Total 72 job vacancies by Chelsea and Westminster Hospital NHS Foundation Trust

B7 Paediatric Speech and Language Therapist

Chelsea and Westminster Hospital / West Middlesex Hospital & St Mary's Hospital

A new B7 post has arisen for an experienced paediatric speech and language therapist with skills in dysphagia to work in the acute service. This is a new post developed to increase VFSS capacity working closely with SLT colleagues, including at St Mary's Hospital, to increase access to existing VF services for North West London.

This role is suited to someone with an interest in gaining or consolidating skills in diagnostic interventions including VF and FEES. The post supports both hospitals to expand their capacity for VFSS and you will be required to run clinics at either site.You will be supported in the role and be given training to ensure you achieve RCSLT VF competencies. This post requires someone with a collaborative and flexible approach to working across organisations.

The postholder will also hold an inpatient and outpatient caseload. The service covers the paediatric wards at Chelsea and West Middlesex Hospital sites, including the SCBU and level 3 gastro-surgical NICU. A small outpatient service offers expert clinical advice for complex referrals and dysphagia management for infants under 6 months.

You will work closely with the MDT to deliver expert care to infants, children and their families. The team benefits from excellent working relationships with the MDT including ENT, gastro and respiratory consultants.

• To work as an autonomous practitioner to provide dysphagia assessment and intervention to a varied paediatric caseload, including infants on the neonatal unit, paediatric wards and outpatient service.



• To work with infants and children who may have long-term complex conditions, to provide specialist assessment and management plans.



• To deliver video fluoroscopy assessments for both inpatients and outpatients with dysphagia to offer expert diagnosis and management plans depending on results.



• To engage in regular supervision with the clinical lead.



• To support with clinical problem solving and provide managerial expertise for colleagues both within the Trust and within North West London.



• To participate in CPD and other developmental activities and encourage all members of your team to do likewise.



• To educate the multi-disciplinary team in the trust on elements of SLT in your designated clinical area, and raise the profile of the SLT service.



• To work closely with the other members of the multi-disciplinary team and demonstrate excellent communication skills.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.


Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.


We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.


We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.


The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.


Some roles may require weekend shifts at multiple sites.


To provide highly specialist Speech and Language Therapy services using evidence based practice to provide advanced dysphagia assessment and management for our babies, children and young people. Ensuring patients/families/carers are involved in the planning and prioritisation of their care wherever possible.

Please review the job description for the full list of roles and responsibilities.




This advert closes on Sunday 8 Dec 2024

Ron Johnson is a highly specialised HIV/ Oncology/ Dermatology ward consisting of 19 en-suite side rooms. We are a tertiary referral unit for HIV and HIV related malignancy.

We are a dynamic ward and provide care to patients with varied nursing needs including, administering chemotherapy for patients as an in-patient, delivering excellent patient centered palliative care while supporting families through this often difficult time, we provide care for HIV positive patients and manage their various health needs. We have a highly skilled multidisciplinary team who are dedicated to our specialty and pride themselves in excellent diagnostics, treatment, holistic therapies and nursing care. We have a reputation for being a strong team who strive to deliver excellent evidenced based nursing care while also being friendly and approachable.
In this role you will become a member of our highly skilled nursing team. We strongly believe in supporting our staff to reach their full potential and you will be effectively supported in order to equip you with the necessary skills and attributes required.
We will offer many internal and external courses to the right candidate to gain competencies in many specialised areas including Palliative care, the administration of chemotherapy agents, mentorship, and HIV care for example. You will be expected to work a full range of shifts including long days, nights, weekends and bank holidays.

Provide high quality clinical care to patients, in line with the Trust values and in accordance with
professional regulations.

Accept delegated responsibility for specific activities/areas from the senior nurse in charge.

Work in line with Trust policies, objectives, protocols and local guidelines, whilst also being aware of the importance of their role in supporting members of the team, and always adhering to the Trust values, and in accordance with NMC regulations.

Work autonomously and with others to always deliver high standards of care to patients and their carer’s, autonomously and as part of a team.

Communicate in line with Trust values, to patients, carer’s and staff at all times.

Take every opportunity to continue to develop, practice and expand their own general and specialist nursing skills.

Maintain high standards of professional and ethical responsibility, and accountability and be aware of the medico-legal aspects of nursing, in line with professional, regulating and local guidance.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Clinical
• Assess, plan, implement and evaluate individualised patient care through appropriate frameworks, including safe effective arrangements for discharge, underpinned by Trust values.
• Assist members of the team in the co-ordination of the clinical activities.
• Use clinical standards to participate in the process of monitoring the quality of care delivered. Act to ensure that nursing practice is of the highest standard, in line with Trust and CQC standards.
• Supply and/or administer medication safely in line with Trust medicines policy.
• Assess and support patients with adherence and understanding of their medication, advise on the promotion of health and prevention of illness.
• Demonstrate knowledge and skills in the education of the patient and their significant others.

Professional
• Maintain a professional behaviour at all times and promote a positive image of Chelsea and Westminster Hospital NHS Foundation Trust at all times, in line with Trust values.
• Contribute to a high quality safe working environment in which patients receive a high standard of care.
• Participate in the setting of standards for nursing practice and for care involving the multi-disciplinary team.
• Practice in accordance with, and aware of his/her responsibilities under, the NMC Code of Professional Conduct and other appropriate NMC guidelines.
• Understand and practice in accordance with Trust and Unit policies and procedures, and ensure they are understood and practiced by staff.
• Maintain a safe working environment recognising the health and safety requirements of patients, visitors and staff.
• Ensure all strategies, policies and protocols relating to infection control are implemented and monitored and that appropriate and timely action is taken in response to ensuring the prevention of control of infection.

Education and Development
• Be responsible for, and demonstrate personal professional development, maintain up to date clinical skills and ensure mandatory training is always current.
• Be aware of current developments within the nursing profession and within the NHS.
• Participate in team and ward meetings.
• Participate in established research projects and clinical audit in local area.
• Assist in ongoing development of the ward as a positive learning environment.
• Ensure own appraisal is always in date and personal development plan is completed.
• Work in a supportive way with learners and HCAS/MSW’s, providing knowledge and feedback as required.

Management and Leadership
• Manage a group of patients, in line with level of experience.
• Supervise under the direction of the Sister/Charge Nurse, the work of unqualified staff.
• Manage the ward/department in the absence of the Band 6 or 7 nurses, if senior enough to do so.
• Demonstrate effective time management and prioritization of workload.
• Take an active role in the induction and orientation of new staff.
• Take responsibility for the teaching and education of pre and post registration students acting as a preceptor or mentor as appropriate.
• Demonstrate leadership and teaching skills in the supervision development and feedback of junior staff.
• Demonstrate procedures and supervise junior staff and students in the practice of new skills.
• Have an awareness of cost implications and assist in the management of resources within the clinical area e.g. equipment, supplies.

Please see attached job description and person specification for further details to this role.


This advert closes on Wednesday 4 Dec 2024

The Hand Therapy Team at the Chelsea and Westminster NHS Foundation Trust has an exciting opening for either an Occupational Therapist or Physiotherapist with previous experience in Hand Therapy to join our team.

The role includes a varied patient caseload of trauma and acquired conditions of the hand and wrist, from both Orthopaedic and Plastic Hand Surgeons. Hand therapy is carried out in closed trauma fracture clinics, on the ward, and in out-patient settings for post-operative and non-operative patients. The team comprises 16 qualified therapists and a therapy assistant. There is regular MDT teaching and support for learning through in-service training and supervision.

We are a dynamic team aspiring to provide the best quality of care for our patients. We also pride ourselves on being engaged in new innovation. We are looking for someone who also aspires to these standards, is self-motivated and looking to progress their career in hand therapy.

To be eligible to apply please ensure that you consider all aspects of the person specification in your supporting statement.

The post holder will be a clearly identifiable senior clinical staff member. They will have significant clinical experience in hand therapy, provide sound clinical expertise to their team and more junior staff and coordinate and deliver high quality care. They will be a role model for expert clinical care, and lead on specific projects / service developments and management functions as delegated by the Band 7 therapists or Clinical Lead therapists. They will role model the identified Trust values at all times.



Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.


Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.


We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.


We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.


The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.


Some roles may require weekend shifts at multiple sites.


JD Band 6 HT

Please review attached document for details in summary the applicant must be able to demonstrate relevant skills and abilities relevant to the role.


This advert closes on Wednesday 4 Dec 2024

We are looking to recruit motivated and enthusiastic nurses to join our nursing team. We have a permenant Band 5 Staff Nurse position in John Hunter Clinic for Sexual Health & Kobler Outpatients Clinic.

You should be motivated, enthusiastic and possess excellent interpersonal and communication skills along with the ability to work with a diverse range of clients in an innovative sexual health and HIV outpatients setting.

You must have a ‘can do ‘attitude and be passionate about providing a high standard of patient care and you will be part of a team of nurses responsible for delivering a high standard of patient care at all times.

You will be fully trained in all our core competencies relevant to Sexual health and HIV care.

Our vacancies are suitable for people who are looking for a rewarding career and who are interested and passionate about working in sexual health and HIV.




To maintain and deliver a high standard of nursing care, demonstrating a professional and ethical responsibility To build on clinical experience, leadership and teaching skills through nursing practiceTo demonstrate a commitment to the mentorship of pre and post registration learnersTo be involved in the development and implementation of outreach work and other service developmentsTo act as a coordinator of the clinic in the absence of a senior member of the nursing team
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

· To assess individual patient needs and requirements without supervision

· To plan, implement, and evaluate relevant programmes of care for individual patients within the clinic’s guidelines

· To be competent in the following, with appropriate training:

o Venepuncture

o Microscopy

o Sexual Health screening

o Vaccinations for Hepatitis A & B, HPV and MPOX

o Dispensing medications under a patient group direction (PGD)

o Provide basic information around reproductive health choices and supply Emergency Contraception under PGD

o Providing HIV related care to stable patients in an outpatient setting.

· To facilitate effective communication with the multi-disciplinary team to ensure appropriate nursing input into patient care discussions

· To take an active part in the development and implementation of clinical audit and research

· To be competent to supply and administer medications under a Patient Group Direction

· To maintain clear and accurate documentation in line with unit and Trust standards

· To be aware of all the Directorate and Trust Policies and Guidelines and ensure all actions are carried out accordingly

· To demonstrate appropriate counselling skills when working with patients

· To order investigations and provide test results to patients as per clinic protocols

· To be competent in the Triage of emergency patients according to directorate-wide guidelines

· To work in an outreach setting as required

· Advise on the promotion of health and the prevention of illness, with particular reference to smoking cessation, diet, immunisations and sexual health and HIV

Support patients around adherence and understanding their HIV medication

Please see attached job description and person specification to this advert for further details.






This advert closes on Wednesday 4 Dec 2024

Ophthalmic Nurse Practitioner, Band 7

Fixed-Term/Secondment: 12 months

We are looking for an Ophthalmic Nurse Practitioner who has experience in intravitreal injections, POA/Biometry and pre/postoperative review of patients who have undergone cataract surgery.

This position will clinically support the ophthalmology department and will be responsible for transforming the way in which we provide ophthalmology services at Chelsea and Westminster Hospital through application of Royal College and national recommendations such as Getting It Right First Time (GIRFT) to deliver a sustainable and modern ophthalmology department.

Candidates who do not have experience in injections are welcomed to apply as well, but they will be remunerated at a Band 6 level. We will provide training in injections and upon successful completion/formal assessment the post holder will be uplifted to Band 7.

The post holder is responsible for the delivery of safe, effective care leading to an excellent experience for patients and carers by:
• Being responsible for the strategic delivery of high quality patient centred care within the speciality along with supporting the ambitions of the Trusts core objectives and strategies
• Be responsible for setting the standards within the clinical team and for ensuring that the environment allows the workforce to feel supported to deliver safe and effective care
• Review patient pathways ensuring that patients experience a positive experience while under our care, which also drives effectiveness and efficiency in service delivery
• Lead as a driver for change, monitoring and improving standards through supervision, evidence based practice, clinical audit, research and education.
• Lead in ensuring that the workforce has the skills and knowledge to continuously evolve the service to meet the needs of our patients via research and education

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Clinical Practice
1. Works independently in designated Nurse led clinics across the trust, utilising clinical reasoning skills and evidence-based knowledge in the management of patients with complex presentations.
1. Works in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. of history-taking, holistic assessment, identifying risk factors, mental health assessments, requesting, undertaking and/or interpreting diagnostic tests, and conducting health needs assessments)
1. Interpret and analyse complex clinical and non- clinical facts to provide expert advice and opinions to health care professionals including when views may differ and conflict. This process includes the formulation of an accurate prognosis and recommending appropriate intervention.
1. Be clinically competent with the ability to use expert skills, analytical reasoning in order to be able to diagnose, manage and treat patients within the service and recognise when patients require onward referral to ophthalmic clinical colleagues.
1. Use expert theoretical and practical knowledge to coordinate referrals internally and externally.
1. Demonstrate highly developed sensory skills, dexterity, co-ordination and precision essential for the assessment and management of patients including advanced patient assessment and examination and the use of complex, specialised intervention
1. Monitor, evaluate and review specialty nursing practice and to modify approaches to clinical care as required providing assurance to nursing leadership and ophthalmic medical colleagues.
1. Collaborate with the multi-professional team to monitor disease progression in patients with ophthalmic conditions.
1. Challenge practice so that the best and most appropriate treatment is given to the patient; maintaining and monitoring high standards of care, recognising and responding proactively to patients’ changing clinical needs.
1. Maintain professional competence, authority and credibility and that of the nursing team by undertaking regular clinical sessions in line with your job plan and being highly visible to patient’s carers and staff, actively seeking feedback about the quality of services. Collaborate in the establishment and monitoring of protocols/care pathways.
1. Critically apply your clinical expertise to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
1. Actively participate in case discussions and multi-disciplinary team meetings, liaise with inter hospital departments/ personnel across organisations and professional boundaries.
1. Be conversant with trust policies, procedure and systems for safeguarding including the assessment of Mental Capacity, the process for consideration requests for Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness). Provide advice and support in implementing the appropriate policies and procedures.
1. Lead the speciality in undertaking non-medical independent prescribing, in accordance with current legislation and Patient Group Directions (PGD’s) in order to meet our patients need and those of the service.
1. Lead on and participate in key developments relating to the ophthalmic speciality so that high quality patient focused services are promoted
1. Lead in ensuring that health education and advice to patients is evidence based and meet the needs of our cohort of patients i.e. sensory impairment.
1. Identify and care for deteriorating patients and take the appropriate action to manage the situation, liaising with the multi-disciplinary team and external care providers as appropriate.
1. Use professional judgement to intercede and act as advocate for patients to ensure a patient focused approach to the delivery of care.
1. Support and enable patients and carers to make informed decision relating to their treatment and management, escalate concerns within professional structures as required.
1. Have accountability for the correct administration and custody of medicines according to the trust policy to include the safe administration of medicines, controlled, intravenous and cytotoxic drugs.

Professionalism & Integrity

1. Be fully conversant and wholly accountable for your own practice and maintaining your professional registration in line with the NMC Code of Professional Standards of Practice and Behaviour for Nurses, Midwives and Nursing Associates (current version).

2. Recognise the limits of individual competence and knowledge undertake and complete further training and academic qualifications as relevant to the role and service requirements.

3. Provide and accept constructive feedback and use this to reflect on your own practice.

4. Recognise signs of stress and the emotional impact of care on self and others and take appropriate action, escalating to line manager as required.

5. Promote an ethos of joint working, collaboration and mutual respect amongst all members of staff.

6. Act with personal and professional integrity within professional, ethical and legal frameworks and process to maintain and improve standards of care and practice.

7. Articulate the significance and potential impact of government policies as they relate to practice and future developments.

8. Take responsibility and maintain professional records of personal updates (portfolio of practice) to support revalidation. Be actively involved in professional development discussions and personal development plan as part of your annual appraisal

9. Adhere to all trust policies, procedures, guidelines and standards, ensuring a high standard of personal and professional behaviour and dress is maintained at all times whilst acting as an ambassador for the trust.

10. Act as a positive model at all times in promoting the personal growth of self, peers and junior colleagues.

11. Lead on and contribute to local, regional and national policy developments. Actively seek opportunities to influence National policy development through clear and precise articulation of patient and service requirements/needs.

12. Maintain professional boundaries and working relations with patients and colleagues, appropriately declaring any conflict of interest.

13. Diffuses challenging behaviour, ensuring that the situation is managed in a sensitive and professional manner.

14. The post holder may be deployed/expected to work in any part of the organisation should the need arise to ensure patient safety is maintained.



PLEASE SEE JD/PS FOR FULL JOB DETAILS


This advert closes on Wednesday 4 Dec 2024

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.

• The post is for a Locum Consultant in Sexual Health and HIV Medicine based at the West Middlesex University Hospital.
• The role will involve participating in 6 integrated sexual health clinics, and 1 HIV clinic weekly and will primarily be based at Twickenham House, West Middlesex University Hospital.
• The post holder will, in conjunction with the existing Consultants, have responsibilities for providing advice, screening, diagnosis and treatment of patients with STIs, including HIV infection.
• They will also be expected to provide service provision on all aspects of contraception and Long-Acting Reversible Contraception (LARC) and support the progress of the clinic towards provision of an integrated “one-stop” sexual health service.
• Chelsea and Westminster NHS Trust has an active research portfolio. The post holder will be welcome to join the delegation log for existing studies and develop further research activities as a lead investigator if desired.
• The appointee should expect that sessions may be re-allocated from time to time to meet changes in circumstances such as the development of new services, changes in consultant staff, expansion or reduction of existing services and the review and implementation of the Business Planning Program The appointee may also expect to work in the evening and at weekends. They may need to work at other healthcare premises within Chelsea & Westminster Hospital NHS Foundation Trust or in outreach services managed by the Trust
• They will have a weekly HIV clinic, and manage a caseload of HIV patients. Our clinics serve a varied demographic, representing individuals requiring more complex HIV care.
• They will work with nursing staff and allied health professionals to support nurse led models of care.
• They will be expected to work alongside the other consultants in providing educational supervision for the multidisciplinary team and participate in Wednesday morning educational activities, and the weekly Directorate Virtual Antiretroviral Clinic meeting. In particular, the post holder will have clinical and/or educational supervisory responsibility for nominated junior staff. This role will include appraisal of the individuals concerned.
• The post holder will be expected to help lead on innovations or service change designed to achieve local/national targets, develop/expand outreach services, optimise cost efficiency of the service, including implementation of new technologies and development of online service
• The post-holder would be encouraged to develop further links with allied community organisations in order to develop non-traditional services designed to improve access for vulnerable, minoritised individuals.
• They will engage in specific management tasks and contribute to monthly departmental meetings in agreement with the Clinical Lead.

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 deliver a baby every 50 minutes
• 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
Our values
Our PROUD values demonstrate to staff, patients and the public the standards of care and experience they should expect from our services:
• Putting patients first
• Responsive to patients and staff
• Open and honest
• Unfailingly kind
• Determined to develop
• Provide advice, screening, diagnosis and treatment of patients with STIs, including HIV infectio
• Oversee expanded HIV testing provision, sexual and reproductive health delivery in the local community encouraging access for more vulnerable populations.
• Lead for contraception and management of a caseload of patients attending for subdermal implants and intrauterine devi
• Establish new patient pathways, alongside colleagues, to facilitate integration of contraceptive and sexual health service
• Work with service lead and public health department of London Borough of Hounslow on development and implementation of sexual health services in local primary care practices and pharmacy premises
• Provide consultant advice and support to multidisciplinary team working in GUM clin Review complex cases requiring senior input.
• Manage a caseload of HIV patients and provide support for junior colleagues including management of seroconversion, starting/switching treatment and assessment and management of unwell patient
• Assist on the West Middlesex site the process of moving the Trust towards adopting and achieving a zero HIV Stigma target by developing education and training strategies within the directorate and the Trust as a whole.
• Work with colleagues to modernize the HIV care pathway to ensure effective use of resources.


This advert closes on Sunday 8 Dec 2024

We have an exciting opportunity for a Heart Failure Specialist Nurse to join a supportive and inclusive team who want the best for our patients and each other.

Working within the inpatient heart failure team at Chelsea and Westminster Hospital including cross site working at West Middlesex Hospital.

The post holder should have expertise in cardiac care provision with a specific interest in Heart Failure. The post holder should have an extensive experience of cardiology and the ability to work autonomously.

As an autonomous practitioner the post holder will be required to manage their own caseloads including nurse-led clinics, telephone consultations and heart failure programmes with support from the lead Heart Failure Nurse. They will also provide support, management and education to cardiac in-patients within the Trust.

The post holder will be actively involved in the development of the heart failure services both internally and externally. This will include developing digital initiatives including Virtual wards, undertake audits, quality improvement activities and participate in the strategic development of the service.

This allies with the direction of travel within the NHS for smarter ways of working.

This is a developmental role in which the successful applicant will be supported to develop their skills and knowledge in heart failure both formally and in clinical practice. Specifically related to drug titration, patient monitoring, patient education, the assessment and management of heart failure patients and end of life care as per national and local guidelines on the care and management of heart failure.

Please see JD for further information

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

The inpatient Heart Failure team is a cross-site, integrated multidisciplinary team and we aim to work collaboratively to deliver care that meets best practice in heart failure across both sites of the Trust. This post will be cross-site working at Chelsea and Westminster Hospital and at West Middlesex University Hospital and the post holder will be expected to contribute to the service as a whole under the direction of the lead specialist nurse for heart failure.

This is a developmental role in which the successful applicant will be supported to develop their skills and knowledge in heart failure both formally and in clinical practice. Specifically related to drug titration, patient monitoring, patient education, the assessment and management of heart failure patients and end of life care as per national and local guidelines on the care and management of heart failure.

The post holder will be supported to manage their own caseload, which would include nurse-led clinics, virtual clinics, and telephone consultations. This would incorporate education to heart failure patients in both the inpatients and out patients setting

The post holder would also be involved in the ongoing development and facilitation of the virtual wards, the use of digital resources, the development of Remote Monitoring and utilising the ambulatory services. The post holder will provide a leadership role and forge In addition forging links with those involved in the ongoing development of the heart failure service.

The Heart Failure Specialist Nurse provides expertise in all aspects of cardiac care provision with a specific interest in Heart Failure. The post holder will be an experienced practitioner with experience of cardiology and will develop the ability to work autonomously

They will assist in undertaking regular audits, quality improvement activities and participate in the strategic development of the service. The post holder will also actively disseminate experiences through publication, conference presentations and participate in local heart failure and nursing research and national working parties.

Please see JD for further information


This advert closes on Wednesday 20 Nov 2024

We are looking for a Senior Sexual Health Adviser to provide management and leadership to a designated team of Health Advisers within St Stephen’s Centre (JHC and Kobler Clinic). Please note this is a fixed term 6 month post

You will be motivated, enthusiastic and possess excellent interpersonal and communication skills along with the ability to work with a complex range of clients in an innovative sexual health setting.

You will monitor and support the HA team to ensure that the team are able to provide a gold standard of care for patients attending for PrEP and PEP as well as for those patients attending the clinic with complex needs e.g. safeguarding concerns, domestic abuse, sexual assault, sex workers, substance use and sexual well-being and dysfunction.

You will provide leadership within the SSC MDT around safeguarding and work alongside the B7 Nurse leading on Safeguarding in JHC & Kobler including attendance at all relevant safeguarding meetings and work with the designated clinician in Kobler Clinic in managing HIV Lost to follow up (LTFU).

You will also oversee and support the Emergency Department Blood Borne Virus Testing Pathway to Care including line management of the BBV results HA.

Please see the attached job description and person specification for relevant application criteria.

For an informal visit or for further information on the posts please contact Clinic Manager James Hardie on -James.Hardie5@nhs.net





· To provide management and leadership to a designated team of Health Advisers within St Stephen’s Centre (JHC and Kobler Clinic).

· Review monitor and support the HA team to ensure that the team are able to provide a gold standard of care for patients attending for PrEP and PEP as well as for those patients attending the clinic with complex needs e.g. safeguarding concerns, domestic abuse, sexual assault, sex workers, substance use and sexual well-being and dysfunction.

· To be competent in the management of under 18 year olds and vulnerable adults with additional needs.

· To provide leadership within the SSC MDT around safeguarding and work alongside the B7 Nurse leading on Safeguarding in JHC & Kobler including attendance at all relevant safeguarding meetings.

· To work with the designated clinician in Kobler Clinic in managing HIV Lost to Follow up (LTFU).

· To oversee and support the Emergency Department Blood Borne Virus Testing Pathway to Care including line management of the BBV results HA.

· The post holder will be a clearly identifiable senior clinical staff member, and team leader within JHC & Kobler for the HAs.

To have demonstrable clinical experience, be able to provide sound clinical expertise to the team and coordinate and deliver high quality care to complex clients

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

· To provide management and leadership to a designated team of Health Advisers within St Stephen’s Centre (JHC and Kobler Clinic).

· Review monitor and support the HA team to ensure that the team are able to provide a gold standard of care for patients attending for PrEP and PEP as well as for those patients attending the clinic with complex needs e.g. safeguarding concerns, domestic abuse, sexual assault, sex workers, substance use and sexual well-being and dysfunction.

· To be competent in the management of under 18 year olds and vulnerable adults with additional needs.

· To provide leadership within the SSC MDT around safeguarding and work alongside the B7 Nurse leading on Safeguarding in JHC & Kobler including attendance at all relevant safeguarding meetings.

· To work with the designated clinician in Kobler Clinic in managing HIV Lost to Follow up (LTFU).

· To oversee and support the Emergency Department Blood Borne Virus Testing Pathway to Care including line management of the BBV results HA.

· The post holder will be a clearly identifiable senior clinical staff member, and team leader within JHC & Kobler for the HAs.

To have demonstrable clinical experience, be able to provide sound clinical expertise to the team and coordinate and deliver high quality care to complex clients


This advert closes on Sunday 17 Nov 2024

We are looking for an enthusiastic Band 6 nurse to come and work on our Paediatric Day Surgery Ward.

As a Band 6 nurse on Saturn you will be taking charge of the unit, working closely with Surgeons, Anaesthetists, Play Specialists and the wider Paediatric Teams and supporting junior members of the team.

Saturn ward is a Paediatric Day Surgery ward with an age range of 0-16 years old. We carry out both elective and emergency surgeries including specialities like Orthopaedics, Dental, Urology and Gastroenterology.

We also have close links with our local Child and Adolescent Mental Health Services and various other support agencies and departments within the hospital to help young people reach their full potential and transition into adult life.

We are very proud of the services we provide and the high standard of care we deliver. We are looking for someone who is enthusiastic and highly motivated to become a part of the team.

The Senior Staff Nurse is responsible for the assessment, planning, delivery and evaluation of high quality patient care, whilst working in close co-operation and collaboration with the multi-disciplinary team.

The Senior Staff Nurse will:
• Provide high quality clinical care to patients, in line with the Trust values and in accordance with professional regulations.
• Accept delegated responsibility for specific activities/areas from the senior nurse in charge.
• Work in line with Trust policies, objectives, protocols and local guidelines, whilst also being aware of the importance of their role in supporting members of the team, and always adhering to the Trust values, and in accordance with NMC regulations.
• Work autonomously and with others to always deliver high standards of care to patients and their carers, autonomously and as part of a team.
• Communicate in line with Trust values, to patients, carers and staff at all times.

Please see attached job description and person specification to this advert for further details.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.







Clinical
• Lead on assessing planning and implementing high quality care, and evaluating care options for patients in the clinical area, in line with the Trust values and objectives

· Lead on complex clinical care for patients within their area

· Ensure the safe custody, maintenance and administration of medication, in accordance with established Trust policy

· Promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation and Trust policies and objectives

· Coordinate discharges and transfers, promoting timely and safe processes for them

· Ensure that patient flow and the management of beds is effective and safe

· Ensure the delivery of high quality end of life care in line with national pathways

through the provision of holistic palliative and terminal care

· Provide sound evidence based clinical advice as required to staff and patients

· Maintain a good understanding and implementation of clinical escalation procedures as required

· Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values

· Ensure that the team promote, ensure and adhere to the Trust safeguarding polices

· Undertake effective multi professionally work with colleagues to deliver care
Coordinate specialist functions, including making clinical decisions where appropriate

Please see attached job description and person specification to this advert for further details.




This advert closes on Sunday 10 Nov 2024

Lead Nurse - Surgery, Band 8b

Cross site: Chelsea and Isleworth

Due to recent promotion within the nursing leadership structure this exciting opportunity has arisen for a talented individual with multiple skills and an appetite for delivering a first class nursing service to join the team and work across our two hospital sites. Working as one of the Lead Nurses for Planned Care alongside your colleagues, the Divisional Director of Nursing and senior management teams you will continue to improve care and experience for patients and families.

The successful applicant will take a senior management role to deliver an innovative service across our surgical departments. In this role, you will lead a committed team to deliver the service, support the Senior Nursing and Midwifery Team priorities and the wider Trust agenda. You will work collaboratively with the clinical leads while developing partnerships with the other divisions and our specialist nurses.

You will have had demonstrable success in a senior role working as part of a multi-professional team, and bring strong leadership and management skills. You will be able to establish your credibility with colleagues and be a visible senior nurse to an ambitious and high performing team.

You will have extensive experience of caring for patients, good clinical and management skills along with well-developed ability to communicate and support colleagues, patients and their families throughout their care, treatment and follow up.
• Provides expert professional advice to patients, families, carers and colleagues
• Delivers specialist clinical skills to assess patient need, provide care, manage treatment, coordinate pathways and provide specialist clinical leadership across the patient caseload
• Undertakes research and audit in the specialist area
• Provides education and training to other staff, students and parents
• Works in conjunction with the multidisciplinary team, and across organisations within a network of care as applicable
• Acts as the professional lead for the specialist area at corporate and directorate level and for clinical governance purposes
• You will be able to motivate and engage others to ensure that the services we provide supports the Trust’s values, as well as having a pioneering approach that is not afraid to challenge convention and traditional ways of working.

The Planned Care Division is led by the Divisional Medical Director, Divisional Director of Operations and Divisional Director of Nursing using the triumvirate model of leadership. The Key Services delivered by this Division are Emergency and Elective Surgery, Intensive Care and Burns all of which are delivered through the busy but well organised and supported wards and departments.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Expert Practice
• The Lead Nurse will employ highly developed, expert clinical skills to assess patient need, co-ordinate care, manage treatment and provide specialist clinical leadership
• The post holder will provide strategic and professional senior nursing leadership in the development and delivery of multi professional services and in the integration of care across departmental/organisational boundaries
• They will facilitate expert and autonomous nursing care and the provision of support to patients and families
• The post holder will provide and lead autonomous direct care and advice through various modalities including ward-based, outpatients, ward attenders, telephone clinics/support, community settings and domiciliary visits. The post holder may need to delegate patients to other members of the team but will supervise and retain responsibility for the management of their care whilst they are a patient of the Trust.
• The post holder may need to delegate patients to other members of the team but will supervise and retain responsibility for the management of their care whilst they are a patient of the Trust.
• They will raise the profile of specialist area and its work within and outside the Trust. The Lead Nurse will initially act as the first point of contact for clinical expertise for staff within the nursing team, and provide an experienced liaison route for all professionals in the MDT. They will work in collaboration with the MDT in order to achieve the highest standards of care for this patient group. This will involve teaching and supporting the early identification of pathways and treatment options, to ensure patients are being cared for in the most appropriate manner and environment
• The post holder will coordinate pathways and independently manage a challenging and diverse patient caseload and may make and receive referrals directly to doctors, GPs, Community Nursing Teams, hospices and Allied Health Professionals as appropriate. The post holder will promote communication between primary, secondary and community providers as well as the non-statutory sector, and will advise/lead on the discharge planning process for designated patients
• The post holder will support professionals, patient and families through periods of diagnosis, treatment and palliation
• The post holder will provide expert advice on issues of clinical governance and risk

Education and Training
• The education dimension of the role will include designing education programmes for multidisciplinary teams and the training and development of professionals. This may include mentorship, supervision and attachments/placements of junior nursing staff. The post holder will undertake regular assessments of the education needs of new and existing staff, in conjunction with the Matron and Practice Development Nurse
• The post holder will ensure the development and sustainability of information, skills and acquired knowledge for service. The development of staff and the transfer of skills and knowledge to improve standards, the scope of practice and professional judgement of others (as appropriate) forms a key part of the role
• As part of advising on practice, the post holder will be a key link with professional bodies and associations for the specialist area and will review and translate evidence-based recommendations and guidance into daily patient care. They will proactively keep up to date with new developments in research and best practice. Internally, the post holder will lead on internal policy and guideline development
• Formal and informal teaching sessions will be created and delivered. The post holder will collaborate with the post graduate medical education department to ensure junior medical staff have the necessary training and education to provide evidence based practice

Service Development, Research and Evaluation
• The role may include a significant research element, and the post holder will be actively involved in research locally and nationally, collaborating with research partners and robust evaluation. They will develop an effective model of multidisciplinary management across the pathway
• The Lead Nurse will regularly evaluate the service through audit, reviews and soliciting feedback to further the development of good practice and clinical effectiveness of the service
• They will collaborate with other professionals to initiate and promote research which will form the Trust’s research and development strategy
• They will contribute to the Trust’s nursing strategy
• The post holder will develop and utilise benchmarking to internally appraise and externally compare the service
• They will identify and implement practice developments in response to incidents, reviews and complaints
• The Lead Nurse will report service information to observatories and regulators as required
• The post holder will work with colleagues to ensure that national and local targets are met

Management
• The post holder will line manage and appraise designated staff. This includes sickness management and performance management
• Where the post holder holds designated budgets and/or has signatory rights, they are responsible for the control and performance of that budget and associated resources
• The Lead Nurse will participate/lead in recruitment, selection and retention of staff as required
• The individual will be part of the out of hours on-call rota
• This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager
• All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff

PLEASE SEE JD/PS FOR FULL JOB DETAILS


This advert closes on Thursday 7 Nov 2024

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.


An exciting opportunity has arisen for a Band 6 Junior Charge Nurse/Sister to join our dynamic and friendly team in a well- established department. To meet the ongoing demand on the service, this outpatients unit is open 7 days.

We are looking for an enthusiastic, motivated and well organised individual who has significant experience in Dermatology and would like to progress professionally within this specialty. The post holder will have excellent communication skills and will deputise for their manager co-ordinating the day to day clinical, managerial and educational requirements in the area, whilst delivering and overseeing high standards of specialist care to patients who attend our busy department with a wide range of Dermatological conditions. The post holder will require significant Dermatology experience and be responsible for delivering care in all areas of Dermatology Outpatients such as Day care / Phototherapy, assisting in theatre during minor operations and MOH’s, providing clinical knowledge and expertise to their team, whilst co-ordinating and delivering high quality care. You will act as a role model and support to the rest of the team using your own initiative and problem solving skills. You will need to be flexible and resilient in order to cope with the demands of the service.

The post holder will be a clearly identifiable senior clinical and managerial staff member, and team leader. They will have significant experience and be responsible for delivering care in all areas of Dermatology Outpatients such as Day care / Phototherapy, assisting in theatre during minor operations, providing clinical knowledge and expertise to their team, whilst co-ordinating and delivering high quality care. They will be a role model and lead on specific projects / management functions as delegated by the Clinic Senior Sister or Matron. They will uphold the identified Trust values at all times.

In this role as Senior Sister/ Junior Charge Nurse, they will be the assigned deputy for their manager, co-ordinating the clinical, managerial and education requirements for the area on a day to day basis.
Proud of our workforce


· Our 7,500 staff are recruited from local communities and around the world

· Our staff rate ussecond among acute trusts in London as a place to work

· Despite challenges in the NHS, our low staff vacancy rate remains significantly better than the national average

· We are passionate about the health and wellbeing of our staff with a huge support offer, including our nationally-recognised free back-up care scheme and Timewise accreditation as a flexible employer

· We love to develop our people, offering a range of development programmes and apprenticeships, with our healthcare support worker apprentices winningApprentice of the Yearfor two years running

· We offer a fantastic range of salary sacrifice schemes, from season ticket loans, bicycles and vehicles, to gym memberships, home electronics and holidays

Clinical Responsibilities
• Phototherapy – will possess certificate of course attendance and be signed off as competent.
• Complex application of and co-ordination of Dermatological treatments including Day care treatments.
• Long term condition management including experience of providing holistic support to individuals living with chronic health care needs.
• Wound care and advice including suture removal.
• Administering medications including injections.
• Maintaining good time management and personal organisation.
• Providing cover for colleagues in all clinical areas as required.

Leadership and Management
• Manage the day to day staffing arrangements and rotas, to ensure safe levels of practice.
• Be a shift co-ordinator on a regular basis where appropriate.
• Ensure all staff are aware of and adhere to all trust Protocols of care
• Take continuing responsibility for the Ward / Department in absence of the manager.
• Lead and manage their own clinical team within general clinical areas, and of the total team in the absence of the manager, in line with Trust values.

Please see attached job description and person specification to this advert for further details.




This advert closes on Wednesday 30 Oct 2024

An exciting opportunity has arisen for a new, enthusiastic, full time member of staff to join the team in the Dermatology Outpatients Department at Chelsea and Westminster Hospital. These services are provided over 7 days.

The post holder will be working under the supervision of trained staff, and will undertake specific tasks for which they have been trained and assessed as competent. They will be expected to support Dermatology Outpatient clinics, including chaperoning, assisting in theatre, administration and clerical duties, and supporting the smooth running of the daily clinics. Training and support for the above duties will be given to ensure the provision of excellent care in a safe and caring environment.



To support Dermatology Outpatient clinics, including chaperoning, assisting in theatre, administration and clerical duties, and supporting the smooth running of the daily clinics. Training and support for the above duties will be given to ensure the provision of excellent care in a safe and caring environment.



Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that arePROUD to Carefor nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children’s, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We’re one of the best performing Trusts in the country. We’re also one of the top trusts to work for – our staff says they’re engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as ‘Good’ in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of ‘Good’. We’ve also been awarded an ‘Outstanding’ rating for ‘use of resources’ by an NHS Improvement inspection.

Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
• Assist patients with general hygiene needs reporting any changes in patients’ condition.
• Assist the patient to dress appropriately.
• Safeguard patients own belongings and space.
• Under supervision take and record the patient’s observations (e.g. temperature, skin assessment) as required, and inform the registered nurse of any observed changes in the patient’s condition.
• Support the Registered Nurse in meeting and recording patients’ elimination needs. Report any changes identified and record quantities and frequency on the relevant charts appropriately.
• Work with the Registered Nurse to gain knowledge and understanding of providing pressure area care and the use of aids.
• Work with the Registered Nurse to gain knowledge of mobilisation aids and their correct and safe use.

Housekeeping and Environmental Care
• Will ensure the environment is clean, comfortable, safe, and welcoming to patients, relatives and all health care professionals. In inpatient areas, this includes preparing bed space: - wash beds, chairs and lockers, making unoccupied beds in readiness for appropriate use.
• Clean and maintain equipment and make ready for use.
• To have an awareness of monitoring and maintaining stock levels of designated items.
• Keep all storage areas clean, tidy and in good order.
• Report any faulty or broken equipment to the ward manager and label
appropriately.

Please see attached job description and person specification to this advert for further details.




This advert closes on Wednesday 30 Oct 2024

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.


This is an exciting opportunity to join the team at Sexual health Hounslow as the Advanced Nurse Practitioner (ANP) in Sexual and Reproductive Health (SRH).

You will use your passion, empathy and specialist knowledge of Sexual and Reproductive Health to deliver advanced nursing skills to our patients and drive training and education to our team of Nurses.

The ANP will inform the strategic direction of the clinic as well as in the GUM Directorate regarding the continued development of nurse led sexual healthcare. They will coordinate effective communication across the multi professional team, between departments. The ANP will provide specialist education and development for nursing staff and colleagues through education programmes, individual development programmes and clinical supervision.

The ANP promotes excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource, developing practice and commitment to research and audit.



Candidates should pay particular attention to the essential criteria required for this senior role.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites
• The Advanced Nurse Practitioner (ANP) in Sexual and Reproductive Health (SRH) will use their specialist knowledge, skills and experience in providing sexual healthcare to undifferentiated patients attending the Sexual and Reproductive departments within the Specialist Care division. They will work as a self-directed independent practitioner managing patients with complex needs for regular follow-up care and treatment, providing care which focuses on enabling patients to optimise their health.
• The ANP will inform the strategic direction of the service regarding the continued development of nurse led SRH care. They will coordinate effective communication across the multi professional team, between departments and the community. The ANP will provide specialist education and development for nursing staff and colleagues through education programmes, individual development programmes and clinical supervision.
• The ANP will directly line manage the Nurse Practitioner team and support the nursing team and junior doctors to complete competency-based training programmes appropriate to their level. The ANP promotes excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource, developing practice and commitment to research and audit.

Clinical Responsibilities:
• Use their advanced expertise and clinical skills to independently manage SRH patients including those with highly complex treatment and psycho-social needs.
• Assess and interpret complex clinical information and data in partnership with the patient to make appropriate diagnoses, developing and implementing a plan of healthcare management including prescribing medications or refer for medical review if required.
• Use highly developed communication skills to assess situations and empathetically impart information, which is often complex and sensitive, at all levels of interaction with others.
• Evaluate the effectiveness of the healthcare management plan on an ongoing basis and initiate any further action required.
• Use expertise in the emergency presentation of GUM-related problems, according to an agreed protocol, to triage walk-in patients and provide a telephone triage service to assess patients’ immediate needs and direct them to the appropriate service.
• Use advanced expertise in health promotion and the prevention of illness to assess and advise patients with particular reference to smoking cessation, diet, recreational drug use, mental health, immunisation.

Professional and Personal Responsibilities:
• To act as a role model and promote excellence in nursing practice as well as promoting professional and clinical nursing skills within the Directorate.
• To be responsible for working within the NMC Code of Professional Conduct and all Trust and Directorate guidelines.
• To maintain and respect patient confidentiality.
• To work in accordance with local and national guidelines for HIV/GUM.
• To maintain an expert level of competence and continue with their own personal and professional development through relevant professional and academic study (Masters Level).
• To maintain accurate and up to date medical and nursing notes in accordance to Trust and NMC guidelines.

Please see attached job description and person specification to this role for further details.


This advert closes on Wednesday 30 Oct 2024

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.


Chelsea and Westminster Foundation Trust is seeking a Speciality Doctor in Obstetrics and Gynaecology with a special interest in fetal medicine.



The post holder will be expected to carry out a range of duties covering many aspects of Women’s Health. The post is a dual role between the Specialist Care Division (Women’s Services) and Private Patients.The post holder will provide expert ultrasound scanning services and support the clinical team in managing private elective caesarean sections within the theatre setting. The role involves performing high-quality obstetric ultrasound scans within the maternity assessment unit (MAS) or where required, assisting in clinical decision-making and providing direct support during elective caesarean sections, ensuring safe, patient-centred care.

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 deliver a baby every 50 minutes

· 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
Our values
Our PROUD values demonstrate to staff, patients and the public the standards of care and experience they should expect from our services:

· Putting patients first

· Responsive to patients and staff

· Open and honest

· Unfailingly kind

· Determined to develop

Obstetric Ultrasound Scanning:

· Perform detailed obstetric ultrasound scans, including anomaly, growth, and wellbeing scans.

· Interpret and document ultrasound findings accurately, providing clear communication to the obstetric team and patients.

· Ensure adherence to safety protocols and clinical guidelines for fetal and maternal scanning.

· Provide a compassionate and supportive environment for expectant mothers during the scanning process.

Support for Elective Caesarean Sections:

· Assist with the private elective sections including the clinical management of patients undergoing elective caesarean sections, including pre-operative, intra-operative, and post-operative care where required.

· Participate in pre-surgical assessments, providing obstetric scanning information to aid in surgical planning.

· Assist obstetricians in the operating theatre, ensuring safe practice and the delivery of high-quality care during caesarean procedures.

Collaboration and Multidisciplinary Teamwork:

· Work closely with obstetricians, anaesthetists, midwives, and the wider healthcare team to ensure seamless care for patients.

· Participate in case reviews, contributing to multidisciplinary discussions and decision-making processes.

· Communicate effectively with patients and their families, ensuring clear understanding and addressing concerns.

Clinical Governance and Quality Improvement:

· Maintain up-to-date clinical knowledge and competency in obstetric scanning and caesarean section support.

· Participate in clinical audits and contribute to the development of protocols and guidelines to improve service delivery.

· Ensure compliance with local and national regulations and standards of care in obstetric practice.


This advert closes on Monday 21 Oct 2024

Ophthalmic Nurse Practitioner, Band 7

We are looking for an Ophthalmic Nurse Practitioner who has experience in intravitreal injections, POA/Biometry and pre/postoperative review of patients who have undergone cataract surgery.

This position will clinically support the ophthalmology department and will be responsible for transforming the way in which we provide ophthalmology services at Chelsea and Westminster Hospital through application of Royal College and national recommendations such as Getting It Right First Time (GIRFT) to deliver a sustainable and modern ophthalmology department.

Candidates who do not have experience in injections are welcomed to apply as well, but they will be remunerated at a Band 6 level. We will provide training in injections and upon successful completion/formal assessment the post holder will be uplifted to Band 7.

The post holder is responsible for the delivery of safe, effective care leading to an excellent experience for patients and carers by:
• Being responsible for the strategic delivery of high quality patient centred care within the speciality along with supporting the ambitions of the Trusts core objectives and strategies
• Be responsible for setting the standards within the clinical team and for ensuring that the environment allows the workforce to feel supported to deliver safe and effective care
• Review patient pathways ensuring that patients experience a positive experience while under our care, which also drives effectiveness and efficiency in service delivery
• Lead as a driver for change, monitoring and improving standards through supervision, evidence based practice, clinical audit, research and education.
• Lead in ensuring that the workforce has the skills and knowledge to continuously evolve the service to meet the needs of our patients via research and education

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Clinical Practice
1. Works independently in designated Nurse led clinics across the trust, utilising clinical reasoning skills and evidence-based knowledge in the management of patients with complex presentations.
1. Works in partnership with individuals, families and carers, using a range of assessment methods as appropriate (e.g. of history-taking, holistic assessment, identifying risk factors, mental health assessments, requesting, undertaking and/or interpreting diagnostic tests, and conducting health needs assessments)
1. Interpret and analyse complex clinical and non- clinical facts to provide expert advice and opinions to health care professionals including when views may differ and conflict. This process includes the formulation of an accurate prognosis and recommending appropriate intervention.
1. Be clinically competent with the ability to use expert skills, analytical reasoning in order to be able to diagnose, manage and treat patients within the service and recognise when patients require onward referral to ophthalmic clinical colleagues.
1. Use expert theoretical and practical knowledge to coordinate referrals internally and externally.
1. Demonstrate highly developed sensory skills, dexterity, co-ordination and precision essential for the assessment and management of patients including advanced patient assessment and examination and the use of complex, specialised intervention
1. Monitor, evaluate and review specialty nursing practice and to modify approaches to clinical care as required providing assurance to nursing leadership and ophthalmic medical colleagues.
1. Collaborate with the multi-professional team to monitor disease progression in patients with ophthalmic conditions.
1. Challenge practice so that the best and most appropriate treatment is given to the patient; maintaining and monitoring high standards of care, recognising and responding proactively to patients’ changing clinical needs.
1. Maintain professional competence, authority and credibility and that of the nursing team by undertaking regular clinical sessions in line with your job plan and being highly visible to patient’s carers and staff, actively seeking feedback about the quality of services. Collaborate in the establishment and monitoring of protocols/care pathways.
1. Critically apply your clinical expertise to provide consultancy across professional and service boundaries, influencing clinical practice to enhance quality, reduce unwarranted variation and promote the sharing and adoption of best practice.
1. Actively participate in case discussions and multi-disciplinary team meetings, liaise with inter hospital departments/ personnel across organisations and professional boundaries.
1. Be conversant with trust policies, procedure and systems for safeguarding including the assessment of Mental Capacity, the process for consideration requests for Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness). Provide advice and support in implementing the appropriate policies and procedures.
1. Lead the speciality in undertaking non-medical independent prescribing, in accordance with current legislation and Patient Group Directions (PGD’s) in order to meet our patients need and those of the service.
1. Lead on and participate in key developments relating to the ophthalmic speciality so that high quality patient focused services are promoted
1. Lead in ensuring that health education and advice to patients is evidence based and meet the needs of our cohort of patients i.e. sensory impairment.
1. Identify and care for deteriorating patients and take the appropriate action to manage the situation, liaising with the multi-disciplinary team and external care providers as appropriate.
1. Use professional judgement to intercede and act as advocate for patients to ensure a patient focused approach to the delivery of care.
1. Support and enable patients and carers to make informed decision relating to their treatment and management, escalate concerns within professional structures as required.
1. Have accountability for the correct administration and custody of medicines according to the trust policy to include the safe administration of medicines, controlled, intravenous and cytotoxic drugs.

Professionalism & Integrity

1. Be fully conversant and wholly accountable for your own practice and maintaining your professional registration in line with the NMC Code of Professional Standards of Practice and Behaviour for Nurses, Midwives and Nursing Associates (current version).

2. Recognise the limits of individual competence and knowledge undertake and complete further training and academic qualifications as relevant to the role and service requirements.

3. Provide and accept constructive feedback and use this to reflect on your own practice.

4. Recognise signs of stress and the emotional impact of care on self and others and take appropriate action, escalating to line manager as required.

5. Promote an ethos of joint working, collaboration and mutual respect amongst all members of staff.

6. Act with personal and professional integrity within professional, ethical and legal frameworks and process to maintain and improve standards of care and practice.

7. Articulate the significance and potential impact of government policies as they relate to practice and future developments.

8. Take responsibility and maintain professional records of personal updates (portfolio of practice) to support revalidation. Be actively involved in professional development discussions and personal development plan as part of your annual appraisal

9. Adhere to all trust policies, procedures, guidelines and standards, ensuring a high standard of personal and professional behaviour and dress is maintained at all times whilst acting as an ambassador for the trust.

10. Act as a positive model at all times in promoting the personal growth of self, peers and junior colleagues.

11. Lead on and contribute to local, regional and national policy developments. Actively seek opportunities to influence National policy development through clear and precise articulation of patient and service requirements/needs.

12. Maintain professional boundaries and working relations with patients and colleagues, appropriately declaring any conflict of interest.

13. Diffuses challenging behaviour, ensuring that the situation is managed in a sensitive and professional manner.

14. The post holder may be deployed/expected to work in any part of the organisation should the need arise to ensure patient safety is maintained.



PLEASE SEE JD/PS FOR FULL JOB DETAILS


This advert closes on Monday 21 Oct 2024