About this role
Job summary
A rare and exciting opportunity has arisen to join the HIV Community Clinical Nurse Specialist team, within the internationally recognised Chelsea and Westminster Hospital NHS Foundation Trust HIV directorate.
Acting as a link between Chelsea and Westminster Hospital NHS Foundation Trust HIV services and the community setting, you will holistically manage a caseload of people living with HIV, who may have complex physical and psychosocial needs. You will work within a small and dynamic team based from Chelsea and Westminster Hospital, regularly collaborating with other professionals, utilising telemedicine where appropriate and hot-desking from various sites. You will be responsible for visiting patients in their homes, or in other community-based settings, such as, GP surgeries, and drug and alcohol treatment centres.
The team aims to improve access to, and engagement with HIV treatment and care; to reduce unnecessary attendance and admission to healthcare services; and to support discharge planning where appropriate. They also seek to improve overall health, wellbeing and quality of life by empowering patients to take a fuller role in their healthcare and in addressing the wider determinants of their health. Apply today if you're eager for a new challenge.
Main duties of the job
As part of a multidisciplinary team and in liaison with acute services at Chelsea and Westminster Hospital NHS Foundation Trust, to enhance the provision of care to people living with HIV currently on or off antiretroviral therapy and to empower individuals to maximise their independence.
By working in partnership with community nursing services, GP practices, acute providers and local social services, establish a close working relationship that is essential in ensuring that care is coordinated and responsive to individual need.
To work both as an independent practitioner and in partnership with the Senior HIV Community Clinical Nurse Specialist, supporting stable HIV patients across all areas commissioned by Chelsea and Westminster Hospital NHS Foundation Trust.
To provide proactive case management of patients with HIV with highly complex needs who struggle with antiretroviral treatment adherence and accessing care.
To act as an expert and a resource on HIV-related healthcare issues to specialist palliative care services, local nursing services, GPs and social service teams.
To promote collaboration between acute services and community health and social care providers.
To organise and facilitate teaching and training on HIV-related issues, with specific focus on supporting patients taking antiretroviral therapy.
To be proactive and innovative in the development of HIV as a clinical specialism.
About us
Chelsea and Westminster Hospital NHS Foundation 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 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission 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 Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
Professional Practice
- In collaboration with the Senior HIV Community Clinical Nurse Specialist, manage a caseload of stable HIV patients and those with highly complex needs within the community setting who have been identified as requiring specialist expertise in the management of antiretroviral therapy and coordinating complex care packages to assist in managing them within the community setting.
- Ensure that patients are fully informed and supported by providing clinical and social support through patient education around management of HIV and provide education for those newly diagnosed.
- Work autonomously, independently assess and diagnose problems, prescribe treatment, review blood results, order and interpret clinical tests and deliver and evaluate plans of care, within own sphere of competence and with supervision from the Senior HIV Community Clinical Nurse Specialist and HIV Consultant colleagues.
- Effectively deliver an expert, efficient and high quality service to all patients requiring HIV care.
- Be a key contact point in the service for patients and professionals
Education
- To identify, assess and meet the educational needs of acute and external teams in relation to the specific needs of this patient group.
- Identify, assess and meet the educational health care needs of patients and carers.
- To participate in teaching and assessing in clinical practice, including mentorship and preceptorship of pre- and post-registration healthcare professionals in different settings.
- To continue own professional development in line with Nursing and Midwifery Council guidelines on professional practice.
Research
- In conjunction with the Senior HIV Community Clinical Nurse Specialist, undertake research related to the role and the provision of quality healthcare in the community.
- To use Trust wide and local clinical indicators to measure the quality of nursing care being delivered to patients.
- Support the implementation of evidence-based practice
- To actively explore opportunities from audit to undertake research within own speciality.
Management
- To maintain a flexible approach to the role and ensure provision of an effective and efficient service within agreed budgets and resources.
- To contribute to the continuing development of HIV services to attain high quality patient-focused care
- To encourage innovation and develop new approaches to the delivery of patient-focused care.
Please see attached job description and person specification to this advert for further details.
Person Specification
Education and Qualifications
Essential
- Registered Nurse- Adult
- Substantial experience in HIV
- Mentorship course or equivalent
- Qualification in the speciality of HIV or a recognised HIV course
- Adherence and treatment support training
- Evidence of recent, relevant professional development
- Skilled in venepuncture
Desirable
- Independent Nurse Prescriber
- Masters course or working towards a masters
- Mental health training/qualification
- Leadership qualification
Experience
Essential
- Experience of nurse delivered stable patient management in a HIV setting
- Experience providing HIV treatment support
- Experience of working with vulnerable adults
Desirable
- Experience of undertaking audits and research
- Counselling experience
Skills and Knowledge
Essential
- Highly developed communication skills (interpersonal negotiation, liaison, written and presentation skills)
- Computer/IT literate
- Ability to prioritise and work independently in the community as a lone worker
- Comprehensive clinical knowledge of HIV and HIV related health conditions
- Flexible approach to collaborating with external partners
- Ability to work across complex organisations
- Ability to manage a caseload of patients with highly complex care needs
- Ability to independently assess patients, develop care plans and make onward referrals as appropriate
- Ability to communicate complex issues and ideas with a broad range of people
Desirable
- Experience of undertaking audits and research
- Ability to perform physical assessments of patients
- Ability to advise senior staff in relation to risk management and quality improvement
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Chelsea and Westminster Hospital NHS Foundation Trust
Address
Chelsea and Westminster Hospital
369 Fulham Road
London
SW10 9NH
United Kingdom
Employer's website
https://www.chelwest.nhs.uk/ (Opens in a new tab)