In this full time position the post holder will provide expert clinical leadership and specialist knowledge in tissue viability, supporting the delivery of high-quality, evidence-based care for patients with complex wounds, pressure ulcers, and other skin integrity issues. They will act as an advisor to multidisciplinary teams and contribute to the development, implementation, and evaluation of best practice in tissue viability across the organisation.
Additional working pattern details: Monday to Friday (excluding bank holidays) 07:30-15:30
The proposed interview date is 18th September

Deliver expert clinical assessment and management of complex wounds.
Participate /lead in pressure ulcer prevention and skin integrity strategies.
Provide clinical advice and support to nursing and healthcare teams.
Participate/lead in education and training programs on wound care.
Support audit and surveillance activities to monitor quality and outcomes.
Participate/lead in the development, review, and implement policies and guidelines in line with national standards.
Participate in analysis for incidents such as avoidable pressure ulcers and the associated learning.
Collaborate with multidisciplinary teams across the trust and the wider community.
Deputise for the Lead Tissue Viability Specialist Nurse in their absence or on their behalf.
We are a small friendly team who provide tissue viability services based across Gloucestershire . We are the largest provider of secondary care in Gloucestershire and serve a population of approximately 640,000 people.
Working in the Tissue Viability Team is both rewarding and dynamic. Each day brings a new set of clinical challenges, from assessing complex wounds to advising on pressure ulcer prevention. The role demands a high level of clinical expertise, but also the ability to educate, influence, and support staff across all levels of care.
You can expect to work closely with a small, highly skilled team of specialist nurses and clinicians. Together we act as a hub of expert knowledge for the organisation, often called upon to review patients with non-healing wounds and identify and manage risks associated with pressure ulcer development
There is a strong emphasis on education and quality improvement. You’ll contribute to audits, develop clinical guidelines, and lead initiatives like Stop the Pressure or wound formulary reviews. Collaboration is key — you regularly liaise with other external teams, tissue viability link nurses, dietitians, and procurement.
Above all, working in the Tissue Viability Team gives you the chance to make a real impact on patient care, helping to prevent harm, promote healing, and support staff in delivering safe and effective wound care.

1. Clinical Responsibilities/Key Responsibilities

• Respond to emergency situations with composure, maintaining patient safety and seeking immediate support, supporting the patient, family and other staff as required.
• Recognise the need to escalate the deterioration of a patient’s condition to the appropriate staff member.
• Communicate effectively within the multi-disciplinary team, wards and departments as required.
• Work independently to deliver a high standard of evidence based care in accordance within established nursing procedures and policies.
• Discharge planning in conjunction with a multi-disciplinary team.
• To communicate effectively with patients and carers potentially complex, sensitive, or distressing information; in order to provide patient centred care, to encourage self-management, maximise rehabilitation potential and to ensure understanding of the condition. Patients may have communication, perceptual or cognitive/understanding difficulties.
• To maintain clear, accurate and concise patient records in line with departmental and professional standards and include relevant outcome measures. This will include writing patient reports for e.g. medical practitioners and solicitor’s requests.
• Always maintain patient dignity and confidentiality.
• Ensure clinical practice is evidence based or peer reviewed “best practice.”
• An excellent understanding of the national stop the pressure campaign.
• Develop and maintain clinical skills and knowledge necessary to deliver and evidence- based. service.
• Ability to enable staff to take on increased responsibility recognising their limitations and enabling them to develop.
• Be or able to be competent in the use of all relevant Trust IT systems including the use of electronic patient record, email, and Track-Care.
• Maintain regular use of emails to keep abreast of information disseminated in the Trust.
• Always adhere to the NMC code of practice and operate within the NMC standards of proficiency for Registered Nurses
• Demonstrate accountability, responsibility and Duty of Care and work towards the provision of support and education for less experienced and non-registered staff on the implications for practice.

1. Professional Development, Education and Training
   Be actively involved in and support departmental education programmes.
   Possess the skills to supervise, mentor, support and educate less experienced and non-registered staff in the clinical practice setting.
   Undertake all mandatory training.
   Demonstrate a commitment to research-based practice and clinical excellence and play an active part in the introduction of research-based change to improve patient centred care
   Comply with requirements to register with the NMC and identify own learning needs and ensuring own professional development is maintained by keeping up to date with practice developments.
   Undertake audit and research projects.
   Contribute to the Clinical Governance and Quality agenda by active participation in service initiatives, health and safety and risk management.
   Continue to develop and share own clinical knowledge with other members of the wider clinical team both locally and nationally.
   Engage in clinical supervision in order to promote its value in clinical practice.
   Identify own development needs, aligning these to Trust and departmental service objectives.
   Understand and contribute to the development, implementation, monitoring and evaluation of policies/ protocols/ guidelines relevant to the specialist area.
   Openly question and challenge practice in a constructive way so that standards of patient care are continually evaluated and improved.

2. Management and Leadership

• Comply with Trust and Departmental policies and procedures e.g. Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and to undergo regular mandatory training concerned with safeguarding matters.
• Report episodes of sickness for self or those that are reported to you to the Senior Nurse in charge.
• Report near misses and untoward incidents, complaints, clinical emergencies, injury, or medicine administration errors as detailed in the departmental and Trust protocols. Assist lead staff in investigating incidents as required.
• Maintain and contribute to the development of standards of practice, conduct or decision making in conjunction with lead staff.
• Ensure a smart, professional image that enhances the public perception of the Trust, and the professionalism of its staff is portrayed.

1. Planning and Organisation

• Assess, plan, deliver and evaluate the nursing care of patients in accordance with UK law, the NMC code of conduct and the Trust values.
• Deliver high quality essential care to all persons in their care.
• Deliver complex care to service users in their field of practice.
• Act to protect the public, and be responsible and accountable for safe, person-centered, evidence-based nursing practice.
• Practice in a compassionate, respectful way, maintaining dignity and wellbeing and communicating effectively.
• Act on their understanding of how people’s lifestyles, environments and where care is delivered influence their health and wellbeing.

1. Research and Development

• Seek out and participate in research and development that benefits patient outcomes across the trust and the wider community.

1. Communications and Working Relationships

• Work effectively as a member of the multidisciplinary team.
• Manage a patient/caseload of patients within defined clinical area.
• Use leadership skills to supervise and manage others and contribute to planning, designing, delivering, and improving future services.
• To organise own time and that of non-registered staff, students, and other learners as appropriate
• To support the senior members of staff in the management and supervision of the defined clinical area.
• Actively contribute to a good learning environment by taking on the role of mentor/assessor for learners.