Ileoanal Pouch and IBD Surgery Clinical Nurse Specialist

Job summary

J-pouch and IBD surgery Clinical Nurse Specialist, Band 7

An exciting opportunity has arisen for a dynamic and motivated individual to join the IBD and j-pouch surgical team at Chelsea and Westminster hospital. We are looking for a nurse with experience in bowel surgery to provide specialist nursing support and advice to patients undergoing surgery for IBD and j-pouch formation. You would work closely with all members of the MDT to provide comprehensive follow-up, in nurse-led clinics and joint clinics with focus on multidisciplinary management of Crohn's disease and Ulcerative Colitis.

The established IBD and ileoanal pouch Surgery Centre offers a dedicated "one-stop" ileoanal pouch clinic, with more than 25 major abdominal pouch procedures performed every year. We also perform complex surgery for primary and recurrent Crohn's disease, including strictureplasties and Kono-s anastomosis. You would be involved with the continued development of the service, contributing to teaching programmes, research, audit and patient reported outcome measures data collection.

Main duties of the job

The post holder will develop and provide an advisory and supportive service to all patients undergoing IBD surgery and ileoanal pouch surgery. They will provide education and information to patients considering surgery and to those who have undergone emergency surgery. As part of the team, they will work to develop the IBD surgery service.

They will provide long term follow-up, following a structured pathway and by monitoring email and telephone contacts, liaising effectively with all members of the multidisciplinary team, providing continuity of care into the community and throughout the patient's rehabilitation.

They will act as an expert resource to professionals involved in the care of these patients both within the acute and primary care setting.

The post holder will maintain oversight of the services activity, governance and clinical outcomes, working with the team on change initiatives as required.

About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals,Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that are PROUD to Care for nearly one million hospitals provide full clinical services, including full maternity, emergency and children's,in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe,effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.

Our facilities are some of the best in the country. We have been investing significant Capital year on year in our have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminsterand are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

Clinical Practice

To meet with elective patients pre-operatively to give information and education regarding proposed surgery.

To provide post-operative guidance, support and advice, enabling a safe discharge and liaising with community services as required.

To provide long term follow-up, according to the patient pathway, by telephone and face to face contacts within the IBD and ileoanal pouch clinic.

To be a point-of-contact for patients, monitoring emails and phone calls, liaising with the MDT as needed.

To maintain the IBD and ileoanal pouch database.

To write and maintain literature, supporting the information and education given to patients

To attend the cross-site IBD MDT and the monthly ileoanal MDT.

To participate in joint IBD surgery ward round.

To support the expansion of the service by engaging with educational activities and developing patient pathways for safe discharge and remote monitoring.

To recognise opportunities within the service for further development and expansion, to facilitate and manage change within defined clinical and organisational boundaries.

To case manage a team of patients in partnership with the multi-professional team and to be a patient advocate when required.

To develop own nurse led clinics in conjunction with the Consultants and the outpatient department.

Education

To identify, assess and meet the educational needs of the patient and their family.

To work collaboratively on educational strategies which support IBD surgery services and service development.

To act as a preceptor / mentor to nurses wishing to undertake further studies in IBD or ileoanal pouch surgery.

To develop their own knowledge, skills and expertise to a higher academic standard, by time spent with colleagues and attending study days

To develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.

Research/Audit

To utilise up to date research / evidence to improve patient care and to disseminate this knowledge to all members of the multi-professional team

To incorporate nationally agreed standards and guidelines into clinical practice.

To be aware of and participate in current research trials being conducted within own specialist area and to be able to inform patients about these.

To audit the service on a regular basis so that patient care is continuously reviewed and improved, ensuring that documentation and record keeping is comprehensively maintained

PLEASE SEE JD/PS FOR FULL JOB DETAILS

Person Specification

Education and Qualifications

Essential

Registered Nurse

Evidence of study at degree level

Level 6 stoma care course

Desirable

Non-medical prescriber

mentorship qualification

Level 6 stoma care course

Experience

Essential

Experience at band 6

Formal and informal teaching experience

Experience of running nurse-led clinics

Substantial post qualification experience in colorectal surgery

Skills and Knowledge

Essential

Assessing, planning and implementing care of a group of patients

Patient education

Caseload management and prioritisation

Audit experience

Excellent written and verbal communication

IT skills

Teaching