We are an award winning organisation providing care at two main hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—and a number of community-based services across London, such as sexual health and HIV clinics.
With 6,700 members of staff, we are proud to care for a diverse population of one million people. We are committed to ensuring that our workforce is just as diverse with a strong mix of skills and abilities.
Our staff are at the very heart of our organisation and we recognise the valuable contribution that each and every person working at the Trust makes. One of our Trust priorities is to be an employer of choice—a place where people want to start their career and to grow with us through continued education, professional development and support.
Main area: Cardiology
Grade: NHS AfC: Band 7
Contract: 12 months (Fixed term)
Hours: Full time - 37.5 hours per week (5 days per week)
Job ref: 289-EI-1650-A
Site: across site
Town: London
Salary: £51,883 - £58,544 per Annum
Salary period: Yearly
Closing: 31/12/2024 23:59
Job overview
As the result of the Service need to cover Maternity leave, here at West Middlesex Hospital and in particular the Rapid Access Chest Pain Clinic, we are looking to recruit a Senior Nurse with experience in this area to support the service.
* To work cross-site to standardise services and care for patients presenting with chest pain and to ensure that the service sees patients in a timely way, assisting the Trust to meet access targets.
To support and contribute to the organisation’s existing nurse led Rapid Access Chest Pain Clinics, adhering to protocols and guidance agreed by the Team’s consultant cardiologists, basing decisions on professional knowledge and expertise, providing a one stop service for patients with new onset chest pain referred by GPs within the North West Sector catchment area.
Main duties of the job
* To provide expert assessment of patients with chest pain, to operate within protocols, utilising advanced nursing skills and knowledge to identify or refute coronary artery disease. Ordering investigations, interpreting results and reports, recommending appropriate pharmacotherapy, determining discharge or inpatient admission where appropriate and present findings to medical staff where appropriate.
* To utilise protocols and integrated care pathways for patients attending the clinic, to enable appropriate risk stratification and early revascularisation referral where appropriate.
* To maintain clinical audit of this client group, meeting the requirements of the National Service Framework for Coronary Heart Disease (2000) and NICE chest pain guidance 2016.
* To become an integral part of the cardiology team and to contribute to service development in other areas of cardiology within the Trust.
* To act as an educator, helping patients to understand and manage their symptoms and facilitate strategies for lifestyle modification when appropriate.
Working for our organisation
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Detailed job description and main responsibilities
Clinical
* To support and contribute to the nurse led Rapid Access Chest Pain clinic service in accordance with NSF 2000 targets.
* To make an assessment of patients’ cardiac care needs based on highly developed nursing knowledge and skills including advanced cardiac physical assessment skills and history taking and request appropriate investigations.
To assess patients’ risk of CVD using NICE guidance and empower patients to realise and maintain their potential in relation to health and wellbeing.
To assess complex health and wellbeing needs, diagnose or refute diagnosis of Coronary artery disease using accountable professional decision making and problem solving skills autonomously.
To develop with the patient a management plan for their cardiac needs within the remit of the clinic with emphasis on treatment including revascularisation where appropriate while emphasising health education and prevention measures.
To assess and authorise the admission or discharge of patients from caseload as appropriate.
* To ensure patients and relatives are given appropriate oral and written information regarding Coronary artery disease.
* To provide health promotion to individuals and their family regarding Coronary artery disease and risk factors for primary and secondary prevention.
* To review and maintain standard of documentation in accordance with the NMC standards for records and record keeping.
* To act as a gateway for the GP referrals ensuring that appropriate referrals are accepted to the RACPC and inappropriate referrals are forwarded to a consultant cardiologist.
* To inform GPs of clinic outcome and requested investigations by letter.
* Realise their own limitation of ability and recognise boundaries and consult with other members of the team as appropriate.
* To develop a culture that improves quality within the Rapid Access Chest Pain service.
* To be an independent nurse prescriber in accordance with nursing and midwifery council (NMC) standards for prescribing medicines and trust policy.
Educational
* To contribute towards staff development within cardiology by means of teaching in the classroom and the clinical setting.
* To contribute towards the knowledge of healthcare professionals within primary and secondary care through teaching and presentations.
* To develop and maintain own clinical skills and expertise by attending relevant study days/ conferences where appropriate.
* To participate in the orientation of new staff and students.
Professional
* To act in accordance with the NMC Code of Conduct.
* To exercise sensitivity and diplomacy regarding role boundaries with other healthcare professionals across the Acute Trust and local Primary Care Trust.
* To engage in personal clinical supervision.
* To participate in own annual appraisal with regular review with line manager, identifying own development needs and appropriate learning that relate to the demands of the role.
Audit and Research
* To facilitate and participate in the collection of audit data and outcome measures to demonstrate effectiveness of the service provided, and to highlight areas for further development.
* To present results of audit to the Trust and cardiac directorate.
* To obtain, evaluate and implement findings from research and other information to facilitate best practice for the management of the rapid chest pain clinic.
* To be actively involved in the Controls Assurance/Clinical Governance Group within the Trust.
Communication
Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
Person specification
NMC registered
* History taking and physical examination Level 7.
* Experience in cardiology.
* ECG interpretation.
* Assessment of chest pain.
* Non-medical and supplementary prescribing.
* Teaching qualification.
Important
* The closing date given is a guide only. There may be some occasions when we have to close a vacancy once sufficient applications have been received. You are therefore advised to submit your application as early as possible to avoid disappointment.
* Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
* If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
* In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
* During the recruitment process your identity documentation (i.e., passport, driving licence, visa etc.) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
* Employment at the Trust is offered subject to successful completion of a six-month probationary period.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Name: Agnes Kaba
Job title: Nurse Lead Rapid Access Chest Pain Services
Email address: Agnes.kaba@nhs.net
Telephone number: 020 8321 5671
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