Chelsea and Westminster Hospital NHS Foundation Trust
As the result of the Service need to cover Maternity leave, here at West Middlesex Hospital and in particular the Rapid Access Chest Pain Clinic, we are looking to recruit a Senior Nurse with experience in this area to support the service. To work cross-site to standardise services and care for patients presenting with chest pain and to ensure that the service sees patients in a timely way, assisting the Trust to meet access targets. To support and contribute to the organisation's existing nurse led Rapid Access Chest Pain Clinics, adhering to protocols and guidance agreed by the Team's consultant cardiologists, basing decisions on professional knowledge and expertise, providing a one stop service for patients with new onset chest pain referred by GPs within the North West Sector catchment area. Main duties of the job
To provide expert assessment of patients with chest pain, to operate within protocols, utilising advanced nursing skills and knowledge to identify or refute coronary artery disease. Ordering investigations, interpreting results and reports, recommending appropriate pharmacotherapy, determining discharge or inpatient admission where appropriate and presenting findings to medical staff where appropriate. To utilise protocols and integrated care pathways for patients attending the clinic, to enable appropriate risk stratification and early revascularisation referral where appropriate. To maintain clinical audit of this client group, meeting the requirements of the National Service Framework for Coronary Heart Disease (2000) and NICE chest pain guidance 2016. To become an integral part of the cardiology team and to contribute to service development in other areas of cardiology within the Trust. To act as an educator, helping patients to understand and manage their symptoms and facilitate strategies for lifestyle modification when appropriate. About us
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. Job responsibilities
Clinical To support and contribute to the nurse led Rapid Access Chest Pain clinic service in accordance with NSF 2000 targets. To make an assessment of patients' cardiac care needs based on highly developed nursing knowledge and skills including advanced cardiac physical assessment skills and history taking and request appropriate investigations. To assess patients' risk of CVD using NICE guidance and empower patients to realise and maintain their potential in relation to health and wellbeing. To assess complex health and wellbeing needs, diagnose or refute diagnosis of Coronary artery disease using accountable professional decision making and problem solving skills autonomously. To develop with the patient a management plan for their cardiac needs within the remit of the clinic with emphasis on treatment including revascularisation where appropriate whilst emphasising health education and prevention measures. To assess and authorise the admission or discharge of patients from caseload as appropriate. To ensure patients and relatives are given appropriate oral and written information regarding Coronary artery disease. To provide health promotion to individuals and their family regarding Coronary artery disease and risk factors for primary and secondary prevention. To review and maintain standard of documentation in accordance with the NMC standards for records and record keeping. To act as a gateway for the GP referrals ensuring that appropriate referrals are accepted to the RACPC and inappropriate referrals are forwarded to a consultant cardiologist. To inform GPs of clinic outcome and requested investigations by letter. Realise their own limitation of ability and recognise boundaries and consult with other members of the team as appropriate. To develop a culture that improves quality within the Rapid Access Chest Pain service. To be an independent nurse prescriber in accordance with nursing and midwifery council (NMC) standards for prescribing medicines and trust policy. Person Specification
NMC registered
History taking and physical examination Level 7 Experience in cardiology ECG interpretation Assessment of chest pain Non-medical and supplementary prescribing Teaching qualification Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Chelsea and Westminster Hospital NHS Foundation Trust Nurse Lead Rapid Access Chest Pain Services
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As the result of the Service need to cover Maternity leave, here at West Middlesex Hospital and in particular the Rapid Access Chest Pain Clinic, we are looking to recruit a Senior Nurse with experience in this area to support the service. To work cross-site to standardise services and care for patients presenting with chest pain and to ensure that the service sees patients in a timely way, assisting the Trust to meet access targets. To support and contribute to the organisation's existing nurse led Rapid Access Chest Pain Clinics, adhering to protocols and guidance agreed by the Team's consultant cardiologists, basing decisions on professional knowledge and expertise, providing a one stop service for patients with new onset chest pain referred by GPs within the North West Sector catchment area. Main duties of the job
To provide expert assessment of patients with chest pain, to operate within protocols, utilising advanced nursing skills and knowledge to identify or refute coronary artery disease. Ordering investigations, interpreting results and reports, recommending appropriate pharmacotherapy, determining discharge or inpatient admission where appropriate and presenting findings to medical staff where appropriate. To utilise protocols and integrated care pathways for patients attending the clinic, to enable appropriate risk stratification and early revascularisation referral where appropriate. To maintain clinical audit of this client group, meeting the requirements of the National Service Framework for Coronary Heart Disease (2000) and NICE chest pain guidance 2016. To become an integral part of the cardiology team and to contribute to service development in other areas of cardiology within the Trust. To act as an educator, helping patients to understand and manage their symptoms and facilitate strategies for lifestyle modification when appropriate. About us
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. Job responsibilities
Clinical To support and contribute to the nurse led Rapid Access Chest Pain clinic service in accordance with NSF 2000 targets. To make an assessment of patients' cardiac care needs based on highly developed nursing knowledge and skills including advanced cardiac physical assessment skills and history taking and request appropriate investigations. To assess patients' risk of CVD using NICE guidance and empower patients to realise and maintain their potential in relation to health and wellbeing. To assess complex health and wellbeing needs, diagnose or refute diagnosis of Coronary artery disease using accountable professional decision making and problem solving skills autonomously. To develop with the patient a management plan for their cardiac needs within the remit of the clinic with emphasis on treatment including revascularisation where appropriate whilst emphasising health education and prevention measures. To assess and authorise the admission or discharge of patients from caseload as appropriate. To ensure patients and relatives are given appropriate oral and written information regarding Coronary artery disease. To provide health promotion to individuals and their family regarding Coronary artery disease and risk factors for primary and secondary prevention. To review and maintain standard of documentation in accordance with the NMC standards for records and record keeping. To act as a gateway for the GP referrals ensuring that appropriate referrals are accepted to the RACPC and inappropriate referrals are forwarded to a consultant cardiologist. To inform GPs of clinic outcome and requested investigations by letter. Realise their own limitation of ability and recognise boundaries and consult with other members of the team as appropriate. To develop a culture that improves quality within the Rapid Access Chest Pain service. To be an independent nurse prescriber in accordance with nursing and midwifery council (NMC) standards for prescribing medicines and trust policy. Person Specification
NMC registered
History taking and physical examination Level 7 Experience in cardiology ECG interpretation Assessment of chest pain Non-medical and supplementary prescribing Teaching qualification Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Chelsea and Westminster Hospital NHS Foundation Trust Nurse Lead Rapid Access Chest Pain Services
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