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Clinical Nurse Specialist for Gastro/Upper GI STT
3 months ago
Job overview
Job Summary
This post will be based at North Middlesex University Hospital (NMUH) to support the Lead Consultant
for the upper GI 2 ww referrals. NMUH is running remote outpatient appointments and straight to
test triage to establish patient pathways to facilitate diagnosis and hence definite treatment for
patients with unexplained GI symptoms. CNS will be responsible for the management of these patients
from GP referral, to include telephone triage, attendance at one-stop upper GI clinic, Consultant
review, timely investigations, rapid onward treatment or discharge.
The CNS will be the first point of contact for patients referred to upper GI 2ww and be responsible for
booking appropriate investigations and pre-assessment of the patient. The CNS will be accountable
for co-ordinating appointments working closely with the administrative team within Gastroenterology
and booking teams. Be responsible in ensuring essential follow up appointments are made to enable
patient monitoring and ensure databases are maintained and attendance at MDTs for Upper GI/HPB.
The CNS will provide expert clinical skills in assessment of the patient and support the patient on their
pathway from referral to discharge. T
Gastroenterologist-to ensure appropriate investigations undertaken in line with protocols. To address
patients’ health needs through planning and delivering interventions which are based on best practice
and professional judgement.
Main duties of the job
Duties and Responsibilities:
To be primary contact for patients referred for assessment within STT service and support thepatient and carer on appropriate pathway.
2. To receive electronic patient referrals via ERS
3. Consultant review, where appropriate.
4. Assist with the assessment of new patient referrals and working alongside Lead Consultant to
ensure investigations are performed in a timely manner and an agreed management plan is in
place.
5. To identify the physical, social and psychological needs of the patient with unexplained GI
symptoms and suspected colorectal cancer.
Management –
1. To collect, collate, evaluate information relating to 2ww upper GI and pre-assessment services.
Patient pathways are tracked and data collated on key events such as timing of receipt of referral,
date of diagnostic tests, delays and clinical outcomes.
2. Present information to professional groups, analyse data and provide written reports. Data will be
analysed frequently to identify risks or delays in patient care which require immediate
intervention by CNS or service transformation.
3. To establish and maintain effective communication links with all relevant personnel and
departments, external agencies as necessary.
4. Promote collaborative working relationships with other health care professionals for the benefit
of quality patient care.
5. To liaise with the health advocacy service to book advocates as appropriate to the patient’s needs.
Working for our organisation
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital
Detailed job description and main responsibilities
To provide specialist clinical knowledge and practice to patients and carers within the Departmentand wards. Ensure the patient and family are fully informed and understand the purpose of any
investigation and outcomes, in accordance with best practice and informed consent.
2. To promote a patient focused multi-professional approach to care in collaboration with carers,
health care professionals and other agencies.
3. .Safely prepares patients for any investigation and facilitates the patient journey until discharge
from Upper GI STT service .
4. To pre-assess both outpatient & inpatients and use decision making to determine patient clinically
fit for interventions and these are appropriate. .
5. To communicate with the administrative team and confirm all appointments for diagnostic
investigations / procedures are timely and as per protocol.
6. To co-ordinate patient care including prescriptions and update patient and patients’ GP or
referring Consultant of the care / treatment plan.
7. To make decisions independently regarding clinical care and priorities where appropriate.
Demonstrate clinical decision making and an ability to monitor and improve standards of care and
safely remove patients from the 2ww pathway .
8. To ensure the patient is informed of the outcome of their tests and they receive a definitive plan
with referral to specialist / oncology team for those patients with a cancer diagnosis.
9. To undertake aspects of the extended role of the nurse following appropriate training. Perform
and assist with agreed procedures appropriate to the role and function of the Clinical Nurse
Specialist
10. Communicate complex information following assessments and analyse information which is
sensitive to patients / carers and health professionals. This may be face to face assessments or via
telephone consultations.
11. Communicate information effectively and answer queries from patients, their relatives/carers and
the multidisciplinary team members
Education:
1.To provide nursing clinical leadership and be responsible for the delivery of high quality patient
care.
2. Evaluate service and identify areas of improvement to be assured clinical and financial efficiency,
effectiveness and resourcefulness. .. .
4. Attend multidisciplinary team meetings and present individual care studies or relevant data on
service.
Last reviewed: March 2023
5. Act as a patient advocate and counsel when informed discussion may lead to choices being made
concerning treatment options.
6. Ensure that all relevant information is accurately documented in patient health record or on
electronic patient records in line with professional standards of record keeping.
7. Implement the Trusts Corporate Governance Strategy with regard to meeting the necessary
standards of accountability, financial control, patient and public involvement and the delivery of
clinical outcomes.
8. To provide Specialist nursing cover for those patients being cared for by associated CNS colleagues
for Upper GI and STT.
9. To support, enable, motivate, develop nursing staff and demonstrate Nursing leadership.
10. Identify, develop and maintain ways to support patient involvement and feedback of service.
11. To take an active lead in advancing nursing / clinical practice in research and implementing
evidence based practice in designated areas.
12. In conjunction with multi-professional team, participate in setting objectives for service and
engage with service improvement initiatives and strategies to deliver the FDS for upper GI
pathway service. .
13. Network within and outside of the organisation in relation to service development. Influence
strategic developments in pursuit of advancement of quality of patient care, clinical outcomes and
patients’ experience.
Person specification
Education and Qualification
Essential criteria
Registered Nurse First level degree in nursing or equivalent academic courses Teaching qualification or equivalent experience Masters level learning or willingness to work towards Knowledge of current clinical developments within speciality
Desirable criteria
Minimum 2 years experience working at band 6 level Experience of working in the acute medical setting within speciality of gastroenterologyWe reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.
You will only be contacted by the Recruitment Team via email if you are shortlisted for this post. Please ensure therefore that you check your e-mail account regularly.
Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, (NLPSS) who conduct recruitment activities on behalf of NMUH.
If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit
NMUH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of NMUH will have their original documents verified using this technology.
By applying for this post you are agreeing to NMUH transferring the information contained in this application to its preferred applicant management system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.
By applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we want you to complete your e-learning modules prior to joining our organisation.
If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
If you require sponsorship for a visa to work in the UK, to avoid disappointment, please check to ensure you are eligible under the
