Sleep Clinical Nurse Specialist
Job overview
The role of the Sleep CNS will involve working within the wider sleep department alongside consultants, physiologists, physiotherapists and sleep practitioners. The role will incorporate the diagnosis, treatment and ongoing management of a variety of sleep related disorders.This will include reviewing patients in the outpatient and inpatient setting, via telephone or face to face.
The Sleep CNS will also be involved in the provision of education around sleep disorders; symptoms how to refer for further assessment and diagnosis and general treatment options. Education will not only within the sleep department but within the wider trust also.
The Sleep CNS will be expected to manage their workload, utilising the database of core patients requiring medications that can only be obtainedvia the sleep department. The pharmacological aspect of managing patients with sleep disorders is often essential and the Sleep CNS should
have a sound understanding of the core medications used within Sleep medicine. Working as a non-medical prescriber is an important aspect to
this role.
Full training will be provided in house for any applicants that lack depth of specialist sleep experience. Annex 21 route is available with the expectation that all training competencies will be completed within.- Completion of Non Medical Prescribing Module.
- Clinical Examination Module.
- CPAP Setup Competency training.
- CPAP Compliance competency training.
Main duties of the job
Knowledge and/or management of individuals with sleep related disorders is desirable, however this is not essential as education/supervision will be provided.
The role will include care of patients with both breathing related sleep disorders such as obstructive sleep apnoea (OSA) or obesity hypoventilation syndrome (OHS) and non-breathing related sleep disorders such as Narcolepsy, REM behaviour disorders and circadian rhythm disorders.Thorough history taking is essential, with the ability to perform appropriate clinical examination.
The role includes reviewing patients, setup with CPAP therapy, reviewing efficacy of this therapy & identifying further testing if required, with ability to analyse simple sleep studies and work towards those which are more complex. Patients with OSA or OHS may be of a high clinical risk and the CNS should identify deterioration, have the ability to escalate care when needed and be able to perform and interpret Arterial Blood gases.Patients with sleep related disorders are often at a high clinical risk and are vulnerable individuals.
Certain cohorts of patients, such as Narcolepsy patients, require a
certain amount of counselling to manage their daily lives, addressing sensitive topics such as navigating the workplace with a disability, completing education with additional learning needs or managing pregnancy without medications. Sensitivity and compassion are essential with sound clinical knowledge to give these patients the best possible care.
Working for our organisation
Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.
We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women’s NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.
UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond.
For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.
Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation.Liverpool Women’s Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK’s largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.
Detailed job description and main responsibilities
Perform specialist assessment of patients nursing needs, plan, implement and evaluate care delivery using advanced clinical knowledge and clinical skills.
Lead clinical care by managing a patient caseload providing expert assessment,planning and evaluation.
Co-ordinate and manage nurse-led clinics (within Speciality).
Contribute towards a multi-professional approach in the management of patients within the specialist area, especially in relation to ongoing care needs and discharge arrangements.
Establish and maintain effective communication with patients and carers /relatives.
Support patients and their families and ensure that they receive the required information to enable them to self manage, lead or participate in their care delivery.
Recognise changes in patients condition that require the intervention of others and refer on as appropriate.
To support, assist and encourage the multi-disciplinary team in resolving patient problems, by the provision of new and innovative models of case management.
To engage with the specialist nursing contribution to the service, in the delivery of high standards of patient care.
To engage with the specialist nursing contribution to the service, work in partnership with lead clinicians, General Managers, Matron to ensure the delivery of high standards of patient care.
For a full list of duties, please refer to the attached job description and person specification.
Person specification
Qualifications
Essential criteria- Registered Clinician NMC/HCPC
- Post-basic specialist Qualification relevant to speciality
- Recognised Teaching Qualification
- First Degree
- Research qualification
- Recordable specialist qualification
- Masters
- Independent Prescriber
Experience
Essential criteria- Demonstrable Post-Reg. experience
- Evidence of undertaking the relevant speciality successfully at Band 6
- Extensive clinical experience
- Evidence of the application of management / leadership skills and managing staff
- Involvement in audit
- Experience as Specialist Sister
- Participation in research
- Management qualification
Knowledge
Essential criteria- In depth specialist knowledge
Skills
Essential criteria- Teaching / assessment skills
- Organisation and negotiation skills
- Effective communicator
- Leadership & motivation skills
- Evidence of audit and change management ability
- Computer literate
- Ability to motivate self and others
- Root Cause Analysis
- Evidence of leading and facilitating change
- ECDL
Other
Essential criteria- Evidence of continued professional development
- Diplomatic
- Assertive and confident
- Personal and professional maturity
- Recognition of own limitations
- Demonstrates enthusiasm
- Ability to work both on own initiative and within a team
- Flexibility
- Able to travel between sites
Please ensure you check the email account (including junk/spam boxes) from which you apply regularly as we will use this to contact you regarding your application.
Posts advertised to ‘internal staff’ are open to employees of hospitals within University Hospitals of Liverpool Group and you should confirm your employment within your application form.
Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview.
We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role.
Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months’ of their 18^th birthday.
The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment.Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working.
The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24.
Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £23 (standard disclosure) or £43 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment.Bank posts require upfront payment. DBS applications submitted from 2nd December will be subject to the new DBS fee of £26.50 (standard) and £54.50 (Enhanced).
From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years.
Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa.
This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults’ policy and comply with the Local Safeguarding Children and Adult Board procedures.
Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation.
All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action.
As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.
If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on 0151 706 4666 at the earliest opportunity to ensure that measures can be put in place to enable your application for this post.
Please note: new entrants to the NHS will commence on the first pay point of the relevant band.