Tissue Viability Cns

9 hours ago


London, United Kingdom Lewisham and Greenwich NHS Trust Full time

An exciting opportunity has arisen for an energetic and highly motivated Tissue Viability Nurse Specialist, to work as part of the acute team at Lewisham and Greenwich NHS Trust. The successful applicant will provide Clinical leadership in all aspects of tissue viability, ensuring dissemination of good practice to professional staff providing direct and indirect patient care, through research, and education programmes.

To provide a high quality advanced expert Tissue Viability practice and cost-effective service to patients at Lewisham and Greenwich NHS Trust

To influence the strategic planning for Tissue Viability and service delivery in line with NICE guidelines.

To manage a complex caseload of patients with Tissue viability requirements, providing effective communication across primary and secondary care interface to ensure seamless, equitable, quality service is provided to all with Tissue viability requirements across the Trust.

The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting.

To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

As an organisation, we’ve made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of “Good” in the Well-Led and Effective domains, in addition to the rating of “Good” that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust’s improvement journey, as we’ve stabilised our workforce by reducing vacancy rates and improving staff retention. We’ve also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.

To co-ordinate the specialty care within the Trust, including outreach clinics within the region.

To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.

Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.

Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.

To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.

To provide ongoing follow-up care and support (home visits / telephone support / nurse led clinics / outpatient clinics and outreach clinics)

To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist.

To develop interdisciplinary clinical management protocols and work within them.

Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.

To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.

To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.

To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.

To assess, develop, implement and evaluate programm



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