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Band 8A Lead Nurse Scleroderma Service

Royal Free London NHS Foundation Trust
£58,698 to £65,095 per annum inclusive of HCAS
Closing date
22 Jul 2024

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Band 8A
Contract Type
Full Time
Rheumatology and Scleroderma at Royal Free London are expanding!

We are elated to be seeking a band 8 a Lead Nurse who will be at the forefront of providing and leading our patient clinical support services as well as clinical expertise within the Scleroderma speciality.

You will lead and drive the improvement of our Scleroderma and overlap complex conditions services at The Royal Free Hospital.

The Scleroderma service provides a nationally recognised service providing diagnostic services including a nurse led Primary Raynaud's service. We are also a national provider for many treatments, facilitate and manage an expert clinical advice service for patient groups with this rare and complex autoimmune condition. This dedicated service manages patients across the spectrum of Scleroderma and overlap conditions across the UK.

We are looking for an exceptional candidate who already possess or will be working towards fostering the key attributes of advanced clinical practice and can implement them into everyday clinical practice:

Clinical Practice


Leadership & Management


This is a new and exciting post during a period of significant growth and improvement in our services including enhancing the digital offering to our patients.

Main duties of the job

The Lead nurse will work closely with the Lead nurse for the Rheumatology service, multi-disciplinary team, divisional/Trust leadership and shared care networks to plan and deliver a first-class clinical service. Including:

Act as a visible role model and expert autonomous practitioner

Provide strategic direction for Clinical Nurse Specialist team

Lead on the development, and implementation of programmes of nursing led care for individual patients and the client group as a whole

Lead training and education for nurses and allied health care professionals within the specialist area, internally and externally

Contribute to development of the department's clinical research strategy, and engage at all levels of research process

In collaboration with the service line leads and specialist practice nursing groups, identify and interpret (at local level) and co-ordination service development and implementation across the Trust

Responsibility for excellent standards of nursing care to patients through the planning, co-ordinating, delivering and evaluating nurse-led services

Lead on review and evaluate the provision of patient information & education sessions, in collaboration with the MDT

Work with the clinical team to create and enable a positive patient experience and promote staff wellbeing

About us

The Royal Free London NHS Foundation Trust is one of the UK's biggest and most innovative Trusts. Across three main hospitals, our dedicated staff care for over 1.6 million patients, treat more than 200,000 in A& E, deliver over 8,000 babies and carry out more than 17 million tests.

Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top

For more information please follow link

Job description

Job responsibilities


1.1 Always maintain professional behaviour and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values

1.2 Practice as an expert, autonomous practitioner. Independently assess patients by using advanced clinical assessment skills and clinical judgement to take a detailed history, physically assess, make required differential diagnosis, order tests or investigations (including IRMER) required to confirm diagnosis, evaluate and review treatment plan

1.3 Triage referrals within local protocols to ensure timely clinical review to increase patient access to specialist advice and treatment

1.4 Undertake independent and supplementary prescribing in accordance with the trust policies and within the scope of practice agreed by clinical lead, divisional director for nursing and clinical director for the division

1.5 Ensure effective communication is maintained both written and verbally, regarding patients, through close liaison with professional colleagues, both in primary and secondary care, and to develop working relationships with consultants, general practitioners and other support services

1.6 Act as a clinical resource in primary and secondary care on managing patients with Rheumatology care needs

1.7 Act as a first point of contact for patients/allied health care professionals seeking specialist advice via the clinical advice line and service email

1.8 Regulary review practice and explore new opportunities for developing and delivering excellence in specialist nursing

1.7 Ensure that all requirements for continuing professional development are met and to keep abreast of new advances in the field of rheumatology as appropriate to attend seminars, unit meetings, and conferences as required by the department

1.9 Ensure infection control policies and procedures are followed at all times by self and all

members of the team
2.1 Maintains a consistent, visible presence in clinical areas of responsibility, ensuring accessibility for patients, family, carers and staff

2.2 Review, develop and audit pathways across inpatient and outpatient settings to maximise patient satisfaction and outcomes.

2.3 Ensure that patients receive timely and appropriate information to facilitate informed choices of treatment options, promoting a culture of shared decision making

2.4 Provide a high quality clinical advice line service to patients, carers and allied health care professionals and regularly audit service effectiveness

2.5 Lead on communications between patients, family/carers and healthcare professionals and to provide relevant support, information, education and counselling as required and within an advocacy role

2.6 Collaborate effectively with relevant teams involved in a patients care

2.7 Maintain accurate record keeping and documentation, in line with Trust & NMC guidelines

2.8 Ensure that any patient complaints are dealt with promptly, sensitively and by following trust procedures and policies

2.9 Regularly obtain patient feedback and work collaboratively with patient and carer groups
3.1 Work closely with clinical teams to conceptualise, design and develop new patient pathways whilst ensuring continuity of care and that improving the patient experience is a driving force for change

3.2 Adopt an innovative approach to incorporate new/emerging themes within Rheumatology

3.3 Actively participate in relevant clinical and managerial groups across the Trust andnationally relevant groups

3.4 Alongside clinical lead and the multidisciplinary team plan for future service developmentsand business plans to support service development strategy

3.5 Participate and present at local, national and international conferences on Rheumatologyspecialist care to raise the profile of the team speciality

3.6 Promote Scleroderma speciality within the Trust

3.7 Promote best practice within the team through role modelling and encouraging reflective practice

3.8 Lead in the education, training and development of Scleroderma care at all levels

3.9 Collaborate with Scleroderma and Raynauds UK, patient charity on health promotionprojects


4.1 Collaborate with pharmacy and clinical team to ensure appropriate funding approvals in place regarding high cost/biological drugs

4.2 Actively manage resources including staffing, material and financial (budgetary). This will also include regular review of skill mix and use of temporary staff

4.3 Support the divisional team in the development and implementation of the annual cost improvement programme in accordance with the trust targets and timetable

4.4 Alongside clinical lead and divisional leadership develop business plans to support service development
5.1 Ensures all staff have access to, and act within, trust /departmental policies and procedures

5.2 Directly line manage the CNS team using trusts HR policies and procedures. Agree/undertake annual objectives, performance appraisals, manage clinical performance and sickness absence

5.3 Lead in the future planning of the strategic development of the Scleroderma nursing service

5.4 Lead in the development of advanced skills and competencies for nurses in specialist practice

5.5 Represent the CNSs nursing perspective at appropriate groups/committees both internally and externally

5.6 Resolve complaints as they arise through communication as necessary, and when appropriate, investigate complaints relevant to remit and write responses. Liaises with the senior Matron/Head of Nursing to bring to their attention any problems identified

5.7 Lead the CNS team in the development and dissemination of pertinent written patient information within the rheumatology speciality, working in collaboration with the MDT team and wider national networks

5.8 Work closely alongside other lead nurses in specialist practice within the trust to support those in advanced nursing roles within the division and trust

5.9 Continually assess and monitor risk in own and others practice and challenge poor practice

5.10 Exercise leadership and inspire colleagues, to improve standards and quality and develop professional practice

5.11 Demonstrate the ability to manage stressful and conflicting situations professionally, as they arise
6.1 Ensures all information is stored and used in accordance with the Data Protection Act and Caldecott principles

6.2 Identifies education and training requirements on Information Governance for all relevant staff

6.3 Oversees high standards of record keeping within areas of responsibility

6.4 Processes information electronically and manually

6.5 Ensures information is communicated through the appropriate Trust channels as


6.6 Work with IT and patient systems colleagues to set up and troubleshoot processes within the Electronic Patient Record that will support the smooth functioning of the service

6.7 Manage and assess a complex range of data, making informed recommendations which are focussed on outcomes that meet external and internal stakeholders and patient needs
7.1 Lead audit of nursing work undertaken and to participate in the MDT clinical audit cycle

7.2 Initiate, promote and/or participate in appropriate nursing research

7.3 Support relevant research being undertaken by members of the MDT, in conjunction with the academic departments and research nursing teams

7.4 Ensure the findings of research are embedded into practice and align with the needs of the service

7.5 Be responsible for overseeing and ensuring the development of all clinical nurse specialists within the team, by formulating and implementing teaching and learning strategies

7.6 Pursue a programme of continuous education to achieve and maintain advanced clinical knowledge and skills necessary to provide clinically effective, evidenced based care

7.7 Raise awareness internally and externally regarding issues of diagnosis and treatment of Rheumatological conditions and Connective Tissue disease spectrum through liaison with interested groups

7.8 Act as a resource for other professionals, ensure that ongoing personal development and appropriate education takes place in order to underpin specialist advice and promote best practice

7.9 Participate in the supervision/training of developmental specialist staff and other junior staff, as appropriate

Person Specification

Royal Free World Class Values


  • Demonstrable ability to meet the Trust Values

Education & professional Qualifications


  • Registered nurse with live NMC registration
  • Educated to degree level
  • Evidence of significant continuing professional development
  • Relevant post grad Rheumatology qualification
  • Physical assessment qualification
  • Evidence of leadership training/qualification


  • Master's degree or working towards
  • Independent prescribing qualification/ willing to undertake



  • Demonstrable experience at a senior nursing level
  • Experience of leading change, delivering tangible and sustained improvements
  • Clinical experience of designing, establishing, or managing services and/or care pathways
  • Significant experience of working as an autonomous practitioner and independent prescriber
  • Leadership skills that are capable of supporting and developing service / others
  • Managing and/or leading a team


  • Experience in innovative Rheumatology service development
  • Evidence of successful delivery of financial and/or quality benefits within agreed timescales
  • Experience in the use of Botox, fat transfer for Scleroderma related symptoms

Skills and aptitudes


  • Leadership, motivation and influencing skills
  • Proven expertise & ability to clinically assess a patient within speciality
  • Teaching experience in clinical practice
  • Problem solving and decision making skills
  • Presentation skills
  • Successful track record in conflict resolution and performance management
  • Knowledge of strategic and national issues pertinent to nursing and area of specialty


  • Ability to travel to shared care partners sites

Employer details

Employer name

Royal Free London NHS Foundation Trust


Royal Free London NHS Trust

Pond Street



Any attachments will be accessible after you click to apply.


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