Deputy Clinical Nurse Specialist in Surveillance – ROSSINI Platform

Guy's and St Thomas' NHS Foundation Trust

The closing date is 02 May 2025

Job summary

We are seeking a passionate, self-motivated, and driven Deputy Clinical Nurse Specialist who has experience in surgical wound care to join our dynamic remote wound monitoring programme. This programme will utilise the successful 'Isla' platform for surgical site infection surveillance as part of the Rossini Platform trial - a pioneering, multi-arm, multi-stage study aimed at reducing surgical site infections across six major surgical specialities.

This is a full-time, five-year fixed term role funded by the NIHR, based at one of our GSTT sites. If you are inspired by innovation, collaborative working, and a commitment to improving patient outcomes, we would love to hear from you.

Main duties of the job

The post holder will be responsible for the running the ROSSINI Platform Surgical Site Infection Surveillance under the Central Digital Wound Hub. This will include supporting the research team, ensuring timely and appropriate remote care advice and referrals for surgical patients and carers, and expanding the service for all surgical arms of the ROSSINI Platform. The post holder will be responsible for data collection activities related to the service and will undertake reporting and line management activities.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

The Surveillance and Innovation Unit (SUI) is a new unit in the Directorate of Infection. The Central Wound Hub will scale and sustain our award-winning digital surveillance programme. The Hub team will work with the surgical site infection (SSI) team, a dynamic, friendly team covering specialisms across the trust.

Date posted

17 April 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,806 to £53,134 a year per annum inc HCA

Contract

Fixed term

Duration

5 years

Working pattern

Full-time

Reference number

196-NM12794

Job locations

Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital

Great Maze Pond

London

SE1 9RT


Job description

Job responsibilities

Clinical

To oversee the daily running of the CDWH for the Rossini Platform study to ensure patients are reviewed and responded to in a timely manner on the digital remote wound platform (Isla).

To support and line management of junior colleagues for optimal review patient submission on Isla for a seven-day and out-of-hours service.

To provide timely review of patient submissions to the Central Digital Wound Hub, ensuring appropriate reassurance, advice and/or referral as required.

To ensure early identification of patients who require MDT escalation for infection or delayed wound healing, and action this or support junior staff in doing so.

To ensure information on clinically relevant information on community treatment is recorded for visibility and optimal care delivery.

To collect and/or oversee data on clinical outcomes.

To identify areas for improvement in relation to the Central Digital Wound Hub and work with the Trust Lead for SSI to deliver an improvement plan, using appropriate methodology.

To participate in research studies as required.

To work with the CTU and Isla providing specialist input in SSIS data collection, handling ensuring correct completion of surveillance forms or electronic surveillance data platforms

To undertake audit in relation to SSIS and to ensure audit documentation is completed correctly.

To work autonomously managing a case load of defined group of patients ensuring close surveillance is undertaken to identify Surgical Site Infections (SSI) and determine incidence and prevalence of infections

To promote a patient focused approach to care ensuring high standards of surgical care are followed and in collaboration with all relevant health professionals.

To support the Rossini Platform in the initiation of appropriate actions to enable all grades and disciplines of staff to prevent SSI

To assess surgical patients to identify signs of infection and initiate interventions to prevent or mitigate infection or wound healing issues

To support, encourage and advise (as required) staff on the management of patients who develop SSIs.

Participate in data entry and coding

Participate in telephone and remote digital post discharge follow up surveillance

To provide information to patients and their carers as required where a need has been identified in relation to infection surveillance

To provide specialist nursing input in the identification, prevention and monitoring of SSI

To support the Infection control surveillance lead nurse in the review of microbiological data to evaluate the efficiency of an intervention and plan future practice in consultation with relevant clinical leads

Support general enquiries relating to SSIS from patients, staff and the general public always acting appropriately, sensitively and professionally to ensure confidentiality is maintained at all times

To collaborate with the CDWH Co-Leads and/or SSI team to investigate potential outbreaks

Collaborate and support surgical teams in providing information which enables patients to make choices about adopting a healthier lifestyle and actions to reduce surgical site infections.

To report any unsafe infection prevention and control practices to the CDWH Co-Leads.

To participate in the promotion and maintenance of effective communication with patients, health professionals in relation to surgical site wound surveillance.

To maintain effective communication within the SSI team.

To support the Trust Lead for SSI Surveillance, Research and Innovation in assisting clinical teams in the formulation and initiation of appropriate strategies or action plans required to minimise the risk of SSIs.

Management

Provide clinical support for junior colleagues, including ongoing training needs and development, providing consistency even when working remotely.

Review shift rotas for the Central Digital Wound Hub, ensuring adequate cover for a seven-day service including out-of-hours.

Assist Team leaders as to deliver and manage quality improvement projects.

Attendance of clinical governance meetings for relevant surgical directorates, if required.

To organise network surgical specialism meetings (external) alongside SSI team colleagues.

Identify technical issues and work with Isla to resolve this in a timely fashion.

Maintain accurate records of the SSIS ensuring that confidentiality is maintained.

To maintain a flexible approach to the role and ensure provisions on an efficient and effective service within agreed resources.

Supervision responsibility for junior CDWH Team members

Act as a facilitator and change agent enabling clinical staff to embrace strategies for change.

Prioritise workload taking into account varying demands and resources.

  • Identify problems related to the prevention of SSIs and be involved in developing improved methods of work in a multi-disciplinary team environment.
  • Develop and maintain optimal relationships with lead clinicians, senior nursing staff, clinical audit leads the infection and prevention control teams, microbiology teams and those involved in SSI surveillance.
  • To support and work collaboratively with CDWH Co-Leads in the production of logical, structured written reports for study requirements.

Clinical Research, Audit, Quality & Education

Responsible for monitoring and ensuring the validity of patient information collected for for the Rossini Platform study alongside SSI team colleagues.

Take responsibility for ensuring the standard of data collection for the Rossini Platform study and data entry is accurate and reliable.

Participate in clinical audit, quality improvement, service evaluation, innovation and research as requested by the Trust SSI Lead.

Work with clinical areas where SSIS in undertaken in identifying the education requirements.

To organise and deliver, with support from the Infection control surveillance lead nurse, the feedback of SSI surveillance results to clinical teams; to review results and where appropriate agree actions.

To participate in the training and development of the SSI team and the wider surgical teams

e.g. UKHSA SSI surveillance training.

To participate alongside SSI team colleagues, in education of clinical and non-clinical teams at Infection Control Awareness days, Infection control link practitioners' course and meetings and Quarterly Infection control briefings.

Incorporate UKHSA guidelines, NICE guidelines, and other public issues into guidance and advice for all staff in consultation with clinical leads and the SSIS lead nurse

Critically appraise and evaluate IPC practice around SSI through a structured audit programme designed to reduce SSI.

  • Acts as a facilitator in relevant clinical trials related to SSIS.

Present clinical findings at and attendance at conferences nationally when required

Develop and improve own competence in a structured way through self-assessment, education, self-directed learning and conferences

Job description

Job responsibilities

Clinical

To oversee the daily running of the CDWH for the Rossini Platform study to ensure patients are reviewed and responded to in a timely manner on the digital remote wound platform (Isla).

To support and line management of junior colleagues for optimal review patient submission on Isla for a seven-day and out-of-hours service.

To provide timely review of patient submissions to the Central Digital Wound Hub, ensuring appropriate reassurance, advice and/or referral as required.

To ensure early identification of patients who require MDT escalation for infection or delayed wound healing, and action this or support junior staff in doing so.

To ensure information on clinically relevant information on community treatment is recorded for visibility and optimal care delivery.

To collect and/or oversee data on clinical outcomes.

To identify areas for improvement in relation to the Central Digital Wound Hub and work with the Trust Lead for SSI to deliver an improvement plan, using appropriate methodology.

To participate in research studies as required.

To work with the CTU and Isla providing specialist input in SSIS data collection, handling ensuring correct completion of surveillance forms or electronic surveillance data platforms

To undertake audit in relation to SSIS and to ensure audit documentation is completed correctly.

To work autonomously managing a case load of defined group of patients ensuring close surveillance is undertaken to identify Surgical Site Infections (SSI) and determine incidence and prevalence of infections

To promote a patient focused approach to care ensuring high standards of surgical care are followed and in collaboration with all relevant health professionals.

To support the Rossini Platform in the initiation of appropriate actions to enable all grades and disciplines of staff to prevent SSI

To assess surgical patients to identify signs of infection and initiate interventions to prevent or mitigate infection or wound healing issues

To support, encourage and advise (as required) staff on the management of patients who develop SSIs.

Participate in data entry and coding

Participate in telephone and remote digital post discharge follow up surveillance

To provide information to patients and their carers as required where a need has been identified in relation to infection surveillance

To provide specialist nursing input in the identification, prevention and monitoring of SSI

To support the Infection control surveillance lead nurse in the review of microbiological data to evaluate the efficiency of an intervention and plan future practice in consultation with relevant clinical leads

Support general enquiries relating to SSIS from patients, staff and the general public always acting appropriately, sensitively and professionally to ensure confidentiality is maintained at all times

To collaborate with the CDWH Co-Leads and/or SSI team to investigate potential outbreaks

Collaborate and support surgical teams in providing information which enables patients to make choices about adopting a healthier lifestyle and actions to reduce surgical site infections.

To report any unsafe infection prevention and control practices to the CDWH Co-Leads.

To participate in the promotion and maintenance of effective communication with patients, health professionals in relation to surgical site wound surveillance.

To maintain effective communication within the SSI team.

To support the Trust Lead for SSI Surveillance, Research and Innovation in assisting clinical teams in the formulation and initiation of appropriate strategies or action plans required to minimise the risk of SSIs.

Management

Provide clinical support for junior colleagues, including ongoing training needs and development, providing consistency even when working remotely.

Review shift rotas for the Central Digital Wound Hub, ensuring adequate cover for a seven-day service including out-of-hours.

Assist Team leaders as to deliver and manage quality improvement projects.

Attendance of clinical governance meetings for relevant surgical directorates, if required.

To organise network surgical specialism meetings (external) alongside SSI team colleagues.

Identify technical issues and work with Isla to resolve this in a timely fashion.

Maintain accurate records of the SSIS ensuring that confidentiality is maintained.

To maintain a flexible approach to the role and ensure provisions on an efficient and effective service within agreed resources.

Supervision responsibility for junior CDWH Team members

Act as a facilitator and change agent enabling clinical staff to embrace strategies for change.

Prioritise workload taking into account varying demands and resources.

  • Identify problems related to the prevention of SSIs and be involved in developing improved methods of work in a multi-disciplinary team environment.
  • Develop and maintain optimal relationships with lead clinicians, senior nursing staff, clinical audit leads the infection and prevention control teams, microbiology teams and those involved in SSI surveillance.
  • To support and work collaboratively with CDWH Co-Leads in the production of logical, structured written reports for study requirements.

Clinical Research, Audit, Quality & Education

Responsible for monitoring and ensuring the validity of patient information collected for for the Rossini Platform study alongside SSI team colleagues.

Take responsibility for ensuring the standard of data collection for the Rossini Platform study and data entry is accurate and reliable.

Participate in clinical audit, quality improvement, service evaluation, innovation and research as requested by the Trust SSI Lead.

Work with clinical areas where SSIS in undertaken in identifying the education requirements.

To organise and deliver, with support from the Infection control surveillance lead nurse, the feedback of SSI surveillance results to clinical teams; to review results and where appropriate agree actions.

To participate in the training and development of the SSI team and the wider surgical teams

e.g. UKHSA SSI surveillance training.

To participate alongside SSI team colleagues, in education of clinical and non-clinical teams at Infection Control Awareness days, Infection control link practitioners' course and meetings and Quarterly Infection control briefings.

Incorporate UKHSA guidelines, NICE guidelines, and other public issues into guidance and advice for all staff in consultation with clinical leads and the SSIS lead nurse

Critically appraise and evaluate IPC practice around SSI through a structured audit programme designed to reduce SSI.

  • Acts as a facilitator in relevant clinical trials related to SSIS.

Present clinical findings at and attendance at conferences nationally when required

Develop and improve own competence in a structured way through self-assessment, education, self-directed learning and conferences

Person Specification

Professional / Statutory Registration

Essential

  • Registered Nurse on the NMC Register

Education/ Qualifications

Essential

  • Bsc / 1st Degree (health related) or equivalent qualification/ training and experience
  • Post graduate certificate in specialist area, e.g. infection link practitioner course, surveillance or audit skills etc.
  • Professional knowledge acquired at diploma / degree level will be supplemented by specialist training, experience and short courses
  • Mentorship Course

Desirable

  • Relevant qualification in Infection Control, e.g. ENB 329, Diploma/Degree/ in Infection Control/Microbiology or Implementation Science or equivalent knowledge and Skills

Previous Experience

Essential

  • Extensive clinical experience.
  • Previous experience of student supervision and clinical education at undergraduate level.
  • Experience of delivering patient advocacy.
  • Experience of audit, research & evidence based care.

Desirable

  • Previous experience of working autonomously at an advanced level within the specialist area delivering effective patient focused.
  • Experience of delivering change management both personally and as a facilitator.
  • Current, relevant and consolidated experience in Surveillance.
  • Experience of delivering change management both personally and as a facilitator.

Skills, Knowledge and Abilities

Essential

  • Leadership skills.
  • Proven listening / counselling skills with the ability to manage complex Situations and appropriately deliver sensitive and difficult outcomes.
  • Developed interpersonal and influencing skills.
  • Evidence of teaching skills in particular teaching staff how to identify and manage patient risk to avoidable harm.
  • Ability to clinically lead and influence staff.
  • Up to date knowledge of current clinical and professional issues.
  • Sound knowledge of current issues in the profession and practice of nursing.
  • Excellent verbal, written, interpersonal and communication skills.
  • Good time management and organisation skills.
  • Knowledge of current clinical and nursing research.
  • Ability to carry out audit and research.
  • IT Skills (Microsoft Excel, PowerPoint, MS word, Microsoft)
  • Presentation skills.

Desirable

  • Ability to interpret and analyse complex data and findings.
  • Undertaken clinical and nursing research.
  • Ability to manage complex clinical and operational situations e.g. clusters of infection that involve staff from all levels within an Organisation..
  • Ability to conduct & evaluate own projects successfully.
  • Knowledge of quality standards & NICE / DH recommendations.
  • Demonstrate an understanding of the National agenda related to surgical site infection.

Additional Information

Essential

  • Creative, lateral thinker with sensitivity based on knowledge.
  • Diplomatic, flexible and positive approach to work.
  • Good health/attendance record.
  • Flexible work schedule, including weekends.
  • Strong team player.
Person Specification

Professional / Statutory Registration

Essential

  • Registered Nurse on the NMC Register

Education/ Qualifications

Essential

  • Bsc / 1st Degree (health related) or equivalent qualification/ training and experience
  • Post graduate certificate in specialist area, e.g. infection link practitioner course, surveillance or audit skills etc.
  • Professional knowledge acquired at diploma / degree level will be supplemented by specialist training, experience and short courses
  • Mentorship Course

Desirable

  • Relevant qualification in Infection Control, e.g. ENB 329, Diploma/Degree/ in Infection Control/Microbiology or Implementation Science or equivalent knowledge and Skills

Previous Experience

Essential

  • Extensive clinical experience.
  • Previous experience of student supervision and clinical education at undergraduate level.
  • Experience of delivering patient advocacy.
  • Experience of audit, research & evidence based care.

Desirable

  • Previous experience of working autonomously at an advanced level within the specialist area delivering effective patient focused.
  • Experience of delivering change management both personally and as a facilitator.
  • Current, relevant and consolidated experience in Surveillance.
  • Experience of delivering change management both personally and as a facilitator.

Skills, Knowledge and Abilities

Essential

  • Leadership skills.
  • Proven listening / counselling skills with the ability to manage complex Situations and appropriately deliver sensitive and difficult outcomes.
  • Developed interpersonal and influencing skills.
  • Evidence of teaching skills in particular teaching staff how to identify and manage patient risk to avoidable harm.
  • Ability to clinically lead and influence staff.
  • Up to date knowledge of current clinical and professional issues.
  • Sound knowledge of current issues in the profession and practice of nursing.
  • Excellent verbal, written, interpersonal and communication skills.
  • Good time management and organisation skills.
  • Knowledge of current clinical and nursing research.
  • Ability to carry out audit and research.
  • IT Skills (Microsoft Excel, PowerPoint, MS word, Microsoft)
  • Presentation skills.

Desirable

  • Ability to interpret and analyse complex data and findings.
  • Undertaken clinical and nursing research.
  • Ability to manage complex clinical and operational situations e.g. clusters of infection that involve staff from all levels within an Organisation..
  • Ability to conduct & evaluate own projects successfully.
  • Knowledge of quality standards & NICE / DH recommendations.
  • Demonstrate an understanding of the National agenda related to surgical site infection.

Additional Information

Essential

  • Creative, lateral thinker with sensitivity based on knowledge.
  • Diplomatic, flexible and positive approach to work.
  • Good health/attendance record.
  • Flexible work schedule, including weekends.
  • Strong team player.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital

Great Maze Pond

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital

Great Maze Pond

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


For questions about the job, contact:

Trust Lead for SSI Surveillance

Melissa Rochon

melissa.rochon@gstt.nhs.uk

Date posted

17 April 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,806 to £53,134 a year per annum inc HCA

Contract

Fixed term

Duration

5 years

Working pattern

Full-time

Reference number

196-NM12794

Job locations

Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital

Great Maze Pond

London

SE1 9RT


Supporting documents

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