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Clinical Nurse Specialist- Deteriorating Patients

Maidstone and Tunbridge Wells NHS Trust
Maidstone and Tunbridge Wells
£50,952 to £57,349 per annum pro rata
Closing date
17 Jul 2024

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Band 8A
Contract Type
Full Time
The Deteriorating Patient Clinical Nurse Specialist is a new role situated in the Corporate Nursing Directorate for governance purposes, but will report to the Medical Director initially. A strategic and educational role expected to lead on the development and implementation of strategies to ensure the safe and appropriate management of deteriorating patients (including sepsis). The role will support the corporate project led by the Medical Director to reduce harm in deteriorating patients and sepsis. The post holder will develop approaches to audit the effectiveness of the relevant care processes instigated and work on measures to drive improvement.

In order to deliver their responsibilities effectively the postholder will need to develop strong working relationships with a wide variety of staff and stakeholders both within and outside the organisation. This will include, but not be limited to the following key areas:

Main duties of the job

o Provide visible leadership and clinical expertise for this practice field.

o Develop & manage a broad range of complex programmes and activities to deliver a corporate improvement programme & a training and awareness programme on management of deteriorating patients.

o Develop and deliver a trust-wide educational programme to promote best clinical practice for the recognition, treatment & care of deteriorating patients

o Maximise opportunities to promote health education & promotion for patients and to establish links with support organisations for patients with Sepsis and/or AKI.

o Identify and develop deteriorating patient champions in all areas

o Contribute to the implementation of Martha's rule across the Trust.

o Ensure that quality and safety issues relating to the implementation of the Deteriorating Patient and Treatment Escalation Plan policies are addressed with relevant senior clinical colleagues.

o Operate independently as an expert on the management of deteriorating patients guided by NHS national, local and MTW policies. Lead in the development of patient pathways, policies and protocols, to enable changes in practice to be achieved, implemented, evaluated and disseminated both locally and nationally.

o Lead on audits to evaluate the treatment and outcomes of care for deteriorating patients to include patients diagnosed with sepsis and/ or AKI.

About us

MTW is a large acute hospital trust in the south-east of England.

We provide a full range of general hospital services and some aspects of specialist and complex care to around 600,000 people living in west Kent and East Sussex. We have a team of over 8,000 full and part-time staff. We also provide specialist cancer services to around 2 million people across Kent and East Sussex via the Kent Oncology Centre.

Would you like to work flexibly? In the NHS, we are reminded every day of how important life is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.

Job description

Job responsibilities

Once your pre-employment checks have been completed you will be contacted by Recruitment to arrange your start date which will be in line with one of our Corporate Inductions.

Following your Corporate Induction you will be expected to attend the Trusts 2-week Induction Programme for RNs, NAs, RMs, ODPs and Paramedics. The programme is full-time (please email if this is problematic) and will involve travel to both Trust sites. The programme includes supernumerary shifts in the clinical area, classroom-based sessions and e-learning.

Please note that appointment to this post will be subject to a satisfactory Disclosure & Barring Service Check at Enhanced Level. (Enhanced level now includes regulated checks against vulnerable adults and children)

At MTW, we seek to develop a culture where everyone can reach their full potential with opportunities to grow and develop their career. We recognise and value the unique contributions that each of our staff bring, delivering the best quality care and service to our patients. We are committed to being a diverse employer and strive to reflect everyone in our local communities. We welcome applications from people of diverse backgrounds, perspectives and experiences and celebrate the diversity of thought, viewpoints and ideas that will make our Trust the best place to work.

We support our staff with disabilities to ensure they have the adjustments they need to be the best they can be in the workplace. Collaborating with Access to Work means that our staff are assessed by experts in the workplace and we ensure that their recommendations are implemented as quickly as possible. You can find out more here: Access to Work: get support if you have a disability or health condition: What Access to Work is - GOV.UK (

Interview Date: 1 August 2024

Person Specification



  • Registered Nurse on the appropriate part of the NMC Register Practitioner
  • Masters level education, relevant clinical qualification or equivalent experience
  • Evidence of post registration study in relevant area


  • Nurse Mentorship or recognised teaching qualification.
  • Master's degree or working towards this degree or equivalent job-related experience



  • Experience, managing change or continuous improvement within clinical settings.
  • Significant experience working in an acute nursing clinical setting.
  • Excellent communication and interpersonal and teaching skills including being able to teach a range of clinical staff and provide effective feedback
  • Organisational and time management skills
  • Evidence of successful leadership, management and engagement of clinical and operational teams to introduce change
  • Report writing skills and experience



  • Ability to lead, influence and persuade at a senior level
  • Effective and decisive leadership, capable and committed to translating policy into practical action
  • Excellent organisational and time management skills
  • Good analytical/critical appraisal and deductive reasoning skills
  • Innovative and creative in the development of clinical practice
  • Have IT skills and be able to produce reports
  • Ability to communicate complex information effectively in small and large groups.

Employer details

Employer name

Maidstone and Tunbridge Wells NHS Trust


Maidstone and Tunbridge Wells Hospitals

Maidstone and Tunbridge Wells

ME16 9QQ

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