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Associate Clinical Nurse Specialist in Pain Management (Adults)

Chelsea and Westminster Hospital NHS Foundation Trust
London and Isleworth
£35,392 to £42,618 a year + inner/outer HCAS
Closing date
22 Sep 2023

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Associate Clinical Nurse Specialist in Pain Management (Adults), Band 6

Full-time position: 37.5 hours/week (1.0 WTE)

Cross site: London and Isleworth

This is an exciting opportunity to join a dynamic and motivated Pain Management Service, working cross site at Chelsea & Westminster and West Middlesex University Hospitals. This is an established service that provides highly specialised services to adult and paediatric patients with acute and chronic pain, within a multidisciplinary setting.

We are looking for a registered adult nurse who has a genuine interest in Pain Management. As an Associate Clinical Nurse Specialist in Pain Management you will be expected to support the development and delivery of the clinical pain service for both inpatients and outpatients.

Previous pain management experience is not essential, but the individual must demonstrate excellent communication skills and be willing to develop further. Additionally, sufficient knowledge will be required to manage complex pain situations. The individual must be motivated to develop and support progression of the service. There is great scope in this role to grow both personally and professionally.

This post will enable the candidate to develop skills and knowledge within the Inpatient Pain Management team, with the aim to develop skills and knowledge required for a Clinical Nurse Specialist (CNS) post.Informal visits/enquiries are encouraged, please feel free to contact us

Main duties of the job

The Associate Clinical Nurse Specialist in Pain Management will be expected to support the development and delivery of the clinical pain service, as well as the rest of the pain management service. They will be expected to provide expert clinical knowledge in the management of pain to individual adult and paediatric patients or patient groups. This will be delivered as a component of the patients' wider care management, under the supervision of the Clinical Nurse Specialists (CNS) and Consultants in Pain Management.

The applicant should be a registered adult nurse educated to first degree level in a health related subject. The individual should be undertaking or willing to undertake appropriate post registration education and development within the area of specialist practice.

The role of the Associate Clinical Nurse Specialist in Pain Management includes the following supervised activities:
  • Managing a caseload of specialist patients both on the inpatient and outpatient environment.
  • Receiving referrals.
  • Providing assessment, planning, delivery and evaluation of specialist care within defined guidelines and protocols (both Local and National).
  • Referring to other disciplines and agencies.
  • Involvement in training and education for the multidisciplinary teams. They must also be willing to develop their own knowledge and skills.
  • Disseminating up-to-date evidence based practice.
  • Ensuring effective communication between all service providers.

About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals,Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.Both hospitals provide full clinical services, including full maternity, emergency and children's,in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe,effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.

Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminsterand are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

  • Clinical / direct care practice
    • To contribute to the smooth running of the inpatient Pain Management Service.
    • Provide holistic assessments, plan and conduct pain treatment. Follow-up planned treatment, under the supervision of expert colleagues and within agreed guidelines and protocols.
    • This involves undertaking daily specialist ward rounds and twice weekly multidisciplinary ward rounds.
    • To carry the inpatient pain bleep once competent and respond to urgent or non-urgent situations. If required, offer specialist advice in accordance with agreed guidelines and protocols. This may involve: dealing with patients in severe pain or with suboptimal pain management, managing side effects and administering or recommending the appropriate treatment. Finally, recognising the unwell patient who requires referral or urgent medical attention and escalating as appropriate.
    • To draw on both their own and others knowledge in decision making to determine evidence-based interventions within guidelines and actively monitoring these.
    • To act as an advocate for the patient in treatment related decisions and choices.
    • To refer a patient who requires the administration of an epidural bolus or IV opioid for severe pain to an Anaesthetist and following a period of supervision from the CNS & Consultants, deliver this treatment according to agreed guidelines and protocols. To seek medical advice in patients with respiratory depression / over dosage of opioids.
    • To co-ordinate with an Anaesthetist, to provide a 24-hour inpatient pain service for patients in all clinical areas (adults and paediatric). Provide handover information to the on-call Anaesthetist for out of hours care where necessary.
    • To have supervised input into the delivery of the outpatient Pain Management Service and assist the Consultants and other CNSs in the development and future delivery of outpatient Pain Management Services.
    • Participate in Pain Management Service multidisciplinary team meetings.
    • To use effective communication and interpersonal skills to provide information, explanation and reassurance to both patients and families. Furthermore, build an environment of trust, promoting patient empowerment.
    • To maintain accurate and contemporaneous records of patients assessment, care, treatment and follow up.
    • To participate in providing specialised aspects of patient care and treatment, working in partnership with others.
    • To provide holistic assessment, care and treatment to patients under the supervision of expert colleagues and within agreed guidelines and protocols and plan / conduct appropriate patient follow up.
    • To address patients health promotion and prevention needs through comprehensive assessment of individuals for risk factors and early signs of illness.
  • Leadership and collaborative practice

  • 2.1. To work within an agreed job plan to meet service requirements, which are to be agreed within three months of taking up the role. This will then be reviewed annually and help maintain records of activity.

    2.2. To provide advice and guidance to Nurses and other professions within the bounds of own knowledge and expertise.

    2.3. To work collaboratively with colleagues, patients and families.

    2.4. To maintain awareness of own role in relation to the wider multi-professional team and organisation, whilst building and maintaining these working relationships.

    2.5. To develop and maintain awareness of epidemiological, demographic, social, political and professional factors relevant to their area of practice.

    2.6. To use a reflective and questioning approach to individual practice, participating in clinical and service changes.

    2.7. To support and contribute to delivering the wider Trust agenda as directed by the Chief Nurse and the Trust Senior Nursing and Midwifery Council.
  • Improving quality and developing practice

  • 3.1. To participate in activities to monitor and improve the quality and effectiveness of own practice including clinical audit, peer review and clinical supervision.

    3.2. To seek the views of patients, families and colleagues, using this to develop and improve practice and the patient experience within the specialty.

    3.3. To contribute to change at individual and team levels to improve practice and health outcomes.

    3.4. To participate in risk assessment and clinical governance activities, including clinical audit.

    3.5. To maintain awareness of relevant research and evidence based developments relating to area of clinical expertise and profession practice.

    3.6. To ensure the appropriate and effective use of resources to ensure both cost effectiveness and quality.

    3.7. To contribute to the development of standards, policies and clinical guidelines.
  • Developing self and others

  • 4.1. To actively seek feedback on own professional practice.

    4.2. To provide patient education and information that is appropriate and responsive toindividual needs and level of development.

    4.3. To maintain own development through:
    • Personal development planning
    • Maintaining a personal portfolio and adhering to revalidation requirements
    • Identifying appropriate learning opportunities
    • Identifying ways of applying own learning to practice
    • Appropriate development of role / scope of practice
    • Participating in clinical supervision

    4.4. To identify and use opportunities to share knowledge with and influence the practice of colleagues.

    Person Specification

    Skills and Knowledge


    • Excellent written and verbal communication and interpersonal skills
    • Sound knowledge of the principles and practice of specialist care
    • Computer literate: able to use word, email, excel and manage databases
    • Ability to recognise the contribution of members of the MDT



    • Management/ organizational / prioritization skills.


    • Awareness of current NHS issues and appreciation of the issues surrounding governance and quality initiatives
    • Able to critically analyse and apply
    • Project management, knowledge & skills.

    Education and Qualifications


    • Registered Adult Nurse
    • Relevant Degree or equivalent experience in nursing or health related field
    • Experience of formal and informal teaching
    • Experience of working effectively as part of a multidisciplinary team


    • Undertaking appropriate post registration education and development within area of specialist practice
    • Experience of working in inpatients and outpatients relevant to the specialism
    • Recent experience of data collection and audit

    Employer details

    Employer name

    Chelsea and Westminster Hospital NHS Foundation Trust


    Cross site: Chelsea London and Isleworth Middlesex

    London and Isleworth

    SW10 9NH

    Any attachments will be accessible after you click to apply.


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