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
1. Independently manage outpatient clinics, seeing up to 16 patients per day (12 new, 4 follow-up) with 20–30 minutes allocated per patient.
2. Perform and interpret FibroScan assessments (fibrosis and steatosis grading).
3. Organise and book further imaging and blood tests as required.
4. Lead the stable cirrhosis clinic, initiating surveillance protocols, follow-up scans, and blood tests.
5. Recognise and escalate cases of decompensated cirrhosis or potential cancers to the senior team.
6. Review and manage patients with existing liver conditions (e.g., haemochromatosis, AIH, PBC) to ensure their treatment and care is still suitable and effective.
7. Provide counselling, treatment reviews, and timely care in a single-visit model, and discharge where appropriate.
8. Complete administrative work for virtual clinics outside of face-to-face clinic time.
Requirements
9. Senior Hepatology Specialist Nurse
10. IRMER trained with the ability to independently book ultrasounds.
11. FibroScan trained and confident in interpreting results.
12. Ability to work autonomously within a nurse-led service.
13. 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.