Urology Lead Nurse

NHS; City Of London; On-site; GBP 55,000 - 63,000; Full time

Job summary

A major healthcare provider in London is seeking a Urology Lead Nurse (Band 8a) to shape and lead the urology service. This role involves clinical leadership, quality improvement, and mentoring junior staff. The ideal candidate is a Registered Nurse with urology specialization and a commitment to high-quality patient care. This position offers a supportive work environment with opportunities for professional development and flexible working arrangements.

Benefits

Opportunities for continued professional development

Flexible working options

Supportive team environment

Qualifications

• Registered Nurse with extensive post-registration experience at senior level.
• Experience in clinical audit and research, and independent practice within Urology.
• Knowledge of flexible cystoscopy and urological examination protocols.

Responsibilities

• Utilize advanced clinical judgment to manage complex clinical situations.
• Lead on quality improvement initiatives and mentor junior staff.
• Collaborate with health professionals to drive service transformation.

Skills

Advanced clinical expertise

Strategic insight

Communication skills

Mentoring abilities

Education

Registered Nurse

Specialist qualification in Urology nursing

Relevant MSc qualification or working towards

Teaching qualification

Job description

Job summary

Urology Lead Nurse - Band 8a (CW Site)

Are you a dynamic and experienced nurse ready to take the next step in your leadership journey? We're looking for a passionate and forward-thinking Band 8a Nurse to lead and shape our specialist Urology service.

This is a unique opportunity to work within a progressive and supportive multidisciplinary team, delivering high-quality, patient-centred care across a diverse and evolving urology pathway. You'll play a pivotal role in service development, clinical leadership, and innovation--ensuring our patients receive the best possible outcomes.

As a lead nurse, you'll bring advanced clinical expertise, strategic insight, and a commitment to excellence. You'll lead on quality improvement initiatives, mentor junior staff, and collaborate with consultants, allied health professionals, and operational teams to drive service transformation.

We're proud of our inclusive culture and our commitment to professional development. You'll be supported to grow your leadership skills, contribute to research and audit, and influence policy and practice.

What we offer:

• A welcoming and innovative team environment
• Opportunities for continued professional development
• A chance to shape the future of urology nursing
• Flexible working options and a strong wellbeing ethos

Main duties of the job

The Lead Nurse works with a high degree of independence and autonomy to provide care and treatment to patients within the specialty of Urology with some cross cover with Uro-oncology.

The Lead Nurse utilises advanced clinical judgment and decision making to manage complex clinical situations, formulate appropriate care plans and follow up as required throughout the patient's pathway.

The Lead Nurse is educated or working towards a Masters Level qualification and has ideally completed relevant practice competencies such as non-medical prescribing, physical assessment and advanced communication skills or working towards. Additionally, with specific reference to Urology be able to undertake or be willing to gain competency in flexible cystoscopy, prostate biopsy and urodynamic studies.

The role is proactive in pioneering and further advancing nursing/midwifery in response to challenging healthcare needs and advances in practice. The post is intended to provide improved outcomes for patients by improving clinical outcomes and the quality of the service.

You will also manage a team of urology nurse specialist.

Please note: Some roles may require weekend shifts at multiple sites.

About us

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven't heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation. Some roles may require weekend shifts at multiple sites.

Details

Date posted: 03 October 2025

Pay scheme: Agenda for change

Band: Band 8a

Salary: £55,690 to £62,682 a year pa plus HCAS

Contract: Permanent

Working pattern: Full-time, Flexible working

Reference number: 289-PC-91

Job locations: Chelsea and Westminster, Fulham Road, London, SW10 9NH

Job responsibilities

Clinical Responsibilities:

1. Use advanced expertise and clinical skills to accurately assess individual needs of urology patients and to manage their care appropriately informed by evidence based practice or expert opinion
2. Obtain a medical, surgical and urological history in a systematic manner, including physical, social, emotional, psychological and environmental factors
3. Undertake appropriate urological physical examination as per protocols/guidelines
4. Orders and interprets appropriate laboratory tests within agreed Trust and Directorate guidelines
5. Distinguishes between normal and abnormal findings on history and physical examination and relates this to possible diagnosis/ differential diagnoses
6. To make appropriate diagnoses and identify, plan, assess, implement and evaluate patient care and needs both independently and in collaboration with other members of the multi-professional team
7. To undertake specialist procedures including flexible cystoscopy and prostate biopsy when appropriately trained and assessed within agreed Trust and Directorate guidelines/protocols
8. To prescribe treatment as a Non-Medical Prescriber or utilising Patient Group Directions, as appropriate within Trust guidelines/protocols
9. To participate in the Clinical Governance agenda as set by the Directorate and the Trust

Professional and Personal Responsibilities:

1. To act as a role model and promote excellence in nursing practice as well as promoting professional and clinical nursing skills within the Directorate/Trust
2. To be responsible for working within the NMC Code of Professional Conduct and all Trust and Directorate guidelines, with the ability to practice independently and with freedom to act as appropriate
3. To maintain and respect patient confidentiality in accordance with the NMC Code of Professional Conduct and the Trust and Directorate Policies
4. To work within both local and national clinical guidelines
5. To maintain an expert level of competence and continue with own personal and professional development through relevant professional and academic study

Educator Responsibilities:

1. To lead and support the nursing team and junior doctors to complete competency based training programmes appropriate to their level
2. To promote excellence in nursing practice by teaching and developing staff within the directorate and to organise and participate in educational events both locally and nationally.
3. To become involved in the development and facilitation of the Directorates education strategy.

Research/Audit Responsibilities:

1. Critically evaluates research and audit findings and incorporates evidenced based practice into care of patients.
2. Responsible for policy/protocol development and implementation within Urology and the Trust
3. To initiate and undertake audit as appropriate either individually or as part of the multi-disciplinary team

Consultation/Collaboration Responsibilities:

1. To provide specialist support, advice, share knowledge and expertise and act as a resource both within the Directorate and other agencies
2. To establish and maintain links with other agencies outside the Directorate with relevance to the speciality
3. To be able to recognise own professional/clinical limitations and to seek advice and support when required

Leadership/Management Responsibilities:

1. Directly line manages the Clinical Nurse Specialists (Urology), providing all HR aspects e.g. PDR, sickness, annual leave etc.
2. To ensure, maintain and promote effective communication with all staff groups, colleagues, managers, patients and carers
3. To be a role model for junior members of the team and a support to colleagues and managers

Person Specification

Education and qualifications

Essential:

• Registered Nurse
• Specialist qualification in Urology nursing
• Relevant MSc qualification or working towards
• Teaching qualification
• Training/experience in undertaking flexible cystoscopy

Desirable:

• Independent non-medical prescriber or working towards or willing to undertake
• Advanced communication skills
• Leadership qualification or working towards

Knowledge and Experience

Essential:

• Extensive post registration experience at senior level within Urology/Surgery
• Experience of independent practice within Urology
• Experience of clinical audit and research
• Experience of initiating and implementing independent nurse-delivered clinics/services
• Experience in Health promotion

Desirable:

• Experience in formulating assessments and competencies for nursing and medical staff
• Experience of formulating protocols standards

Skills

Essential:

• Ability to undertake comprehensive history taking, perform physical examination independently and assess, interpret clinical findings, diagnose and propose or implement appropriate treatment for undifferentiated patients
• Presentation and effective communication skills
• Good interpersonal skills and ability to manage demanding and sensitive circumstances
• Demonstrates excellent time management and organisational skills
• Computer literate

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.

UK Registration

Applicants must have current UK professional registration.

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.

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.

UK Registration

Applicants must have current UK professional registration.

Employer details

Employer name: Chelsea and Westminster Hospital NHS Foundation Trust

Address: Chelsea and Westminster, Fulham Road, London, SW10 9NH

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