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Job summary

Main area
Nursing and Midwifery
Grade
Band 6
Contract
Permanent
Hours
  • Full time
  • Part time
37.5 hours per week
Job ref
197-LC6795
Employer
Lewisham and Greenwich NHS Trust
Employer type
NHS
Site
University Hospital Lewisham
Town
London
Salary
£37,338 - £44,962 per annum plus HCAS
Salary period
Yearly
Closing
27/05/2025 23:59

Employer heading

Lewisham and Greenwich NHS Trust logo

Clinical Nurse Specialist - Pre-assessment

Band 6

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over  staying comfortable; Listening  over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

To view full details of the forth coming Lewisham Surgical Centre, please click the link below: Work with us at Lewisham Surgical Centre - 1

We are looking to recruit a dynamic nurse with excellent clinical nursing skills, to deliver a high quality service to patients attending the pre-operative assessment unit. We are looking for a nurse who has vision and passion to work within our nursing team to provide the best possible care for our patients. The successful applicant will be a motivated and enthusiastic individual with significant post-registration clinical experience within the area of pre-operative assessment or equivalent general adult surgical experience. Applicants will need to have a clear understanding of nursing quality and be able to assure excellence in clinical care. Applicants must have the relevant experience and knowledge of care delivery appropriate to this patient group, be creative, enthusiastic, motivated and have excellent communication skills. The post holder will be expected to act as a role model and contribute to the development and training needs of staff within the department. The ability to work collaboratively with all members of the multi-disciplinary team is essential, together with excellent communication skills.

 

Main duties of the job

Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols

To take a targeted history of the patient including airway assessment.

Conduct assessment of both the medical and psychological status of elective surgical patients.

To order and perform diagnostic tests within set protocols and working to agreed actions where abnormalities are discovered.

To ensure all test results are available for day of surgery

To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and wellbeing of the patient.

Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals

Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines.

To provide information about the pre-operative, intra-operative and post-operative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions

To identify any special requirements needed to facilitate prompt discharge

To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate.

To comply at all times with the NMC code of conduct.

Working for our organisation

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:

  1. 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
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Detailed job description and main responsibilities

Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols

To take a targeted history of the patient including airway assessment.

Conduct assessment of both the medical and psychological status of elective surgical patients.

To order and perform diagnostic tests within set protocols and working to agreed actions where abnormalities are discovered.

To ensure all test results are available for day of surgery

To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and wellbeing of the patient.

Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals

Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines.

To provide information about the pre-operative, intra-operative and post-operative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions

To identify any special requirements needed to facilitate prompt discharge

To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate.

To comply at all times with the NMC code of conduct.

Person specification

Qualifications and Training

Essential criteria
  • Registered Nurse Level 1 register
  • 1st Level Degree or equivalent
  • Teaching and assessing qualification
Desirable criteria
  • Specialist course

Experience

Essential criteria
  • Minimum two years post registration experience
  • Experience of working within the multi disciplinary team
  • Experience of liaising with other agencies
  • Ability to work autonomously
Desirable criteria
  • Previous experience in the specialty

Knowledge

Essential criteria
  • Well developed interpersonal skills
  • Excellent communication skills, both written and verbal
  • Knowledge and understanding of the relevant NICE guidance
  • Evidence of continued professional development of self and other health care professionals
Desirable criteria
  • IT skills
  • Knowledge of research and audit

Personal Qualities

Essential criteria
  • Flexible approach to changing situations

Employer certification / accreditation badges

Trust IDCapital Nurse, LondonVeteran AwareApprenticeships logoTimewise helps businesses to attract and develop the best talent through flexible working.No smoking policyLondon Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage FoundationAge positiveDisability confident leaderArmed Forces Covenant (Silver Award)We offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.NHS Rainbow badgePrince's Trust - Proud to support the Prince's trust - Youth can do itStep into healthHappy to Talk Flexible WorkingArmed Forces Covenant

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.

Documents to download

Apply online now

Further details / informal visits contact

Name
Raquel Guterres
Job title
Matron
Email address
[email protected]
Telephone number
07825524093
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