Employer Blackpool Teaching Hospitals NHS Foundation Trust Employer type NHS Site Blackpool Teaching Hospitals Town Blackpool Salary £47,810 - £54,710 Per Annum Salary period Yearly Closing 14/04/2026 23:59
Liver Clinical Nurse Specialist
NHS AfC: Band 7
Blackpool Teaching Hospitals NHS Foundation Trust is situated on the west coast of Lancashire, with services covering the local authority areas of Blackpool, Fylde and Wyre. The Trust is part of the Lancashire and South Cumbria Integrated Care System (ICS) supporting a population of around 1.6 million people.
We have three main hospitals providing acute services to around 330,000 local residents. The organisation also provides specialist tertiary care for cardiac and haematology services, delivers community health services to over 445,000 residents including those in North Lancashire and hosts the National Artificial Eye Service across England. Plus, we provide urgent and emergency care services to an estimated 18 million people who visit the seaside resort each year. We employ over 7000 people from 68 different countries.
We welcome and encourage application from anyone with protected characteristics, as well as supporting reservists and Veterans who are looking for a rewarding and challenging career within the NHS.
Blackpool Teaching Hospitals encourages flexible working in all our roles to support staff in maintaining healthy home-life balance. Working patterns such as: part time working, self-rostering, compressed hours, annualised hours, term time, reverse term time and flexitime working can be explored.
Job overview
The post holder will work as a Band 7 Liver Clinical Nurse Specialist, providing specialist nursing support to patients with liver disease across the Fylde Coast. Working under non‑direct supervision, the role focuses on delivering high‑quality, patient‑centred care through clinical assessment, care coordination, patient education, and contribution to service development within the Liver Service.
The post holder will support nurse‑led clinics and disease‑specific pathways including hepatitis B, hepatitis C, haemochromatosis, cirrhosis monitoring, HCC surveillance, and the day‑case ascites service, working closely with the multidisciplinary team to ensure safe, effective, and timely care.
This role provides an opportunity to develop specialist hepatology knowledge and clinical skills, contributing to governance, audit, quality improvement, and education, while progressing towards increased autonomy and independent practice in line with agreed competency frameworks.
Main duties of the job
* Act as a key member of the Liver Service, supporting the delivery of high‑quality specialist nursing care for patients with liver disease across the Fylde Coast.
* Undertake patient assessments, including history‑taking and basic physical examination, and contribute to clinical decision‑making under the supervision of senior clinicians.
* Support the delivery of nurse‑led clinics, including hepatitis B, haemochromatosis, cirrhosis monitoring, and stable disease review clinics.
* Assist with FibroScan preparation and basic interpretation in line with agreed protocols and competency frameworks.
* Monitor patients for early signs of hepatic decompensation, escalating concerns appropriately in accordance with Trust policies.
* Coordinate disease‑specific pathways, including venesection services, HCC surveillance recall systems, cirrhosis monitoring, and support for the day‑case ascites service.
* Support hepatitis C pathways, including documentation, coordination of care, MDT presentation, and collaborative working across organisational boundaries.
* Provide structured patient education on liver disease, lifestyle modification, and treatment adherence, supporting shared decision‑making and patient self‑management.
* Contribute to service development, audit, data collection, and quality improvement initiatives, including support for IQILS accreditation activity.
Working for our organisation
Blackpool Teaching Hospitals NHS Foundation Trust is situated on the west coast of Lancashire, with services covering the local authority areas of Blackpool, Fylde and Wyre. The Trust is part of the Lancashire and South Cumbria Integrated Care System (ICS) supporting a population of around 1.6 million people.
Blackpool Teaching Hospitals NHS Foundation Trust serves a resident population of approximately 330,000 and the 12 million holidaymakers who visit the area every year. The Trust comprises Blackpool Victoria Hospital which is a large busy acute hospital and a smaller community/ rehabilitation hospital - Clifton Hospital. Outpatient services are also provided in Blackpool, Fleetwood and Lytham Hospital. The Trust is also responsible for the provision of a wide range of community healthcare services, including District Nursing, Community Matrons and therapy services.
The organisation provides specialist tertiary care for Cardiac and Haematology services, delivers community health services to over 445,000 residents including those in North Lancashire and hosts the National Artificial Eye Service across England. We also have specialised Cardio-thoracic Surgical and Sleep Medicine services (including polysomnography) and provide urgent and emergency care services to an estimated 18 million people who visit the seaside resort each year.
Detailed job description and main responsibilities
Please refer to the attached Job Description and Person Specification for further details for the post
Person specification
EDUCATION AND QUALIFICATIONS
* • Degree in Nursing or equivalent
* • Evidence of continuing professional development relevant to hepatology
* • Post registration qualification in hepatology or gastroenterology
* • Venepuncture and cannulation competencies
* • FibroScan, Motivational Interviewing, or GCP training
EXPERIENCE AND KNOWLEDGE
* • Specialist adult nursing experience, including long term conditions
* • Ability to undertake autonomous patient assessments and recognise deterioration
* • Experience supporting patients with lifestyle advice and education
* • Hepatology or gastroenterology experience
* • Advanced physical assessment skills and protocol based decision making
* • Experience leading audits or quality improvement initiatives, including data analysis
* • Sound clinical knowledge of adult nursing, chronic disease management, and clinical governance
* • Ability to educate patients and support students
* • Strong organisational skills with effective caseload management and prioritisation
* • Specialist knowledge of liver disease, including cirrhosis, viral hepatitis, and alcohol related liver disease
* • Knowledge of NICE, BSG, and EASL guidance
* • Advanced assessment skills, including FibroScan and venepuncture
Any invitation to interview will be sent to the email account stated on your application form.
If the role you have applied for requires a Disclosure and Barring Services (DBS) check we will administer this as part of your pre-employment checks. Please note, you will be required to repay the cost on appointment. This will be collected via a salary deduction. You can choose whether to pay this over 1-3 months from your salary or as a one-off payment on commencement in post. The level of check required depends on the role that you have been offered. Currently the charges are - Basic DBS check £25.50, Standard DBS check £25.50 and Enhanced DBS check £53.50.
You are encouraged where possible, to register for the DBS update service. This is an annual registration fee of £16. By registering for the update service you will not have the additional cost of repeated disclosures.
Should you withdraw your application, you may be required to reimburse the cost of the DBS check.
DBS checks remain free of charge for volunteer positions.
By submitting an application for this vacancy you are confirming your agreement to the above in the event you are successfully appointed.
The DBS Code of Practice can be accessedhere .
Please ensure that you read the Person Specification attached below as your application will be judged against this.
Please note that every effort will be made to keep the vacancy live until published closing date, though there may be instances where such interest is generated, that for administrative reasons the post may close earlier.
Please note that in line with national NHS guidelines this Trust operates a strict non-smoking policy. Members of staff are not permitted to smoke on Trust premises or grounds at any time nor take breaks during working hours for the purposes of smoking.
The Trust does not offer interview expenses to shortlisted candidates unless indicated in the advert.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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