We are seeking an experienced and motivated Clinical Nurse Specialist (CNS) to join our dynamic Hepatology Service, providing specialist care for patients with liver disease across the Trust. This is an exciting opportunity to lead and develop services that make a real difference to patient outcomes.
As CNS for Hepatology, you will play a pivotal role in delivering high‑quality, evidence‑based care for patients with conditions such as cirrhosis, advanced fibrosis, chronic hepatitis B, and complications of liver disease. You will lead the Hepatocellular Carcinoma (HCC) Surveillance Programme, ensuring timely identification and monitoring of patients at risk of liver cancer through structured surveillance and intervention.
Main duties of the job
* Act as the clinical lead for the HCC Surveillance Programme, including maintaining a centralised register, managing call/recall systems, and coordinating imaging and follow‑up.
* Provide expert nursing care and advice in outpatient clinics, ambulatory care, and day‑case procedures (e.g., FibroScan, large‑volume paracentesis).
* Work collaboratively within a multidisciplinary team (MDT) including hepatology consultants, physician associates, radiology, gastroenterology, and other specialties.
* Support service development, audit, and quality improvement initiatives aligned with national guidance and local priorities.
* Deliver patient education and engagement to improve attendance and outcomes.
Benefits
What does Buckinghamshire Healthcare NHS Trust offer you?
As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.
Alongside NHS benefits of generous annual leave entitlement and pension scheme, you’ll have access to NHS discount schemes.
We provide a range of health and wellbeing services to promote a healthy, happy workforce.
Our commitment to diversity and inclusion
We are working hard to increase diversity at all levels within the trust. We believe a diverse workforce can have a positive effect on both staff wellbeing and patient outcomes.
We welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates, candidates with disabilities and care‑experienced candidates.
We are proud to achieve the Gold award for the Armed Forces Covenant and support applications from the Armed Forces Community.
We make employment decisions by matching our service needs with the skills and experience of candidates, regardless of age, disability, gender, gender identity, marriage and civil partnership, pregnancy and maternity, race, religion or belief, or sexual orientation.
Person Specification
Education
* NMC Registered General Nurse Education, educated to at least 1st degree level
* Validated Post Graduate Qualification Level 6 or equivalent in Hepatology related study
* Recognised prescribing qualification or willingness to undertake
Experience
* Significant post‑registration experience, including recent experience at Band 6 or equivalent in hepatology or related speciality
* Experience of working autonomously and managing a clinical caseload
* Experience in service development or leading a quality improvement initiative
Skills, Abilities and Knowledge
* Competence in using clinical systems and managing patient data securely
* Excellent written and verbal communication skills, including breaking bad news / counselling course
* In‑depth understanding of liver disease, HCC surveillance pathways and relevant national guidance
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.
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Part-time, Job share, Flexible working
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