developing clinical management plans. The role would include independent prescribing and the Nurse Specialist would review patient management plans, fine-tune drug therapy, monitor patients on therapies and encourage drug compliance. The role would include patient educational support, psychological support and good communication skills which is essential in improving quality of life and helping with disease control.
To improve disease management, concordance and patient satisfaction by providing a specialist nursing contribution within the multi-disciplinary team to patients with inflammatory bowel disease. Care maybe provided jointly by Gastroenterology and Surgery and the IBD Nurse will develop an understanding of all aspects of medical and surgical care for patients with IBD in order to play an active role in providing care within both specialities.
Responsible for the assessment of care need and the development, implementation and evaluation of complex programmes of evidence based patient care. Assessment may take place in outpatient clinics, wards or via the telephone.
Delivers enhanced nursing skills within complex patient care pathways.
This post may be offered under Annex 21 AfC Terms & Conditions, subject to experience, competency and suitability.
Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.
We strongly believe that the communities we serve should all have access to Five Star Patient Care.
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.
- Rated Outstanding by CQC Inspection August 2018
- Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
- National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme
- To provide specialist nursing expertise and work alongside the multi-disciplinary team to develop clinical practice.
- Manage a case load in IBD nursing service, responsible for planning and prioritising own workload as an autonomous practitioner in response to service needs.
- Liaise with, refer to and advise a range of professionals regarding ongoing care and management of patients. This will be done via case conference, home visits, letter, report or email.
- Support staff within a range of clinical areas to ensure that patient needs are assessed, care planned, implemented and evaluated and that there is consultation and involvement of patients / carers.
- Responsible and accountable for accurate management of nursing records to ensure patient documentation meets agreed standards, ensuring the quality of record keeping is within the NMC Code of Conduct.
- Develop and implement specialised patient care pathways using advanced clinical reasoning skills.
- Provide highly specialist advice concerning the treatment of IBD / complex gastroenterology patients and families.
- Initiate patient referrals to other healthcare professionals and outside agencies as appropriate.
- Work in collaboration with medical staff when assessing the patient and refer appropriately if the patient's clinical condition changes or new concerns arise.
- Work in collaboration with surgeons to plan appropriate surgical interventions when required by co-ordinating review and subsequent admission for surgical procedures.
- Provide intensive support, information and advice in times of crisis - diagnosis, first hospital admission, and change in condition, terminal care and bereavement.
- Provide diagnostic and therapeutic procedures in the Endoscopy Unit.
- Design, develop and implement clinical protocols, guidelines and information leaflets for use locally and nationally.
- Responsible for managing, arranging, recording and monitoring own activity and practising effective time management.
- Initiate and lead discussions in weekly multidisciplinary gastroenterology team meetings.
- Evaluate the ongoing needs of the IBD nursing service and plan / shape for future expansion in agreement with the direction of the lead nurse.
- Work within all Human Resources policy frameworks.
- To assess the level of patient's knowledge and understanding of IBD and provide personal or small group education programmes for patients and families indicated thus empowering them to take a greater part in the management of their disease promoting independence.
- Organise or participate in the delivery and evaluation of teaching programmes for ward and departmental staff involved in caring for patients with IBD.
- Teach on and consult on content of courses and modules relating to IBD and its management as required.
- Act as a resource for IBD within the Trust, for the PCT's and other external agencies.
- To be responsible for ongoing personal development displaying expertise working at a level to enable the post holder to identify a clinically significant professional, educational and research strategy for the IBD nursing service.
- Initiate and lead own audit research studies relating to nursing and multidisciplinary care within the specialist area of practice, presenting findings through presentation and writing for publication.
- Actively participate in research initiatives associated with service
- Actively seek out research and audit results by other bodies relative to specialist area
- Present own evidence based findings from audit at multi-professional meetings / conferences both locally and nationally.
- Ensure clinical nursing practice is evidence based
- Collaborate closely with other members of the Gastroenterology Network to keep up to date with emerging thinking and findings.
- To continually update and develop own clinical and theoretical knowledge of IBD and lower GI disorders and other areas of nursing and research by attending relevant conferences and reviewing the relevant literature on a regular basis.
- Work closely with the multidisciplinary team to ensure the IBD service is developed in line with the British Society of Gastroenterology (BSG) recommendations for this patient group.
- To maintain own personal and professional profile
- To be flexible and adaptable to the needs of the service and develop the role accordingly.
- Registered Nurse
- Specialist qualification / post registration training in specialityy
- Evidence of ongoing professional development
- Masters Degree
- Experience nurse with proven advanced clinical assessment skills
- Experience of conflict and complaints handling
- Experience of policy development
- Knowledge of management of recruitment, selection, appraisal, discipline, grievance, absence and performance systems.
- Knowledge and awareness of interagency structure and its workings
- Track record in mentorship and preceptorship
- Research experience
- Teaching experience
- Knowledge of control of infection systems, health and safety systems, risk assessment systems and child protection systems
- Up to date clinical skills in order to ensure quality of services being provided by ward
- Effective presentation skills
- Excellent communication skills
- Excellent organisational skills
- Able to act as a leader, effectively managing & motivating staff on the ward
- Ability to act as a change agent.
- Ability to co-ordinate & liase with MDT members
- Enthusiastic approach to work
- Ability to work independently & as a team member
- Be seen to be confident & inspire confidence
- Be effective in implementation of best practice
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.
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
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