Band 7 - Clinical Nurse Specialist, Rheumatology | West Hertfordshire Teaching Hospitals NHS Trust

Posting date:	24 November 2025
Salary:	Not specified
Additional salary information:	£50,008 - £56,908 pa inc HCA
Hours:	Full time
Closing date:	24 December 2025
Location:	Watford, WD18 0HB
Company:	West Hertfordshire Hospitals NHS Trust
Job type:	Permanent
Job reference:	7638664/360-A-10742

Summary

The Rheumatology Clinical Nurse Specialist is an integral member of and has a key role in the Rheumatology Department. The post holder will be responsible and accountable for the management, development and co-ordination of the treatment pathway, for a caseload of patients with rheumatological conditions.
To provide specialist nursing advice, support, education to patients, carers, nurses and other members of the multi-disciplinary team from the time of their rheumatological diagnosis and throughout treatment and follow-up phases of treatment and care.
To demonstrate advanced nursing practice, effectively managing a complex clinical caseload, carrying out pre-treatment assessments as well as planning and implementing care and treatment for patients with rheumatological conditions requiring disease modifying anti-rheumatic drugs or in whom anti-TNF or other biologic/JAK/biosimilar therapies are indicated.
Support the Lead CNS as required in the development, supervision and support of the rheumatology CNS team, ensuring high standards of professional practice. Contribute to the ongoing development and improvement of rheumatology services, working in line with local and national guidance to enhance patient outcomes, reduce unnecessary admissions, and improve service efficiency.

• To organise and run the service in a safe and efficient manner, maintaining and improving standards and at all times using available evidence. To initiate develop and implement effective methods of care delivery which include new ways of working and new roles.
• To work closely with primary and secondary care and other agencies to develop and extend services for patients within the speciality, and implementation of quality initiatives and targets in conjunction with the Consultant Rheumatologists, Rheumatology Biologic Pharmacists and Lead Rheumatology CNS.
• To monitor, manage and report clinical workload to ensure the effective delivery or care and deployment of manpower, taking all possible actions to minimise risk when optimum staffing levels are not available, in accordance with local and national guidelines.
• To support Lead rheumatology CNS in clinic scheduling, monitoring capacity and demand, where necessary.
• To support the Lead rheumatology CNS in the implementation of his/her role. To provide professional, clinical and managerial leadership within the department in the absence of the Lead rheumatology CNS.
• To undertake any other duties required by the line manager appropriate to the grade and relevant to the post.
• To minimise hazards in the working area and report any identifiable hazards to the line manager. To adhere to all safe systems of work applicable to the work area.
With a new hospital planned for Watford, work underway to update theatres at St Albans City Hospital and plans for a neighbourhood healthcare centre in Hemel Hempstead, this is an exciting time to join us.

We are building on the success of our award-winning virtual hospital and re-imagining models of care, working closely with partners and making the most of advances in digital healthcare.

Staff wellbeing and development are a priority, as is the role of innovation in improving clinical care, outcomes and patient experience.

Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others.

We offer a variety of flexible working options as we recognise the importance of a good work life balance. www.westhertshospitals.nhs.uk/flexibleworking

If you have a disability or long-term health condition and require support or guidance please contact westherts.recruitment@nhs.net

If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form.

We reserve the right to close this advert early due to the volume of applicants. Please apply as soon as possible to avoid disappointment.
If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.

Administrative Responsibilities
• Be committed to resolve the concerns of patients and their families in a timely manner, working collaboratively with PALS and Complaints Manager to achieve this.
• To ensure clinical incidents/near misses within the sphere of responsibility are managed in a timely manner and actions taken to minimise risks, ensuring robust use of incident reporting systems (e.g. DATIX), monitoring trends and contributing to risk reduction strategies.
• Ensure that all patient records, correspondence, and documentation are completed to a high standard, in line with NMC guidelines and Trust policies, promoting accuracy, timeliness, and quality of clinical documentation within the rheumatology CNS team.
• Adopt systems used within the department to aid administrative tasks (e.g. AI Heidi or other relevant software implemented by the team).
• Collect, analyse and report data relating to high-cost drugs, and commissioning requirements, ensuring compliance with local and national standards.
• Support the maintenance and development of the rheumatology clinical database (eg. DAWN), ensuring it is used effectively for patient care, audit, and reporting.
• Participate in the implementation and monitoring of clinical governance and quality assurance frameworks, ensuring lessons learned are embedded into practice.
• Contribute to the preparation of service reports, business cases, and performance data as required by senior management, commissioners, or national bodies.
• Actively engage in the Trust’s policies, guidelines, and statutory responsibilities, ensuring personal compliance and supporting team adherence.

Research & Audit:
• To carry out audit and evaluation to monitor the effectiveness therapeutic regimes and to improve health outcomes, and to lead and participate in wider clinical audit, evaluation, and research to monitor and improve the effectiveness of rheumatology services.
• To ensure that practice is evidence based, critically appraising and applying evidence-based practice so that service delivery reflects current best practice and national guidance.
• Where appropriate, to identify areas for nursing research, sources of funding and initiate research projects (following GCP training and support from Trust Research Department).
• To promote and disseminate research and audit findings, including presenting and sharing outcomes at local, regional, and national meetings, and contributing to publications where appropriate.
• To use outcome measures, patient feedback and service data to influence and shape clinical practice, quality improvement, and commissioning priorities.
• To maintain knowledge of emerging research, innovation, and best practice in rheumatology care, incorporating developments into local practice.
• To support and mentor colleagues in developing research awareness and audit skills within the rheumatology team.

Training & Development:
• Implement educational programmes both formal and informal within the acute Trust, primary care trusts and other agencies, ensuring delivery is evidence-based and aligned with national guidance and service priorities.
• To identify personal development needs to work effectively at an advanced level within the speciality and take appropriate action to ensure that those needs are met, to ensure scope of practice remains current, evidence-based, and aligned with service needs.
• To maintain a personal professional profile and portfolio, including mandatory training and NMC revalidation.
• To demonstrate effectiveness as a role model and clinical supervisor, supporting workforce development through supervision, mentoring, and appraisal of junior staff, colleagues, students, and MDT members.
• Provide specialist teaching on rheumatology conditions, treatments, and self-management strategies to patients, carers, and healthcare professionals.
• Encourage and support reflective practice, continuous learning, and professional revalidation within the team.
• Contribute to training at local, regional, and national levels, and collaborate with universities and professional bodies to strengthen links between practice, education, and research.
• To work within the Nursing and Midwifery Council Code of Conduct and applicable legislation.


This advert closes on Monday 8 Dec 2025