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Employer Royal Free London NHS Foundation Trust Employer type NHS Site Virtual Ward (Adults) Town Edmonton Salary £61,631 - £68,623 Per Annum Including HCAS Salary period Yearly Closing 02/02/2026 23:59Clinical Nurse Specialist - Heart Failure Nurse SpecialistNHS AfC: Band 8aOur trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.Everyone is welcome at Royal Free London NHS Foundation Trust. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.The post will incorporate the Clinical Nurse Specialist (CNS) role dimensions of expert clinical practice, education, leadership, management and research.The Lead Nurse CNS role for heart failure in the Virtual Ward will incorporate the dimensions of expert clinical practice, education, leadership, management and research. The post holder will be required:Liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care across professional boundaries within a virtual ward setting.To work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are research-based and enhance the quality of patient care.To undertake nurse-led care and to be responsible for excellent standards of nursing care to patients through the planning, coordinating, delivering and evaluating nurse-led clinics and services.Line-manage clinical nurse specialists within speciality and across boundaries.To lead and support with specialist nursing knowledge the development and implementation of programmes of nursing care for individual patients and the client group as a whole.To contribute to the facilitation of the planning, delivery and evaluation of care pathways for a designated group of patients.To contribute to training and education within specialist areaMain duties of the jobMaintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.Ensure that the needs of patients are placed at the centre of care delivery, thus achieving trust and national standards for clinical quality, safety and patient experience.To lead, negotiate, supervise, participate in, and manage caseload of patients within nurse led clinics both on and off site using advanced clinical assessment skills and clinical judgement to take a detailed history, physically assess, make any required differential diagnosis, order any tests or investigations required to confirm diagnosis, prescribe medication, evaluate and review treatment plan.Make any alterations in the patient’s current treatment or drug regimen required in response to evaluating test & investigation results or changes in patients’ condition. Use advanced clinical knowledge & expertise in undertaking clinical assessments in partnership with patients and other professionals, using agreed protocols, but also where there are no appropriate precedentsProvide professional, clinical and managerial leadership to nursing and associated staff and ensure the provision of a high-quality, responsive nursing service.Working for our organisationNorth Middlesex University Hospital is part of the North Central London integrated care system – consisting of the NHS and local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICSs, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and  Universities.Detailed job description and main responsibilitiesAct as autonomous first line of contact for patients seeking advice or support.Provides professional and clinical leadership, providing a highly visible and authoritative presence ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas.To identify outcome measures which illustrate the quality of the service in line with national targets with a particular emphasis on establishing ways to show patient related outcome measures.Recognises and champions innovations in nursing practice ensuring they are supported, evaluated and contribute to develop an evidence base to meet the needs of the patients, families, relatives and staff.Communicates highly complex and sensitive information to patients, carers and other staff whilst promoting a culture of shared decision making across all sites to support patients through the decision making process.Able to diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed interpersonal and negotiation skills.Contributes to service developments and innovations across the speciality and relevant external agencies, locally and nationally.Contributes to the trust’s nursing and professional agenda and promotes the trust as an international centre of excellence and national leader in the speciality.Nationally aware of patient pathways and patient experience initiatives, and be able to implement these locally working together with patient groupsDeveloping innovative models of care and effective patient pathways using QI and CPG methodology that ensure patients receive the best possible service which is delivered closer to patients’ homes.Liaise with other members of the multi-disciplinary team to ensure seamless patient care through the development of protocols and care pathways.Contribute to protocols, documentation systems, standards, policies and clinical guidelines for others to use in practice.To work with the senior management team to ensure that divisional and trust objectives are met.In conjunction with the senior management team participate in business planning cycle, identifying areas of service development, focusing in particular on those related to nursing / education / training / research activities.Contribute to organisational development projects to transform clinical services to meet the needs of world class nursing for the future.Person specificationEducation & professional QualificationsRelevant qualification and experience in the specialtyExperienceSubstantial experience in a senior nurse operational role in a Community NHS settingExperience in running nurse led clinics pathwaysKnowledge and experience of leading significant change, delivering tangible and sustained improvementsSkills and AptitudesExcellent communication skills and highly developed interpersonal and influencing skillsAbility to act autonomously in planning & implementing tasksAbility to organize diverse teams to deliver high standard of patient careApplications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.Please note:Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person SpecificationOnly those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.Interview arrangements will be communicated via email so please check your email regularly following the closing date.Please be advised that due to exceptionally high demand, all Royal Free accommodation is at full capacity and waiting lists are being held. Average waiting times are 12 months. Please do not rely on Trust accommodation when you commence your role and ensure you investigate alternative accommodation for your arrival.Employer certification / accreditation badgesYou must have appropriate UK professional registration.The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.Application numbersWe reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received. #J-18808-Ljbffr