Clinical Nurse Specialist

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Lewisham and Greenwich NHS Trust 2.84K subscribers

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

Assess individual client needs and provide advice on all methods of contraception, reproductive and sexual health issues within a variety of settings and provide care and treatment using Patient Group Directions (PGD’s) or as an independent prescriber. Deliver evidence based practice and act as a role model for junior colleagues and take responsibility for the mentoring of pre and post registration students. Manage and/or support the efficient running of the clinic, including nurse led clinics and triage.

Main duties of the job

Contribute and adhere to clearly defined service procedures and guidelines
Provide a service, in a variety of settings, recognising the sensitive nature of the work. This requires a non-judgemental and empathetic approach
where the diversity of the client group is recognised
Work with young people, assessing and responding to safeguarding needs, referring appropriately with minimal supervision from senior
colleagues and support junior colleagues with safeguarding concerns
The post holder will independently undertake assessment of clients, offer clinical advice and support client understanding of chosen method of
contraception.
The post holder will work to Patient Group Direction (PGD) to supply and administer first time and repeat hormonal and emergency contraception
or as an independent prescriber.
Use clinical skills, to enable hormonal implants to be fitted and removed in clients requesting this method of contraception
Use clinical skills to assess client’s suitability for specialist coil usage; fit if competent, or refer to the medical team or trained member of the
nursing team for fitting
Use clinical skills to check and remove intrauterine devices
Use clinical skills to perform bi-manual examinations on female patients as necessary

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement.

We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Detailed job description and main responsibilities

The post holder will work to Patient Group Direction (PGD) to supply and administer first time and repeat hormonal and emergency contraception
or as an independent prescriber.

To work across the service including evenings and weekends
Use clinical skills to take a sexual history and screen male and female clients for sexually transmitted infections (including vaginal and testicularexaminations) and treat if appropriate with relevant PGD or as an independent prescriber

Treat clients that are contacts of a sexually transmitted infection with relevant PGD or as an independent prescriber and undertake partner
notification

Undertake light and dark ground microscopy for the diagnosis of sexually transmitted infections.

Person specification

Qualifications

• RN
• Recognised post registration qualification in Contraception and Sexual Health at degree or diploma level.
• Training in Patient Group Directions for first time and repeat issuing of hormonal and emergency contraception and treatment of STIs or as an independent prescriber or willing to work towards.
• Recognised post registration Teaching Qualification / Mentorship course at degree level
• Completion of Diplomate Assessment of the Faulty of Sexual and Reproductive Healthcare (NDFSRH)

Experience

• Previous experience/training in Sexual Health and Contraception
• Working independently with minimal supervision
• Practice evidence based care
• Experience of contributing towards written reports and audit
• Ability to work within local and national policy/guidelines

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Employer certification / accreditation badges

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.

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