Associate Clinical Nurse Specialist | Royal National Orthopaedic Hospital NHS Trust
| Posting date: | 13 May 2026 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £45,953 - £54,254 Per Annum inclusive of HCAs |
| Hours: | Full time |
| Closing date: | 12 June 2026 |
| Location: | Stanmore, HA7 4LP |
| Company: | Royal National Orthopaedic Hospital NHS Trust |
| Job type: | Permanent |
| Job reference: | 7977529/392-RNOH-1450 |
Summary
This is an exciting opportunity to work within the Rheumatology / Metabolic Bone Department. The Deputy Clinical Nurse Specialist will be providing evidence based clinical advice to healthcare professionals, patients and their carers. The post holder will help to deliver a patient focused service through the delivery of integrated care and contribute to the visions and values of our speciality and the Trust.
The Rheumatology/Metabolic Department operates a medical day suite, outpatient clinics, and a dedicated patient helpline. The team includes 6 Consultants and other medical staff, Clinical Nurse Specialists and clerical staff.
Key attributes that need to be demonstrated include:
• ability to work as part of the multi-disciplinary team
• ability to communicate confidently and have established organisational skills
• excellent IT skills
• cannulation skills and intravenous administration of drug competencies
• aspiration to continue to learn and develop, particular around metabolic disease.
The post would give the following opportunities –
· Development of expertise in the management of patients with inflammatory arthritis and osteoporosis
· Experience in the management of patients with other rheumatological diseases such as hypermobility, chronic pain and rare metabolic bone disease
· Increasing skills in cannulation and IV drug administration, with opportunity to visit other departments and hospitals
Provide specialist advice, education and support to patients and their relatives attending the nurse-led rheumatology clinics. This includes counselling patients for new therapies and review of patients on existing therapies.
Responsible for assessing patients physical, psychological and social needs, planning, implementing and evaluating patient care, recommending the most appropriate course of action.
Help develop and work within protocols for the management of patients with rheumatology conditions including osteoporosis.
For patients on disease modifying drugs, biologic and bone therapies: -Use recognised outcome measures, assessment tools and clinical skills to, evaluate patient progress, Request appropriate investigations for monitoring of patients. Analyse andinterpret these results.
Responsible for the care of patients receiving intravenous biologic or bone therapies, and cannulate these patient.
Provide high quality written, verbal and telephone advice service.
Liaise with GPs to maintain continuity of care and patient compliance with medications/supplements prescribed. Work closely with the multi-disciplinary team making appropriate referrals when necessary.
Work closely with pathway co-ordinators to assist with triaging into appropriate nurse-led clinics and awareness of nurse clinic waiting lists.
RNOH Royal National Orthopaedic Hospital NHS Trust (RNOH) is the largest orthopaedic hospital in the UK and a global leader in our field. We provide a dynamic working environment where we support frontline staff to implement improvements so that we can realise our vision of being a world leading neuro-musculoskeletal hospital providing the best patient care and staff experience in the NHS, delivering world leading research, and offering a strong foundation of education, training and career progression. Our dedicated staff come from diverse backgrounds, and our patients benefit from the wide range of experience they bring to the trust. RNOH brings unrivalled expertise together in one place allowing us to deliver some of the world’s most complex and innovative care to our patients. RNOH is rated good by the CQC and covers two sites, one in central London and one in Stanmore - which has recently opened The Stanmore Building, a new, state-of-the-art inpatient facility. For more information, please access the following link:https://www.rnoh.nhs.uk/
Home :: Royal National Orthopaedic Hospital
The Royal National Orthopaedic Hospital NHS Trust aims to be a world-leading orthopaedic hospital with the best patient care and staff experience in the NHS.
Job Purpose
To assess and manage patients with Rheumatology conditions including osteoporosis care. To develop and work within agreed protocols. To provide support both for patients and medical/nursing colleagues, to support and take charge of the intravenous medication’s day suite. Help support telephone helplines and generic email accounts.
Main Duties and Responsibilities
Rotation between Bolsover Street and Stanmore sites when applicable to your banding
Clinical
Provide specialist advice, education and support to patients and their relatives attending the nurse-led rheumatology clinics. This includes counselling patients for new therapies and review of patients on existing therapies.
Work with patients and provide follow up in order to support compliance and adherence with prescribed treatment.
Responsible for the care of patients receiving intravenous biologic or bone therapies, supporting and working closely with the Day Unit who administer the infusions.
Provide high quality written, verbal and telephone advice for patients and their families.
Produce accurate and complete documentation both electronically and written correspondence consistent with legislation, policies and procedures.
Ensure that written information for health professionals in primary and secondary care is clear, concise and of a high standard.
Liaise with GPs to maintain continuity of care and patient compliance with medications/supplements prescribed.
Work closely with the multi-disciplinary team making appropriate referrals when necessary.
Management and Leadership
To manage systems and maintain accurate records to ensure patients care is appropriate and audit can be undertaken.
To maintain appropriate databases for patients on disease-modifying drugs, biologic and bone therapies
Professional
Recognise and work within own competence and professional code of conduct as regulated by the NMC
Take responsibility for one’s own development, undertaking appropriate activities to update clinical knowledge and skills.
Education, Training and Development
Provide support and specialist advice to colleagues in the Trust and in the Community.
Attend and actively contribute to relevant meetings within and outside the Trust.
Audit
Participate in the auditing of your speciality to evaluate the efficiency of treatment in all sectors of your speciality. With your Line Manager produce action plans from evaluation and share these findings with the wider team.
Special Requirements:
Any other duties commensurate with the banding and in line with the requirement of this post.
This job description gives a general outline of the post and is not intended to be inflexible or a final list of duties. It may therefore be amended from time to time in consultation with the post holder.
Full Job Description attached
This advert closes on Wednesday 27 May 2026
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