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Healthcare Jobs in United Kingdom

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Perioperative Practitioner - Anaesthetics at Spire Healthcare Group plc
Norwich, England, United Kingdom - Full Time
Skills Needed
Anaesthetic Practice, Patient Care, Operating Theatre Preparation, Patient Record Management, Airway Maintenance, Als Certification, Recovery Nursing, Scrub Nursing, Multidisciplinary Teamwork, Clinical Safety
Specialization
Candidates must be a Registered Nurse or ODP with proven experience in anaesthetics. ALS and Airway Maintenance certifications are desirable, as is experience in recovery or scrub roles.
Experience Required
Minimum 2 year(s)
Recovery/Scrub nurse/ODP at Spire Healthcare Group plc
, Scotland, United Kingdom - Full Time
Skills Needed
Scrub Nursing, Recovery Nursing, Patient Assessment, Orthopaedics, Infection Control, Communication, Organisational Skills, Teamwork
Specialization
Candidates must be an HCPC registered ODP or an NMC registered Nurse with scrub experience. Strong communication, organisational skills, and the ability to work with minimum supervision are required.
Experience Required
Minimum 2 year(s)
Bank Housekeeper at Spire Healthcare Group plc
Wrexham, Wales, United Kingdom - Full Time
Skills Needed
Cleaning, Communication, Customer Service, Teamwork, Time Management, Coshh Compliance, Health And Safety, Methodical Approach
Specialization
Candidates should have experience in a similar customer-facing role and the ability to communicate clearly in a professional healthcare environment. No formal qualifications are required, but flexibility to work various shifts including evenings and weekends is essential.
Bank Host and Catering Assistant at Spire Healthcare Group plc
Manchester, England, United Kingdom - Full Time
Skills Needed
Food Preparation, Beverage Service, Customer Care, Stock Rotation, Hygiene Standards, Communication Skills, Organizational Skills, Dietary Requirement Management
Specialization
Candidates should have previous experience in a catering role and excellent customer care skills. Flexibility to work varied shifts, including evenings and weekends, is required.
Bank Cardiac Physiologist at Spire Healthcare Group plc
Easter Howgate, Scotland, United Kingdom - Full Time
Skills Needed
Cardiac Investigations, Exercise Tests, Holter Analysis, Cardiac Catheter Lab, Patient Assessment, Clinical Care Planning, Interpersonal Skills, Technological Aptitude
Specialization
Requires a degree in clinical physiology cardiology, RCCP/AHCS registration, and at least 2 years of post-graduate experience. Must hold an Immediate Life Support qualification, with Advanced Life Support being desirable.
Experience Required
Minimum 2 year(s)
Other Clinical Specialist - Cardiology at Spire Healthcare Group plc
London, England, United Kingdom - Full Time
Skills Needed
Electrophysiology, Cardiac Rhythm Management, Cardiac Catheter Lab Intervention, Non Invasive Cardiac Physiology, Angiography, Pacemaker Therapy, Clinical Knowledge, Interpersonal Skills, Technological Aptitude, Detail Oriented Thinking
Specialization
Requires a degree in clinical physiology (Cardiology) or equivalent. Candidates must have experience in angiography, electrophysiology, and pacemaker therapy.
Experience Required
Minimum 5 year(s)
Private Patient Co-ordinator at Spire Healthcare Group plc
Worcester, England, United Kingdom - Full Time
Skills Needed
Customer Service, Crm, Lead Conversion, Patient Coordination, Interpersonal Communication, Data Processing, Relationship Building, Payment Handling, Workflow Management, Kpi Management
Specialization
Candidates should have experience in a similar coordination role with strong customer service and data processing skills. Ability to handle sensitive conversations and work effectively within a fast-paced, collaborative team is essential.
Experience Required
Minimum 2 year(s)
Bank Registered Nurse - Wards at Spire Healthcare Group plc
Norwich, England, United Kingdom - Full Time
Skills Needed
Patient Assessment, Surgical Nursing, Post Operative Care, Orthopaedic Nursing, Acute Care, Clinical Knowledge, Health And Safety, Patient Wellbeing
Specialization
Must be a Registered Nurse with experience in an acute environment and a mandatory surgical background. Competence in post-operative care is essential, and orthopaedic ward experience is strongly preferred.
Experience Required
Minimum 2 year(s)
SWF - 1203 - Cardiology Nurse at Spire Healthcare Group plc
, Scotland, United Kingdom - Full Time
Skills Needed
Pre Assessment, Cardiac Surgery Care, Angiogram, Pci, Ablation, Cardiology Clinic Management, Dobutamine Stress Echo, Bike Stress Echo, Heart Failure Management, Medication Titration, Ecg, Rhythm Recognition, Als, Ils
Specialization
Candidates must be a Registered General Nurse (RGN) with at least 4 years of experience in an acute setting. ALS/ILS provider certification is required, and ECG/rhythm recognition skills are an advantage.
Experience Required
Minimum 2 year(s)
Oracle HCM Developer at Spire Healthcare Group plc
, , United Kingdom - Full Time
Skills Needed
Oracle Hcm, Oracle Recruiting Cloud (Orc), Oracle Learn, Core Hr, Talent Management, Redwood Ui, Vb Studio, Hcm Journeys, Personalisation, Approvals, Security, Otbi, Bi Publisher
Specialization
Candidates must have participated in at least one Oracle HCM implementation project. Expertise is required in ORC, Learn, Core HR, Talent Management, Redwood UI, and reporting tools like OTBI/BI Publisher.
Experience Required
Minimum 5 year(s)
Hospitality Manager/Hotel Services Manager at Spire Healthcare Group plc
Oadby and Wigston, England, United Kingdom - Full Time
Skills Needed
Hospitality Management, Budget Management, People Management, Health & Safety Compliance, Coshh, Food Hygiene, Operational Performance, Team Leadership, Customer Service, Microsoft Office
Specialization
Requires proven management experience in hospitality or healthcare with strong organizational and budget management skills. Must possess Level 3 Food Hygiene certification and a solid understanding of health and safety regulations.
Experience Required
Minimum 5 year(s)
Perioperative Practitioner at Spire Healthcare Group plc
Southampton, England, United Kingdom - Full Time
Skills Needed
Perioperative Care, Scrubbing, Orthopaedic Surgery, Cardiac Surgery, Patient Assessment, Care Planning, Surgical First Assistant, Theatre Management, Clinical Excellence, Multidisciplinary Teamwork
Specialization
Candidates must be a qualified ODP or Scrub Nurse with current NMC or HCPC registration and at least two years of scrub experience in orthopaedics or cardiac surgery. A Surgical First Assistant qualification is considered desirable for this role.
Experience Required
Minimum 2 year(s)
Senior PowerBI Developer at Spire Healthcare Group plc
City of London, England, United Kingdom - Full Time
Skills Needed
Power Bi, Sql, Microsoft Fabric, Python, Dax, Data Modelling, Semantic Modelling, Ci/Cd, Data Visualisation, Governance, Automation Frameworks, Software Development Lifecycle, Ux Design, Mentoring, Data Privacy, Analytics
Specialization
Candidates must have proven experience in enterprise semantic model architecture, advanced DAX, and end-to-end Power BI SDLC ownership. Strong expertise in CI/CD workflows, governance, and security patterns is also required.
Experience Required
Minimum 5 year(s)
Bank Receptionist at Spire Healthcare Group plc
Havant, England, United Kingdom - Full Time
Skills Needed
Patient Admission, Hospital Administration, Customer Service, Switchboard Management, Microsoft Word, Microsoft Excel, Microsoft Outlook, Communication Skills, Attention To Detail, Data Collection
Specialization
Candidates must have essential previous experience in administration and strong customer service skills. Proficiency in basic PC skills including Word, Excel, and Outlook is required.
Experience Required
Minimum 2 year(s)
Deputy Theatre Manager at Spire Healthcare Group plc
Hove, England, United Kingdom - Full Time
Skills Needed
Clinical Leadership, Managerial Leadership, Orthopaedic Experience, Staff Performance Management, Appraisals, Team Development, Clinical Governance, Risk Management, Cqc Compliance, Afpp Guidelines, Patient Care, Communication Skills
Specialization
Candidates must be HCPC or NMC registered with 2-3 years of management experience in a theatre environment and a strong orthopaedic background. Expert knowledge of AfPP guidelines and CQC requirements is essential.
Experience Required
Minimum 2 year(s)
Registered Nurse at Spire Healthcare Group plc
Leeds, England, United Kingdom - Full Time
Skills Needed
Patient Assessment, Post Operative Care, Wound Dressing, Iv Administration, Drain Management, Communication, Organisation, Patient Care
Specialization
Must be an NMC registered nurse with no restrictions on their pin. Requires a minimum of 6 months post-graduation hospital experience, specifically within surgical or acute settings.
Registered Nurse at Spire Healthcare Group plc
Leeds, England, United Kingdom - Full Time
Skills Needed
Pre Assessment, Patient Care, Phlebotomy, Communication Skills, It Skills, Multi Tasking, Surgical Suitability Assessment
Specialization
Must be an NMC registered nurse with previous experience in Pre Operative Assessment (POA). Strong communication skills and computer literacy are required, with phlebotomy skills being desirable.
Experience Required
Minimum 2 year(s)
Patient Experience Lead - Quality and Governance Specialist at Spire Healthcare Group plc
Worcester, England, United Kingdom - Full Time
Skills Needed
Cqc Knowledge, Stakeholder Management, Communication Skills, Interpersonal Skills, Data Analysis, Conflict Management, Negotiation, Ms Office, Healthcare Process Knowledge, Service Improvement, Patient Experience Management, Complaint Resolution
Specialization
Requires demonstrable experience in healthcare with a good working knowledge of CQC standards and stakeholder management. Candidates must be self-starters with strong communication skills and proficiency in MS Office.
Experience Required
Minimum 2 year(s)
Porter at Spire Healthcare Group plc
Sunderland, England, United Kingdom - Full Time
Skills Needed
Patient Transport, Customer Service, Waste Management, Communication, Organizational Skills, Security Support, Driving
Specialization
A clean driving license and experience in frontline customer service are essential. Candidates must possess strong communication skills and the ability to work flexible shifts, including nights and weekends.
SSD Assistant at Spire Healthcare Group plc
Cardiff, Wales, United Kingdom - Full Time
Skills Needed
Decontamination, Sterilisation, Infection Prevention And Control, Aseptic Techniques, Instrument Tracking Systems, Manual Handling, Microbiology Awareness, English Communication
Specialization
Candidates should have experience in decontamination or hospital sterile services, with a preference for an NVQ Level 3 in Decontamination. Strong communication skills and the ability to perform physically demanding tasks are required.
Perioperative Practitioner - Anaesthetics at Spire Healthcare Group plc
Norwich, England, United Kingdom -
Full Time

Start Date

Immediate

Expiry Date

28 Sep, 26

Salary

0.0

Posted On

30 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Anaesthetic Practice, Patient Care, Operating Theatre Preparation, Patient Record Management, Airway Maintenance, ALS Certification, Recovery Nursing, Scrub Nursing, Multidisciplinary Teamwork, Clinical Safety

Industry

Hospitals and Health Care

Description
Perioperative Practitioner - Anaesthetics | Permanent 37.5 | Theatres | Norwich | Spire Norwich Hospital is looking for a highly motivated Anaesthetic Practitioner to join their friendly and hard-working team on a full-time permanent basis, this is your opportunity to join one of the UK’s leading private hospitals and take your career to the next level.  Spire Norwich Hospital is a leading private healthcare provider, delivering outstanding patient care across a broad range of specialties. Our modern, well-equipped theatre department supports a variety of surgical procedures, using advanced technology and best clinical practices. We pride ourselves on our strong multidisciplinary teamwork, high standards of patient safety, and commitment to continuous improvement. Joining Spire Norwich Hospital as a Theatre Practitioner offers the opportunity to work in a supportive and forward-thinking environment, where your skills and development are valued, and patient care is always at the heart of what we do. Duties and responsibilities: * The post holder will be expected to develop skills and specialty-based knowledge to support anaesthetic practice in a multi-specialty environment, which may involve procedures performed under general, regional and local anaesthetic. * Prepare the operating theatre/anaesthetic room for surgery in relation to instrumentation, equipment and supplies required for specific operative procedures, ensuring waste is kept to a minimum * Ensure the Patient Record is completed in a timely and accurate way * Perform anaesthetic duties Who we're looking for * Registered Nurse/ODP; with proven experience within Anaesthetic  * You will be an enthusiastic, dedicated team player who is also used to working under minimum supervision * You will be providing exemplary planned care for patients within the perioperative stage and assisting in the management and organisation of care provision in the operating theatre. * You will have the opportunity to hone your skills as the unit performs various surgical procedures ranging from General Surgery, Orthopaedic, ENT, Plastics and Ophthalmic * ALS and Airway Maintenance certifications would be desirable, though not essential * Recovery and/or Scrub experience would be an advantage  Shifts: Monday – Friday: Department runs from 7;30am - 20:30pm Benefits: We offer employed colleagues a competitive salary as well as a comprehensive benefits package which includes but is not limited to: * 35 days annual leave inclusive of bank holidays * Employer and employee contributory pension with flexible retirement options * ‘Spire for you’ reward platform - discount and cashback for over 1000 retailers * Free Bupa wellness screening * Private medical insurance * Life assurance Our Values: We are extremely proud of our heritage in private healthcare and of our values as an organisation: * Driving clinical excellence * Doing the right thing * Caring is our passion. * Keeping it simple * Delivering on our promises * Succeeding and celebrating together Spire Healthcare is a leading independent healthcare group in the United Kingdom, running 38 hospitals and over 50 clinics across England, Wales and Scotland. It provides diagnostics, inpatient, day case and outpatient care, operates a network of private GPs and provides workplace health services to over 800 corporate clients. It also delivers a range of private and NHS mental health, musculoskeletal and dermatological services. Spire Healthcare are proud to be an equal opportunities employer.   We celebrate diversity and are committed to creating an inclusive culture for all. Our people are our difference, it’s their dedication, warmth and pursuit of excellence that sets Spire Healthcare apart.  Closing date: In order to streamline our recruitment process, we reserve the right to expire vacancies prior to the advertised closing date once we have received a sufficient number of applications.
Responsibilities
The practitioner will support anaesthetic practice across multiple specialties, including general, regional, and local anaesthetics. Responsibilities include preparing the operating theatre, managing instrumentation, and ensuring accurate patient records.
Perioperative Practitioner - Anaesthetics at Spire Healthcare Group plc
Norwich, England, United Kingdom - Full Time
Skills Needed
Anaesthetic Practice, Patient Care, Operating Theatre Preparation, Patient Record Management, Airway Maintenance, Als Certification, Recovery Nursing, Scrub Nursing, Multidisciplinary Teamwork, Clinical Safety
Specialization
Candidates must be a Registered Nurse or ODP with proven experience in anaesthetics. ALS and Airway Maintenance certifications are desirable, as is experience in recovery or scrub roles.
Experience Required
Minimum 2 year(s)
Recovery/Scrub nurse/ODP at Spire Healthcare Group plc
, Scotland, United Kingdom - Full Time
Skills Needed
Scrub Nursing, Recovery Nursing, Patient Assessment, Orthopaedics, Infection Control, Communication, Organisational Skills, Teamwork
Specialization
Candidates must be an HCPC registered ODP or an NMC registered Nurse with scrub experience. Strong communication, organisational skills, and the ability to work with minimum supervision are required.
Experience Required
Minimum 2 year(s)
Bank Housekeeper at Spire Healthcare Group plc
Wrexham, Wales, United Kingdom - Full Time
Skills Needed
Cleaning, Communication, Customer Service, Teamwork, Time Management, Coshh Compliance, Health And Safety, Methodical Approach
Specialization
Candidates should have experience in a similar customer-facing role and the ability to communicate clearly in a professional healthcare environment. No formal qualifications are required, but flexibility to work various shifts including evenings and weekends is essential.
Bank Host and Catering Assistant at Spire Healthcare Group plc
Manchester, England, United Kingdom - Full Time
Skills Needed
Food Preparation, Beverage Service, Customer Care, Stock Rotation, Hygiene Standards, Communication Skills, Organizational Skills, Dietary Requirement Management
Specialization
Candidates should have previous experience in a catering role and excellent customer care skills. Flexibility to work varied shifts, including evenings and weekends, is required.
Bank Cardiac Physiologist at Spire Healthcare Group plc
Easter Howgate, Scotland, United Kingdom - Full Time
Skills Needed
Cardiac Investigations, Exercise Tests, Holter Analysis, Cardiac Catheter Lab, Patient Assessment, Clinical Care Planning, Interpersonal Skills, Technological Aptitude
Specialization
Requires a degree in clinical physiology cardiology, RCCP/AHCS registration, and at least 2 years of post-graduate experience. Must hold an Immediate Life Support qualification, with Advanced Life Support being desirable.
Experience Required
Minimum 2 year(s)
Other Clinical Specialist - Cardiology at Spire Healthcare Group plc
London, England, United Kingdom - Full Time
Skills Needed
Electrophysiology, Cardiac Rhythm Management, Cardiac Catheter Lab Intervention, Non Invasive Cardiac Physiology, Angiography, Pacemaker Therapy, Clinical Knowledge, Interpersonal Skills, Technological Aptitude, Detail Oriented Thinking
Specialization
Requires a degree in clinical physiology (Cardiology) or equivalent. Candidates must have experience in angiography, electrophysiology, and pacemaker therapy.
Experience Required
Minimum 5 year(s)
Private Patient Co-ordinator at Spire Healthcare Group plc
Worcester, England, United Kingdom - Full Time
Skills Needed
Customer Service, Crm, Lead Conversion, Patient Coordination, Interpersonal Communication, Data Processing, Relationship Building, Payment Handling, Workflow Management, Kpi Management
Specialization
Candidates should have experience in a similar coordination role with strong customer service and data processing skills. Ability to handle sensitive conversations and work effectively within a fast-paced, collaborative team is essential.
Experience Required
Minimum 2 year(s)
Bank Registered Nurse - Wards at Spire Healthcare Group plc
Norwich, England, United Kingdom - Full Time
Skills Needed
Patient Assessment, Surgical Nursing, Post Operative Care, Orthopaedic Nursing, Acute Care, Clinical Knowledge, Health And Safety, Patient Wellbeing
Specialization
Must be a Registered Nurse with experience in an acute environment and a mandatory surgical background. Competence in post-operative care is essential, and orthopaedic ward experience is strongly preferred.
Experience Required
Minimum 2 year(s)
SWF - 1203 - Cardiology Nurse at Spire Healthcare Group plc
, Scotland, United Kingdom - Full Time
Skills Needed
Pre Assessment, Cardiac Surgery Care, Angiogram, Pci, Ablation, Cardiology Clinic Management, Dobutamine Stress Echo, Bike Stress Echo, Heart Failure Management, Medication Titration, Ecg, Rhythm Recognition, Als, Ils
Specialization
Candidates must be a Registered General Nurse (RGN) with at least 4 years of experience in an acute setting. ALS/ILS provider certification is required, and ECG/rhythm recognition skills are an advantage.
Experience Required
Minimum 2 year(s)
Oracle HCM Developer at Spire Healthcare Group plc
, , United Kingdom - Full Time
Skills Needed
Oracle Hcm, Oracle Recruiting Cloud (Orc), Oracle Learn, Core Hr, Talent Management, Redwood Ui, Vb Studio, Hcm Journeys, Personalisation, Approvals, Security, Otbi, Bi Publisher
Specialization
Candidates must have participated in at least one Oracle HCM implementation project. Expertise is required in ORC, Learn, Core HR, Talent Management, Redwood UI, and reporting tools like OTBI/BI Publisher.
Experience Required
Minimum 5 year(s)
Hospitality Manager/Hotel Services Manager at Spire Healthcare Group plc
Oadby and Wigston, England, United Kingdom - Full Time
Skills Needed
Hospitality Management, Budget Management, People Management, Health & Safety Compliance, Coshh, Food Hygiene, Operational Performance, Team Leadership, Customer Service, Microsoft Office
Specialization
Requires proven management experience in hospitality or healthcare with strong organizational and budget management skills. Must possess Level 3 Food Hygiene certification and a solid understanding of health and safety regulations.
Experience Required
Minimum 5 year(s)
Perioperative Practitioner at Spire Healthcare Group plc
Southampton, England, United Kingdom - Full Time
Skills Needed
Perioperative Care, Scrubbing, Orthopaedic Surgery, Cardiac Surgery, Patient Assessment, Care Planning, Surgical First Assistant, Theatre Management, Clinical Excellence, Multidisciplinary Teamwork
Specialization
Candidates must be a qualified ODP or Scrub Nurse with current NMC or HCPC registration and at least two years of scrub experience in orthopaedics or cardiac surgery. A Surgical First Assistant qualification is considered desirable for this role.
Experience Required
Minimum 2 year(s)
Senior PowerBI Developer at Spire Healthcare Group plc
City of London, England, United Kingdom - Full Time
Skills Needed
Power Bi, Sql, Microsoft Fabric, Python, Dax, Data Modelling, Semantic Modelling, Ci/Cd, Data Visualisation, Governance, Automation Frameworks, Software Development Lifecycle, Ux Design, Mentoring, Data Privacy, Analytics
Specialization
Candidates must have proven experience in enterprise semantic model architecture, advanced DAX, and end-to-end Power BI SDLC ownership. Strong expertise in CI/CD workflows, governance, and security patterns is also required.
Experience Required
Minimum 5 year(s)
Bank Receptionist at Spire Healthcare Group plc
Havant, England, United Kingdom - Full Time
Skills Needed
Patient Admission, Hospital Administration, Customer Service, Switchboard Management, Microsoft Word, Microsoft Excel, Microsoft Outlook, Communication Skills, Attention To Detail, Data Collection
Specialization
Candidates must have essential previous experience in administration and strong customer service skills. Proficiency in basic PC skills including Word, Excel, and Outlook is required.
Experience Required
Minimum 2 year(s)
Deputy Theatre Manager at Spire Healthcare Group plc
Hove, England, United Kingdom - Full Time
Skills Needed
Clinical Leadership, Managerial Leadership, Orthopaedic Experience, Staff Performance Management, Appraisals, Team Development, Clinical Governance, Risk Management, Cqc Compliance, Afpp Guidelines, Patient Care, Communication Skills
Specialization
Candidates must be HCPC or NMC registered with 2-3 years of management experience in a theatre environment and a strong orthopaedic background. Expert knowledge of AfPP guidelines and CQC requirements is essential.
Experience Required
Minimum 2 year(s)
Registered Nurse at Spire Healthcare Group plc
Leeds, England, United Kingdom - Full Time
Skills Needed
Patient Assessment, Post Operative Care, Wound Dressing, Iv Administration, Drain Management, Communication, Organisation, Patient Care
Specialization
Must be an NMC registered nurse with no restrictions on their pin. Requires a minimum of 6 months post-graduation hospital experience, specifically within surgical or acute settings.
Registered Nurse at Spire Healthcare Group plc
Leeds, England, United Kingdom - Full Time
Skills Needed
Pre Assessment, Patient Care, Phlebotomy, Communication Skills, It Skills, Multi Tasking, Surgical Suitability Assessment
Specialization
Must be an NMC registered nurse with previous experience in Pre Operative Assessment (POA). Strong communication skills and computer literacy are required, with phlebotomy skills being desirable.
Experience Required
Minimum 2 year(s)
Patient Experience Lead - Quality and Governance Specialist at Spire Healthcare Group plc
Worcester, England, United Kingdom - Full Time
Skills Needed
Cqc Knowledge, Stakeholder Management, Communication Skills, Interpersonal Skills, Data Analysis, Conflict Management, Negotiation, Ms Office, Healthcare Process Knowledge, Service Improvement, Patient Experience Management, Complaint Resolution
Specialization
Requires demonstrable experience in healthcare with a good working knowledge of CQC standards and stakeholder management. Candidates must be self-starters with strong communication skills and proficiency in MS Office.
Experience Required
Minimum 2 year(s)
Porter at Spire Healthcare Group plc
Sunderland, England, United Kingdom - Full Time
Skills Needed
Patient Transport, Customer Service, Waste Management, Communication, Organizational Skills, Security Support, Driving
Specialization
A clean driving license and experience in frontline customer service are essential. Candidates must possess strong communication skills and the ability to work flexible shifts, including nights and weekends.
SSD Assistant at Spire Healthcare Group plc
Cardiff, Wales, United Kingdom - Full Time
Skills Needed
Decontamination, Sterilisation, Infection Prevention And Control, Aseptic Techniques, Instrument Tracking Systems, Manual Handling, Microbiology Awareness, English Communication
Specialization
Candidates should have experience in decontamination or hospital sterile services, with a preference for an NVQ Level 3 in Decontamination. Strong communication skills and the ability to perform physically demanding tasks are required.