Clinical Nurse Specialist - #1749869

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Job Overview

The post holder will work as a skilled, autonomous Dermatology practitioner as part of the multidisciplinary team to deliver high quality care to patients. The post holder will work across divisional and professional boundaries, encouraging inter-disciplinary working for the benefit of improved patient outcomes and efficient use of resources.

Working independently with patients with a confirmed diagnosis they will use their clinical judgement and skills to assess patients and enable them to make decisions on appropriate treatments, taking into account patient safety, individual factors and cost-effective prescribing; and working within evidenced based guidelines. They will continue to support and monitor patients on such medications, escalating issues to Consultant colleagues appropriately.

The post holder will act as a resource to the wider dermatology team, and as a professional role model for Dermatology and the advancement of nursing practice.

They will work collaboratively with Dermatology and Plastics colleagues to develop and sustain a clinically excellent service. They will audit, evaluate and implement best practice. The post holder will be an independent non- medical prescriber, offering advice and expertise within their clinical setting.

Main duties of the job

• Provide skilled assessment of patients with inflammatory skin disease including history taking, physical assessment, and requesting, interpreting and acting on appropriate tests and investigations in a timely manner.
• Using expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.
• Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage skin disease.
• Take a key role in the development of the North Bristol Trust Dermatology biologics service
  
  

Working for our organisation

North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.

North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.

Detailed Job Description And Main Responsibilities

• Provide skilled assessment of patients with inflammatory skin disease including history taking, physical assessment, and requesting, interpreting and acting on appropriate tests and investigations in a timely manner.
• Using expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.
• Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage skin disease.
• Demonstrate competence, knowledge and skills in a wide range of practical procedures
• Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formulary
• To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.
• Provide specialist advice and support to colleagues within the organisation.
• To actively take part in planning, developing and improving services in order to be responsive to patient needs as well as well as Directorate, Trust and National Health Service needs
  
  

Take a key role in the development of the North Bristol Trust Dermatology biologics service

Participate in implementing national standards and frameworks at a local level within the speciality.

To be responsible for identifying and addressing his/her own professional, training and development needs in light of developments in service in the specialty.

To promote and implement change within the clinical service and to measure outcome

Person specification

Education/Training/Qualifications

Essential criteria

• RGN level 1 registered nurse degree (BSc)
• Masters level degree or wiling to work towards masters level degree including: Physical Assessment and Clinical Reasoning, and Pathophysiology and Diagnostic Reasoning courses for advancing practice
• Non-medical prescribing or willingness to undertake
  
  

Work Experience

Essential criteria

• Dermatology experience including treating patients using biological therapies
• Experience in promoting health/ health education one to one
  
  

Knowledge/Skills/Abilities

Essential criteria

• Excellent interpersonal and communication skills in dealing with patients, relatives and colleagues
  
  

Desirable criteria

• Experience in blood monitoring for patients on long-term systemic medication
  
  

Personal Qualities/Special Circumstances

Essential criteria

• Effective team worker
  
  

If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful.

Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance.

If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel 0117 414 1151.

North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment.

The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.

At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.

Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.