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Job summary

Main area
OPAT/IV therapy service
Grade
Band 7
Contract
Permanent
Hours
  • Full time
  • Part time
  • Job share
  • Flexible working
37.5 hours per week (Bank holiday & weekend working)
Job ref
434-CR7793103-A
Employer
Buckinghamshire Healthcare NHS Trust
Employer type
NHS
Site
Stoke Mandeville Hospital
Town
Aylesbury
Salary
£49,387 - £56,515 per annum (pro rata for part time)
Salary period
Yearly
Closing
05/05/2026 23:59

Employer heading

Buckinghamshire Healthcare NHS Trust logo

CNS OPAT / IV Therapy Nurse Specialist

Band 7

Be part of our BHT family

Buckinghamshire Healthcare NHS Trust (BHT) is an integrated provider of acute hospital and community services for people living in Buckinghamshire and the surrounding area.

We care for over half a million patients every year:

  • Provide specialist spinal services at our world renowned National Spinal Injuries Centre at Stoke Mandeville Hospital, the birthplace of the Paralympics
  • Nationally recognised for urology and skin cancer services
  • Regional specialist centre for burns, plastic surgery, dermatology, stroke and cardiac services
  • Deliver community services in health centres, schools, patients’ own homes, community hospitals and community hubs.

More than 6,500 people from different nations, cultures and backgrounds work for us.

We would be happy to discuss possible flexible working options. We strive to be a family friendly, inclusive employer. 

If you require any assistance in making this application, please contact [email protected] or phone 01494 734868.

We pride ourselves in being a great place to work and invite you to join our BHT family.

Job overview

The Band 7 role within the OPAT (Outpatient Parenteral Antimicrobial Therapy) & IV Therapy Service at Buckinghamshire Healthcare NHS Trust (BHT) is a senior clinical, operational and leadership position central to the delivery of advanced intravenous therapy, antimicrobial stewardship, and virtual ward–enabled care across the Trust. The service forms a key component of the BOB Integrated Care System’s Virtual Ward and Hospital @ Home model and continues to expand in scope, complexity and workforce demand. 

The Band 7 post-holder functions as a specialist autonomous practitioner, leading the operational delivery of OPAT/IV pathways, ensuring clinical governance, supporting workforce development, and collaborating with acute, community and specialist teams. The post is instrumental in enabling timely discharge, preventing unnecessary admission, and supporting patients to safely receive complex IV or antimicrobial therapy in outpatient and community settings.

Main duties of the job

The Band 7 OPAT & IV Therapy Nurse Specialist provides advanced clinical expertise, leadership and coordination for all OPAT and Trust-wide IV therapy pathways. They ensure safe, effective care for patients requiring parenteral/ Oral antimicrobials, IV therapies and vascular access support outside the inpatient ward environment.

This role also supports the delivery of the Trust’s Virtual Ward/Hospital @ Home model.  

The Band 7 acts as a senior decision-maker, service representative and clinical leader.

Responsibilities include:

• Specialist assessment for OPAT suitability
• Coordination of outpatient reviews, home visits and remote monitoring
• Management of complex IV regimens, including monitoring, toxicity screening and step-down planning
• Senior oversight of  remote monitoring data and patient escalations
• Central line assessment, troubleshooting and Trust‑wide in-reach support (as confirmed in Trac queries) 

They also support antimicrobial stewardship decision-making in partnership with microbiology and pharmacy.

Operational leadership duties include: 

• Day‑to‑day running of OPAT/IV services
• Managing caseload allocation, daily huddles, and prioritisation
• Coordination of community capacity, particularly during peaks or staffing gaps
• Leading operational decision-making in absence of the Band 8a lead
• Supporting service continuity planning in line with the revised 
• Liaison with Hospital @ Home teams and acute wards to streamline ESD and admission avoidance 

 

Working for our organisation

Listen to why colleagues think we are a great place to work! - BHT - A great place to work (buckshealthcare.nhs.uk)

 What does Buckinghamshire Healthcare NHS Trust offer you?

  • As part of our BHT family, you’ll benefit from learning and development opportunities to support your career progression.
  • We offer flexible and agile working opportunities, alongside your NHS benefits of generous annual leave entitlement, pension and access to NHS discount schemes.  
  • We provide a range of health and wellbeing services to promote a healthy, happy workforce.

 

 Why work for us?

  • We’re committed to promoting inclusion and making sure all colleagues feel they belong. We encourage new colleagues from a diverse range of backgrounds to apply.
  • As an employer, we aim to create a workplace where differences are valued and colleagues treat one another with dignity and respect.
  • Greater diversity within our BHT family improves positive outcomes for the people and communities we serve.
  • A keen supporter of the Armed Forces Community who know the value of employing a service leaver/veteran and their families.

 What do we stand for?

  • Our vision is to provide outstanding care, support healthy communities and be a great place to work.
  • Our mission is to provide personal and compassionate care every time.
  • Our care values are collaborate, aspire, respect and enable.

Detailed job description and main responsibilities

For a comprehensive list of responsibilities and duties, please kindly refer to the Job Description and Person Specification by downloading the JD and PS attachment in the advert.

If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.

If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on [email protected] quoting the vacancy reference number.

Person specification

Education, Qualifications & training

Essential criteria
  • Post registration qualification & relevant experience in OPAT / IV therapy
  • Degree / equivalent qualifications or working towards
  • Full and current driving driving licence
  • Access to a functioning care to perform home visits / cross site working
  • Teaching qualification
Desirable criteria
  • Working towards masters or equivalent study
  • Non medical prescriber
  • Leadership qualification

Experience

Essential criteria
  • RGN - with at least 5 years post registration experience
  • OPAT/ IV therapy and central venous access device (CVAD) experience at a senior level
  • Leadership skills & knowledge
  • Ability to cannulate & perform venepuncture ( +/- using ultrasound)
  • Experience in database creation, filtering data, other IT system management
  • Writing concise reports for presentation or dissemination to others via teams or face to face
Desirable criteria
  • Ability to insert mid / PICC lines independently

Skills, Abilities & knowledge

Essential criteria
  • Excellent interpersonal skills & engage within MDTs. Able to present in a group
  • Experience in conducting / investigating RCA/ Incidents
  • Knowledge & understanding of NMC/ Professional standards
  • Knowledge & understanding of current national standards in OPAT / IV therapy
  • IT literate on digital platforms being used in healthcare settings

Special circumstances

Essential criteria
  • Across site working (including community visits)
  • Access to a car and able to drive independently
  • Able to work weekends / bank holidays
  • Able to work flexible hours if service needs require

BHT values

Essential criteria
  • Communicates openly, honestly & professionally. Actively promotes team working & building strong relationships
  • Patients are always first. Drives service improvements. Strong self awareness with a desire to grow
  • treats all with compassion and kindness. Ensures everyone feels valued
  • Consults others and listens to their views / opinions. Enables others to take the initiative

Employer certification / accreditation badges

Veteran AwareApprenticeships logoPositive about disabled peopleArmed Forces Covenant Gold AwardWe offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.Disability confident employerStep into healthNational Preceptorship for Nursing Quality Mark

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Marie Woodley
Job title
OPAT/ IV lead nurse
Email address
[email protected]
Telephone number
07770408125