Overview
Job Title: Senior Hepatology Specialist Nurse – Delivering Independent Nurse-Led Clinic
Location: Great Western Hospital, Marlborough Rd, Swindon, SN3 6BB
Start Date: ASAP
Contract: Monday–Friday (minimum 3 days per week, 8 hours per day)
Pay Rate: £600 per day (LTD, outside IR35, all-inclusive)
About the Role
We are seeking an experienced Band 6 / 7 Senior Hepatology Specialist Nurse to run a fully independent outpatient clinic at Great Western Hospital. This role involves assessing and treating patients at risk of, or living with, liver disease, delivering a streamlined service that supports early detection, timely intervention, and patient-centred care.
You will independently manage patient caseloads, perform and interpret FibroScan assessments, initiate investigations, and oversee treatment pathways, including leading a stable cirrhosis clinic. The role also involves virtual clinic administration sessions conducted outside of face-to-face clinic hours.
Key Responsibilities
* Independently manage outpatient clinics, seeing up to 16 patients per day (12 new, 4 follow-up) with 20–30 minutes allocated per patient.
* Perform and interpret FibroScan assessments (fibrosis and steatosis grading).
* Organise and book further imaging and blood tests as required.
* Lead the stable cirrhosis clinic, initiating surveillance protocols, follow-up scans, and blood tests.
* Recognise and escalate cases of decompensated cirrhosis or potential cancers to the senior team.
* Review and manage patients with existing liver conditions (e.g., haemochromatosis, AIH, PBC) to ensure their treatment and care is still suitable and effective.
* Provide counselling, treatment reviews, and timely care in a single-visit model, and discharge where appropriate.
* Complete administrative work for virtual clinics outside of face-to-face clinic time.
Requirements
* Senior Hepatology Specialist Nurse
* IRMER trained with the ability to independently book ultrasounds.
* FibroScan trained and confident in interpreting results.
* Ability to work autonomously within a nurse-led service.
* Strong clinical judgement with escalation awareness.
This is an excellent opportunity for a senior hepatology nurse to take ownership of a fully independent service, ensuring high-quality, patient-centred care in a streamlined pathway.
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