Community Clinical Nurse Specialist HIV

Job summary

In line with the Trust's Annual Business Plan you will provide high quality, safe and effective HIV care to our patients. You will work with the HIV team, within the HIV services at Queen Elizabeth Hospital delivering care both in a clinical setting and the community. You will be required to liaise with appropriate staff within the multidisciplinary team, the clinic, primary and other community services in order to deliver care effectively.

Main duties of the job

Ensure care for complex patients is specifically tailored and co-ordinated to individual needs through case management. To practice autonomously in the management of own caseload of clients in the community and clinic, in line with Trust processes and the NMC Professional Code of Practice. Assess and interpret complex clinical information and data in partnership with the patient to make appropriate diagnoses, developing and implementing a plan of healthcare management including prescribing medications or refer for medical review if required. Evaluate the effectiveness of the patient's care plan on an ongoing basis and initiate any further action required. Recognise and act on situations that may be detrimental to the health and wellbeing of the individual. To provide ongoing follow-up care and support such as home visits, telephone support, nurse -led clinics, phlebotomy in the community/patient's homes, including lone working. Utilise their expertise and clinical skills to manage a case load of patients including those with highly complex treatment and psycho-social needs, referred by the medical consultant or team doctors for ongoing follow-up care in the community Provide pathways for HIV testing to high-risk patients partners of people with recently diagnosed HIV, historical untested partners/children.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Job description

Job responsibilities

Detailed job description and main responsibilities:

Ensure care for complex patients is specifically tailored and co-ordinated to individual needs through case management. To practice autonomously in the management of own caseload of clients in the community and clinic, in line with Trust processes and the NMC Professional Code of Practice. Assess and interpret complex clinical information and data in partnership with the patient to make appropriate diagnoses, developing and implementing a plan of healthcare management including prescribing medications or refer for medical review if required. Evaluate the effectiveness of the patients care plan on an ongoing basis and initiate any further action required. Recognise and act on situations that may be detrimental to the health and wellbeing of the individual. To provide ongoing follow-up care and support such as home visits, telephone support, nurse -led clinics, phlebotomy in the community/patients homes, including lone working. Utilise their expertise and clinical skills to manage a case load of patients including those with highly complex treatment and psycho-social needs, referred by the medical consultant or team doctors for ongoing follow-up care in the community Provide pathways for HIV testing to high-risk patients partners of people with recently diagnosed HIV, historical untested partners/children. Use highly developed knowledge and skills to assist and support the patient in developing their understanding and skills to ensure effective self-management of HIV as a chronic disease. Prevent mother to child transmission of HIV through collaborative working with members of the MDT in the care co-ordination and treatment support for HIV positive women who are pregnant. To support patients at risk of Lost to Follow Up (LTFU) engaging with them to remain in care through a collaborative approach involving the LTFU clinicians within the service, patient and their support network. To enable clients affected by HIV and their support network to make informed decisions concerning their care through the provision of advice, support and health education regarding HIV and the supplementary services available to them. Use advanced expertise in health promotion and the prevention of illness to assess and advise patients with particular reference to smoking cessation, diet, and recreational drug use, mental health, immunisation, sexual and reproductive health. Identifying other issues that may impact on health Domestic abuse, substance misuse, child and adult safeguarding issues, those experiencing stigma and referring on for further support. Use highly developed communication skills to assess situations and empathetically impart information, which is often complex and sensitive, at all levels of interaction with others. To assist in facilitating the transition of care between acute and community services. To support the referral pathways to Mildmay Mission Hospital (for people with HIV), in order to support the service and advice commissioners on the utilisation of this resource. Work closely with Health and Social care colleagues to ensure patients are timely and appropriately referred/assessed. Referring to Primary or Secondary care as appropriate Dietetics, Social services, Food Chain, General Practitioner. Make referrals as required to members of the multi professional team internal and external to the department, Trust and Third Sector. Act as a resource providing advanced non-medical practice advice on the care and management of HIV patients for other health care professionals both within and external to the Trust including patients relatives and carers To work closely and collaboratively with members of the multi professional team both internal to the Trust and external stakeholders. To communicate and liaise with primary care teams, secondary care teams, and community agencies to ensure continuity of care and adequate support at home. Support the senior Nursing team where appropriate in the development of the junior nurses ensuring they are working within a local competency framework (based on the NHIVNA Nurse Competency Framework) Lead initiatives that enhance the quality of community nurse-led patient care and treatment support through policy and guideline development based on the best available evidence. To take overall responsibility for the management of the HIV community service and team; with support of the wider clinical team in the service To supervise junior members within the community HIV team acting as a role model for junior members and a support to colleagues and managers To provide treatment support to community-based patients starting or switching therapy and advising on those patients experiencing problems with adherence both within the outpatient and inpatient settings To critically reflect on own competence and performance through clinical supervision and act as a mentor and clinical supervisor to nursing team members within the clinic. To develop and expand upon a specialist interest with the HIV service, for example management of older patients, co-infection, BME, hard to reach groups or women, service development, creating SOPs and providing specialist education. Liaise with Pharmacy colleagues to ensure a seamless provision of anti-retrovirals to patients who are housebound/community based. To provide data and reports pertaining to the HIV community nursing cohort of patients. Person Specification

Qualifications and Training

Essential

Registered Nurse part 1 on NMC Register Degree or equivalent Evidence on-going/recent Continuing Professional and Personal Development in the field of HIV, GUM and sexual health. Teaching/mentoring qualification ( ENB998) or equivalent qualification. Relevant Sexual health qualification and sexual health experience Non-Medical Prescribing or working towards

Desirable

To have or working towards a Masters degree Post registration qualifications/training in HIV speciality ( ENB934) or a recognised HIV course. Counselling qualification Contraception qualification Community public health specialist registrant Physical Assessment Course

Experience

Essential

Community nursing experience. Experience of autonomously managing a case load of complex patients Extensive experience of working autonomously at an advanced level within the specialist area delivering effective patient focused care Teaching/training, mentoring experience Acting as patient advocate Skilled and experienced in venepuncture Experience of working with clients and families collaboratively, some who may come from a variety of socio-economic, diverse and ethnic backgrounds Experience and ability to discuss sensitive issues with clients Experience of undertaking audit and research

Desirable

Experience in HIV including providing HIV treatment support, complex case management, provision of and supporting newly diagnosed patients Experience of Contraception Experience of Mental Health and Substance Misuse Undertaking Point of Care HIV Testing

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