# Cardiac Rehabilitation Clinical Nurse Specialist > NHS job listing from Job Clerk for South Warwickshire University NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/cardiac-rehabilitation-clinical-nurse-specialist/c971cdf9-cf28-49ab-b098-c5e52ac5ebbe - **Markdown:** https://www.jobclerk.com/job/cardiac-rehabilitation-clinical-nurse-specialist/c971cdf9-cf28-49ab-b098-c5e52ac5ebbe.md ## Summary - **Status:** Live - **Employer:** South Warwickshire University NHS Foundation Trust - **Town:** Warwick - **Region:** Midlands - **Country:** England - **Profession:** Clinical nurse specialist - **Grade:** Band 6 - **Salary:** £39,959 - £48,117 pro rata - **Contract type:** Permanent - **Employment type:** 22.5 hours per week (Part-time hours that could be worked Monday - Friday) - **Closing date:** 2026-06-14T23:59:00.000Z - **Posted:** 2026-05-26T13:31:09.293Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/Warwickshire/Warwick/South_Warwickshire_University_NHS_Foundation_Trust/Cardiology/Cardiology-v7954946 - **Application URL:** https://apps.trac.jobs/job-advert/7954946?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.swft.nhs.uk ## Job Content ### Job overview We have a proactive cardiac rehabilitation team who are dedicated and passionate about the care, education and support of cardiac patients, including heart failure. We are searching for the right nurse to join us and help continue to move the service forward. The successful candidate will be dynamic, focused on empowering patients and their families to participate in the management of their condition.  Working closely with the clinical exercise physiologist and other members of the multidisciplinary team the post holder will strive to support patients and their families by providing education about their diagnosis, symptom management, secondary prevention, risk factor management and end of life support. We are looking for someone with excellent communication skills, which are vital to the role and you would need to be able to demonstrate these at interview. We work as part of a multidisciplinary team and have good liaison both locally and regionally. We would also expect you to be flexible and adaptable to the needs of the service and fellow team members. Being a car driver with access to a car is essential for the role. ### Main duties of the job The post holder will be an expert clinical practitioner who will work as part of the Cardiology Clinical Nurse Specialist Team (CCNST). They will provide specialist nursing care for patients requiring all aspects of cardiac rehabilitation including heart failure. To be a clinically based competent and skilled autonomous practitioner choosing, managing, planning and delivering the most appropriate treatment programmes tailored to individual needs, ensuring access to high quality phase 1 – 4 cardiac rehabilitation services. Work with the local Leisure Service, local NHS providers and wider community to promote long term physical activity amongst individuals with established heart disease. Key role in demonstrating an equitable service through clinical audit and clinical effectiveness Work as part of a multi-professional team to ensure effective communication and coordinated delivery of care for patients and carers. Work in collaboration with the cardiac nursing team to plan and deliver care and cardiac services locally. Continually develop and update knowledge and highly specialist skills in specialist area of competence and delivery of evidence based care ### Detailed job description and main responsibilities - Key Result Areas: Expertise & Excellence in Clinical Practice Provide support to patients with cardiac conditions and their families, in line with the National Institute for Clinical Excellence (NICE) Guidelines for Heart Failure and the British Society for Cardiovascular Prevention and Rehabilitation Standards (BACPR). Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care.  Use interpersonal and communication skills where there may be significant barriers in order to build confidence.  Ensure that patients’ individual needs are expressed and valued and individual care plans are understood. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% - 85% of the role.  This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. 15% - 20% of role will contribute to the development of patient/staff education and information specific to cardiac rehabilitation along with policies and protocols (SOPs) to guide others involved in the care of this diverse client group. These policies and protocols will relate to patients within our department but also extend throughout the Trust. Plan programmes for cardiac rehabilitation including heart failure, co-ordinating staff, venues and patients. Timely and appropriately recruit patients to exercise programme. Contact patients individually referred for rehabilitation. Undertake a comprehensive assessment of patients following a cardiac event, who may have complex conditions including multi-pathology. Use well developed clinical reasoning and departmental/local guidelines to needs assess, risk assess and advise on treatment and lifestyle changes. Manage group sessions, providing clinical monitoring and education. Report to and/or refer onto other agencies and health professionals, patients following participation in cardiac rehabilitation programme. To educate and mentor less experienced members of the cardiology nursing team. Work autonomously within scope of practice to make clinical decisions and judgements regarding patient management as per local/national and international guidelines. Undertakes risk assessments regarding patient condition and environment to ensure patient and staff safety.  The post holder must be able to give a full explanation of the patient’s condition and proposed management to the patient and discuss expected outcomes with them. The post holder is required to educate patients on an individual and group basis. Ensure the patient understands and agrees to therapy plan and to set realistic timescales for achieving goals.  To ensure that within the group setting each patient exercises within their agreed individual exercise prescription and is monitored at each session. To act independently to changes in the patients status and modify treatment accordingly. In conjunction with exercise specialist, undertake an individual risk assessment for exercise, based on cardiac history and current medical conditions. Taking into consideration both cardiac and physical risk of exercise allowing safe exercise prescription and adaptations of exercise programmes.  Agreed functional capacity tests to be performed as part of the patient’s initial assessment and again at the completion of the programme in order to contribute towards monitoring and audit of patient related outcome measure. Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support. Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need, including MDT clinics. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service.  Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution.  Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable.  This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to Trust wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal.  Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. | Key Result Areas: Expertise & Excellence in Clinical Practice Provide support to patients with cardiac conditions and their families, in line with the National Institute for Clinical Excellence (NICE) Guidelines for Heart Failure and the British Society for Cardiovascular Prevention and Rehabilitation Standards (BACPR). Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care.  Use interpersonal and communication skills where there may be significant barriers in order to build confidence.  Ensure that patients’ individual needs are expressed and valued and individual care plans are understood. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% - 85% of the role.  This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. 15% - 20% of role will contribute to the development of patient/staff education and information specific to cardiac rehabilitation along with policies and protocols (SOPs) to guide others involved in the care of this diverse client group. These policies and protocols will relate to patients within our department but also extend throughout the Trust. Plan programmes for cardiac rehabilitation including heart failure, co-ordinating staff, venues and patients. Timely and appropriately recruit patients to exercise programme. Contact patients individually referred for rehabilitation. Undertake a comprehensive assessment of patients following a cardiac event, who may have complex conditions including multi-pathology. Use well developed clinical reasoning and departmental/local guidelines to needs assess, risk assess and advise on treatment and lifestyle changes. Manage group sessions, providing clinical monitoring and education. Report to and/or refer onto other agencies and health professionals, patients following participation in cardiac rehabilitation programme. To educate and mentor less experienced members of the cardiology nursing team. Work autonomously within scope of practice to make clinical decisions and judgements regarding patient management as per local/national and international guidelines. Undertakes risk assessments regarding patient condition and environment to ensure patient and staff safety.  The post holder must be able to give a full explanation of the patient’s condition and proposed management to the patient and discuss expected outcomes with them. The post holder is required to educate patients on an individual and group basis. Ensure the patient understands and agrees to therapy plan and to set realistic timescales for achieving goals.  To ensure that within the group setting each patient exercises within their agreed individual exercise prescription and is monitored at each session. To act independently to changes in the patients status and modify treatment accordingly. In conjunction with exercise specialist, undertake an individual risk assessment for exercise, based on cardiac history and current medical conditions. Taking into consideration both cardiac and physical risk of exercise allowing safe exercise prescription and adaptations of exercise programmes.  Agreed functional capacity tests to be performed as part of the patient’s initial assessment and again at the completion of the programme in order to contribute towards monitoring and audit of patient related outcome measure. Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support. Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need, including MDT clinics. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service.  Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution.  Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable.  This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to Trust wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal.  Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. | - Key Result Areas: Expertise & Excellence in Clinical Practice Provide support to patients with cardiac conditions and their families, in line with the National Institute for Clinical Excellence (NICE) Guidelines for Heart Failure and the British Society for Cardiovascular Prevention and Rehabilitation Standards (BACPR). Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care.  Use interpersonal and communication skills where there may be significant barriers in order to build confidence.  Ensure that patients’ individual needs are expressed and valued and individual care plans are understood. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% - 85% of the role.  This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. 15% - 20% of role will contribute to the development of patient/staff education and information specific to cardiac rehabilitation along with policies and protocols (SOPs) to guide others involved in the care of this diverse client group. These policies and protocols will relate to patients within our department but also extend throughout the Trust. Plan programmes for cardiac rehabilitation including heart failure, co-ordinating staff, venues and patients. Timely and appropriately recruit patients to exercise programme. Contact patients individually referred for rehabilitation. Undertake a comprehensive assessment of patients following a cardiac event, who may have complex conditions including multi-pathology. Use well developed clinical reasoning and departmental/local guidelines to needs assess, risk assess and advise on treatment and lifestyle changes. Manage group sessions, providing clinical monitoring and education. Report to and/or refer onto other agencies and health professionals, patients following participation in cardiac rehabilitation programme. To educate and mentor less experienced members of the cardiology nursing team. Work autonomously within scope of practice to make clinical decisions and judgements regarding patient management as per local/national and international guidelines. Undertakes risk assessments regarding patient condition and environment to ensure patient and staff safety.  The post holder must be able to give a full explanation of the patient’s condition and proposed management to the patient and discuss expected outcomes with them. The post holder is required to educate patients on an individual and group basis. Ensure the patient understands and agrees to therapy plan and to set realistic timescales for achieving goals.  To ensure that within the group setting each patient exercises within their agreed individual exercise prescription and is monitored at each session. To act independently to changes in the patients status and modify treatment accordingly. In conjunction with exercise specialist, undertake an individual risk assessment for exercise, based on cardiac history and current medical conditions. Taking into consideration both cardiac and physical risk of exercise allowing safe exercise prescription and adaptations of exercise programmes.  Agreed functional capacity tests to be performed as part of the patient’s initial assessment and again at the completion of the programme in order to contribute towards monitoring and audit of patient related outcome measure. Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support. Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need, including MDT clinics. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service.  Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution.  Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable.  This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to Trust wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal.  Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. ## Job Details We have a proactive cardiac rehabilitation team who are dedicated and passionate about the care, education and support of cardiac patients, including heart failure. We are searching for the right nurse to join us and help continue to move the service forward. The successful candidate will be dynamic, focused on empowering patients and their families to participate in the management of their condition. Working closely with the clinical exercise physiologist and other members of the multidisciplinary team the post holder will strive to support patients and their families by providing education about their diagnosis, symptom management, secondary prevention, risk factor management and end of life support. We are looking for someone with excellent communication skills, which are vital to the role and you would need to be able to demonstrate these at interview. We work as part of a multidisciplinary team and have good liaison both locally and regionally. We would also expect you to be flexible and adaptable to the needs of the service and fellow team members. Being a car driver with access to a car is essential for the role. ## Job Description The post holder will be an expert clinical practitioner who will work as part of the Cardiology Clinical Nurse Specialist Team (CCNST). They will provide specialist nursing care for patients requiring all aspects of cardiac rehabilitation including heart failure. To be a clinically based competent and skilled autonomous practitioner choosing, managing, planning and delivering the most appropriate treatment programmes tailored to individual needs, ensuring access to high quality phase 1 – 4 cardiac rehabilitation services. Work with the local Leisure Service, local NHS providers and wider community to promote long term physical activity amongst individuals with established heart disease. Key role in demonstrating an equitable service through clinical audit and clinical effectiveness Work as part of a multi-professional team to ensure effective communication and coordinated delivery of care for patients and carers. Work in collaboration with the cardiac nursing team to plan and deliver care and cardiac services locally. Continually develop and update knowledge and highly specialist skills in specialist area of competence and delivery of evidence based care ## Responsibilities Key Result Areas: Expertise & Excellence in Clinical Practice Provide support to patients with cardiac conditions and their families, in line with the National Institute for Clinical Excellence (NICE) Guidelines for Heart Failure and the British Society for Cardiovascular Prevention and Rehabilitation Standards (BACPR). Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients’ individual needs are expressed and valued and individual care plans are understood. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% - 85% of the role. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. 15% - 20% of role will contribute to the development of patient/staff education and information specific to cardiac rehabilitation along with policies and protocols (SOPs) to guide others involved in the care of this diverse client group. These policies and protocols will relate to patients within our department but also extend throughout the Trust. Plan programmes for cardiac rehabilitation including heart failure, co-ordinating staff, venues and patients. Timely and appropriately recruit patients to exercise programme. Contact patients individually referred for rehabilitation. Undertake a comprehensive assessment of patients following a cardiac event, who may have complex conditions including multi-pathology. Use well developed clinical reasoning and departmental/local guidelines to needs assess, risk assess and advise on treatment and lifestyle changes. Manage group sessions, providing clinical monitoring and education. Report to and/or refer onto other agencies and health professionals, patients following participation in cardiac rehabilitation programme. To educate and mentor less experienced members of the cardiology nursing team. Work autonomously within scope of practice to make clinical decisions and judgements regarding patient management as per local/national and international guidelines. Undertakes risk assessments regarding patient condition and environment to ensure patient and staff safety. The post holder must be able to give a full explanation of the patient’s condition and proposed management to the patient and discuss expected outcomes with them. The post holder is required to educate patients on an individual and group basis. Ensure the patient understands and agrees to therapy plan and to set realistic timescales for achieving goals. To ensure that within the group setting each patient exercises within their agreed individual exercise prescription and is monitored at each session. To act independently to changes in the patients status and modify treatment accordingly. In conjunction with exercise specialist, undertake an individual risk assessment for exercise, based on cardiac history and current medical conditions. Taking into consideration both cardiac and physical risk of exercise allowing safe exercise prescription and adaptations of exercise programmes. Agreed functional capacity tests to be performed as part of the patient’s initial assessment and again at the completion of the programme in order to contribute towards monitoring and audit of patient related outcome measure. Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support. Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need, including MDT clinics. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service. Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution. Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to Trust wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. | Key Result Areas: Expertise & Excellence in Clinical Practice Provide support to patients with cardiac conditions and their families, in line with the National Institute for Clinical Excellence (NICE) Guidelines for Heart Failure and the British Society for Cardiovascular Prevention and Rehabilitation Standards (BACPR). Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients’ individual needs are expressed and valued and individual care plans are understood. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% - 85% of the role. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. 15% - 20% of role will contribute to the development of patient/staff education and information specific to cardiac rehabilitation along with policies and protocols (SOPs) to guide others involved in the care of this diverse client group. These policies and protocols will relate to patients within our department but also extend throughout the Trust. Plan programmes for cardiac rehabilitation including heart failure, co-ordinating staff, venues and patients. Timely and appropriately recruit patients to exercise programme. Contact patients individually referred for rehabilitation. Undertake a comprehensive assessment of patients following a cardiac event, who may have complex conditions including multi-pathology. Use well developed clinical reasoning and departmental/local guidelines to needs assess, risk assess and advise on treatment and lifestyle changes. Manage group sessions, providing clinical monitoring and education. Report to and/or refer onto other agencies and health professionals, patients following participation in cardiac rehabilitation programme. To educate and mentor less experienced members of the cardiology nursing team. Work autonomously within scope of practice to make clinical decisions and judgements regarding patient management as per local/national and international guidelines. Undertakes risk assessments regarding patient condition and environment to ensure patient and staff safety. The post holder must be able to give a full explanation of the patient’s condition and proposed management to the patient and discuss expected outcomes with them. The post holder is required to educate patients on an individual and group basis. Ensure the patient understands and agrees to therapy plan and to set realistic timescales for achieving goals. To ensure that within the group setting each patient exercises within their agreed individual exercise prescription and is monitored at each session. To act independently to changes in the patients status and modify treatment accordingly. In conjunction with exercise specialist, undertake an individual risk assessment for exercise, based on cardiac history and current medical conditions. Taking into consideration both cardiac and physical risk of exercise allowing safe exercise prescription and adaptations of exercise programmes. Agreed functional capacity tests to be performed as part of the patient’s initial assessment and again at the completion of the programme in order to contribute towards monitoring and audit of patient related outcome measure. Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support. Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need, including MDT clinics. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service. Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution. Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to Trust wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. | Key Result Areas: Expertise & Excellence in Clinical Practice Provide support to patients with cardiac conditions and their families, in line with the National Institute for Clinical Excellence (NICE) Guidelines for Heart Failure and the British Society for Cardiovascular Prevention and Rehabilitation Standards (BACPR). Contribute to the delivery of evidence-based personalised and compassionate care which places quality at the heart of practice. Care will be responsive to individual needs and reflect current local protocols and national guidelines. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers in order to build confidence. Ensure that patients’ individual needs are expressed and valued and individual care plans are understood. Act as an accessible professional for the multi-disciplinary team (MDT) supporting the management of a clinical caseload for at least 80% - 85% of the role. This will necessitate a degree of autonomy and advocacy to ensure the delivery of appropriate care. 15% - 20% of role will contribute to the development of patient/staff education and information specific to cardiac rehabilitation along with policies and protocols (SOPs) to guide others involved in the care of this diverse client group. These policies and protocols will relate to patients within our department but also extend throughout the Trust. Plan programmes for cardiac rehabilitation including heart failure, co-ordinating staff, venues and patients. Timely and appropriately recruit patients to exercise programme. Contact patients individually referred for rehabilitation. Undertake a comprehensive assessment of patients following a cardiac event, who may have complex conditions including multi-pathology. Use well developed clinical reasoning and departmental/local guidelines to needs assess, risk assess and advise on treatment and lifestyle changes. Manage group sessions, providing clinical monitoring and education. Report to and/or refer onto other agencies and health professionals, patients following participation in cardiac rehabilitation programme. To educate and mentor less experienced members of the cardiology nursing team. Work autonomously within scope of practice to make clinical decisions and judgements regarding patient management as per local/national and international guidelines. Undertakes risk assessments regarding patient condition and environment to ensure patient and staff safety. The post holder must be able to give a full explanation of the patient’s condition and proposed management to the patient and discuss expected outcomes with them. The post holder is required to educate patients on an individual and group basis. Ensure the patient understands and agrees to therapy plan and to set realistic timescales for achieving goals. To ensure that within the group setting each patient exercises within their agreed individual exercise prescription and is monitored at each session. To act independently to changes in the patients status and modify treatment accordingly. In conjunction with exercise specialist, undertake an individual risk assessment for exercise, based on cardiac history and current medical conditions. Taking into consideration both cardiac and physical risk of exercise allowing safe exercise prescription and adaptations of exercise programmes. Agreed functional capacity tests to be performed as part of the patient’s initial assessment and again at the completion of the programme in order to contribute towards monitoring and audit of patient related outcome measure. Support patients to self-manage their condition where deemed appropriate. Provide education for those who will need guided support to self-manage and those who will need on-going face to face support. Contribute to the management of a caseload of patients within specialty and prioritise workload to meet patient and service need, including MDT clinics. Management & Leadership Act as a role model demonstrating high standards of holistic care and provide clinical leadership to others across the organisation. Participate in the recruitment and selection of staff where required. Provide support to ensure public and patient involvement is embedded within the sphere of practice. Assist in setting measurable outcomes for the service and continuous evaluation of practice supporting changes where necessary. Participate in operational and strategic planning for the development and delivery of the service. Support service improvement activities. Attend Trust senior nurse meetings and contribute to the agenda and strategic nursing vision. Represent the Trust by contributing to and participating in meetings locally, regional and nationally relating to the speciality. Contribute to an annual service review, gathering information to support the annual report. Communication Take personal responsibility for ensuring effective communication between all service providers. Act as a role model for excellent communication skills. Work in partnership with patients, relatives and carers to obtain complex information. Create a climate in which patients are empowered to make informed choices. Ensure all clinical practice is documented appropriately in patient records ensuring that the NMC guidelines for documentation are adhered to. Informally manage complaints with the aim of a satisfactory resolution. Ensure appropriate escalation when this is not achieved. Demonstrate empathetic interpersonal and communication skills in supporting, informing and advising patients and carers through diagnosis, treatment, disease progression, prognosis and supportive and palliative care where applicable. This will involve occasionally imparting significant news or supporting patients and carers during and following such consultations. Effectively and sensitively communicate complex and sensitive information to emotionally distressed patients and family/carers at key points along the care pathway on a frequent basis. Education Identify and use educational strategies to deliver information to patients and carers. Assist in the development of other professionals by contributing to Trust wide specialist education and training. Support the delivery of formal and informal teaching initiatives as part of the Trust’s education strategy as agreed with the appropriate senior nurse to ensure practice development, staff empowerment and improved care for patients. Take personal responsibility for life-long learning and personal development through clinical supervision and appraisal. Actively engages with learning and development opportunities needed to work as an advancing practitioner and take appropriate action to ensure these needs are met. Contribute to promoting educational links with local providers of higher education and deliver lectures on a range of courses. Act as a mentor/clinical supervisor as appropriate. Quality, Audit, Innovation and Research Assist in the development of written patient information and use existing appropriate resources to inform users, according to individually assessed need. Work within the NMC code of professional conduct. Contribute to the development of policies and clinical guidelines to support the service. Collaborate with other MDT members to develop and update multi-professional Trust operational policies and guidelines. Maintain patient records and ensure an effective documentation system to reflect the activity and delivery of specialist nursing care. Use creative reasoning, experience and vision to support advancement of care. Support and deliver local and national audits relevant to the speciality. Develop new skills in response to emerging knowledge and techniques. Supports management of change as required. Maintain membership and attendance at national and local forums to network and debate issues to inform the specialist nursing role and service delivery where applicable. Assist with the collation of data to provide evidence of productivity, outcomes and quality through audit and research. Participate in clinical research relevant to practice area. Assist in the development of links and system to seek the views of patient and carers to ensure service development is in line with user need. Strategic and Service Responsibilities In all aspects of work demonstrate an ability to work across organisational and professional boundaries, ensuring the delivery of high quality care. Promote collaborative working relationships and effective communication between all members of the multidisciplinary team. ## Person Specification ### Skills **Essential** - Clinical, managerial and leadership skills in acute cardiology - Proven listening skills - Up to date knowledge of current clinical and professional issues - Excellent verbal, written, interpersonal and communication skills - Ability to prioritise workload - Good decision making abilities etc - Evidence of negotiation skills, informing, enquiring, persuading and directing as appropriate - Understanding of the change management process - Knowledge of quality standards and relevant national and local guidance e.g NICE, BACPR, BSH, CQUINS ### Experience **Essential** - A minimum of three years post registration experience - Extensive clinical experience in an Acute cardiology setting - Evidence of continuing professional development - ILS training ### Qualifications **Essential** - Registered General Nurse Level 1 with active NMC registration - Post basic qualification in specialty - Degree or equivalent in a relevant subject - BACR Phase IV training or equivalent or willingness to undertake course - Evidence of continued professional development - Recognised teaching certificate / qualification (e.g. Post Graduate Certificate in Education / Mentors & assessors / SLAiP / ENB 998, C&G 730 or equivalent) **Desirable** - Health Promotion certificate / course - Counselling qualification ### Personal Qualities **Essential** - Recognition of own development requirements - Team player - Creative thinker - Diplomatic ### Other Job Requirements **Essential** - Flexible and positive approach to work, ability to work at various hospital and service delivery locations. - Car Driver ## Documents - [cardiac rehab band 6 ps (pdf, 56.7kb)](https://www.healthjobsuk.com/documents?vdoc=10235564) - [cardiac rehab cns band 6 (pdf, 184.6kb)](https://www.healthjobsuk.com/documents?vdoc=10235563) - [occupational health functional requirements form (pdf, 207.6kb)](https://www.healthjobsuk.com/documents?ddoc=1897) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.