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1.       Clinical

1.1 To act as a Specialist Nurse for patients undergoing bariatric surgery and to have direct clinical involvement in complex patient care in the outpatient and in-patient setting.

1.2 To provide a nurse led service for those patients requiring follow-up care after surgical intervention.

1.3 To facilitate all investigations for those patients suspected of post-surgical complications.

1.4 To facilitate the bariatric surgery telephone support service.  To be available for patients and their carers in order to assess and manage day to day problems and anxieties and to refer on where appropriate.

1.5    To co-ordinate the bariatric surgery journey, acting as the key worker for those patients under your Care on the Bariatric pathway.

1.6    To assess patients and their complex needs and those of their families and plan, implement and evaluate specialist programs of care, communicating with those responsible for the care, and documenting the appropriate details whilst at all times maintaining confidentiality.

1.7    To refer patients for diagnostic investigations with suspected or proven, endocrinal diseases.

1.8    To ensure that specialist bariatric surgery care information is available. Provide highly specialist advice and support to patients with obesity problems which will often include communicating highly sensitive information about diagnosis, treatment options, and entry into clinical trials, prognosis and outcome of illness including future care.

1.9    To offer highly specialist emotional, psychological and practical support and symptom control to the patient and their family/carer throughout their bariatric surgery pathway.

1.10    To ensure that all practice conforms to current written protocols and policies of UHNS and be involved in development of new policies.

1.11    To ensure consumer views are sought by facilitating patient involvement in the development of services.

1.12    To have phlebotomy skills.

2.       Educational and Development

2.1   To lead on specific areas of bariatric surgery and identify areas where current practice needs to be reviewed and to make proposals for new initiatives.

2.2   Provide the education of pre and post registration health professionals in formal and informal settings.

2.3   To be available as an expert resource for UHNS staff.

2.4   To be involved in specialist internal teaching for non-professionals, patients/carers.

2.5   To be involved in the development of specialist information booklets and leaflets.

2.6   To help maintain and further develop a UHNS multi-professional bariatric surgery team.

2.7   To identify areas of care that could be researched to lead to improvements in care.

2.8   To regularly participate in nursing and multi-professional research projects and lead clinical audit within the specialty of bariatric surgery nursing within the Trusts clinical governance and research programme framework.

2.9   To disseminate current research findings to professional colleagues through publication and presentations.

2.10    To receive regular clinical supervision, if post holder wishes, and provide clinical supervision for other staff and students.

2.11    Take every reasonable opportunity to maintain and improve professional knowledge and competence.

2.12    To partake in a 6-12 month period of ongoing training and development of the individuals specialist knowledge of bariatric surgery.

2.13    To participate in personal objective setting and review, including the creation of a personal development plan at annual appraisal.

2.14    In the context of the individual's own knowledge, experience and sphere of authority, assist peers and subordinates to develop professional competence in accordance with their needs and the Divisional objectives.

3.       Professional

3.1    To be a key member of the bariatric surgery team contributing to patient assessment and facilitating a collaborative approach to care planning at weekly bariatric surgery Multi-Disciplinary Team (MDT) meetings and contribute to all other MDT meetings, i.e. MDT away days, Network Site Specific Group.

3.2       Ensure that nursing practice is in keeping with NMC Code of Professional Conduct and standards and reflects policies and procedures of UHNS.

3.3      To ensure that bariatric surgery care nursing interventions are evidence based, or best practice and that a uniform high standard of patient care is provided.