Clinical Nurse Specialist

6

Main area
Gastroenterology
Grade
6
Contract
12 months (One year fixed term)
Hours
Full time \- 37\.5 hours per week
Job ref
343\-8082793\-RB\-SK
Site
Epsom and St Helier Hospital
Town
Epsom
Salary
£45,953 \- £54,254 Per annum, inclusive of HCAS
Salary period
Yearly
Closing
30/06/2026 23:59

At Epsom and St Helier Hospitals, above all we value respect. We put respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. When you sign up to work with us, you sign up to this and we welcome applicants who share our values.

Job overview

The Hepatology Surveillance Nurse, Band 6, will collaborate closely with the nurse manager and the Band 8 nursing team to establish and implement a nurse\-led liver surveillance pathway. This pathway will support patients with stable, compensated liver cirrhosis who are at risk of developing Hepatocellular carcinoma (HCC) across various outpatient settings in Epsom and St Helier NHS Trust.

The primary purpose of the role is to deliver the HCC surveillance pathway.

Key responsibilities include: conducting patient assessments, ordering investigations such as blood test and Ultrasound scans (USS), reviewing blood and ultrasound results, and providing lifestyle advice and signposting and performing fibroscan. The aim of the pathway is early detection of HCC and effective management of liver disease to enhance patient outcomes and provide potentially lifesaving interventions.

The Hepatology Surveillance Nurse will work closely with the Gastroenterology/Hepatology nursing team to coordinate care for patients referred to the HCC surveillance pathways. This includes conducting nurse\-led clinics for individuals with stable, compensated cirrhosis and referring patients with advanced liver disease to senior Band 7/8 nurses and consultant clinics and nurse\-led fibroscan clinic. The nurse will be responsible for requesting and coordinating six\-monthly diagnostics for patients with compensated cirrhosis and tracking and monitoring patients throughout the pathway.

Main duties of the job

1\. To provide nurse led HCC surveillance clinics for patients with stable cirrhosis. Provide advice, information and support for participants enrolled in the liver HCC surveillance pathways. The responsible for care delivery for patients undergoing liver surveillance for stable compensated cirrhosis and to meet the needs of patients.Be competent to autonomously support patients to make informed decisions prior to undergoing a surveillance USS and communicate test results and implement surveillance and follow\-up. Manage patients within the liver cancer surveillance pathway in accordance with relevant society and National guidance (e.g., NICE QS152\).To use specialist knowledge and advanced communication skills with patients and carers when obtaining consent for procedures and providing psychological support where needed.Acting as the patient advocate supporting them to navigate and make informed choices throughout the process. Ensure timely access to USS surveillance for those individuals diagnosed with advanced fibrosis or viral hepatitis who are at risk of liver cancer. To establish effective links with Gastroenterology/Hepatology multi\-disciplinary team (MDT) in order to ensure that when cancer is detected, there is timely presentation and transfer of patients to the MDT. populate and maintain the Liver surveillance spreadsheet/database. Accurate use of Microsoft office, NHS net, local databases, remote connectivity in order to practice effectively and independently.

1

Working for our organisation

*St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).*

*After years of collaboration, our two Trusts became a hospitals group in 2021\. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000\-strong workforce.*

*At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.*

Detailed job description and main responsibilities

Please see the attached supporting document which contains more information about the Clinical Nurse Specialist role at Epsom and St Helier Hospital.

Person specification

Essential criteria

Essential criteria

• Math and English GCSE


• RGN – post registration experience

Desirable criteria

• Proficient in Microsoft packages \- Excel


• Ability to use IT software, iCLIP, Dictate

Expereince

Essential criteria

• Knowledge of Gastroenterology/ Hepatology


• Ability to analyse blood results


• Ability to prioritise


• Evidence of accountability and independant working

Desirable criteria

• Evidence of continuous professional development

The NHS South West London Recruitment Hub is your dedicated recruitment team, here to support you at every stage of the process. If you have a query, please contact us:

E: krft.askrecruitment@nhs.net

Your application

Please ensure your supporting statement clearly reflects the job description and person specification, as shortlisting will be based on these criteria.

Please refer to the latest UKVI guidance and ensure you have the appropriate right to work before applying for this role.

Use of Artificial Intelligence

We kindly ask that you avoid using AI tools to draft your application. We value authentic, individual responses that reflect your own experience and communication style.

References

Please provide a minimum of 3 years’ employment and/or education history, including professional email addresses (not personal accounts such as Hotmail or Gmail). If you cannot provide these, please inform the interview panel to avoid delays in pre\-employment checks.

Closing date

To help us manage recruitment efficiently, some vacancies may close early once we have received a sufficient number of applications.

Shortlisting

If you are successfully shortlisted, you will be contacted by email or SMS from the South West London Recruitment Hub. Please check your registered TRAC email regularly.

Application feedback

If you do not hear from us within four weeks of the closing date, please assume your application has not been successful on this occasion.

Safeguarding and DBS Checks

We are committed to safeguarding children and vulnerable adults. For roles with direct access to these groups, an Enhanced Disclosure and Barring Service (DBS) check will be required. All staff are expected to understand and uphold their safeguarding responsibilities as part of their role.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Application numbers

This vacancy may have an application cap, so please apply promptly to avoid disappointment. Ensure your supporting statement clearly shows how you meet the job specifications.

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