HIV Clinical Nurse Specialist - Community

We are an award winning organisation providing care at two main hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—and a number of community-based services across London, such as sexual health and HIV clinics.

With 6,700 members of staff, we are proud to care for a diverse population of one million people. We are committed to ensuring that our workforce is just as diverse with a strong mix of skills and abilities.

Our staff are at the very heart of our organisation and we recognise the valuable contribution that each and every person working at the Trust makes. One of our Trust priorities is to be an employer of choice—a place where people want to start their career and to grow with us through continued education, professional development and support .

HIV Clinical Nurse Specialist - Community

NHS AfC: Band 7

Main area HIV Grade NHS AfC: Band 7 Contract Permanent Hours

• Full time
• Flexible working

37.5 hours per week Job ref 289-SC-485

Site Chelsea and Westminster Hospital Town London Salary £58,133 - £65,261 per annum incl. HCAS Salary period Yearly Closing 17/11/2026 23:59

Job overview

A rare and exciting opportunity has arisen to join the HIV Community Clinical Nurse Specialist team, within the internationally recognised Chelsea and Westminster Hospital NHS Foundation Trust HIV directorate.

Acting as a link between Chelsea and Westminster Hospital NHS Foundation Trust HIV services and the community setting, you will holistically manage a caseload of people living with HIV, who may have complex physical and psychosocial needs. You will work within a small and dynamic team based from Chelsea and Westminster Hospital, regularly collaborating with other professionals, utilising telemedicine where appropriate and hot-desking from various sites. You will be responsible for visiting patients in their homes, or in other community-based settings, such as, GP surgeries, and drug and alcohol treatment centres.

The team aims to improve access to, and engagement with HIV treatment and care; to reduce unnecessary attendance and admission to healthcare services; and to support discharge planning where appropriate. They also seek to improve overall health, wellbeing and quality of life by empowering patients to take a fuller role in their healthcare and in addressing the wider determinants of their health.

Main duties of the job

As part of a multidisciplinary team and in liaison with acute services at Chelsea and Westminster Hospital NHS Foundation Trust, to enhance the provision of care to people living with HIV currently on or off antiretroviral therapy and to empower individuals to maximise their independence.

By working in partnership with community nursing services, GP practices, acute providers and local social services, establish a close working relationship that is essential in ensuring that care is coordinated and responsive to individual need.

To work both as an independent practitioner and in partnership with the Senior HIV Community Clinical Nurse Specialist, supporting stable HIV patients across all areas commissioned by Chelsea and Westminster Hospital NHS Foundation Trust.

To provide proactive case management of patients with HIV with highly complex needs who struggle with antiretroviral treatment adherence and accessing care.

To act as an expert and a resource on HIV-related healthcare issues to specialist palliative care services, local nursing services, GPs and social service teams.

To promote collaboration between acute services and community health and social care providers.

To organise and facilitate teaching and training on HIV-related issues, with specific focus on supporting patients taking antiretroviral therapy.

To be proactive and innovative in the development of HIV as a clinical specialism.

Working for our organisation

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Detailed job description and main responsibilities

Professional Practice

• In collaboration with the Senior HIV Community Clinical Nurse Specialist, manage a caseload of stable HIV patients and those with highly complex needs within the community setting who have been identified as requiring specialist expertise in the management of antiretroviral therapy and coordinating complex care packages to assist in managing them within the community setting.
• Ensure that patients are fully informed and supported by providing clinical and social support through patient education around management of HIV and provide education for those newly diagnosed.
• Work autonomously, independently assess and diagnose problems, prescribe treatment, review blood results, order and interpret clinical tests and deliver and evaluate plans of care, within own sphere of competence and with supervision from the Senior HIV Community Clinical Nurse Specialist and HIV Consultant colleagues.
• Effectively deliver an expert, efficient and high quality service to all patients requiring HIV care.
• Be a key contact point in the service for patients and professionals

Education

• To identify, assess and meet the educational needs of acute and external teams in relation to the specific needs of this patient group.
• Identify, assess and meet the educational health care needs of patients and carers.
• To participate in teaching and assessing in clinical practice, including mentorship and preceptorship of pre- and post-registration healthcare professionals in different settings.
• To continue own professional development in line with Nursing and Midwifery Council guidelines on professional practice.

Research

• In conjunction with the Senior HIV Community Clinical Nurse Specialist, undertake research related to the role and the provision of quality healthcare in the community.
• To use Trust wide and local clinical indicators to measure the quality of nursing care being delivered to patients.
• Support the implementation of evidence-based practice
• To actively explore opportunities from audit to undertake research within own speciality.

Management

• To maintain a flexible approach to the role and ensure provision of an effective and efficient service within agreed budgets and resources.
• To contribute to the continuing development of HIV services to attain high quality patient-focused care
• To encourage innovation and develop new approaches to the delivery of patient-focused care.

Please see attached job description and person specification to this advert for further details.

Person specification

Education and Qualifications

• Registered Nurse- Adult
• Substantial experience in HIV
• Mentorship course or equivalent
• Qualification in the speciality of HIV or a recognised HIV course
• Adherence and treatment support training
• Evidence of recent, relevant professional development
• Skilled in venepuncture
• Masters course or working towards a masters
• Mental health training/qualification

Experience

• Experience of nurse delivered stable patient management in a HIV setting
• Experience providing HIV treatment support
• Experience of working with vulnerable adults
• Experience of undertaking audits and research
• Counselling experience

Skills and Knowledge

• Highly developed communication skills (interpersonal negotiation, liaison, written and presentation skills)
• Computer/IT literate
• Ability to prioritise and work independently in the community as a lone worker
• Comprehensive clinical knowledge of HIV and HIV related health conditions
• Flexible approach to collaborating with external partners
• Ability to work across complex organisations
• Ability to manage a caseload of patients with highly complex care needs
• Ability to independently assess patients, develop care plans and make onward referrals as appropriate
• Ability to communicate complex issues and ideas with a broad range of people
• Experience of undertaking audits and research
• Ability to perform physical assessments of patients
• Ability to advise senior staff in relation to risk management and quality improvement

Important

• There may be some occasions when we have to close a vacancy earlier than the advertised closing date, this will be due to a high volume of applications. You are therefore advised to submit your application as early as possible to avoid disappointment.
• Please check your emails regularly (and your junk folder) as this is how we will communicate with you throughout the recruitment process.
• In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
• During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
• Employment at the Trust is offered subject to successful completion of a six month probationary period.
• We operate a joint recruitment hub across the North West London Acute Provider Collaborative Group. As part of this, your application and personal data may be shared with partner trusts within the group for recruitment and workforce purposes, in line with General Data Protection Regulation (GDPR)

Right to work

If you need sponsorship to work in the UK, please visit the Home Office website for information on sponsorship and visa status before you fill in your application form. 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 UK Visas and Immigration - GOV.UK

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Clare Turvey Job title Senior HIV Community Clinical Nurse Specialist Email address c.turvey@nhs.net Telephone number 07799 751938

The recruitment team are available to provide support from 9am–5pm, Mon–Fri. To contact the team please call the Trust switchboard and ask for ‘Recruitment team, Human Resources Department’.

#J-18808-Ljbffr