A rare and exciting opportunity has arisen to join the HIV Community Clinical Nurse Specialist team, within the internationally recognised CWHFT HIV directorate.

Acting as a link between CWHFT HIV services and the community setting, you will holistically manage a caseload of people living with HIV, who may have complex physical and psychosocial needs. You will work within a small and dynamic team based from Chelsea and Westminster Hospital, regularly collaborating with other professionals, utilising telemedicine where appropriate and hot-desking from various sites. You will be responsible for visiting patients in their homes, or in other community-based settings, such as, GP surgeries, and drug and alcohol treatment centres, predominantly across the boroughs of Hounslow and Ealing, with a requirement to also provide cross-cover for other boroughs.

The team aims to improve access to, and engagement with HIV treatment and care to reduce unnecessary attendance and admission to healthcare services and to support discharge planning where appropriate. They also seek to improve overall health, wellbeing and quality of life by empowering patients to take a fuller role in their healthcare and in addressing the wider determinants of their health. Apply today if you're eager for a new challenge.

Main duties of the job

As part of a multidisciplinary community team and in liaison with the acute services at the Chelsea and Westminster NHS Foundation Trust, to enhance the provision of care to people living with HIV/AIDS currently on or off combination drug therapies and to empower individuals to maximise their independence in living as normal a life as possible.

To work both as an independent practitioner, and in partnership with the team, supporting Stable HIV patients across all areas commissioned by Chelsea and Westminster Healthcare NHS Fdn Trust.

To provide proactive case management of patients with HIV with highly complex needs who struggle with adherence and engaging in care.

To act as an expert and a resource on HIV healthcare issues to Specialist Palliative Care Service, local nursing services, GP's and social service teams.

To promote collaboration between acute and community health and social care providers.

To organise and help facilitate teaching and training on HIV related healthcare issues, with specific focus on supporting clients taking complex combination therapy regimes.

To develop and empower the primary care teams to improve their ability to manage clients on combination therapy.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A& E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a �30m expansion of critical care at Chelsea and Westminster and an �80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Job description

Job responsibilities

Professional Practice

• In collaboration with the Senior HIV CNS, manage a caseload of stable HIV patients and with highly complex needs within the community setting who have been identified as requiring specialist expertise in the management of Highly Active Antiretroviral Therapy HAART and coordinating complex care packages to assist in maintaining them within the community setting.
• Ensure that patients are fully informed and supported by providing clinical and social support through patient education around management of HIV and provide education for those newly diagnosed.
• Work autonomously, independently assess and diagnose problems/issues, prescribe treatment, review blood results, order and interpret clinical tests and deliver and evaluate plans of care, within own sphere of competence and with supervision from the Senior HIV CNS/HIV Consultant colleagues.
• Effectively deliver an expert, efficient and high quality service to all patients requiring HIV care.
• Be a key contact point in the service for patients and professionals

Education

• To identify, assess and meet the educational needs of the acute, primary and social care teams in relation to the specific needs of this client group.
• Identify, assess and meet the educational health care needs of patients and carers.
• To participate in teaching and assessing in clinical practice, including mentorship and preceptorship of pre and post registration healthcare professionals in both settings.
• To continue own professional development in line with NMC Guidelines on Professional Practice.

Research

• In conjunction with the Senior HIV CNS, undertake research related to the CNS role and the provision of quality healthcare in the community.
• To use Trust wide and local clinical indicators to measure the quality of nursing care being delivered to patients.
• Support the implementation of evidence based practice
• To actively explore opportunities coming out of audit to undertake research within own speciality.

Management

• To manage a small delegated budget for equipment and supplies pertinent to the role.
• To maintain a flexible approach to the role and ensure provision of an effective and efficient service within agreed budgets and resources.
• To contribute to the continuing development of HIV services to attain high quality patient focused care
• To encourage innovation and develop new approaches to the delivery of patient focused care.

Please see attached job description and person specification to this advert for further details.

Person Specification

Education and Qualifications

Essential

• Registered RN with a degree in nursing
• Degree in Nursing
• Substantial experience in HIV
• Mentorship course or equivalent
• Qualification in the speciality of HIV or a recognised HIV course
• Adherence and treatment support training
• Evidence of recent, relevant professional development
• Skilled in venepuncture

Desirable

• Independent Nurse Prescriber
• Masters course or working towards a masters
• Mental health training/qualification
• Leadership qualification

Experience

Essential

• Substantial experience of nurse delivered stable patient management in a HIV setting
• Experience providing HIV treatment support
• Experience of working within a multi-professional team

Desirable

• Experience of working with vulnerable adults
• Experience of undertaking audits and research
• Counselling experience

Skills and Knowledge

Essential

• Substantial experience of nurse delivered stable patient management in a HIV setting
• Experience providing HIV treatment support
• Experience of working within a multi-professional team
• Highly developed communication skills (interpersonal negotiation, liaison, written and presentation skills)
• Computer/IT literate
• Ability to prioritise and work independently in the community as a lone worker
• Comprehensive clinical knowledge of HIV and HIV related health conditions
• Flexible approach to working with the Primary Care Teams
• Ability to work across complex organisations
• Ability to manage a caseload of highly complex patients with complex care needs
• Ability to independently assess patients, develop care plans and make onward referrals as appropriate
• Ability to communicate complex issues and ideas with a broad range of people

Desirable

• Experience of working with vulnerable adults
• Experience of undertaking audits and research
• Counselling experience
• Ability to perform physical assessments of patients
• Experience of budget management
• Ability to advise senior staff in relation to risk management and quality improvement

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital - Community based

369 Fulham Road

Chelsea

SW10 9NH

Any attachments will be accessible after you click to apply.

289-SC-2252