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Job summary

Main area
Transplant
Grade
Band 7
Contract
Permanent
Hours
Full time - 37.5 hours per week (Additional on-call duties incorporating evenings and weekends on a rota basis)
Job ref
196-NM12096
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Harefield Hospital
Town
Harefield
Salary
£49,178 - £55,492 p.a. Inclusive of Outer London High Cost Allowance
Salary period
Yearly
Closing
Today at 23:59
Interview date
07/10/2024

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Clinical Nurse Specialist Recipient Transplant Coordination (Developmental Role)

Band 7

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. 

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.



Job overview

We have an exciting opportunity for an experienced Cardiothoracic Nurse to work with the Clinical Nurse Specialist (CNS) team within the Transplant Unit at Harefield Hospital.

The role of the CNS in Transplant Coordination (TXCO) is multi-faceted, encompassing advanced clinical assessment skills and advanced communication/organisational skills. As a CNS in TXCO you will be responsible for providing specialist nursing knowledge and expertise to patients, their families and other healthcare professionals. The post holder will be expected to hold a high degree of personal professional autonomy and as appropriate, make necessary clinical judgements pertaining to the patient group. Service provision is required 24-hours daily, therefore on call is utilised to provide out of hours cover.

Please note a Band 6 may be offered to a suitable candidate who does not have the appropriate experience, training will be given and when competence achieved a Band 7 will be approved.

Main duties of the job

To be a specialised nurse working with a specified group of pre/post cardiothoracic transplant patients, taking responsibility for stages of the journey from referral and follow up to potential transplantation.  
To provide education/information to cardiothoracic assessment patients and their families regarding transplant assessment and post transplant care/long-term follow-up.
To be involved with all aspects of patient reviews (face-to-face; telephone and virtual).
Participate in the transplant MDT meetings. Collect relevant audit/research data.
Communicate with patients/families; MDT; external health professionals and referring teams.
Provide on call cover, as required

Working for our organisation

The successful candidate will play a key role within the Advanced Nursing Team, providing individualised care to our patients and their families/carers throughout the transplant process, from initial referral/transplant assessment to  transplant surgery. You will work with a world class medical and multidisciplinary team, utilising your knowledge and nursing care in the world of Cardiothoracic Transplantation. 

Detailed job description and main responsibilities

Provide patient/customer care:

  • To lead the provision of care in accordance with Trust Policies/Protocols reflecting current trends and developments in nursing and the NHS.
  • To provide care, education and support for the designated patient caseload, acting as a specialist resource when liaising with multidisciplinary teams both internally and externally, facilitating the best use of all available services.
  • To assess, plan, implement and evaluate programmes of care, for transplant assessment/waiting list patients, utilising evidence-based practice, to improve the quality of care and meet patients’ needs.
  • To facilitate transplant assessment/waiting list out-patient clinics and telephone review clinics.
  • To request investigations for designated patient group, as per protocol, interpret and act on results as appropriate.
  • To refer, as required, to support services i.e., psychology, dietetics, supportive/palliative care, physiotherapy etc.
  • To be aware of the NHSBT Clinical Governance Policy and submit notifications, as appropriate.
  • To undertake on-call and/or internal rotation as required, ensuring that there is service cover 24hrs/day, in relation to for the transplant coordinator role.

Communication:

  • To work effectively within the trust's transplant team ensuring an individualised, evidence-based service for each patient and their family.
  • To act as advocate for transplant assessment/waiting list patients and their families, enabling them to express their needs effectively when dealing with the multidisciplinary team.
  • To liaise closely with the Nurse Consultant, Modern Matron, Nurse Specialists regarding the needs of the transplant assessment/waiting-list patients.
  • To liaise closely and effectively with NHSBT and the Specialist Nurses for Organ Donation with regards to donor offers/retrieval activity etc.
  • To network with other Transplant Coordinators throughout the UK, joining appropriate organisations in order to collaborate, share and benchmark practices and initiatives.

People Management:

  • Act as a role model, demonstrating high standards of care and providing clinical leadership in the specialist area.
  • To oversee, support and delegate appropriately to junior colleagues.
  • To orientate/mentor new transplant coordinators, ensuring competencies are achieved and relevant documentation completed as appropriate.
  • To coordinate relevant multidisciplinary personnel when organising transplant activity, both within the trust and at retrieval centre.
  • Actively manage own annual leave, in conjunction with colleagues, and in line with Trust and local Policy and Procedure.

Service Development:

  • To assist in developing transplant related information for patients, families, and other health care professionals.
  • To support and work with the transplant multidisciplinary team in the introduction of clinical change.
  • To promote organ transplantation within the Trust and externally as appropriate.
  • To be actively involved in the development of transplant related protocols and procedures.
  • To keep up to date with advances in treatments/new developments in relation to pre and post transplant research and transplant coordination, and disseminate to team members, as appropriate.
  • To be involved in trust wide management/steering groups e.g., specialist nurses, retrieval group etc.

Information Management:

  • To ensure accuracy of documentation and to maintain an efficient and accurate record system with relevant information.
  • To be responsible for data entry and accurate maintenance of the transplant waiting list and relevant transplant databases.
  • To complete NHSBT audits, as required.
  • To obtain relevant transplant statistics from NHSBT, as required.
  • To access and utilise patient information through Trust electronic systems i.e., patient administration system. 
  • Plan, lead and delegate local audit and research as required, ensure findings are disseminated appropriately and recommendations implemented.   

Research and Audit:

  • To participate in the collection of audit and research data.
  • To present transplant activity and audits.
  • To encourage other staff to recognise the need for nursing research.
  • To lead on nursing research including publishing papers and speaking at conferences/meetings.
  • Participate in introducing and applying research findings along with other members of the transplant team to enhance the care of the patients.
  • To participate and be actively involved in relevant multidisciplinary research studies.
  • To participate in research studies as appropriate.

Person specification

EXPERIENCE & KNOWLEDGE

Essential criteria
  • Experience of working in relevant area i.e., cardio thoracic transplant or critical care setting
  • Knowledge of current issues within acute health care
  • Ability to adapt to changing needs of the service
  • Proven listening / counselling skills with the ability to manage complex situations
  • Excellent level of English language demonstrated through effective written and verbal communication
  • Knowledge and experience of research and audit
Desirable criteria
  • Cardiothoracic Transplant Experience

EDUCATION & QUALIFICATIONS

Essential criteria
  • Registered Nurse
  • Relevant post-registration course
  • Mentorship/teaching qualification
  • Evidence of continuing professional development
Desirable criteria
  • Relevant Masters degree

Essential

Essential criteria
  • IT literate with hospital systems
Desirable criteria
  • IT literate

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Anne Mcdermott
Job title
Nurse Consultant in Transplant
Email address
[email protected]
Telephone number
01895 823737
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