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Clinical nurse specialist in cardiology | guy's and st thomas' nhs foundation trust

Hillingdon
Guys and St Thomas NHS Foundation Trust
Clinical nurse specialist
Posted: 27 October
Offer description

· To be a highly specialised nurse working with a specified group of cardiology patients and taking responsibility for their on-going clinical management.

· In collaboration with the Consultant Nurse in Cardiology, manage the continuing care of patients who are undergoing PCI.

· To deliver a high standard of care to cardiology patients.

Closing Date: 10th November at Midnight

Interview Date: 20th November 2025

Running nurse-led preadmission clinics.

Running nurse-led follow-up clinics for patients post PCI.

Nurse-led discharge

Optimisation of secondary prevention.

Acting as a resource for advice on management of patients with coronary artery disease.


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.

When you join us, you become a valued member of the Evelina London community and can access the wider Evelina and Nightingale education academies. Choosing us as your employer affords you opportunities to be part of a Trust which recognises the value of sharing expertise, research and education between community and acute services.

The Cardiology Specialist Nurses are a team of specialist nurses who work within a variety of areas of cardiology including patients undergoing coronary intervention, aortic valve, and mitral and tricuspid valve intervention.

The team are led by the Consultant Nurse in Cardiology and run a variety of nurse-led services.

Clinical
• To manage the outpatient follow-up care for patients who have undergone PCI including the assessment, planning, implementation, and evaluation of that care.
• To arrange admission dates for procedures and follow-up appointments as per PCI follow-up protocol.
• Use expert judgement and analytical and problem-solving skills in the surveillance and recognition of changes in the patients’ condition, referring to senior/medical staff as necessary.
• To independently manage a caseload of patients and the associated responsibilities.
• To ensure accuracy of documentation andto maintain an efficient and accurate record system with relevant information in agreement with the cardiology team.
• To be aware of the legal implications of all patient related records.
• To be responsible for data entry and maintaining the BCIS/CCAD patient database.
• To assist with the running of pre-admission clinics for all elective cardiology admissions.
• To participate in nurse-led discharge.
• To manage the psychological issues related to caring for patients on a long-term basis.
• To assist with the running of other cardiology nurse-led services.
• To act as an expert resource for patients/relatives/colleagues relating to the care of their caseload of patients.
• To maintain patient’s confidentiality, privacy, dignity, religious and cultural needs at all times.
• To be an independent non-medical prescriber.
• To prescribe within scope of practice /area of competency.
• To follow locally approved clinical guidelines and NICE and be within the formulary.
• To provide cost effective prescribing activity.
• To regularly review prescribing activity and implement change as necessary.
• To have prescribing activity audited annually.
• To work within the framework of the Trust Non-Medical Prescribing Protocol.
• To interpret blood results, ECGs and other non-invasive tests and act accordingly.
• To maintain an environment for safe and effective patient care in accordance with the Trust Risk Management Policy.
• To work effectively within the Trust's adult multidisciplinary cardiology team as required ensuring an individualised, evidence based optimum service for each patient and their family.
• To act as advocate for cardiology patients enabling them to express their needs effectively when dealing with the multidisciplinary team.
• To promote collaborative relationships with other health care professionals for the benefit of quality patient care.
• To maintain effective channels of communication within the multidisciplinary team and promote effective interpersonal skills.
• To facilitate a seamless service between the Trust and locally based services by ensuring good on-going communication between tertiary, secondary and primary care.
• To actively promote a healthy lifestyle for patients & staff in line with national strategy requirements.
• To deputise for the Consultant Nurse in Cardiology when required.
Management• To develop and maintain clinical skills and knowledge of the speciality of cardiology that are evidenced based aiming to achieve a 'best practice' principle.
• To act as a role model and clinical expert for staff providing education as appropriate.
• To work in partnership with colleagues, having accountability for decisions made (in accordance with the NMC Code of Professional Conduct).

· To develop professional practice through reflection, participation on post registration courses and attendance at meetings and conferences.


· To identify and be responsible for own professional and managerial development in liaison with the Consultant Nurse and Lead Nurse.

· To contribute to the development of positive staff morale and team cohesiveness.

· To utilise appropriate resources within the Trust to provide a consultation, education, technical or information service as needed for self, staff, or patients.
• To co-ordinate departmental activities ensuring there is adequate cover for annual leave and study leave.
• To ensure staff, equipment and resources are managed effectively.
• To access and utilise all IT services appropriate to the service.
• To maintain high standards of nursing care within own practice and monitor the performance of junior staff.
• To act as a professional representative of the Cardiology department and the Trust.
• To attend suitable course/conferences and hold membership of appropriate professional organisations.
• Participate in the Trust appraisal and personal development plan schemes by meeting with their manager at least annually.
• To abide by the Trust’s core behaviours for staff and all other Trust policies.
Service Development
· To ensure the constant provision of effective, high quality nursing care to all cardiology patients.



• Plan and lead local audit as required, ensure findings are disseminated appropriately and recommendations implemented.
• To support and work with the cardiology multidisciplinary team in the introduction of clinical changes.
• To be actively involved in the development and implementation of cardiology related protocols and procedures in conjunction with other members of the multidisciplinary team.
• To keep up to date with new advances treatment and new developments in the world of cardiology research and actively seek ways of implementing new ideas into clinical practice.
• To be actively involved in the production of departmental and divisional reports.
• To participate in the presentation and publication of relevant research and best practice initiatives.
• To attend and actively contribute to departmental and multidisciplinary meetings and actively participate in committee meetings as requested.
• To develop and maintain operational policies, standards, guidelines, and procedures and ensure those kept within the department are up to date and monitored as per Trust procedure.
• To represent the Trust nationally and internationally.

Quality and Patient Safety
• To assist with the development and implementation of quality assurance programmes.
• To participate in departmental and divisional audit activities.
• To implement changes in care practices as indicated by audit results and current research findings including those identified within the Nursing strategy.

· Be aware of and act in accordance with the Patients’ Charter for the care of cardiology patients.


· To be aware of and act in accordance with the National Service Framework for Coronary Heart Disease, NICE guidelines, and Trust Cardiology guidelines.


· To participate promptly and effectively with the investigation of complaints and incidents in line with Trust policy and procedure.



• To comply with and participate in the Trust’s framework for Clinical Governance within the department.
• Identify clinical risks and ensure that appropriate action is implemented in accordance with the Trust risk management policy.

Research
• To maintain an active awareness of clinical and professional developments within cardiology and to disseminate that knowledge to all colleagues.
• To identify and suggest relevant areas for research within cardiology nursing which will benefit patient care.
• To lead on nursing research including publishing papers and speaking at conferences/meetings.
• To encourage other staff to recognise the need for nursing research.
• To assist in introducing and applying research findings along with members of the cardiology team.
• To participate in research studies as appropriate.

Teaching
• To mentor pre and post-registration students and health support workers as requested.
• To participate in the in-house adult education programme and to undertake informal teaching of colleagues and ward nursing staff as required.
• To be actively involved with conferences and meetings developing presenting skills in the national and international setting.

This advert closes on Monday 10 Nov 2025

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