Go back Chelsea and Westminster Hospital NHS Foundation Trust
IBD Clinical Nurse Specialist
The closing date is 17 February 2026
The post holder will be required to work as part of the Inflammatory Bowel Disease (IBD) service, alongside the multidisciplinary team with input from physicians, surgeons, radiologists, pathologists, dietitians and pharmacists. After a period of induction you will be required to provide specialist advice and assessment, implementation and evaluation of care for patients with an IBD diagnosis and support the entire team in the delivery of Inpatient, day case, outpatient and virtual clinical care.
Main duties of the job
To provide a specialist nurse led service working autonomously in providing care for IBD patients and their families according to agreed protocols or as specified by the Consultant Gastroenterologists.
To clinically assess patients attending for routine follow-up of IBD, to monitor and evaluate disease activity, ordering and interpreting specific haematological, endoscopic investigations or imaging as indicated.
To recommend treatment, alter drug dosages according to management guidelines.
To encourage adherence with recommended management plans.
To promote a better understanding of IBD for patients and their carers through education, providing support and counselling where necessary in order to empower patients to take a greater part in self managing their disease.
To follow-up and monitor patients taking Azathioprine and other immunosuppressive agents.
To request and act on blood results to avoid complications and improve safety.
About us
Chelsea and Westminster Hospital NHS Foundation Trust is proud to be one of the top performing and safest trusts in England.
We have two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital, plus our award-winning clinics across North West London and beyond.
We employ over 7,000 staff and 500 volunteers
We treat someone in A&E every 90 seconds
We operate on a patient every 16 minutes
We do 50 imaging procedures each hour
We serve a diverse population of 1.5 million from the beginning to the end of life
Job responsibilities
To co-ordinate requests for biological therapy with Consultants, pharmacy and Community partners.
To counsel IBD patients pre biological therapy and perform immunity screening and improve safety with biological therapy.
To check and prepare patients for biological therapy according to NICE and local guidelines and take consent for patients undergoing this therapy.
To offer rapid access to specialist advice and disease management through telephone support and flare up appointments in the nurse clinic.
To plan, implement and evaluate teaching sessions for ward staff involved in caring for IBD patients.
To act as a resource for pre and post registration nurses.
To provide opportunities to shadow the IBD CNS, e.g. student nurses, newly qualified nurses, nurses on induction, dieticians, medical students.
To demonstrate expert knowledge of the literature regarding IBD by regularly reviewing the literature and applying to practice.
To undertake responsibility for own professional development, undertake appropriate activities, attend relevant conferences to update clinical knowledge and skills and apply to practice.
To recognise own limitations whilst working within the Scope of Professional Practice.
Person Specification
Education and qualification
* NMC Registered Nurse
* Advanced knowledge of IBD, GI tract anatomy and physiology. Knowledge of disease and care related to symptom management / treatments.
* Documentation of CPD; Willingness to undertake further training
* Evidence of nursing management/leadership skills; Experience of case-load management
* Knowledge of Data Protection; Safeguarding
* Non-medical prescribing
* History taking and assessment course
* IBD Module Course
* Experience in practice and service development including nurse led services
Skills and Knowledge
* Knowledge of gastro-intestinal disease processes
* Understands physiological systems, disease processes and risks of associated medical technologies
* Ability to organise and prioritise workload; Time management and prioritisation skills
* Ability to work autonomously and work under pressure and to strict deadlines
* Ability to respond calmly in difficult situations (e.g. verbal aggression).
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Chelsea and Westminster Hospital NHS Foundation Trust
£47,810 to £54,710 a year per annum plus HCAS
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