Job overview

The post holder will work as a Band 7 Liver Clinical Nurse Specialist, providing specialist nursing support to patients with liver disease across the Fylde Coast. Working under non‑direct supervision, the role focuses on delivering high‑quality, patient‑centred care through clinical assessment, care coordination, patient education, and contribution to service development within the Liver Service. 

The post holder will support nurse‑led clinics and disease‑specific pathways including hepatitis B, hepatitis C, haemochromatosis, cirrhosis monitoring, HCC surveillance, and the day‑case ascites service, working closely with the multidisciplinary team to ensure safe, effective, and timely care. 

This role provides an opportunity to develop specialist hepatology knowledge and clinical skills, contributing to governance, audit, quality improvement, and education, while progressing towards increased autonomy and independent practice in line with agreed competency frameworks.

Main duties of the job

• Act as a key member of the Liver Service, supporting the delivery of high‑quality specialist nursing care for patients with liver disease across the Fylde Coast.
• Undertake patient assessments, including history‑taking and basic physical examination, and contribute to clinical decision‑making under the supervision of senior clinicians. 
• Support the delivery of nurse‑led clinics, including hepatitis B, haemochromatosis, cirrhosis monitoring, and stable disease review clinics.
• Assist with FibroScan preparation and basic interpretation in line with agreed protocols and competency frameworks. 
• Monitor patients for early signs of hepatic decompensation, escalating concerns appropriately in accordance with Trust policies. 
• Coordinate disease‑specific pathways, including venesection services, HCC surveillance recall systems, cirrhosis monitoring, and support for the day‑case ascites service. 
• Support hepatitis C pathways, including documentation, coordination of care, MDT presentation, and collaborative working across organisational boundaries. 
• Provide structured patient education on liver disease, lifestyle modification, and treatment adherence, supporting shared decision‑making and patient self‑management. 
• Contribute to service development, audit, data collection, and quality improvement initiatives, including support for IQILS accreditation activity. 

Working for our organisation

Blackpool Teaching Hospitals NHS Foundation Trust is situated on the west coast of Lancashire, with services covering the local authority areas of Blackpool, Fylde and Wyre. The Trust is part of the Lancashire and South Cumbria Integrated Care System (ICS) supporting a population of around 1.6 million people.

Blackpool Teaching Hospitals NHS Foundation Trust serves a resident population of approximately 330,000 and the 12 million holidaymakers who visit the area every year. The Trust comprises Blackpool Victoria Hospital which is a large busy acute hospital and a smaller community/ rehabilitation hospital - Clifton Hospital. Outpatient services are also provided in Blackpool, Fleetwood and Lytham Hospital. The Trust is also responsible for the provision of a wide range of community healthcare services, including District Nursing, Community Matrons and therapy services.

The organisation provides specialist tertiary care for Cardiac and Haematology services, delivers community health services to over 445,000 residents including those in North Lancashire and hosts the National Artificial Eye Service across England. We also have specialised Cardio-thoracic Surgical and Sleep Medicine services (including polysomnography) and provide urgent and emergency care services to an estimated 18 million people who visit the seaside resort each year.