Clinical Nurse Specialist - SWEX

Location: SOUTH EAST

Salary: £32,000 to £42,000

Job ID: 165775

The post holder will work at an advanced level* providing a nurse led autonomous service delivering on the following aims and objectives:

  • Work as part of a multidisciplinary team delivering a first-class rheumatology service to non-complex patients who are following the “expected course of disease”.
  • Provide a seamless Tier 2 service working closely with Tier 1 (Primary care) and using the expertise of Tier 3 (Secondary care) only when appropriate.
  • Work to national standards and guidelines ensuring that remission of disease is a realistic goal.
  • Deliver high quality and relevant education to patients enabling effective self-management.
  • Ensure that an advice line available to patients and health professionals delivers rapid, effective information and help, preventing unnecessary GP and A&E attendances.
  • Co-ordinate and deliver a comprehensive annual review ensuring early identification of comorbidities and complications of disease and work with the patient and GP to manage and minimalize these.
  • Offer rapid access appointments for flare patients and to provide an urgent joint injection service.
  • Ensure that the most cost-effective treatments are used, including switching to biosimilars as appropriate.
  • Support and educate junior members of the team, aiding retention and succession planning.
  • Take responsibility for annual appraisals and personal development plans for nurses in development roles
  • Share knowledge and information freely with the wider healthcare team thus embedding education in the workplace and assisting the succession planning process.
  • Lead on audit and research ensuring ongoing improvement in the services available to patients.


Clinical Responsibilities

  • To be responsible for the assessment and planning of patients care, including initiation of new treatments, dose adjustments and repeat prescribing.
  • Ensure that patients receive a consistent approach to management of their condition which is evidence based.
  • Plan and co-ordinate routine infusions of biologic therapies and treatments for osteoporosis.
  • Provide an advice line for patients, carers and health professionals, responding within 24 hours
  • Provide urgent appointments for patients in “flare” or those requiring urgent joint injections
  • Undertake an annual review of all patients with rheumatoid arthritis (RA) based on the Freeman Hospital, Newcastle model.
  • Assess for co-morbidities and work closely with the patients GP to ensure “joined up” care.
  • Identify when patients are not “following the expected course of disease” and seek advice from Tier 3
  • Support patients and families throughout the course of disease
  • Maintain an accurate record of all activity undertaken and input this directly to the GP system ensuring a contemporaneous record is held.