clinical nurse specialist in metabolic bone disorder

The clinical nurse specialist in metabolic bone disorder will have good knowledge and experience of metabolic bone disorders and will work closely with the DMOPS consultant to provide specialist care to patients with metabolic bone disorders. The post holder will play a key role in the Metabolic bone disorders service and will take a lead on developing a nurse led service.,

• Develop standardised pathways for assessment and treatment of patients with metabolic bone disorders, specifically osteoporosis
• Lead quality improvement projects to increase efficiency in the metabolic bone disorders clinic
• Develop new workstreams including CNS-led osteoporosis clinic
• Lead CNS osteoporosis clinic under the care of DMOPS consultant
• Liaise with DMOPS colleagues across the wards and FAU to educate and develop quality improvement projects for patients with osteoporosis
• Monitor re admission rates of patient with metabolic bone disorders and be a key part in admission avoidance of these patients
• Work cross-site with our Royal colleagues in clinical chemistry to reduce health inequity
• Manage a case load of patients under the care of a name DMOPS consultant
• If required Refer patients to various disciplines post assessment for ongoing care and support.
• The Clinical Nurse Specialist will act as the clinical expert and professional resource to the multi-Professional team, patients and carers within their Speciality Service.
• Monitor and audit effectiveness of the service by measuring outcomes pre and post induction including length of stay, quality outcomes and morbidity/mortality, Develop, lead and support Osteoporosis nurse-led clinic
• Triage of referrals to appropriate service in appropriate timeframe
• Preparation of metabolic bone advice and guidance requests
• Provide in depth assessment of patients undergoing comprehensive treatment for metabolic bone disorders and create ongoing care plans based on this assessment
• Lead fracture liaison service pilot
• Utilise clinical skills in assessing and treating patients as an autonomous practitioner
• Monitor investigation results, initiating further assessment/review of treatment pathway as required
• Collect, collate, evaluate and report information, maintaining accurate patient records
• Involve patients and carers/relatives in the planning and delivery of care and development of services.
• Support patients and their families and ensure that they receive the required information to enable them to self-manage, lead or participate in their care delivery
· Act as the patients advocate and ambassador.
• Lead the development of a patient-focussed education and information giving strategy within the speciality
• Contribute to the health promotion agenda with the local health economy.
• To undertake/work towards non-medical prescribing duties within the legal framework for nurse prescribing and adhere to the Trust's Policy for Non-medical prescribing (where required)
• In keeping with the NMC 'Code of Professional Conduct' and 'Standards of Proficiency for Nurse and Midwife Prescribers', keep up to date with best prescribing practice in relation to the management of conditions within his/her specialist area
• Undertake regular audits of his/her prescribing practice
• Provide specialist expert clinical advice and guidance to clinical colleagues
• Undertake clinical supervision on an individual or group basis.
• Recognise, prevent and diffuse potential areas of conflict and take a key role in the management of the outcome
• Act as a role model and expert nurse providing in depth specialist clinical knowledge to colleagues through MDT meetings, for patients and carers / relatives
• Engage in research projects within scope of practice
• Lead research projects (if appropriate) relevant to expert subject and implement changes to practice based on findings
• Assess local and national patient satisfaction results of service and use this information to implement and monitor change to practice to improve patient experience
• Contribute to the organisation and care groups clinical governance agenda
• Participate in local and national audits for metabolic bone disorders and use findings to implement and sustain changes to practice
• Maintain knowledge and update clinical policy and practices based on up-to-date national research and innovation
• Attend conferences within clinical expertise and feed back to wider team to promote innovation and change to practice
• Be consistent in approach to the provision of evidence-based care for patients with metabolic bone disorders by providing evaluation of interventions and treatments
• Develop and seek funding for projects which will enhance, promote and develop the service provision
• Disseminate research and audit findings through presentation to professional groups and publication.
• Identify need for, participate and undertake, research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care.
• Be responsible for the development and co ordination of the service including identifying areas for improvement and work within trust guidance and protocol to address these areas, monitor and improve
• Promote co-ordination of multi-disciplinary working within the service
• Lead on community referrals into the service
• Manage own workload ensuring working within KPIs such as roster and annual leave
• Manage budget if appropriate
• Work within organisations values and behaviours
• Ensure necessary cover/plans for patient reviews in the absence of the metabolic bone CNS
• Follow trust policy and procedures
• Provide cover and undertake duties of absent colleagues if appropriate
• Work within own competence and limitations
• Attend conferences to develop own skill and the service
• Participate in local and national forums for metabolic bone disorders
• Participate in networking groups to develop the service and develop relationships with other organisations
• Ensure yearly appraisal is completed
• Work within NMC guidelines and code of professional conduct including revalidation completion and maintaining professional registration
• Completion of mandatory, local and role specific training
  
  Registered Nurse / Midwife
• Post-basic specialist Qualification relevant to speciality
• Recognised Teaching Qualification
• First Degree
Desirable criteria
• Research qualification
• Recordable specialist qualification
• Masters
• Independent Nurse Prescriber, Demonstrable Post-Reg. experience
• Evidence of undertaking the relevant speciality successfully at Band 6
• Extensive clinical experience
• Evidence of the application of management / leadership skills and managing staff
• Involvement in audit
Desirable criteria
• Experience as Specialist Sister
• Participation in research
• Management qualification, In depth specialist knowledge, Teaching / assessment skills
• Organisation and negotiation skills
• Effective communicator
• Leadership & motivation skills
• Evidence of audit and change management ability
• Root Cause Analysis
Desirable criteria
• Evidence of leading and facilitating change
• ECDL, You must have appropriate UK professional registration.
  
  NHS University Hospitals of Liverpool Group (UHL Group) was formed on 1 November 2024, born from a shared aim to improve the care we provide our communities.
We are one of the largest employers in region, with over 18,900 colleagues who are dedicated to caring for our communities - from birth and beyond. For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services that extend to more than two million people in the North West. We operate from five hospital sites: Aintree University Hospital is the single receiving site for adult major trauma patients in Cheshire and Merseyside, and hosts a number of regional services including an award-winning stroke facility. Broadgreen Hospital is home to several elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Heart and Chest Hospital provide specialist services in cardiothoracic surgery, cardiology and respiratory medicine, both in the hospital and out in the community. Liverpool Women's Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. The Royal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single en-suite bedrooms and mainly focuses on complex planned care and specialist services.

Note: Under current Home Office Immigration Rules we are currently unable to offer right to work visa sponsorship for Band 2 and 3 roles with a salary of less than £25,000 pa as they do not meet the UK Visas & Immigration criteria. Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview. We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role. Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months' of their 18^th birthday. The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working. The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24. Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £26.50 (standard disclosure) or £54.50 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years. Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa. This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults' policy and comply with the Local Safeguarding Children and Adult Board procedures. Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation. All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action. As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence. If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on at the earliest opportunity to ensure that measures can be put in place to enable your application for this post. Please note: new entrants to the NHS will commence on the first pay point of the relevant band.