Deputy CNS in Paediatric Cardiology

Go back Guy's and St Thomas' NHS Foundation Trust Deputy CNS in Paediatric Cardiology

The closing date is 04 July 2025

An exciting opportunity has arisen to join our well-established Paediatric Cardiology Service, as a Deputy Clinical Nurse Specialist. The area of focus is within the Inherited Cardiac Conditions team.

We are looking for a highly-motivated nurse to be part of a multi-disciplinary team who will have the opportunity to enhance their skills and knowledge in this specialty.

We treat children in various clinical settings such as, outpatients and those admitted to our paediatric in-patients wards. We work closely with our colleagues across Paediatric Cardiology and encourage and facilitate exposure and team-working across the specialities.

Closing Date: 04/07/2024

Interview Date: 14/07/2024

Main duties of the job

The successful candidate will be involved with outpatient clinics, virtual clinics, pre assessment, transition from paediatric to adult care clinics, MDT clinics, as well as assisting with complex discharges.

They will act as a resource of expert advice for other healthcare professionals and must be competent to deliver health promotion and education to parents, their families and others.

The Paediatric Inherited Cardiac Conditions Nurse role supports children, young people and their families with conditions such as dilated and hypertrophic cardiomyopathy, as well as channelopathies including Long QT, Brugada syndrome and CPVT.

The scope of the role is across our hospital sites of Royal Brompton and Harefield and Evelina London. This role also links closely to our Lifelong cardiac network, with communication to local centres and across the MDT.

The successful candidate will be kind and compassionate, be an excellent communicator, a great team player, be a critical problem solver, be able to multitask, and to use basic computer software such as Windows, PowerPoint, and Excel.

About us

Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.

In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

Job responsibilities

Overseen by the B7 CNS colleagues, the successful candidate will gain experience in the following areas- as well as the wider Paediatric Cardiology team:

CLINICS

- CNS consultation for new patients (education, genetics , family history taking, receive family history medical info. e.g. post mortems, support for new diagnoses)- Health transition consultations- General support (school, finance, housing).- Pre-clinic CNS consultation to introduce service and gather sensitive family history, support for bereavement- Screening clinic lists and adding requests for investigations, ensuring relevant investigations have been performed (clinical and family trees).

INPATIENT- Meeting newly diagnosed patients on PICU/HDU/ward and day case: offer support, education and introduce service- Discharge planning as per discharge pathway (to include ensuring parents receive BLS training, CCNT referrals, symptom tracker, medication awareness, family screening, arrange follow-up appointment)- Post discharge CNS consultation to check in and ask about wellbeing, medications etc- General liaise with school, arrange family screening, psychology input, support any housing/work/finance- For transplant candidates, liaising with GOSH transplant team and palliative care

OUTPATIENT- Ad-hoc CNS consultations- General patient queries and advice via email and voicemail- Triage majority/all referrals across the ICC service (CM/IA), request appropriate appointment and send CNS letter, ensure appropriate investigations are requested and co=ordinate with NIV/Schedulers/echo- Arranging service-initiated referrals (as per protocol)- Liaising with genetics teams supporting genetic counselling, relaying genomic information to patients and explaining results- School care plans- School meeting for education or support- Letters of support/advice/education (housing, travel, school, financial support, insurance, DLA)- Safeguarding (regularly supervision/meetings, attending SG and social care meetings)- Delivering parental BLS training- MDTs ICC care group (monthly), cardiomyopathy flags (weekly), inherited arrhythmia MDT (monthly), cardiomyopathy/ICD MDT- Liaising with local health care teams

GENOMICS (INPATIENT AND OUTPATIENT)- Gathering genomic information to support family screening- Relaying complex information to patients/families- Supporting patients with decision making and understanding of processes- Taking detailed family history information and creating family trees- Identifying family member who require screening, offering cascade screening letters and facilitating predictive genetic testing for family members where appropriate- Awareness of at risk geneotype and ensuring patients receive regular surveillance and monitoring in addition to the norm

SERVICE DEVELOPMENT- Complete a service development/QI project with support of B7 colleagues.

EDUCATION- Education for in-house training, on the wards/PICU, external study days, MSc programmes and patient days- Presenting research at conference (poster and oral)

Person Specification Skills

• Good communication skills and ability to deal with sensitive information. To include dealing with distressed relatives, care of terminally ill & other challenging situations
• Ability to assess, plan, implement and evaluate specialist care delivered to patients/clients and give relevant advice/information to patients and relatives.
• Up to date with current clinical and professional issues within specialty
• Demonstrates specialist expertise underpinned by theory
• Experience in Paediatric Cardiology including experience in caring for children with Inherited Cardiac Conditions.

Values and Behaviours

• Demonstrates Trust Values and Behaviours

Experience

• Previous post registration experience within the relevant specialty
• Experience of teaching/ assessing/ supervising others in a clinical setting.
• Experienced and competent in managing patients within speciality

Qualifications

• BSC/1st degree (health related) or equivalent qualification/training and experience
• Post registration specialist course relevant to area
• Evidence of professional/clinical knowledge in area supplemented by specialist clinical, managerial training and CPD
• RN1/ RN2/ RN12 or RN Child Registered Nurse on the NMC register.
• Leadership Course

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.

Guy's and St Thomas' NHS Foundation Trust

£44,806 to £53,134 a yearper annum inc HCA (Pro Rata)