Job summary The role of nurse/midwife sonographer requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute setting, which will require assessment, planning and implementation of treatment. Main duties of the job To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and their significant others. Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice. To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service. To provide ongoing follow-up care and support (telephone support / nurse led clinics / outpatient clinics). About us 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 Date posted 10 March 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum plus HCAS Contract Permanent Working pattern Full-time Reference number 197-RF6530 Job locations University Hospital Lewisham Lewisham High Street London SE13 6LH Job description Job responsibilities In line with the Trusts Annual Business Plan you will provide a high quality advanced expert nursing/midwifery practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home. The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting. To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards. The Clinical Nurse Specialist/Specialist Midwife will be an advanced, experienced and independent practitioner within their speciality. The role of Clinical Nurse Specialist/Specialist Midwife requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute/community setting, which will require assessment, planning and implementation of treatment. To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice. To be participate in the nursing/midwifery leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led/midwife-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment. Key Result Areas & Performance: All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary. To co-ordinate the specialty care within the Trust/CCG, including cross site outreach clinics across the Trust. To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers. Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice. To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service/midwifery-led service. To provide ongoing follow-up care and support (telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics) To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife. To develop interdisciplinary clinical management protocols and work within them. Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends. To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary. To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals. To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies. To assess, develop, implement and evaluate programmes of care within the acute and community setting To control patient admission via direct referral and with consultant guidance and supervision. Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing/midwifery care, in order to participate in the re-formulation of nursing/midwifery aspects of the plan. When required, investigate the nursing/midwifery aspects of incidents/complaints and initiate corrective action. Workforce To line manage, a cohort of staff ensuring HR processes are followed. To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities. In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty. Take part in the selection, orientation and development of relevant staff and students within the service. Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention. Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs. Job description Job responsibilities In line with the Trusts Annual Business Plan you will provide a high quality advanced expert nursing/midwifery practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home. The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting. To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards. The Clinical Nurse Specialist/Specialist Midwife will be an advanced, experienced and independent practitioner within their speciality. The role of Clinical Nurse Specialist/Specialist Midwife requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute/community setting, which will require assessment, planning and implementation of treatment. To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice. To be participate in the nursing/midwifery leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led/midwife-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment. Key Result Areas & Performance: All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary. To co-ordinate the specialty care within the Trust/CCG, including cross site outreach clinics across the Trust. To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers. Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice. To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service/midwifery-led service. To provide ongoing follow-up care and support (telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics) To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife. To develop interdisciplinary clinical management protocols and work within them. Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends. To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary. To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals. To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies. To assess, develop, implement and evaluate programmes of care within the acute and community setting To control patient admission via direct referral and with consultant guidance and supervision. Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing/midwifery care, in order to participate in the re-formulation of nursing/midwifery aspects of the plan. When required, investigate the nursing/midwifery aspects of incidents/complaints and initiate corrective action. Workforce To line manage, a cohort of staff ensuring HR processes are followed. To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities. In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty. Take part in the selection, orientation and development of relevant staff and students within the service. Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention. Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs. Person Specification Qualifications and Training Essential MSc level learning RN / RM - Part 1 Relevant specialist sonography qualification in early pregnancy ( gynaecology desirable) Mentorship course (supervising and assessing) Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality. In-depth knowledge of anatomy related to speciality Knowledge of conditions, management and treatment Desirable Knowledge of quality standards Counselling course Non-Medical Prescribing Experience Essential Extensive clinical experience within their speciality Experience in Practice Guideline Development Audit and Research Experience Evidence of clinical leadership qualities Ability to prioritise and organise workload Ability to work autonomously and as a member of a multi-professional team Evidence of using primary and secondary healthcare teams and resources Ability to clinically lead and direct staff Experience in patient advocacy Desirable Lead an audit and/or research study Presentation and publishing experience Caseload management Leading a service Person Specification Qualifications and Training Essential MSc level learning RN / RM - Part 1 Relevant specialist sonography qualification in early pregnancy ( gynaecology desirable) Mentorship course (supervising and assessing) Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality. In-depth knowledge of anatomy related to speciality Knowledge of conditions, management and treatment Desirable Knowledge of quality standards Counselling course Non-Medical Prescribing Experience Essential Extensive clinical experience within their speciality Experience in Practice Guideline Development Audit and Research Experience Evidence of clinical leadership qualities Ability to prioritise and organise workload Ability to work autonomously and as a member of a multi-professional team Evidence of using primary and secondary healthcare teams and resources Ability to clinically lead and direct staff Experience in patient advocacy Desirable Lead an audit and/or research study Presentation and publishing experience Caseload management Leading a service Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Lewisham and Greenwich NHS Trust Address University Hospital Lewisham Lewisham High Street London SE13 6LH Employer's website https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)