Senior Specialist Nurse - Transfusion & Anaemia Optimisation

Royal United Hospitals Bath Nhs Foundation Trust; Bath; On-site; GBP 49,000 - 57,000; Full time

Job summary

Royal United Hospitals Bath NHS Foundation Trust is seeking a Band 7 nurse to join the Surgical Anaemia Optimisation Service, supporting assessment, investigations and management of anaemia before surgery under Patient Blood Management principles.

You will perform comprehensive assessments, interpret labs, coordinate treatment plans, arrange therapies and ensure follow-up, working with Pre-operative Assessment, Surgery, Anaesthetics, Haematology and primary care.

Qualifications

• Registered Nurse with NMC registration
• Non medical prescribing qualification
• Experience in anaemia management, transfusion practice, surgery or pre-operative care.

Responsibilities

• Assess patients with anaemia or iron deficiency prior to surgery using specialist clinical knowledge and agreed pathways.
• Review blood results and relevant investigations to determine appropriate treatment options.
• Prescribe, supply or administer treatments in line with competence, qualifications and Trust policy, taking advice from other clinicians where required to support treatment decisions.
• Undertake venepuncture, cannulation and infusion therapies safely and effectively.
• Provide clear explanations to patients regarding treatment plans, benefits and risks.
• Monitor patient response to treatment, decide on any further treatment options and escalation concerns appropriate.
• Support the effective day-to-day running of the anaemia infusion clinic.
• Maintain accurate, contemporaneous documentation within electronic patient records.
• Communicate treatment plans and outcomes with GPs and relevant clinical teams.
• Responsible for ordering and stock management for the clinical service.

Skills

Autonomous working

Multidisciplinary collaboration

Education

Registered Nurse with NMC registration

Non medical prescribing qualification

Experience in anaemia management, transfusion practice, surgery or pre-operative care

Job description

Job summary

An exciting opportunity has arisen to join the Surgical Anaemia Optimisation Service, supporting the assessment, investigation, and management of patients with anaemia prior to surgery. This role is integral to improving patient outcomes through the principles of Patient Blood Management (PBM) and blood conservation.

The post holder will undertake comprehensive patient assessments, interpret blood results, and coordinate appropriate treatment plans, including arranging and delivering therapies and ensuring effective follow-up. Working both autonomously and as part of a multidisciplinary team, the post holder will collaborate closely with colleagues in Pre-operative Assessment, Surgery, Anaesthetics, Haematology, Transfusion, and Primary Care.

Main duties of the job

Clinical Responsibilities

• Assess patients with anaemia or iron deficiency prior to surgery using specialist clinical knowledge and agreed pathways.
• Review blood results and relevant investigations to determine appropriate treatment options.
• Prescribe, supply or administer treatments in line with competence, qualifications and Trust policy, taking advice from other clinicians where required to support treatment decisions.
• Undertake venepuncture, cannulation and infusion therapies safely and effectively.
• Provide clear explanations to patients regarding treatment plans, benefits and risks.
• Monitor patient response to treatment, decide on any further treatment options and escalation concerns appropriate.

Service Delivery

• Support the effective day-to-day running of the anaemia infusion clinic.
• Maintain accurate, contemporaneous documentation within electronic patient records.
• Communicate treatment plans and outcomes with GPs and relevant clinical teams.
• Responsible for ordering and stock management for the clinical service.

About us

At the RUH we put people at the heart of what we do, working together as one team to make a difference for our patients, each other, and our community. No matter what your role is, we value everyone's contribution in supporting the exceptional, person-centred care we pride ourselves on.

We are proud to be in the top 20 best hospitals to work for in the country.

We are committed to creating a compassionate and inclusive environment. This can be seen in our growing community of staff networks - celebrating successes and creating opportunities to listen and learn. We value our differences, champion kindness and civility, and truly believe that diversity makes us stronger.

A culture of learning, developing and innovating is the thread that runs throughout our whole organisation. We want to support you to thrive, taking your career to its full potential.

We value staff wellbeing, with a well‑established programme of support. We believe in a holistic approach spanning all aspects of living a healthy life, including physical, emotional, spiritual and financial wellbeing. We've even got a pool!

We are committed to supporting you and hope you want to join our team. In the meantime, find out more about living and working the beautiful historic city of Bath, learn about our extensive package of staff benefits, and read about how we're providing healthcare fit for the future with the landmark Dyson Cancer Centre and our passion for research.

Details

Date posted: 23 October 2026

Pay scheme: Agenda for change

Band: Band 7

Salary: £49,387 to £56,515 a year pro rata

Contract: Permanent

Working pattern: Full-time, Part-time

Reference number: 427-8013964

Person Specification

Qualifications and training

• Essential: Registered Nurse with NMC registration
• Essential: Non medical prescribing qualification
• Essential: Evidence of relevant experience in anaemia management, transfusion practice, surgery or pre-operative care.
• Desirable: Leadership course

Knowledge and Experience

• Essential: Significant post registration experience to have clinical credibility and be able to work autonomously
• Essential: Experience working collaboratively with a multidisciplinary team.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

Employer details

Employer name: Royal United Hospitals Bath NHS Foundation Trust

Address: Combe Park, Bath, BA1 3NG, United Kingdom

Employer's website: https://www.ruh.nhs.uk/

For questions about the job, contact:

Matron Lisa Brown, [e-mail]