This job has expired

Nurse Specialist (XR06)

Leeds Teaching Hospitals NHS Trust
£35,392 to £42,618 a year
Closing date
1 Dec 2023

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Band 6
Contract Type
Full Time
An exciting opportunity has arisen within the Out Patient Antimicrobial Therapy team (OPAT) based at St Jamess University Hospital. We are expanding our service to benefit more patients and reduce their length of stay in hospital. We are a small team of clinical nurse specialists and we are looking for two innovative, enthusiastic and dedicated Band 6 nurses who possess excellent interpersonal skills to join us.

The OPAT team provide an excellent standard of care for patients predominately receiving outpatient intravenous therapy which improves the patients experience, reduces unnecessary hospital admissions and facilitates early safe discharge.

Main duties of the job

The service runs 7 days a week 365 days of the year service between the hours of 8am-6pm Monday to Friday, 8am-4pm Saturday and Sunday.

The team work closely with the CIVAS team in the community providing antimicrobial therapy in the OPAT clinic at St James, further to this, we run COPAT (Complex OutPatient Antimicrobial Therapy) telephone clinic with Specialist Pharmacists to support and monitor patients taking oral antimicrobials.

You will be required to support the Band 7 Clinical Nurse Specialist to:-

Manage, co-ordinate and prioritise a caseload of patients requiring IV therapy within the OPAT Virtual ward.

Assist in the development and delivery of competency based training and the education of patients within the specialist field of IV Therapy.

You will need confidence working autonomously and in your decision making skills.

You will act as a resource for patients, nursing and medical colleagues, and actively participate in further development and expansion of the service within the Trust.

You will deputise in the absence of the Band 7 leadership and running of the service and management of the team

You will have the opportunity to enhance and expand your knowledge and skills, with opportunities in the future to potentially undertake the non-medical prescribing course.

Please read Job Description document attached for more information.

About us

Come and join our team in Leeds and become part of The Leeds Way sharing our vision and values. Our Trust is recognised for our staff engagement, great care and rated GOOD by the Care Quality Commission.

Leeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK and based in one of the fastest growing and vibrant cities in the north with links with multiple teams and specialties across our large across and outside the organisation.

For all new starters to the Trust we have an award winning, structured Introduction to Professional Practice (IPP) Induction programme to prepare you for working at LTHT. We also have a 6 month Preceptorship framework to support you in your new role, which incorporates further education sessions and support forums and clinical supervision.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities

The Jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care.

The jobholder will provide specialist nursing care, treatment and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will ensure cost effective use of resources.

The job holder will support the development of interdisciplinary and whole service working. As a role model they will promote the sharing of good practice and delivery of high quality, effective and efficient care. The job holder will provide training and education to staff groups, patients and families/carers.




Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care.

Support staff to provide efficient, effective, safe and quality care to patients as an expert practitioner.

Deliver a positive patient experience.

Support in the delivery of an effective, evidence based, safe, quality service within budgetary envelope.

Provide support to the clinical teams to develop new ways of working.

Provide effective leadership in the development of staff at all levels.

Responsible for the day to day supervision of junior clinical staff and students within the specialist team.

Motivate staff in the delivery of quality patient care.

Contribute to the recruitment and selection process.

Contribute to Nursing and Midwifery objectives and service improvement.

Supervise clinical delivery of care competencies.

Anticipate problems and take preventative or mitigating actions, or have contingency plans available.

Investigate and respond to accidents, complaints, untoward incidents and other significant events.

Maintains record of workload and performance monitoring information and reviews this on a regular basis with team manager.

Under the direction of the Team Manager participates in or lead the development of specific elements of nursing practice, reflecting the CSU and Nursing, Midwifery and Allied Health Professionals business plans.

Engage users and carers views on service delivery and development.

Contribute to and implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate.

Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately.


Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance.

Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people including support for transition, as they move from childrens into adult services between the ages 11-25 years.

Participates in the setting, monitoring and improvement of standards and quality of patient care.

Undertake clinical procedures where dexterity and accuracy are required.

Assess, plan, implement and evaluate care and treatments using specialist clinical knowledge and clinical skills.

Make clinical assessments and treatment decisions within clearly defined policies and protocols.

Organises own clinical workload.

Undertake duties on wards or departments as and when required by service demands or patient need.

Supervise clinical staff to promote the delivery of excellent clinical standards.

Receives supervision of clinical care and outcomes from nurse specialist team leader.

Act in accordance with the relevant professional code i.e. NMC,

Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration.

Ensure and promote the maintenance of a safe, clean and secure working environment.

Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.

Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes.

Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised.

Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients.


Maintains accurate clinical and other records using the LTHT documentation.

Support patients and their families, communicating sensitive condition related information, ensuring they receive required information to enable them to participate in their care delivery.

Deliver complex information to patients and staff.

Liaise with external health providers and other agencies (as appropriate) to ensure seamless provision of care delivery.

Quality Improvement & Research

Improve the quality and safety of our services by being proactive in promoting and supporting the Leeds Improvement Method.

Contribute to quality improvement programmes as required.

Keep up to date with and communicate service developments, advances and research.

Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan.

Actively promote patient involvement and feedback within service improvements to promote a positive patient experience Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area.

Undertake audit programmes specific to client group, treatments and developments.

Help to set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance.

Participate in clinical trials as appropriate.

Work closely with Research and Innovation to promote research , disseminate outcomes and findings to support evidence based practice.

Education and Training

Provide training and education of learners and other junior staff

Participate in own and others appraisals and in the development of own personal development plan and performance review.

Undertake role specific training and competencies.

Provide education and training to patients and their carers.

Keep up to date with developments, advances within the specialty.

Collaborate with other members of the team in clinical areas and departments to ensure that the provision of education and training is clear and robust.

Mentorship and supervision of junior staff.

Support staff to deliver evidence based practice and research activities to further enhance patient care.

Undertake mandatory and priority training within the required time scales

This does not provide an exhaustive list of roles and responsibilities, and these may be subject to change with professional and service developments.

Please read Job Description document attached for more information.

Person Specification

Additional Requirements


  • Excellent written and verbal skills.
  • Ability to organise and prioritise own and others workload.
  • Able to fulfil Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy
  • Ability to travel in between Trust premises and patient homes for posts that involve community visits



  • Registered Nurse (RN Adult for adult clinical areas or RN Child for childrens areas (Level 1 or 2)
  • Recognised teaching/assessing qualification or equivalent experience of teaching and assessment
  • Evidence of continued professional development
  • Willing to undergo training as necessary


  • Post registration qualification in specialty
  • Degree Level Education or evidence of working towards.
  • Nurse Prescribing qualification



  • Current issues in healthcare
  • Significant and recent relevant experience working as a Band 5 Staff Nurse or equivalent post registration experience within speciality.
  • Audit & Standard setting

Skills & behaviours


  • Compassionate and caring
  • Capable of lateral thinking
  • Motivator of self and others
  • Positive approach to change
  • Assertive courageous Flexible
  • Adaptable
  • Able to manage stress in self and others

Employer details

Employer name

Any attachments will be accessible after you click to apply.


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