Trac proudly powers the recruitment for
Guy's and St Thomas' NHS Foundation Trust
About
Contact
- Address
- Trust Offices
- St Thomas' Street
- London
- SE1 9RT
- Contact Number
- 020 7188 7188
Clinical Nurse Specialist- Rheumatology and Lupus
Accepting applications until: 27-Apr-2026 23:59
Vacancy status: Open
Accepting applications until: 27-Apr-2026 23:59
Key details
Location
- Gwefan
- Guys Hospital
- Cyfeiriad
- Great Maze pond
- Tref
- London
- Cod post
- SE1 9RT
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Permanent: Monday-Friday 9-5
- Oriau
- Full time - 37.5 hours per week
Salary
- Cyflog
- £56,276 - £63,176 per annum inc HCA
- Cyfnod cyflog
- Yearly
- Gradd
- (NHS AfC: Band 7)
Specialty
- Prif leoliad
- Rheumatology and Lupus
- Dyddiad y cyfweliad
- 06/05/2026
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Trosolwg o'r swydd
We are seeking an experienced, motivated, and compassionate Clinical Nurse Specialist to join our dynamic Rheumatology and Lupus service. As a Band 7 CNS, you will play a pivotal role in delivering high-quality, patient-centred care to individuals living with complex autoimmune and connective tissue diseases. You will act as an expert resource, leading specialist clinics, supporting acute and long-term disease management, and providing advanced clinical assessment, education, and holistic support to patients and their families.
This role requires a highly autonomous practitioner with strong decision-making skills, exceptional communication, and a commitment to evidence-based practice. Applicants must have completed an Advanced Physical Assessment course and be working towards, or willing to undertake, the Non-Medical/Nurse Prescriber qualification. You will work collaboratively with consultants, multidisciplinary teams, and wider specialist services to optimise patient pathways and improve health outcomes.
You will contribute to service development, quality improvement initiatives, audit, and the education of nursing and medical staff. This is an exciting opportunity for a nurse seeking to develop advanced specialist skills within a supportive and progressive team, helping shape the future of rheumatology and lupus care while ensuring services remain responsive, innovative, and aligned with Trust values and national standards.
Closing date: 27/04/2026
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Provide specialist nursing care for patients with rheumatological and lupus conditions across inpatient, outpatient, virtual, and community settings. Lead autonomous nurse-led clinics, undertaking advanced assessment, clinical decision-making, interpreting investigations, and developing individualised care plans. Prescribe and manage biologic and other immunosuppressive therapies in line with national guidance and Trust protocols.
Act as a key worker for complex patients, ensuring coordinated care, timely escalation, and effective multidisciplinary team communication. Deliver specialist education and self-management support to patients and carers. Support and monitor immunosuppressive and biologic therapy pathways, including counselling, safety checks, prescribing where appropriate, and adherence to protocols. Provide expert advice to nursing staff, junior doctors, and allied health professionals.
Contribute to service development through audit, research, patient experience initiatives, and quality improvement projects. Develop and deliver education to support staff across rheumatology and lupus services. Maintain accurate documentation in line with Trust and NMC standards, promote holistic patient-centred care, and support leadership through mentorship and development of junior staff.
Gweithio i'n sefydliad
Guy’s and St Thomas's 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 are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
Swydd-ddisgrifiad a phrif gyfrifoldebau manwl
Clinical Responsibilities
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Provide expert specialist nursing assessment, care, and advice for patients with rheumatological and lupus conditions across inpatient, outpatient, and virtual platforms.
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Lead and manage autonomous nurse-led clinics, undertaking comprehensive assessment, formulating differential diagnoses, interpreting diagnostic tests, and implementing evidence-based management plans.
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Support the initiation, monitoring, and evaluation of immunosuppressive therapies, biologics, and other advanced treatments, ensuring safe prescribing pathways and adherence to local and national guidelines.
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Act as a key worker for patients with complex, fluctuating conditions, ensuring continuity, coordination, and timely escalation of care.
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Participate in multidisciplinary case discussions, ward reviews, and rapid-access clinics to support early detection and management of disease flares.
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Provide holistic care, addressing physical, psychosocial, and social factors affecting chronic disease management.
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Facilitate safe transition between services, including referrals to specialist teams, community services, and other hospital departments.
Education and Support
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Deliver specialist education to patients, families, and carers regarding disease processes, medications, flare management, lifestyle strategies, and self-management skills.
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Provide expert advice, teaching, and clinical supervision to nurses, junior doctors, AHPs, and learners within the service.
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Develop and update patient information materials and contribute to educational programs across the Trust.
Leadership & Service Development
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Lead or participate in quality improvement projects, patient experience initiatives, and service redesign to optimise pathways and enhance efficiency.
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Contribute proactively to the development of protocols, guidelines, and clinical standards for rheumatology and lupus care.
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Support clinical governance activities, including risk management, incident reviews, and policy development.
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Work closely with senior nursing leadership and consultants to identify service gaps, analyse data, and implement sustainable improvements.
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Provide mentorship and professional support to junior staff, contributing to workforce development and succession planning.
Research, Audit, and Innovation
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Participate in and support clinical audits, research studies, and data collection to inform improvements in clinical practice.
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Use evidence-based practice and emerging research to guide clinical decision-making and enhance patient outcomes.
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Contribute to the dissemination of learning through presentations, publications, and professional networks where appropriate.
Professional Responsibilities
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Ensure documentation is accurate, timely, and compliant with Trust policies and NMC standards.
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Maintain up-to-date specialist knowledge through continuous professional development, study days, and advanced training.
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Uphold the Trust’s values, champion patient safety, and promote equality, diversity, and inclusion within the service.
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Adhere to infection prevention and control measures and contribute to the maintenance of a safe clinical environment.
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on the UK Government website.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
Please apply for this post by clicking "Apply Online Now."
Applicant requirements
Person specification
Education and Qualification
Meini prawf hanfodol
- BSC/1st degree (health related) or equivalent qualification/training and experience
- Evidence of post-registration professional development relevant to the specialty.
- Evidence of Completed Advanced Physical Assessment Course
Meini prawf dymunol
- To have or working towards a masters degree
- To have or working towards a Nurse prescriber course
Skills and Knowledge
Meini prawf hanfodol
- Advanced clinical assessment, diagnostic reasoning, and decision-making skills.
- Strong understanding of chronic disease management, immunology, and pharmacology related to autoimmune disease.
- Ability to interpret complex investigations (e.g., immunology panels, radiology, pathology results).
- Excellent communication and interpersonal skills, including supporting patients with complex psychosocial needs.
- Ability to prioritise a specialist caseload and work autonomously.
- Proficiency in developing and delivering patient and staff education.
- Competence in maintaining accurate documentation and ensuring governance compliance.
- IT skills
Meini prawf dymunol
- Knowledge of national guidelines relevant to rheumatology and lupus (e.g., BSR, NICE).
- Ability to analyse clinical data and contribute to outcome measurement.
- Skills in leading quality improvement projects and service innovation.
- Experience presenting at conferences, teaching sessions, or professional forums.
Experience
Meini prawf hanfodol
- Significant post-registration experience within a relevant specialty (e.g., rheumatology, lupus, immunology, ambulatory care, acute medicine).
- Experience assessing and managing patients with complex long-term conditions.
- Experience providing patient education and supporting self-management.
- Experience working within an MDT and across different clinical settings.
Meini prawf dymunol
- Previous experience in a Clinical Nurse Specialist or highly autonomous role.
- Experience managing patients with lupus, vasculitis, and other connective tissue diseases.
- Experience running or contributing to nurse-led clinics.
- Experience managing patients receiving biologics and immunosuppressive therapies.
- Involvement in pathway development, service redesign, or transformation initiatives.
Values and Behaviour
Meini prawf hanfodol
- Demonstrates compassion, respect, and commitment to delivering high-quality, patient-centred care
- Upholds Trust values and promotes a positive, inclusive culture.
Meini prawf dymunol
- Demonstrates leadership behaviours that inspire, motivate, and support colleagues.
- Evidence of innovation and ability to challenge practice constructively to improve services.
Further details / informal visits contact
- Enw
- Laura Blackler
- Teitl y swydd
- ANP Lead
- Cyfeiriad ebost
- [email protected]
- Gwybodaeth i gefnogi eich cais
For additional information, contact:
- Bina Menon- Service Lead at [email protected]
- Tiffany Martin- DHON at [email protected]
- Jenamarie Pulido- Matron for Rheumatology and Lupus at [email protected]
- Kay Blackhall- Band 7 CNS at [email protected]
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