Job overview
The Gastrointestinal Medicine and Surgery Directorate (GMS) at St Thomas' Hospital London is looking to recruit a highly motivated Flow Coordinator/ Nurse Practitioner to join our Surgical Same Day Emergency Care (SSDEC) Unit - a part of our Emergency Care Pathway (Guys and St Thomas') on a 1 year fixed term contract. This an exciting opportunity to help shape and support the development of this service. This is an autonomous position working within a set of parameters to treat patients presenting with minor ambulatory surgical conditions. The post will be part of a 5 day service provision. Surgical emergency experience is essential for this post.
The candidate will be given supernumerary time to support with a smooth transition to the service.
Closing date: Midnight on 02/03/2026
Interview date: 10/03/2026
Main duties of the job
Main duties of the job
The Nurse Practitioner will assist the multidisciplinary team by undertaking advanced patient assessment, intervention and treatment for patients as an independent Practitioner. They will work closely with the emergency department team, surgical consultants to ensure patients have a smooth journey throughout the department.
Ideally, the candidate will have some experience of clinical assessment, and verified advanced assessment course is desirable but not essential. If not this can be worked towards as part of the role. In partnership with members of the multidisciplinary team the post holder will develop, implement and evaluate a seamless specialist service, ensuring that patients receive the highest standard of clinical care. They will demonstrate a high level of expertise within the specialist service, providing specialist advice, education and support to health care professionals and patients. The post holder will actively undertake clinical audits within the specialist area.
The post holder will be responsible for contributing to the ongoing development of clinical practice and standards of care within the service, including development of policies, protocols and guidelines and contribute to service developments in collaboration with multidisciplinary colleagues. Also 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 centred 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.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Detailed job description and main responsibilities
• To work autonomously, managing a caseload of patients within the specialty 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 carers 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. The candidate must have previous management/leadership experience including taking charge of a clinical area.
• 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
• 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.
• To provide care to patients from various specialities including General Surgery, Plastics, Orthopaedics and Gynaecology.
•To support local services with our Surgical Team through our Consultant Connect programme.
• Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.
Person specification
Education and qualification
Essential criteria
1. RN1 Registered Nurse, registered on the NMC register
2. Post Graduate studies
Desirable criteria
3. Advance assessment course
4. Non-medical prescribing course
Experience
Essential criteria
5. Experience of working autonomously at an advanced level within the specialist area
6. Proven evidence of management / leadership skills and autonomous practice
7. Ability to clinically lead & influence staff
Desirable criteria
8. Experience of patient history taking and performing physical assessment.
Skills and knowledge
Essential criteria
9. Advanced clinical, managerial and leadership skills in specialty.
10. Ability to think strategically and plan ahead
11. Up to date knowledge of current clinical and professional issues
12. Experience of audit, research & evidence based care
13. Knowledge of quality standards & NICE recommendations/NSF
14. Excellent verbal, written, interpersonal & communication skills
15. Time management and organisation skills
16. Evidence of teaching skills
17. Experience in patient advocacy
18. Ability to carry out audit and research
19. IT Skills
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.