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Rheumatology Clinical Nurse Specialist

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
Oswestry, Shropshire
£35,392 to £42,618 a year pa
Closing date
4 May 2024

View more

Band 6
Contract Type
Full Time

Job Details

The Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH) is one of the leading specialist orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for innovation. We work together as a team of over 1,600 expert members of staff to make a difference for our patients and their families.

Our latest CQC Report was published in February 2019 and saw us rated as 'Good' overall and 'Outstanding' for care.

We run a Shropshire wide service for patients based on a Hub and Spoke model with Robert Jones and Agnes Hunt Hospital as the Hub and various other sites (spokes) within the county from where we offer our service to patients.

Who we're looking for...

We are looking for an experienced nurse who has an interest in Rheumatology or/and has experience in working in a rheumatology service and will be able to integrate into our motivated and hardworking nursing team.

Main duties of the job

We would expect the successful applicant to take an integral role in shaping the delivery of our high standard of service. You will work alongside Consultant Rheumatologists, Specialist Doctors, other Band 7/6 nurses, physiotherapists and other extended scope practitioners who work as part of the team.

About us

Our aim is to aspire to deliver world class patient care, and we want talented, dedicated and passionate people to help us achieve this.

Our continued success is accomplished through the skills and expertise of our staff, which is underpinned by our values: Friendly, Caring, Excellence, Professional and Respect. If your values align to ours, and you would like to join us in aspiring to deliver world class patient care, we would love to hear from you.

Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.

Whether you're starting out in your career, or have a wealth of experience - we're always looking to recruit outstanding individuals in a range of clinical areas, as well as support and administrative roles.

We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to state-of-the-art facilities and outstanding professional development opportunities.

RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.

Shropshire is also one of the most attractive parts of the country, with a rich historic culture and excellent transport links. The hospital is located on a site outside Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.

Job description

Job responsibilities

The main purpose of the post is to provide a rheumatology service by:
  • Providing independent patient clinics alongside the consultants.
  • Providing advice and support to colleagues, patients and carers.
  • Participating in the operation of a specialist nurse led telephone advice line for patients

Duties and Responsibilities

1. To provide a specialist nurse service for people with rheumatology conditions.

2. To assist in the development of specialist nursing assessment, evidence-based intervention, advice and support for clients with rheumatology conditions.

3. To participate in nurse clinics, working in parallel with consultant clinics, seeing follow up patients according to agreed written protocols, treating to target and working within agreed competencies and within a defined development plan. Clinics are held at RJAH (service hub)and from other outreach sites.

4. To assess patients with rheumatoid/Inflammatory arthritis using the DAS 28/PSARC score to assess suitability for and response to anti TNF therapy.

5. To complete funding applications for anti TNF treatment in line with commissioning guidelines.

6. To link with the nursing staff on Sheldon ward, where there are 2-4 Rheumatology beds and the specialist nurses who deliver the day case infusion service, to provide advice and support regarding patient management.

7. To act as a resource for patients and other professionals providing advice, support and information through a patient telephone advice line. The purpose of the telephone advice line is to enable the nurses to provide support for patients/ Carers / GPs, / other specialists/Practice and District nurses who may have queries regarding symptoms and treatment. The post holder will then liaise with the appropriate consultant to provide management advice to the patient. This will be in line with the standard operating procedure for telephone advice line.

8. To assist in providing supportive education in rheumatology related issues with colleagues, patients and their carers.

9. To promote best practice in line with relevant quality care standards and NICE guidance.

10. To work with the multi-disciplinary team of consultants, nurses, HCAs, therapists, pharmacist, dietitian, and administrative staff. To attend the monthly county rheumatology meetings and specialist nurse meetings.

11. To refer patients to other members of the MDT as appropriate and to community support service as required.

12. Maintain patient records to ensure information is accurate and up to date and complies with professional standards and the Data Protection Act.

13. Undertake patient satisfaction surveys and participates in clinical audit to fulfil the requirements of the organisation and the Rheumatology unit.

14. To participate in service improvement initiatives.

The post holder will be expected to cover 4 clinics a week (if working full time) across multiple sites. The job role will include helping to manage the help and advice line, monitoring of bloods as part ofDMARD monitoring, drug education, pre-treatment screening, drug education and drug funding applications. The post holder will also be expected to provide support and advice to patients/ carersand other professionals.

Person Specification



  • First level registered Nurse


  • Clinical Post Graduate training (such as a rheumatology or orthopaedic post graduate course, nurse prescribing)



  • Proven post graduate experience in a nursing role
  • Clinical experience of working with adults with rheumatology conditions
  • Experience of working with service users to develop practice
  • Experience of treatment evaluation or audit


  • Experience working in an out-patient setting
  • Participation in service improvement activities

Skills & Competencies


  • Commitment to improve and maintain own development and skills and standard of care with evidence of on-going professional development
  • Good communication skills
  • Able to prioritise own workload
  • Good team working, supporting each other to deliver the service
  • Able to work on own initiative
  • Ability to build constructive relationships with empathy
  • Ability to treat users with respect and dignity, adopting a culturally sensitive approach which considers the needs of the whole person
  • Ability to operate effectively with associated agencies
  • Able to use IT systems such as Microsoft applications


  • Presentation and teaching skills

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust


The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust


Oswestry, Shropshire

SY10 7AG

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