Deputy Clinical Nurse

Site Royal National Orthopaedic Hospital Stanmore • Salary £45,953 - £54,254 Per Annum inclusive of HCAs • Closing date 27/05/:59

Royal National Orthopaedic Hospital NHS Trust is the largest orthopaedic hospital in the UK and a global leader in its field. The Trust provides a dynamic working environment to support frontline staff, improve patient care and staff experience, deliver research, and offer education, training and career progression.

Job overview

This is an exciting opportunity to work within the Rheumatology / Metabolic Bone Department. The Deputy Clinical Nurse Specialist will provide evidence-based clinical advice to healthcare professionals, patients and their carers. The post holder will help deliver a patient-focused service through integrated care and contribute to the visions and values of the specialty and the Trust.

The Rheumatology/Metabolic Department operates a medical day suite, outpatient clinics, and a dedicated patient helpline. The team includes 6 Consultants and other medical staff, Clinical Nurse Specialists and clerical staff.

Key attributes you need to demonstrate include:

• Ability to work as part of a multi-disciplinary team
• Ability to communicate confidently with established organisational skills
• Cannulation skills and intravenous administration of drugs
• Aspiration to continue to learn and develop, particularly around metabolic disease

The post would give the following opportunities -

• Development of expertise in the management of patients with inflammatory arthritis and osteoporosis
• Experience in managing other rheumatological diseases such as hypermobility, chronic pain and rare metabolic bone disease
• Increasing skills in cannulation and IV drug administration, with opportunities to visit other departments and hospitals

Main duties of the job

Provide specialist advice, education and support to patients and their relatives attending nurse-led rheumatology clinics. This includes counselling patients for new therapies and reviewing patients on existing therapies.

Assess patients' physical, psychological and social needs, plan, implement and evaluate patient care, and recommend the most appropriate course of action.

Help develop and work within protocols for the management of rheumatology conditions including osteoporosis.

For patients on disease-modifying drugs, biologics and bone therapies: use recognised outcome measures, assessment tools and clinical skills to evaluate progress, request appropriate investigations for monitoring, and interpret results.

Care for patients receiving intravenous biologic or bone therapies and cannulate these patients.

Provide high-quality written, verbal and telephone advice.

Liaise with GPs to maintain continuity of care and patient adherence to medications and supplements. Work closely with the multi-disciplinary team and make referrals when necessary.

Coordinate with pathway coordinators to assist with triaging into appropriate nurse-led clinics and manage nurse clinic waiting lists.

Working for our organisation

RNOH is the largest orthopaedic hospital in the UK and a global leader in the field. The Trust offers a dynamic working environment and aims to be a world-leading neuro-musculoskeletal hospital with excellent patient care and staff experience, supported by research and education. The Trust operates across two sites, including the Stanmore facility.

For more information, visit the Trust website.

Detailed job description and main responsibilities

Job Purpose

To assess and manage patients with rheumatology conditions including osteoporosis care. To develop and work within agreed protocols. To provide support for patients and medical/nursing colleagues and to support the intravenous medication day suite. Support telephone helplines and generic email accounts.

Main Duties and Responsibilities

Rotation between Bolsover Street and Stanmore sites when applicable to the role.

Clinical

Provide specialist advice, education and support to patients and their relatives attending nurse-led rheumatology clinics, including counselling for new therapies and reviewing patients on existing therapies.

Follow up with patients to support adherence to prescribed treatment.

Care for patients receiving intravenous biologic or bone therapies, supporting the Day Unit that administers infusions.

Provide high-quality written, verbal and telephone information for patients and families.

Produce accurate documentation electronically and on paper, in line with policies and procedures.

Liaise with GPs to maintain continuity of care and patient adherence to medications/supplements.

Work closely with the multidisciplinary team and make referrals when necessary.

Management and Leadership

Maintain systems and accurate records to ensure appropriate patient care and the ability to audit outcomes.

Maintain databases for patients on disease-modifying drugs, biologics and bone therapies.

Professional

Work within your competence and the NMC code of conduct; take responsibility for ongoing professional development.

Education, Training and Development

Provide support and specialist advice to colleagues within the Trust and in the community. Attend and contribute to relevant meetings.

Audit

Participate in audit of the specialty to evaluate treatment efficiency. Develop action plans with your Line Manager and share findings with the team.

Person specification Education and Qualifications

• NMC Pin Number on Application
• Band 6 experience for at least 2 years
• Practice assessor or equivalent
• Previous Rheumatology experience

Experience and Knowledge

• Band 6 experience (2 years +)
• Understanding of clinical nurse work
• Knowledge of bisphosphonates and biologic drugs
• Experience in a medical day unit

Skills and Abilities

• Manage own workload
• Good oral and written communication
• Cannulation
• Ability to lead and conduct MDT meetings
• Cytotoxic drug trained

We are committed to equal opportunities in employment and offer flexible working arrangements. Part-time and job-share applications will be considered.

You must be eligible to work in the United Kingdom or meet sponsorship criteria under UKVI. Applications from visa sponsors will be considered alongside others. Ensure eligibility before applying.

By applying you agree that your information may be transferred to the Trusts' applicant management system. Further information will be provided through the system. Employment data may be transferred to the NHS ESR system.

We reserve the right to expire vacancies prior to the advertised closing date if a sufficient number of applications are received.

The Trust operates a smoke-free policy. Smoking is not permitted on Trust premises or vehicles.

The Trust uses electronic starter forms on Trac for personal details. Information is stored securely to set up the employee record on the ESR system.

If offered a role, identity and right-to-work documentation may be verified remotely using TrustID. You will be asked to submit documents and may provide a selfie for facial verification. For more information, visit TrustID.

RNOH uses document verification technologies for authenticity checks on prospective employees.

Employer certification / accreditation

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act and related disclosure requirements.

Application information

This vacancy may close early if a high number of applications are received. Please apply in good time.