Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services. Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital. Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients. In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research. We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit. Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’. The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients. We have one of the most ambitious capital investment programmes anywhere in the NHS. Job overview We are seeking an enthusiastic, full time, Nurse Specialist to join the Tuberculosis (TB) Team. We are looking for someone forward-thinking and highly motivated when managing patients throughout their entire treatment. You must demonstrate excellent communication and team working when liaising with other health professionals on a daily basis, as you will be working closely with the TB Consultants in all aspects of the patient’s care. You will also receive support from the Nurse Lead, who you will also be able to discuss your training and development opportunities. Working 37.5 (hours between 09.00 – 17.00), Closing Date: 15th September 2024 Proposed Interview Date: 24th September 2024 Main duties of the job You will acts as case manager for your own caseload, co-ordinating and providing care within the community (including visiting patients at home). You will maintain proactive and effective partnerships with patients and their families, acting as patient advocate, ensuring a patient orientated approach to the delivery of care according to the standards within the NHS Plan, and other relevant guidelines. You will provide expert nursing care to adult and children infected with and affected by Tuberculosis by assessing, planning, implementing and evaluating skills to provide individualised care independently. You will be supporting patients (adult and children) in adhering to difficult treatment regimens by assessing and developing strategies to overcome barriers to adherence. You will ensure that patients’ receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines. You will also direct, support, encourage and advise clinical teams, by providing specialist knowledge and advice in the care of patients within the area Working for our organisation The Community Tuberculosis (TB) Team LSL (CTT LSL) works across Lambeth, Southwark, and Lewisham to provide a multidisciplinary service for clients who are marginalized and have difficulty accessing primary care services and providing care to clients with known or potential Tuberculosis e.g. refugees and asylum seekers, homeless clients, and clients with addictions. We provide centred individualised case management for our patients throughout their entire treatment following them up periodically in our Nurse led clinic, monitoring their specific blood test, CXR’s, medications, side effects to the treatment, social issues that may affect their treatment, mental and emotional status that can also affect their adherence to their TB or latent TB treatment Detailed job description and main responsibilities Duties and Responsibilities Act as an advocate for patients within the department, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines. Provide expert nursing care to adult and children infected with and affected by Tuberculosis. Assess, plan, implement and evaluate skills to provide individualised care independently. Acts as case manager for own caseload (London TB Target 1-Nurse to 40 patients (Adult and children) and (NICE guidelines (2016 Revised), co-ordinating and providing care within the community (including visiting patients at home). Maintain proactive and effective partnerships with patients and their families and acts as patient advocate ensuring their needs are met appropriately. Support patients (adult and children) in adhering to difficult treatment regimens by assessing and developing strategies to overcome barriers to adherence. Ensure that patients’ receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines. Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals. Direct, support, encourage and advise clinical teams, by the provision of specialist knowledge and advice in the care of patients within the area. Participate in the promotion of patient centred care, and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and after care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards. Please see attached job description for full details. Person specification Qualifications Essential criteria BSc/1st degree/equivalent qualifications or experience Completed or working towards TB Qualification RGN/ RN Currently on the NMC UK register Desirable criteria Driving skills Experience Essential criteria Completed or working towards SSSA+P Ability to supervise and motivate students and junior members of staff Desirable criteria Flexible to work across various sites and some out of office hours Skills/Knowledge Essential criteria Ability to work as an autonomous practitioner being responsible and accountable for choices made Computer literate. Internet, email, Excel spreadsheet, Word, patient systems Able to independently run nurse-led clinic for clients, and manage client care as appropriate Able to work in partnership with and negotiate with a wide variety of partnership agencies, and other NHS providers Ability to work with diverse population, including socially excluded groups Ability to demonstrate commitment to facilitating positive outcomes for service users and delivering services Desirable criteria Previous experience of running audits with direct relevance to this clinical area Demonstrated experience of managing clinical services in this clinical area Experience Essential criteria Good knowledge of TB and related issues including: Knowledge of adherence issues, TB medication, co-infection – HIV & TB, drug resistance Able to work effectively within a multi-disciplinary team Substantial experiences of case management of complex clients. Experience in administration of medicines management and support patient both adults and children in adhering to difficult treatment regime Desirable criteria Considerable experience of working in the refugee and asylum health setting/homeless/addiction Relevant experience of Managing staff Trust Values and Behaviour Essential criteria Demonstrate Trust Values and Behaviour Interviewer information Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership. Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. Flexible working We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process. Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis. Please apply for this post by clicking "Apply Online Now." Applicant requirements 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. Further details / informal visits contact Name Anthonia Eboh Job title TB Nurse Specialist Email address [email protected] Telephone number 07775601537 Additional information Margaret Ogedengbe ([email protected]) Mobile: 07899813267