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 .
Band 7 Outreach HIV CNS-retention and re-engagement
NHS AfC: Band 7
Main area HIV Grade NHS AfC: Band 7 Contract 12 months (Fixed term) Hours Full time – 37.5 hours per week Job ref 289-SC-384-B
Site 10 Hammersmith Broadway Town London Salary £58,133 – £65,261 per annum incl. HCAS (pro rata) Salary period Yearly Closing 24/08/2026 23:59
Job overview
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
Working for our organisation
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.
Detailed job description and main 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 and desirable
- Registered General Nurse Level 1
- Degree in Nursing or equivalent
- Recognised HIV qualification or equivalent experience
- Training in adherence and treatment support
- Advanced clinical knowledge of HIV and antiretroviral therapy
- 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
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.
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Application numbers
This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.
- Looking for flexible work? Why not join our StaffBank .
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’.
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