Job Summary
As part of a multidisciplinary community and outreach team, and in liaison with acute HIV services across North West London, the HIV Re-engagement Clinical Nurse Specialist will enhance the provision of care to people living with HIV who are currently out of care. The post holder will work within a partnership-led, community-based re-engagement model, delivering a "hospital without walls" approach. This includes working closely with peer support organisations, VCSO partners, the Find and Treat team, primary care, public health and specialist services to identify, trace, engage and re-engage individuals into HIV care. The role will empower individuals to re-enter and remain in care, addressing clinical, psychological and social needs, and support improved health outcomes, independence and quality of life.

Main duties of the job

• In collaboration with the MDT, manage a caseload of individuals living with HIV who are out of care, including those with highly complex needs.
• Work autonomously to assess, plan, implement and evaluate care, including clinical assessment, blood testing and ART initiation/re-initiation within scope of practice.
• Deliver care in non-traditional settings, including homes, hostels and community venues, ensuring accessibility and flexibility.
• Undertake holistic assessments, including physical, psychological and social needs, addressing wider determinants of health.
• Provide specialist adherence support, including assessment of barriers and tailored interventions.
• Act as a key contact and advocate for patients, supporting navigation across health and social care systems.
• Work closely with peer navigators and VCSO partners to deliver wraparound, person-centred care.
• Participate in MDT reviews
• Provide advice on treatment, side effects and lifestyle factors impacting care.
• Liaise with acute and community services to facilitate rapid access to care and prevent hospital admissions.
• Identify safeguarding concerns and act in accordance with policy.
• Maintain accurate and timely documentation to support continuity of care and data reporting.
• Promote inter-agency collaboration and appropriate referrals to statutory and voluntary services.
• Act as an advocate for individuals experiencing stigma, discrimination or barriers to care.
• Participate in Clinical Supervision as required

About us
Our 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 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC 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 an £80m Ambulatory Diagnostic Centre at West Mid. We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future. We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring. If you haven't heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation. Some roles may require weekend shifts at multiple sites.

Job responsibilities

• In collaboration with the MDT, manage a caseload of individuals living with HIV who are out of care, including those with highly complex needs.
• Work autonomously to assess, plan, implement and evaluate care, including clinical assessment, blood testing and ART initiation/re-initiation within scope of practice.
• Deliver care in non-traditional settings, including homes, hostels and community venues, ensuring accessibility and flexibility.
• Undertake holistic assessments, including physical, psychological and social needs, addressing wider determinants of health.
• Provide specialist adherence support, including assessment of barriers and tailored interventions.
• Act as a key contact and advocate for patients, supporting navigation across health and social care systems.
• Work closely with peer navigators and VCSO partners to deliver wraparound, person-centred care.
• Participate in MDT reviews to support case identification, triage and care planning.
• Provide advice on treatment, side effects and lifestyle factors impacting care.
• Liaise with acute and community services to facilitate rapid access to care and prevent hospital admissions.
• Identify safeguarding concerns and act in accordance with policy.
• Maintain accurate and timely documentation to support continuity of care and data reporting.
• Promote inter-agency collaboration and appropriate referrals to statutory and voluntary services.
• Act as an advocate for individuals experiencing stigma, discrimination or barriers to care.
• Participate in Clinical Supervision as required

The post holder will contribute to delivery of the following programme outcomes:

• Timely identification and engagement of individuals lost to care
• Increased rates of re-engagement into HIV services
• Rapid ART initiation and improved clinical outcomes (CD4/viral load)
• Increased viral suppression at 6 and 12 months
• Improved retention in care and reduced disengagement
• Reduction in health inequalities and unmet social need
• Improved patient wellbeing and experience
• High-quality data capture, reporting and contribution to evaluation
• Effective partnership working with peer and VCSO organisations

Educational Role

• Identify and meet the educational needs of patients, carers and professionals.
• Deliver training to primary care, community and VCSO partners to improve HIV knowledge and reduce stigma.
• Support mentorship, supervision and development of junior staff and students.
• Maintain own professional development in line with NMC requirements.

Audit & Research

• Contribute to audit, evaluation and quality improvement initiatives related to re-engagement outcomes.
• Support implementation of evidence-based practice.
• Participate in data collection and reporting aligned to programme and commissioner requirements.
• Maintain up-to-date knowledge of HIV care, outreach models and inclusion health.

Management Responsibilities

• Contribute to the development and delivery of the re-engagement programme.
• Participate in MDT meetings, governance structures and partnership forums.
• Support service improvement, innovation and pathway development.
• Contribute to activity reporting, data quality and performance monitoring.
• Assist in development of policies, procedures and patient information.
• Deputise for senior staff where appropriate.

General Responsibilities
The nature of this post is one of continual development and the duties and responsibilities outlined above may change to reflect service needs. The post holder will be required to work flexibly across community settings and adhere to lone working and safety policies. All duties must be carried out within Trust policies and professional scope of practice.

Person Specification
Essential

• Registered General Nurse Level 1
• Degree in Nursing or equivalent
• Recognised HIV qualification or equivalent experience
• Training in adherence and treatment support
• Independent Nurse Prescriber
• Advanced clinical knowledge of HIV and antiretroviral therapy

Desirable

• Substantial experience in HIV care (community or outpatient setting)
• Experience supporting treatment adherence and retention in care
• Experience working with vulnerable, marginalised or hard-to-reach populations
• Experience working with homelessness, substance use, or migration-related issues
• Experience in outreach or inclusion health services

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

Applicants must have current UK professional registration. For further information please see NHS Careers website.