HIV Nurse Practitioner

Job summary

The Kobler HIV team are looking for an experienced HIV Nurse Practitioner with experience in research & development to enhance the delivery of clinical research in accordance with the Trust Research Strategy and to work clinically as an independent practitioner managing the care needs of people living with HIV.

The post holder will be a clearly identifiable senior clinical staff member, and team leader within the HIV outpatient clinic and the research department. They will have significant clinical and research experience, provide sound clinical expertise to their team, coordinate and deliver high quality care and manage research projects. They will be a role model for expert clinical care, and lead on specific research projects / management functions as delegated by the Charge Nurse.

You will be part of the friendly, dynamic and supportive team, helping to support the delivery of high quality NIHR portfolio and commercial research. In order to lead and coordinate the portfolio of studies at the clinic, you will need to be a self-motivated and clinically-experienced adult nurse, with a passion for clinical research and experience of working in the area of HIV and sexual health. The post holder will preferably hold the Non-Medical Prescriber qualification. This role is perfect for those who are already working at a Band 7 level or are a senior Band 6 with experience.

Main duties of the job

A key part of this role will be to enhance the delivery of clinical research and innovation in accordance with the Trust Strategies and to work in a clinical capacity as an independent Nurse Practitioner managing the care of people living with HIV.

The key elements of our R&D strategy include: to increase the number of UK CRN portfolio and commercial studies, increase patient participation in clinical studies and ensure that studies recruit to time and target. You will work under the management of the Clinic Manager and Lead Research Consultant, but will need to have excellent organizational skills

They will be a role model for expert clinical care, and lead on specific research projects / management functions as agreed with the clinic leads.

The individual will manage a caseload of patients with HIV requiring routine care. Additionally, the post holder will be involved in the recruitment and follow up of patients in research studies and the implementation and management of innovative diagnostic and therapeutic tools.

The post holder will hold (or be supported to obtain) the Non-Medical Prescriber qualification

It is also essential that you can plan and prioritize your workload in order to meet performance targets and deadlines; you will need to have excellent organizational skills.

You will work under the management of the Clinic Manager and the SSC Lead Consultant.

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 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

Clinical Responsibilities

Clinical Practice

Manage a case load of patients including those with complex treatment and psycho-social needs for on-going follow-up care, including recruitment and follow up of patients in research studies and implementation/management of innovative diagnostic and therapeutic tools.

Ensure the delivery of a high quality and innovative HIV clinical service, including coordination of the administration of new antiretroviral combinations including long-acting injectables

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.

Supervise junior nursing staff in treatment support, supporting them to assess and support patients starting or switching therapy and advising on those patients experiencing problems with adherence both within the outpatient and inpatient settings.

Supply and administer medication under Patient Group Directions or practice as a Non-Medical Prescriber.

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.

Order specific diagnostic tests and investigations, interpret findings and provide results to patients as per protocol.

Use expertise in the emergency presentation of HIV-related problems, according to an agreed protocol, to provide a telephone triage service to assess patients immediate needs and direct them to the appropriate service

Assess and support patients experiencing problems with adherence and provide treatment support.

Advise on the promotion of health and the prevention of illness, with particular reference to smoking cessation, risk behaviours, diet, immunisation, sexually transmitted infections and HIV.

Manage the annual screening of patients, including cervical cytology and in future, anal cytology.

Take a detailed sexual health history where necessary, and refer for sexual health screening, as appropriate.

Recognise and act upon situations that may be detrimental to the health and wellbeing of the individual.

Use highly developed knowledge and skills to assist and support the patient and their significant others in developing their understanding and ability to ensure effective self-management of HIV as a chronic disease.

Make referrals as appropriate to members of the HIV MDT team including Peer Support

Coordinate and participate in the nurse-led clinics and Triage of walk-in patients.

Act as a link between clinic and the research department, taking referrals and discussing research options with patients

Act as a clinical leader and assist in the development of clinical skills within the wider nursing team.

Lead initiatives that enhance the quality of nurse-led patient care and treatment support through policy and guideline development based on the best available evidence.

Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy

Please see the Job Description for further information

Person Specification

Education and qualifications

Essential

Educated to RGN Independent nurse prescriber or willing to work towards NMP qualification Relevant HIV specific courses/training including HIV STIF course Up to date GCP Training Successfully completed or willingness to undertake teaching/mentorship course Evidence of professional development (HIV related)

Desirable

Leadership qualification

Experience

Essential

Post registration Nursing experience, including significant demonstrable current HIV experience Experience of managing a case load of HIV patients independently Experience of working with complex patients who require additional MDT referral and input Experience of recruitment of patients to clinical trials/ Experience of research in practice Experience of management in the clinical setting Experienced in the supply and administration of medication under Patient Group Directions or practice as a Non-Medical Prescriber (if qualified NMP)

Desirable

Experience of undertaking clinical audit /research in practice and presenting findings to peers in the HIV sector Demonstrable experience of HIV related service improvement or QI initiatives Experience of working under Patient Group Directions Experience of formulating protocols and guidelines

Skills and knowledge

Essential

Able to 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 for HIV patients. Use expertise in the emergency presentation of HIV-related problems, according to an agreed protocol, to provide a telephone triage service to assess patients' immediate needs and direct them to the appropriate service Able to assess and support patients experiencing problems with adherence and provide treatment support Knowledge of 3rd sector support services including HIV Peer Support Advise on the promotion of health and the prevention of illness, with particular reference to smoking cessation, Risk reduction, diet, immunisations, sexual health and contraception. Comprehensive theoretical and clinical knowledge of HIV related health conditions and guidelines underpinning standards of care including Effective leadership skills Excellent standards of written/oral communication Excellent IT skills including Word/Excel Able to manage patients with culturally, sexuality and gender sensitive issues Venepuncture Effective time management and prioritisation skills Case load management skills

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