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Specialist Nurse: Neuromodulation

Oxford University Hospitals NHS Foundation Trust
£35,392 to £50,056 per annum, pro rata
Closing date
30 Nov 2023

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Band 6
Full Time
The Movement Disorder Neuromodulation service is a regional, national and international referral centre for the neurosurgical management of movement disorders. We are based within the Neurosciences Unit at the John Radcliffe Hospital. Our service is one of the busiest Neuromodulation services in the UK offering Deep Brain Stimulation and lesional surgery for patients with movement disorders including those associated with Parkinson's disease, tremor and dystonia.

If you are a motivated, dynamic, highly organised nurse with advanced interpersonal and communications skills then this may be the opportunity you are seeking in order to develop your practice at advanced level in a highly autonomous role.

A flexible approach to working hours is required in order to provide appropriate cover intra-operatively within this service.

Working hours can be negotiable to suit the service.

Main duties of the job

  • Provide highly specialist nursing care for patients with movement disorders who are referred to the service for neuromodulation interventions
  • To actively liaise with the multidisciplinary team and the wider organisation to ensure a seamless pathway of care for service users
  • Work autonomously, and take responsibility for the ongoing assessment, care and support of service users using a broad range of highly specialist complex advanced clinical nursing and decision making skills
  • Take responsibility for device ordering, and the monitoring of patients before, during and immediately after Neuromodulation interventions
  • Contribute to ongoing service development which has a strong focus on audit, research and evidence based practice
  • In conjunction with the multidisciplinary team formulate and evaluate policies, protocols and guidelines to ensure optimal levels of clinical care are sustained and monitored
  • Practice a high level of communication skills and organisational ability to sustain partnership with individuals, groups, managers, stakeholders and industry to ensure the high profile of the service is maintained

About us

Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more

The Trust comprises of four hospitals - theJohn Radcliffe Hospital,Churchill HospitalandNuffield Orthopaedic Centrein Headington and theHorton General Hospitalin Banbury.

Job description

Job responsibilities

Clinical Practice:
  • Be self directed and practice autonomously as well as within a multi-disciplinary team to provide care for patients with Movement Disorders
  • Work clinically to optimize health and wellbeing, providing an expert contribution to the care of patients undergoing assessment and functional neurosurgical procedures for movement disorders
  • Demonstrate autonomous decision making related to comprehensive history taking and Movement Disorder specific physical assessment
  • Autuonomously assess patients prior to and following surgery using appropriate evidence based assessment tools to measure functional ability
  • Plan assessments and investigations during visitis and admissions, making judgements about prescribing and administration of medications in relation to these where appropriate
  • Co-ordinate the continuing provision of patient care, making key contributions to decisions about treatment options, in collaboration with other members of the Movement Disorder Team, and referring to others as appropriate
  • Provide timely and comprehensive information for patients, their families and health care professionals with regard to assessments, investigations, surgery, discharge advice and follow-up care
  • Act at all times as the patients advocate, working in partnership with the patient, their family and health care professionals to plan, deliver, and evaluate care during hospital admissions, participating in informed discussions that may lead to choices being made concerning treatment
  • Practice a high level of communication skills and organisational ability to sustain partnership with individuals, groups, managers, stakeholders and industry to ensure the high profile of the service is maintained
  • Use professional judgement in managing complete and unpredictable care events
  • Accomapny the patient during surgery and participate in their intra-operative assessment. Provide care during the procedure and in the recovery room
  • Programme Deep Brain Stimulation systems independently where appropriate and play a key role in the titration of medication in relation to this
  • Make clinical decisions without recorse to others in relation to the management of patients with Deep Brain Stimulators
  • Provide follow up of patients by providing nurse-led clinics, and arranging consultant-led clinics and admissions as required
  • Review each patients response to treatment by regular contact, monitoring effect and ensuring early detection of problems in relation to neuromodulation
  • Monitor the pathway of care followed by all patients throughout their treatment in the movement disorder service, referring to other health-care professionals as appropriate
  • Maintain adequate patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required
  • Contribute to the evaluation of practice within neurosurgery, utilising guidelines and participating in research as appropriate, developing protocols and guidelines and initiating/supporting change where appropriate

  • Collaborate with the multiprofessional team to develop a shared vision of the service
  • Act as a role model and resource in expert clinical evidence based practice
  • Work collaboratively with colleagues to develop effective documentation, pathways, protocols and guidelines for care. Demonstrate a commitment to share expertise and disseminate information
  • Actively work in partnership with other healthcare professionals and sevices in the hospital and the community to ensure co-ordinated referral and care for patients with movement disorders
  • Participate in implementing national standards and frameworks at a local level
  • Network locally, regionally, nationally and internationally and seek opportunities to develop the specialist nurse role, contributing to the development of practice within movement disorder nursing
  • Provide workplace evidence in the delivery of service / e-rosters
  • Work collaboratively to ensure that patients receive the most appropriate and cost effective treatment for their movement disorders
  • Have an understanding of budgetary constraints and may be required to manage budgets
  • Liaise with Directorate Maganger and Theatres to ensure procurement of appropriate equipmenet for movment disorder surgery
  • Use effective change management skills to initiate and implement service and practice development, making the best use of resources to improve practice and health outcomes
  • Participate in the selection, interviewing, appraisal and professional development of team members as appropriate
  • Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies / forums to contribute to practice and service development
  • Assist in the development of the Movement Disorder Service working with patients and users and across professional boundaries both locally and nationally
  • Participate in Unit Senior Staff meetings and take opportunities to meet with peers in other disciplines in order to develop the service

  • Contribute to the development of, and regularly update, written information for patients before and following surgery
  • Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through ongoing self education and attendance at relevant courses of study
  • Develop and maintain a peer network of support, information and learning with other specialist nurses at a local and National level
  • Maintain own professional portfolio
  • Contribute to the development of specialist nursing knowledge and skills to enhance and extend the practice of other nurses and health care professionals within the service
  • Identify and address the educational needs of patients, families, carers and staff involved in the delivery of this service
  • Contribute to the teaching and support of students from the multi professional team within relevant educational programmes
  • Provide an appropriate learning environment, including mentorship, coaching and preceptorship
  • Organise and contribute to relevant educational programmes and in house study days
  • Contribute to relevant educational programmes locally and nationally
  • Develop and maintain a peer network of support, information and learning with other nurse specialists at a local and National level
  • Update and maintain own specialist knowledge, through critical self-appraisal, clinical supervision and networking with other health care professionals locally and nationally
  • Identify appropriate learning opportunites, which will provide an ongoing update of overall knowledge base at national and international levels

Improving quality and developing practice:
  • Coordinate and participate in ongoing service review and evaluation, including monitoring of patient experience
  • Participate in research / audit to generate new evidence in area of speciality
  • Evaluate clinical practice in relation to its evidence base and clinical effectiveness
  • Identify areas of risk and poor quality, and address these through appropriate governance structures and forums
  • Participate and actively seek peer review in practice
  • Have responsibility to ensure annual appraisal, agree objectives which reflect local and national service needs and develop personal development plans
  • Develop personal and professional knowledge through critical self appraisal, clinical supervision and networking with other health care professionals locally, nationally and internationally
  • Advocate and contribute to a working environment that promotes continuous learning and development, evidence based practice and succession planning, as well as identifying learning opportunities at local and national levels
  • Have a high level of communication skills to enable the participation in the dissemination of practice through conferences and professional publications
  • Ensure statutory and mandatory training updates, as well as role /speciality updates are completed and necessary records maintained

Person Specification



  • n/a


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  • Registered nurse part 1 or 8 or 12 or 15 of register (depending on area of practice)
  • First level degree (HEI level 5 or 6) in nursing
  • Demonstrable post graduate level working.
  • Relevant specialist post-graduate qualification in Neurosciences or equivalent clinical experience
  • Teaching / Assessment / Mentoring qualification


  • Completed or completing Masters level (HEI level 7) qualification or evidence of working towards



  • Demonstrates up to date knowledge and extensive expertise in the speciality.
  • Knowledge of the key professional issues and NMC guidelines relating to professional practice.
  • Evidence of being able to work across organisational boundaries.


  • Experience of applying research evidence to clinical practice.

Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust


John Radcliffe Hospital



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