Lewisham and Greenwich NHS Trust

Clinical Nurse Specialist - Pre-assessment

The closing date is 27 May 2025

Job summary

To view full details of the forth coming Lewisham Surgical Centre, please click the link below:Work with us at Lewisham Surgical Centre - 1

We are looking to recruit a dynamic nurse with excellent clinical nursing skills, to deliver a high quality service to patients attending the pre-operative assessment unit. We are looking for a nurse who has vision and passion to work within our nursing team to provide the best possible care for our patients. The successful applicant will be a motivated and enthusiastic individual with significant post-registration clinical experience within the area of pre-operative assessment or equivalent general adult surgical experience. Applicants will need to have a clear understanding of nursing quality and be able to assure excellence in clinical care. Applicants must have the relevant experience and knowledge of care delivery appropriate to this patient group, be creative, enthusiastic, motivated and have excellent communication skills. The post holder will be expected to act as a role model and contribute to the development and training needs of staff within the department. The ability to work collaboratively with all members of the multi-disciplinary team is essential, together with excellent communication skills.

Main duties of the job

Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols

To take a targeted history of the patient including airway assessment.

Conduct assessment of both the medical and psychological status of elective surgical patients.

To order and perform diagnostic tests within set protocols and working to agreed actions where abnormalities are discovered.

To ensure all test results are available for day of surgery

To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and wellbeing of the patient.

Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals

Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines.

To provide information about the pre-operative, intra-operative and post-operative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions

To identify any special requirements needed to facilitate prompt discharge

To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate.

To comply at all times with the NMC code of conduct.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

Details

Date posted

19 May 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year per annum plus HCAS

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

197-LC6795

Job locations

University Hospital Lewisham

Lewisham High street

London

SE13 6LH


Job description

Job responsibilities

Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols

To take a targeted history of the patient including airway assessment.

Conduct assessment of both the medical and psychological status of elective surgical patients.

To order and perform diagnostic tests within set protocols and working to agreed actions where abnormalities are discovered.

To ensure all test results are available for day of surgery

To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and wellbeing of the patient.

Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals

Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines.

To provide information about the pre-operative, intra-operative and post-operative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions

To identify any special requirements needed to facilitate prompt discharge

To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate.

To comply at all times with the NMC code of conduct.

Job description

Job responsibilities

Assess patients suitability and fitness for surgery and anaesthesia using agreed protocols

To take a targeted history of the patient including airway assessment.

Conduct assessment of both the medical and psychological status of elective surgical patients.

To order and perform diagnostic tests within set protocols and working to agreed actions where abnormalities are discovered.

To ensure all test results are available for day of surgery

To recognize the significance of any observation made and use them to highlight situations which may be detrimental to the health and wellbeing of the patient.

Refer patients who fall outside the agreed criteria to an anaesthetist, who may then make further referrals

Refer patient back to primary care or another healthcare professional to optimize the patients' medical condition, according to local guidelines.

To provide information about the pre-operative, intra-operative and post-operative process, ensuring the patient has an understanding of the proposed procedure and any specific preoperative instructions

To identify any special requirements needed to facilitate prompt discharge

To communicate effectively and liaise with all members of the multidisciplinary team and primary care team as appropriate.

To comply at all times with the NMC code of conduct.

Person Specification

Qualifications and Training

Essential

  • Registered Nurse Level 1 register
  • 1st Level Degree or equivalent
  • Teaching and assessing qualification

Desirable

  • Specialist course

Experience

Essential

  • Minimum two years post registration experience
  • Experience of working within the multi disciplinary team
  • Experience of liaising with other agencies
  • Ability to work autonomously

Desirable

  • Previous experience in the specialty

Knowledge

Essential

  • Well developed interpersonal skills
  • Excellent communication skills, both written and verbal
  • Knowledge and understanding of the relevant NICE guidance
  • Evidence of continued professional development of self and other health care professionals

Desirable

  • IT skills
  • Knowledge of research and audit

Personal Qualities

Essential

  • Flexible approach to changing situations
Person Specification

Qualifications and Training

Essential

  • Registered Nurse Level 1 register
  • 1st Level Degree or equivalent
  • Teaching and assessing qualification

Desirable

  • Specialist course

Experience

Essential

  • Minimum two years post registration experience
  • Experience of working within the multi disciplinary team
  • Experience of liaising with other agencies
  • Ability to work autonomously

Desirable

  • Previous experience in the specialty

Knowledge

Essential

  • Well developed interpersonal skills
  • Excellent communication skills, both written and verbal
  • Knowledge and understanding of the relevant NICE guidance
  • Evidence of continued professional development of self and other health care professionals

Desirable

  • IT skills
  • Knowledge of research and audit

Personal Qualities

Essential

  • Flexible approach to changing situations

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High street

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

Lewisham High street

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Matron

Raquel Guterres

raquel.guterres@nhs.net

07825524093

Details

Date posted

19 May 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year per annum plus HCAS

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

197-LC6795

Job locations

University Hospital Lewisham

Lewisham High street

London

SE13 6LH


Supporting documents

Privacy notice

Lewisham and Greenwich NHS Trust's privacy notice (opens in a new tab)