Risk Management jobs in United Kingdom

Closing date: 18 December 2025

Band: 7

Full time (37.5h/week)

This is an exciting opportunity to join a dynamic and motivated Pain Management Service, working cross‑site at Chelsea & Westminster and West Middlesex University Hospitals. The service provides highly specialised services to adult and paediatric patients with acute and chronic pain within a multidisciplinary setting. As a Clinical Nurse Specialist you will support all areas of the service and work alongside the Lead Clinical Nurse Specialist to develop both individual staff and the service as a whole.

The outpatient role involves supporting the pain clinic, neuromodulation and capsaicin service, as well as conducting TENS, post‑procedure follow‑up and medication review clinics.

The post holder must demonstrate excellent communication skills, be a role model, enthusiastic and able to motivate and support individuals in the team, enabling ongoing development of the service. You will also be responsible for providing education and assisting in developing audit and research strategies for the service.

There is great scope in this role to develop both personally and professionally. We seek an individual with experience within a pain management service who is looking for a developmental opportunity or a new challenge.

• Receiving referrals
• Providing skilled assessment, planning, delivery and evaluation of specialist care within defined guidelines and protocols
• Referring to other disciplines and agencies
• Providing expert advice and guidance to nurses and other disciplines
• Providing specialist training and education to own and other professions
• Setting and monitoring standards of care and treatment
• Participating in audit and research activity
• Providing skilled professional leadership
• Ensuring effective communication between all service providers across the care pathway

The post holder will play a key role in improving the delivery of our service to meet the needs of our patients, working in both the inpatient and outpatient pain service. You will review inpatients with acute and chronic pain and support the pain clinic, neuromodulation and capsaicin service. The role is integrated and requires close collaboration with the wider pain team. The multidisciplinary team includes physiotherapists, psychologists, neurosurgeons, neurologists and pain physicians. The successful applicant will be a valuable addition to this team.

Our Trust is one of England's top‑performing and safest trusts, operating two main acute hospital sites—Chelsea & Westminster Hospital and West Middlesex University Hospital—and award‑winning clinics across North West London.

With nearly 7,500 staff we care for a diverse population of 1.5 m people, providing full clinical services including maternity, A&E, children’s services, and 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 £30 m expansion of critical care at Chelsea and an £80 m Ambulatory Diagnostic Centre at West Mid.

We are committed to sustainable healthcare through our Green Plan and aim for net zero carbon emissions by 2045. We encourage staff to reduce their environmental impact wherever possible.

We are an equal opportunity employer, valuing diversity and welcoming applications from veterans and under‑represented communities.

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.

Clinical Responsibilities

• Work autonomously, delivering expert nursing service for inpatients and outpatients, including nurse‑led follow‑up clinics, telephone clinics and medication review clinics.
• Provide advice and support to patients and relatives during treatments such as spinal cord stimulators (SCS), percutaneous electrical nerve stimulation (PENS) and capsaicin treatment.
• Manage and discharge patients within agreed department protocols and guidelines, arranging appropriate follow‑up and consulting as necessary.
• Provide specialist advice and education to patients to enable informed choices about therapies and medicines.
• Guide neuromodulation services and participate in re‑programming of SCS patients.
• Accurately maintain databases for SCS, capsaicin and inpatient pain patients.
• Maintain good working relationships with supporting clinical services.
• Participate in pain service multidisciplinary meetings and coordinate theatre lists for neuromodulation procedures, ensuring effective communication between administration staff and consultants.
• Liaise with patients about their pain journey, maintaining communication and answering queries.
• Be aware of side effects and efficacy of drugs and treatments, ensuring results are checked and abnormalities reported.
• Contact patients when attending theatre for the SCS trial and implant.
• Deliver high‑standard nursing care while working closely with the multidisciplinary team.

Education

• Recognise areas for clinical development and respond appropriately using available resources.
• Assist in the ongoing development and structuring of the department as a learning environment.
• Promote change and collaborate on innovative practice.
• Support the induction and orientation of new staff and evaluate staff performance.
• Develop patient educational tools, such as written information.
• Keep up to date with current and potential research and information relevant to patient care.
• Attend relevant courses, meetings and conferences as appropriate.
• Maintain own knowledge, clinical skills and professional awareness.

Management Responsibilities

• Report potential complaints or untoward incidents to the Lead Nurse and participate in the Trust’s risk management process.
• Provide clinical leadership to junior nurses.
• Order specialist equipment such as TENS machines and neuromodulation kit.
• Develop new initiatives to run cost‑effective services within budgets and resources.

Professional and Personal Development

• Identify and meet own professional learning needs through the Knowledge & Skills Framework (KSF).
• Promote an open and friendly working environment.
• Actively participate in departmental educational meetings.
• Keep abreast of current research and information relevant to patient care.
• Meet regularly with team members and ensure effective communication.
• Establish and maintain links with other clinical nurse specialists within and outside the organisation to share knowledge and provide mutual support.
• Attend relevant education and training courses, including nurse network meetings and conferences.
• Participate in setting standards, clinical audit and maintain a high standard of nursing care.
• Act as a member of the research department, disseminating research and audit by assisting in the preparation of posters, research papers, presentations and publications.
• Ensure appropriate cover is in place during absence or leave to provide continuous support for patients and carers.
• Act in accordance with the Nursing & Midwifery Council Code of Professional Practice and guide others to do the same.
• Be conversant with and maintain local Trust policies such as fire, manual handling and sick policy.
• Ensure all activities are carried out within Chelsea and Westminster Healthcare policy guidelines and promote the objectives of the Trust’s Nursing Strategy and Philosophy for Nursing.

• Registered Nurse (Adults)
• Evidence of ongoing, continuing professional development within clinical care linked to demonstrable clinical competencies
• Pain management course

• Excellent relevant adult clinical skills
• Excellent managerial, leadership and organisational skills
• Able to motivate and develop a multi‑professional team
• Excellent verbal and written communication and listening skills
• Excellent teaching, training and preceptorship skills

• Sound knowledge of the principles and practice of specialist care
• Ability to manage change, both personally and as a facilitator
• Computer literate: able to use Word, email, Excel and manage databases
• Experience of handling clinical incidents and complaints
• Excellent problem‑solving skills
• Understanding of resource management, health and safety, clinical risk and quality
• Awareness of current NHS issues and appreciation of governance and quality initiatives
• Previous experience of research and audit
• Ability to lead change/innovation in specialist practice

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure and Barring Service check to confirm no previous convictions.

Chelsea and Westminster Hospital and West Middlesex University Hospital