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Clinical nurse specialist

Bristol (City of Bristol)
NHS
Clinical nurse specialist
€100,000 - €125,000 a year
Posted: 14 June
Offer description

Job summary

The post holder will work as a skilled, autonomous Dermatology practitioner as part of the multidisciplinary team to deliver high quality care to patients. The post holder will work across divisional and professional boundaries, encouraging inter-disciplinary working for the benefit of improved patient outcomes and efficient use of resources.

Working independently with patients with a confirmed diagnosis they will use their clinical judgement and skills to assess patients and enable them to make decisions on appropriate treatments, taking into account patient safety, individual factors and cost-effective prescribing; and working within evidenced based guidelines. They will continue to support and monitor patients on such medications, escalating issues to Consultant colleagues appropriately.

The post holder will act as a resource to the wider dermatology team, and as a professional role model for Dermatology and the advancement of nursing practice.

They will work collaboratively with Dermatology and Plastics colleagues to develop and sustain a clinically excellent service. They will audit, evaluate and implement best practice. The post holder will be an independent non- medical prescriber, offering advice and expertise within their clinical setting.

Main duties of the job
* Provide skilled assessment of patients with inflammatory skin disease including history taking, physical assessment, and requesting, interpreting and acting on appropriate tests and investigations in a timely manner.

* Using expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.

* Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage skin disease.

* Take a key role in the development of the North Bristol Trust Dermatology biologics service

About us

North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered.

North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.

Details Date posted

10 June 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,180 to £54,710 a year per annum, pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

339-ASCR0187-DJF

Job locations

Southmead Hospital

Bristol

BS10 5NB


Job description Job responsibilities
* Provide skilled assessment of patients with inflammatory skin disease including history taking, physical assessment, and requesting, interpreting and acting on appropriate tests and investigations in a timely manner.

* Using expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.

* Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage skin disease.

* Demonstrate competence, knowledge and skills in a wide range of practical procedures

* Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formulary

* To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.

* Provide specialist advice and support to colleagues within the organisation.

* To actively take part in planning, developing and improving services in order to be responsive to patient needs as well as well as Directorate, Trust and National Health Service needs

Take a key role in the development of the North Bristol Trust Dermatology biologics service

Participate in implementing national standards and frameworks at a local level within the speciality.

To be responsible for identifying and addressing his/her own professional, training and development needs in light of developments in service in the specialty.

To promote and implement change within the clinical service and to measure outcome

Job description Job responsibilities
* Provide skilled assessment of patients with inflammatory skin disease including history taking, physical assessment, and requesting, interpreting and acting on appropriate tests and investigations in a timely manner.

* Using expert and specialised clinical and theoretical knowledge in order to safely and appropriately assess and diagnose patients in their care.

* Act autonomously within evidenced based guidelines to plan and implement individualised management plans. Formulate clinical decisions and often complex treatment plans to manage skin disease.

* Demonstrate competence, knowledge and skills in a wide range of practical procedures

* Prescribe as an Independent Prescriber, assessing and prescribing appropriate medication within appropriate specialty guidelines using the British National formulary

* To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice.

* Provide specialist advice and support to colleagues within the organisation.

* To actively take part in planning, developing and improving services in order to be responsive to patient needs as well as well as Directorate, Trust and National Health Service needs

Take a key role in the development of the North Bristol Trust Dermatology biologics service

Participate in implementing national standards and frameworks at a local level within the speciality.

To be responsible for identifying and addressing his/her own professional, training and development needs in light of developments in service in the specialty.

To promote and implement change within the clinical service and to measure outcome

Person Specification Education/Training/Qualifications Essential
* RGN level 1 registered nurse degree (BSc)
* Masters level degree or wiling to work towards masters level degree including: Physical Assessment and Clinical Reasoning, and Pathophysiology and Diagnostic Reasoning courses for advancing practice
* Non-medical prescribing or willingness to undertake
Work Experience Essential
* Dermatology experience including treating patients using biological therapies
* Experience in promoting health/ health education one to one
Knowledge/Skills/Abilities Essential
* Excellent interpersonal and communication skills in dealing with patients, relatives and colleagues
Desirable
* Experience in blood monitoring for patients on long-term systemic medication
Personal Qualities/Special Circumstances Essential
* Effective team worker
Person Specification Education/Training/Qualifications Essential
* RGN level 1 registered nurse degree (BSc)
* Masters level degree or wiling to work towards masters level degree including: Physical Assessment and Clinical Reasoning, and Pathophysiology and Diagnostic Reasoning courses for advancing practice
* Non-medical prescribing or willingness to undertake
Work Experience Essential
* Dermatology experience including treating patients using biological therapies
* Experience in promoting health/ health education one to one
Knowledge/Skills/Abilities Essential
* Excellent interpersonal and communication skills in dealing with patients, relatives and colleagues
Desirable
* Experience in blood monitoring for patients on long-term systemic medication
Personal Qualities/Special Circumstances Essential
* Effective team worker
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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details Employer name

North Bristol NHS Trust

Address

Southmead Hospital

Bristol

BS10 5NB


Employer's website

https://www.nbt.nhs.uk (Opens in a new tab)

Employer details Employer name

North Bristol NHS Trust

Address

Southmead Hospital

Bristol

BS10 5NB


Employer's website

https://www.nbt.nhs.uk (Opens in a new tab)

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