Advanced Nurse Practitioner HIV

Job overview

Do you have contemporary clinical experience in HIV and an interest in Nursing leadership?

We are looking for an experienced Nurse to join our teams as a Band 8A Advanced Nurse Practitioner in HIV.

This is a cross site role covering Kobler HIV outpatient clinic at our Chelsea site and the HIV outpatient service at Sexual Health Hounslow based in Twickenham House at West Middlesex University Hospital.

We are looking for someone who is motivated, enthusiastic and who possesses excellent interpersonal and communication skills along with the ability to work effectively and provide leadership in the multidisciplinary team across an innovative HIV service.

Please see the attached job description and person specification. Successful applicants will be able to demonstrate they meet the essential criteria in the person specification in their application and if shortlisted, at interview.

Main duties of the job

The Advanced Nurse Practitioner in HIV will use their specialist knowledge, skills and experience in providing HIV care to undifferentiated patients attending the HIV departments within the HIV, Sexual Health and Dermatology Directorate. They will work as a self-directed independent practitioner managing a defined caseload of patients with complex needs for regular follow-up care and treatment, providing care which focuses on enabling patients to optimise their health within the limitations of a chronic and life-threatening disease.

The ANP will provide specialist education and development for nursing staff and colleagues through education programmes, individual development programmes and clinical supervision.

The ANP will support the Nurse Practitioner team, the nursing team and junior doctors to complete competency-based training programmes appropriate to their level. The ANMP promotes excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource, developing practice and commitment to research and audit.

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 value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."

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

• Manage a case load of patients including those with complex treatment and psycho-social needs for on-going care
• Play a key role in the delivery and development of a high quality and innovative HIV clinical service in Kobler HIV MDT
• Assess and interpret complex clinical information and data in partnership with the patient to make appropriate diagnoses, developing and implementing a plan of healthcare management including prescribing medications or refer for medical review if required.
• Supervise junior nursing staff in treatment support, supporting them to assess and support patients starting or switching therapy and advising on those patients experiencing problems with adherence both within the outpatient and inpatient settings.
• Practice as a Non-Medical Prescriber.
• Use highly developed communication skills to assess situations and empathetically impart information, which is often complex and sensitive, at all levels of interaction with others.
• Order specific diagnostic tests and investigations, interpret findings and provide results to patients as per protocol.
• Use expertise in the emergency presentation of HIV-related problems, according to an agreed protocol, to provide a telephone triage service to assess patients’ immediate needs and direct them to the appropriate service
• Assess and support patients experiencing problems with adherence and provide treatment support.
• Advise on the promotion of health and the prevention of illness, with particular reference to smoking cessation, risk behaviours, diet, immunisation, sexually transmitted infections and HIV.
• Take a detailed sexual health history where necessary, and refer for sexual health screening, as appropriate.
• Recognise and act upon situations that may be detrimental to the health and wellbeing of the individual.
• Use highly developed knowledge and skills to assist and support the patient and their significant others in developing their understanding and ability to ensure effective self-management of HIV as a chronic disease.
• Make referrals as appropriate to members of the HIV MDT team including HIV Peer Support
• Act as a clinical leader and assist in the development of clinical skills within the wider nursing team.
• Lead initiatives that enhance the quality of nurse-led patient care and treatment support through policy and guideline development based on the best available evidence.
• Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy

Please see attached job description and person specification to this advert for further details.

Person specification

Education and Qualifications

• Registered Nurse – Adult Level 1
• Accredited Advanced Nurse Practitioner qualification or appropriate MSc or Masters Level Course
• Teaching qualification or equivalent level of experience
• Qualifications in the speciality of HIV (for example the ENB 934 or similar) or a recognised HIV course
• Non-Medical Prescribing course ( or working towards)
• Evidence of recent, relevant professional development at recognised accredited level

• Leadership qualification
• GUM qualification
• Cervical smear taking

Experience

• Substantial experience in HIV including providing HIV treatment support, complex case management, provision of and supporting newly diagnosed patients
• Experience of autonomously managing a case load of complex patients
• Experience of working within a multi-professional team
• Experience of undertaking audit and research
• Experience of writing and implementing protocols and guidelines
• Experience of implementing and providing health promotion

• Experience of undertaking clinical audit /research in practice and presenting findings to peers in the HIV sector.
• Demonstrable experience of HIV related service improvement or QI initiatives
• Experience in genito-urinary medicine / sexual and reproductive healthcare

Skills and Knowledge

• Able to assess and interpret complex clinical information and data in partnership with the patient to make appropriate diagnoses, developing and implementing a plan of healthcare management including prescribing medications, or refer for medical review if required
• Ability to undertake physical examinations and assessments
• Use expertise in the emergency presentation of HIV-related problems, according to an agreed protocol, to provide a telephone triage service to assess patients’ immediate needs and direct them to the appropriate service
• Able to assess and support patients experiencing problems with adherence and provide treatment support
• Knowledge of 3rd sector support services including HIV Peer Support
• Advise on the promotion of health and the prevention of illness, with particular reference to smoking cessation, risk reduction, diet, immunisations, sexual health and contraception
• Comprehensive theoretical and clinical knowledge of HIV related health conditions and guidelines underpinning standards of care
• A commitment to work within an advanced role embracing ‘freedom to act’ within scope of practice
• Ability to lead a clinical team in the absence of a team leader
• Excellent standards of written/verbal communication
• Ability to work efficiently under pressure, manage competing priorities and an unpredictable workload
• Ability to communicate bad news with sensitivity and clinical knowledge
• Excellent IT skills including Word/Excel including well developed presentation skills
• Able to manage patients with culturally, sexuality and gender sensitive issues
• Venepuncture
• Effective time management and prioritisation skills
• Ability to act as a resource (knowledge and expertise) at all levels within and externally to the organisation
• Ability to critically analyse research and apply the findings to the practice setting
• Ability to lead clinical audit and research
• Contribute and participate in multi-professional research
• Experience of clinic management and an understanding of pertinent human resources issues

• Ability to independently assess patients, interpret clinical findings diagnose and implement appropriate treatment for GUM related conditions within own competency and refer to physician as appropriate

• 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 (ie 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.