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Stoma Care Nurse Specialist

Portsmouth Hospitals University NHS Trust
£43,742 to £50,056 a year
Closing date
29 Nov 2023

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Band 7
Contract Type
Full Time
An exciting opportunity has arisen to join the busy and progressive Stoma Care Department at Queen Alexandra Hospital. Due to restructuring of the team, we have opportunity to recruit a new Band 7 position to lead the team and develop the team in the future. If you have experience as an existing Stoma Care nurse then we will be keen to hear from you.

The new post holder will be responsible for the management of the existing team and actively take part in service development of the service and the team members. As the team leader, the service requires the post holder to have the Clinical Acumen and skills to guide and support all the team members and support the patients through their journey.

We are currently running a 7-day week service to provide continuity and support for patients and their support network to promote timely discharges. The service runs Nurse-led clinics and is responsible for the follow-up of patients post discharge as well as counselling patients prior to the formation of Stomas for complex cancer surgery benign conditions.

Main duties of the job

  • An autonomous practitioner, responsible for assessment, management and evaluation of treatment and/or care for a caseload of Stoma care patients.
  • Through effective leadership, ensure the clinical multidisciplinary team deliver a safe, effective, responsive, caring and well-led service where compassion is embedded and a positive patient experience is achieved.
  • Provide a strong professional clinical and managerial leadership and act as a professional role model.
  • Work across organisational and professional boundaries.
  • Support and run Nurse-led pre and post operative clinics.
  • Point of contact and support for Stoma care patients.
  • Prevent admissions and facilitate early discharge.

About us

Here at Portsmouth Hospitals University NHS Trust, we are proud to provide expert, compassionate care for our local population. We are ranked as the third in the country for research, embedding education and training across the organisation. Our main hub is the Queen Alexandra Hospital, which is one of the largest hospitals on the south coast employing over 8,700 staff.

Our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds because it makes our hospital stronger. If you share our values and our enthusiasm for getting it right for patients, colleagues, and our community, you will find a home at Portsmouth Hospitals University NHS Trust.

Job description

Job responsibilities

  • Act as a specialist clinical practitioner, in a variety of settings (ward/clinic/virtual)- demonstrating expert clinical skills and knowledge in the field of stoma care in line with trust policies, protocols and guidelines.
  • Provide stoma care teaching and support to patients whilst upholding the Trust's 'values and beliefs', ensuring that they are embedded into stoma care practice.
  • Proactively support patients by providing ongoing support, empathy, and reassurance throughout their recovery and life with a stoma.
  • Make independent clinical, psychological and social assessment of patients and initiate/interpret appropriate evidence-based investigations/treatments as required.
  • Delivering quality stoma care both independently and as part of the team, prioritising workload to ensure patients are seen and any issues are resolved in a timely manner.
  • Act as an advocate and assist patients to make informed decisions concerning their treatment (use of suitable products etc.) by providing expert advice and guidance.
  • Provide high quality verbal and written information to patients, families, carers and members of the multidisciplinary team. Make use of the resources available (interpreters, written documents etc.) for service users who do not speak English. Ensure to confirm understanding wherever possible.
  • Lead the wider multidisciplinary team by providing expert advice in relation to care plans and discharge planning for stoma care patients, ensuring that patient safety is at the centre of any decisions made.
  • Ensure the multidisciplinary team are competent in the delivery of basic stoma care through leading on the delivery of relevant training and monitoring of compliance.
  • Reduce emergency admissions by safely providing timely telephone advice to patients and their families. In addition, provide education to health care professionals both in hospital and in the community.
  • Accept referral and refer patients to other health care professionals/external companies as required in the hospital and or in the community.
  • Ensure that any patient quality and safety issues are addressed in a timely manner. This includes monitoring and evaluating standards of care by the clinical team and providing regular feedback to the specialty team on the findings.
  • Communicate effectively with all members of the multidisciplinary team involved in patient pathway to ensure quality of care is maintained throughout different areas. Ensure that communication is clear, accurate and timely.
  • Lead in and promote participation in benchmarking and quality audits to measure effectiveness of current practices and development of the department wherever necessary.
  • Ensure concerns raised by patients and their families are dealt with in an open, honest and transparent way, quickly and effectively, in line with Trust policies, procedures and Duty of Candour legislation.
  • Practice within the scope of the NMC's code for professional standards of practice and behaviour at all times.

  • Responsible for the organisation and management of the stoma care service.
  • Demonstrate awareness of national and local stoma care guidelines (e.g. Association of Stoma Care Nurses UK) and influence departmental developments in accordance with these.
  • Identify, contribute to, or lead on the development and dissemination of evidence-based guidelines, standards and protocols as required and implement change to improve the quality of the stoma care service.
  • Contribute to trust peer reviews and any focused CQC style reviews where required.
  • Actively contribute to achieving the clinical governance goals/targets set by the trust and department and comply with reporting schedules for monitoring and reporting on clinical outcomes. Includes auditing of services.
  • Implement the Nursing Strategy by setting clear achievable objectives into staffs annual performance and development reviews, evaluate performance and assist staff to achieve.
  • Be proactive in the prevention and management of complaints (formal and those via Patient Advice and Liaison Service) and when they occur investigate and respond in a timely manner.
  • Responsible for the management of staff performance and attendance in line with trust policies.
  • To ensure continued work with stoma link nurses, in conjunction with their line manager, to enhance patient experience where possible.
  • Promote the health and well-being of the multidisciplinary team, patients and their carers.
  • Comply and promote compliance with Trust policies and guidelines e.g. Health and Safety, Clinical Risk and Infection Control.
  • Take appropriate action to address unexpected changes and situations within the department, informing the Matron/HoN or manager if unable to resolve/assistance is required.
  • Responsible for any pay and non-pay budgets to ensure good housekeeping and economic use of resources.
  • Attend relevant department and management meetings with the team and wider organisation as required.
  • Network with other specialty teams (i.e. Wessex stoma care meetings) to share good practice and bring back new ideas to improve the local service.
  • Attend and/or present at seminars/conferences/meetings to raise profile of team and department. Promote the team to consider submitting articles for publication in peer- reviewed or other appropriate journals.

Research and Education

  • Develop a research culture within the team to identify gaps in current practice and deliver quality evidence-based stoma care.
  • Actively contribute to local department multidisciplinary audits, represent the stoma department at governance meetings and highlight areas for change where required.
  • Liaise with the relevant research nurses to ensure appropriate patients are identified to take part in any relevant clinical research studies and that research is delivered safely to all involved.

  • Lead the development and delivery of training to the multidisciplinary team. Utilise a mixture of learning materials such as E-learning, face to face study days, shadowing days and trolley dashes etc. to ensure that staff can access an appropriate level of training of them.
  • Lead on and encourage the education of stoma link nurses to act as a resource in absence of stoma team.
  • Responsible for ensuring staff who the post holder line manages undertake essential training in a timely manner.
  • Succession plan with the specialty Matron for replacement of CNS posts and use talent management skills to identify key staff for further development.

Communication and Working Relations
  • Communicate highly sensitive and complex information with empathy, ensuring that information is understood.
  • Ensure patients, their carers and the multidisciplinary team have access to specialist information and provide care that meets the needs of each individual patient. This includes the provision of support/advice when the stoma team may be unavailable.
  • Communicating and co-operating with other members of the multidisciplinary team, promoting and maintaining good working relationships within own clinical area and across the organisation.
  • An active member of the clinical nursing team contributing to Trust wide nursing groups and meetings.
  • Develop expertise in dealing with interpersonal conflict and be responsible for the resolution of any adverse situation/incidents. Comply and promote compliance to Trust policies e.g. Harassment and Bullying.

Working Conditions
  • Working within the stoma team, as an individual and part of the team.
  • Caring for patients in the inpatient (wards) and outpatient (clinic) settings that require timely interventions.
  • Working within an environment that requires rapid response to unpredictable events.

Person Specification



  • Current RN registration with NMC and any other relevant post-registration qualifications
  • BSc Degree in relevant field
  • Post Reg. qualification(s) in stoma care
  • Leadership development programme
  • Teaching qualification/experience with an accredited NMC mentorship course


  • Masters degree or evidence of working towards



  • Evidence of change management with relevant management/leadership course
  • Evidence of developing policy, guidelines and managing resources
  • Counselling and research awareness
  • Clinical supervision- where applicable monthly attendance

Skills and Knowledge


  • Clinically competent in stoma care
  • Clinical decision making skills
  • Experience of patient advocacy
  • Advanced communication skills verbal, written and interpersonal communication
  • Effective leadership skills
  • Organisational skills and forward planning
  • Flexibility (flexible working, including weekends)
  • Able to support development of others
  • Coaching and mentoring skills
  • Critical appraisal skills
  • Strong customer service skills
  • IT literate
  • Understanding of the principles and application of effective budgetary management
  • Understanding of the principles and application of effective staff / HR management
  • Understanding of the theory and application of Clinical Governance
  • Demonstrable experience of effective management and supervision of staff and taking charge of unit

Employer details

Employer name

Portsmouth Hospitals University NHS Trust


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