Clinical Nurse Specialist (XR06)

Posting date:	12 November 2025
Salary:	£38,682.00 to £46,580.00 per year
Additional salary information:	£38682.00 - £46580.00 a year
Hours:	Full time
Closing date:	03 December 2025
Location:	Leeds, LS9 7TF
Company:	NHS Jobs
Job type:	Contract
Job reference:	C9298-CRS-318

Summary

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Leadership Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care. Support staff to provide efficient, effective, safe and quality care to patients as an expert practitioner. Deliver a positive patient experience. Support in the delivery of an effective, evidence based, safe, quality service within budgetary envelope. Provide support to the clinical teams to develop new ways of working. Provide effective leadership in the development of staff at all levels. Motivate staff in the delivery of quality patient care. Support the Heart Failure CNS Team Leader to develop the heart failure service in conjunction with the team and key stake holders in the community Contribute to Nursing and Midwifery objectives and service improvement. Supervise clinical delivery of care competencies. Anticipate problems and take preventative or mitigating actions, or have contingency plans available. Investigate and respond to accidents, complaints, untoward incidents and other significant events. Maintains record of workload and performance monitoring information and reviews this on a regular basis with team manager. Under the direction of the Team Manager participates in or leads the development of specific elements of nursing practice, reflecting the CSU and Nursing, Midwifery and Allied Health Professionals business plans. Engage users and carers views on service delivery and development. Contribute to and implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate. Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately. Clinical Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance. Assess, plan, implement and evaluate care and treatments using advanced clinical knowledge and clinical skills for both in-patients and out-patients. Work with the Heart Failure MDT to provide a dedicated out-reach service, This will involve identifying, assessing and managing patients with Heart Failure across both the Leeds General Infirmary and St. James Hospital. Facilitate Nurse-led Clinics on a weekly basis, providing expert and specialist information for patients and their families as well as medication optimisation to improve patient outcomes Work with cardiac physiologists to provide the combined Heart Failure and device clinic providing clinical assessment, education, and interpretation of device diagnostics Support the IV Iron day case service Refer patients as appropriate to other members of the multi-disciplinary team Collaborate with palliative care teams regarding patients with end-stage Heart Failure. Liaise with Community Services to ensure seamless provision of care delivery for heart failure patients Provide accurate discharge information to primary care and community teams to facilitate effective follow-up care and management for patients who access the service Work closely with Consultants and ward staff to facilitate effective discharge planning for Heart Failure patients Set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in the relevant guidelines Promote evidence based practice, wherever possible Support patients and their families and ensure they receive required information to enable them to participate on their care delivery Develop and implement policy and practice guidelines specific to heart failure patient care and management. Acts in accordance with the Nursing and Midwifery Code of Conduct Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people; including support for transition, as they move from childrens into adult services between the ages 11-25 years. Organises own clinical workload. Undertake duties on wards or departments as and when required by service demands or patient need. Supervise clinical staff to promote the delivery of excellent clinical standards. Receives supervision of clinical care and outcomes from nurse specialist team leader. Ensure and promote the maintenance of a safe, clean and secure working environment. Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies. Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes. Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised. Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients. Communication Maintains accurate clinical and other records using the LTHT documentation. Support patients and their families, communicating sensitive condition related information, ensuring they receive required information to enable them to participate in their care delivery. Deliver complex information to patients and staff. Liaise with external health providers and other agencies (as appropriate) to ensure seamless provision of care delivery. Quality Improvement & Research Improve the quality and safety of our services by being proactive in promoting and supporting the Leeds Improvement Method. Contribute to quality improvement programmes as required. Keep up to date with and communicate service developments, advances and research. Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan. Contribute to data submission for the NICOR Heart Failure audit Actively promote patient involvement and feedback within service improvements to promote a positive patient experience Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area. Undertake audit programmes specific to client group, treatments and developments. Help to set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance. Participate in clinical trials as appropriate. Work closely with Research and Innovation to promote research , disseminate outcomes and findings to support evidence based practice. Contribute to the research agenda and participate in clinical trials as appropriate. Education and Training Provide training and education of learners and other junior staff Participate in own and others appraisals and in the development of own personal development plan and performance review. Undertake role specific training and competencies. Provide education and training to patients and their carers. Keep up to date with developments, advances within the specialty. Collaborate with other members of the team in clinical areas and departments to ensure that the provision of education and training is clear and robust. Mentorship and supervision of junior staff. Support staff to deliver evidence based practice and research activities to further enhance patient care. Undertake mandatory and priority training within the required time scales This does not provide an exhaustive list of roles and responsibilities, and these may be subject to change with professional and service developments