Band 7 Emergency Nurse Practitioner - NHS
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
The Emergency Department at St Thomas' Hospital London is looking to recruit a highly motivated, Trainee Emergency Nurse Practitioner to join our cross site Urgent Care Centre (Guys and St Thomas')
This an exciting opportunity to join our team and help shape and support the development of the service. The Emergency Department would provide bespoke in-house training as part of this position, alongside supervised practice.
The successful applicant would be expected to have the flexibility to work across all areas of the Emergency Floor and Trained ENP.
This is an autonomous post working within a set of parameters to treat patients presenting with minor injuries and minor illness conditions. The position is part of a 24 hour ENP service, Emergency Department experience is essential.
Closing Date: 23 May 2025 at MidnightInterview Date: 10th June 2025
Main duties of the job
Acts as an autonomous practitioner in the care and management of patients with minor injuries attending the Emergency Department, St Thomas’ Hospital and the Urgent Care Centre, Guys Hospital
Provides specialist advice in minor injuries to patients and the multidisciplinary team
Act as an expert resource and facilitator to educate and train other staff, and students, thus providing specialist care for patients
Responsible for developing communication pathways with key stakeholders including outside agencies, and commissioners.
The post holder will be involved in the development of practice
Accountable for own specialist professional practice
The post holder will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, including development of policies, protocols and guidelines and contribute to service developments in collaboration with multidisciplinary colleagues.
Ensures the safety and well being of services users, and always working in a manner that promotes dignity and human rights through the adoption of person centered care principles.
Working for our organisation
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
At Guys and St Thomas' Hospital we prioritize our staff concentrating on development, career progression, work-life balance and staff well being so that you can be the best nurse to your patients.
Detailed job description and main responsibilities
To be able to work in an autonomous, accountable way within the band 6 ENP parameters of practice whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
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.
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.
Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues
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 careers 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
Acts as a role model in providing professional and clinical leadership and expertise in the speciality and to act as a resource for education and clinical expertise.
Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
Responsible for the correct administration of prescribed medication including transfusion of blood
Participate in the promotion of the specialist service through dissemination of specialist knowledge, both locally and nationally.
Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty.
Participate in the promotion of the specialty by publishing and presenting innovations and research findings locally and nationally.
To be designated to take charge of the area in the absence of the person holding continuing responsibility.
To ensure patients and families are given appropriate verbal and written advice regarding care planning
Maintain adequate patient records and ensure all relevant information is documented in patient’s notes ensuring that confidentiality of information is adhered to.
Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
Implement new initiatives where possible to run a cost effective, timely service
Provide cover for the other Clinical Nurse Specialist as appropriate.
Develop policies, protocols and clinical guidelines in support of the specialist service.
Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
Implement and work within the Trust’s HR policies on all staffing matters, including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources and the Matron/Lead ENP.
Work with the Matron and Human Resources Department in the recruitment, selection, appointment and retention of staff.
Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.
Ensure optimised skill mix within the department/ward and reviewing the skill mix as required and monitoring the use of bank and agency staff.
Ensure a good communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
Assist the Lead ENP, Head of Nursing, Clinical Lead and Service Manager with the strategic planning for the service within Guy’s and St Thomas’ Foundation Trust, as an expert practitioner.
Maintain the necessary equipment, and order medical and nursing supplies within the agreed financial resources.
Ensures effective ENP cover is maintained, using manpower efficiently anticipating staff shortages and acting appropriately.
Person specification
Skills and competencies
Essential criteria- Suturing
- Plastering
- Triage training
- X-ray interpretation
Values and behaviour
Essential criteria- Values and Behaviour
Professional registration
Essential criteria- Registered nurse
Experience
Essential criteria- Autonomous practice experience
- Experience in management of people
- Post registration experience in emergency care setting
- Experience in managing clinical areas
- Experience in using PGD's or prescribing
- Relevant years of experience in Minor injury / illness setting
- Relevent post-registration qualifications
Knowledge
Essential criteria- IRMER training competencies
- Emergency course
- ILS / ALS
- Mentorship course
- Evidence of post registration professional development
- ENP course or equivalent
- Masters qualification
- Minor Injury Course & Minor Illlness Course
- Advance assessment course
- Non medical prescribing course
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.
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