Job summary
Advanced Clinical Practitioner - Urology
Department - Cancer Services
Band 8a
Hours: 37.5 per week, all MKUH roles will be considered for flexible working
An opportunity has arisen for an experienced Urology Nurse to join our dynamic nurse-led team and delivered service as a Urology Diagnostic ANP (Band 8a).
The successful applicant will use advanced clinical assessment skills such as physical assessment, independent prescribing, flexible cystoscopy, prostate biopsy and ultrasound to diagnose patients referred on a suspected cancer pathway direct from GP.
You should have experience in Urology (benign or cancer) and able to assess and manage patient referred on benign pathway from GP and other specialities eg LUTS, Andrology issues, functional urological issues, Stone clinic review etc.
You should have excellent interpersonal skills, resilience, emotional intelligence, and a professional manner, and be able to prioritise and organise your workload and work under pressure.
You will be expected to work flexibly and support and assist service development project. Lead and manage junior staff and assist in teaching.
There is an option to look at developmental posts for candidates showing progression in advanced skill but have not fully completed their ACP training commencing as a band 7 and working towards the 8a on completion of the Advanced Clinical Practice accreditation
Interview: w/c 21.04.2025
Main duties of the job
The ANP is an experienced registered nurse that uses advanced assessment and diagnostic skills in the management of patients referred with a possible diagnosis of urological cancer and benign conditions. Diagnostic processes include: Physical assessment, Consent, Review of Imaging, Transperineal biopsies under either general or local anaesthetic, Ultrasound and flexible cystoscopy.
Taking prostate biopsies and flexible cystoscopy requires development of a highly specialist skill and the use of specialist equipment. The training of junior doctors and senior nurses in these skills is also an important part of this role. The role will require delivery of a comprehensive urology diagnostic pathway for patients suspected of having a urological cancer.
In summary, the post-holder will be responsible for the delivery of the nurse led urology cancer diagnostic service, and the management of patients on this pathway up to the point of diagnosis and the onward referral/liaison with other services (e.g. Clinical/Medical Oncology). Post-holder will also triage, review, manage benign patients pathways referred into the urology services.
There is an expectation that the post holder will be involved in service development, research, teaching and education commitments and will have a willingness to develop oneself and promote the Trust through attendance and contribution at national and international forum.
About us
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Join #TeamSurgery at Milton Keynes University Hospital
The surgery division at MKUH, which covers specialties including theatres and the Intensive Care Unit, offers a variety of roles and opportunities, both clinical and non-clinical. The division are looking for passionate, enthusiastic and forward-thinking professionals to join the team.
MKUH is one of the leading hospitals in Europe for implementing robotics to assist in surgery, becoming the first in the continent to use the CMR Versius robot for gynaecological surgery. Since its introduction in 2019, the theatres team have completed over 500 surgical cases, the first hospital in the UK to reach this milestone, achieving this in March 2023.
As well as being an innovator in robotics, the Trust is proud to be part of the New Hospital Programme, with plans to expand and increase our surgical capacity to meet the health needs of our communities now and in the future.
With a leading benefits package, and a growing hospital estate to meet one of the fastest growing populations in the country, it is a great time to join MKUH.
Find out more about working in #TeamSurgery at MKUH from the people who work across the division in the video below.
https://www.youtube.com/watch?v=-mYel-Y9nrU
Job description
Job responsibilities
To be professionally and legally accountable for all work undertaken and to practice at an advanced level of professional autonomy and accountability that is within national urology cancer guidelines, MKUH Trust policies and NMC Code of Conduct.
Perform a physical assessment including obtaining a clinical history, conducting the clinical physical examination and assessment of psychological well-being in order to make a diagnosis (having undertaken a physical assessment skills course).
To deliver evidence based expert nursing care exercising a high degree of professional autonomy, demonstrating ability to make sound decisions based on knowledge and experience.
To assess individuals holistically using a range of different assessment methods and reach valid, reliable and comprehensive patient and client centred conclusions which manage risk and are appropriate to need context and culture.
To independently receive patient referrals e.g. 2WW, utilising highly developed expert knowledge, diagnostic and clinical skills to carry out triaging, assessment and initiate diagnostic and treatment pathways.
Please refer to the attached Job Description for further details.
Person Specification
Education and Qualifications
Essential
1. First level registered Nurse (or relevant professional registration)
2. Bachelor's degree in nursing, health or management related studies
3. A master's level qualification in Advance Clinical Practice, in progress or equivalent experience
4. Substantial years at band 7 (at least 4 in area of speciality/cancer)
Desirable
1. Certificated Speciality courses
2. Advanced assessment skills course
3. Independent Prescribing course
Knowledge and Understanding
Essential
1. Advanced theoretical and practical knowledge of speciality with a wide range of approaches to the management of patients, E A demonstrated by advanced clinical reasoning and to be able to comprehensively assess patients for risk factors and early signs of illness.
2. Ability to draw on a diverse range of knowledge in their decision making to determine evidence based therapeutic interventions (which will usually include prescribing medication and actively monitoring the effectiveness of therapeutic interventions).
3. Ability to critically appraise and synthesise the outcomes of relevant research evaluations and audits.
4. Awareness of changing trends in prostate cancer management.
5. Advanced theoretical and practical knowledge of the urological system.
6. Robust understanding of all aspects of Clinical Governance including previous experience of quality issues, audit and risk management
Desirable
1. Basic knowledge of recent NHS legislation and infection control.
2. Formal teaching skills (both medical and nursing students)
Skills (Clinical)
Essential
1. Expert knowledge and skills of clinical examination and history taking and taking consent.
2. Ability to draw on a diverse range of knowledge in their decision making to determine evidence based therapeutic interventions (which will usually include prescribing medication and actively monitoring the effectiveness of therapeutic interventions).
3. Ability to translate and integrate evidence based research/ guidelines into the development of local pathways of care.
Desirable
1. Clinical Ultrasound experience within the specialist area.
2. Trained in TRUS/ transperineal biopsy and flexible cystoscopies.
Skills (communication and relationships)
Essential
1. Ability to lead within the nursing profession and multiprofessional working; within an organisation and across organisation boundaries, being able to identify and implement systems to promote their contribution and demonstrate the impact of advanced level nursing to the healthcare team and the wider health and social care sector
2. Ability to develop working relationships locally, regionally and nationally.
3. Excellent communication and interpersonal skills, proven listening/counselling skills.
Desirable
1. Able to chair, co-ordinate and facilitate meetings.
Skills (analytical and judgmental)
Essential
1. Evidence of managing clinical services, service innovation and up-to-date knowledge of nursing policy and strategy, together with successful change management experience and a proven track record in launching new initiatives
2. Ability to manage change and contain conflict ensuring resolution with positive outcomes, with use of negotiation skills
Planning and Organisational
Essential
1. Excellent time management and organisational skills.
2. Excellent written and verbal communication skills demonstrating the use of a variety of media/IT skills.
Abilities (Physical)
Essential
1. Physically fit as determined by the Occupational Health Department.
2. Ability to move and handle patients and inanimate loads using appropriate equipment in accordance with Trust Policy.
3. Able to stand and sit for long periods of time and able to undertake nursing duties.
Abilities (Mental)
Essential
1. Proven ability to work under pressure both professionally and managerially.
2. Proven ability to concentrate and maintain high degree of accuracy.
3. Proven ability to emotionally support other staff.
4. High level of work organisation, self motivation, drive for performance and improvement, and flexibility in approach and attitude.
5. Able to carry out concurrent activities (multitasking) and work in an unpredictable working pattern (will be required to carry a bleep).
Abilities (Emotional)
Essential
1. Proven ability to cope with distressing situations and challenging behaviours.
2. Evidence of being able to respond to emergencies.
3. Strong sense of commitment to openness, honesty and integrity in undertaking the role.
Personal and people development
Essential
1. Polite and courteous.
2. Professional attitude.
3. Initiative and common sense.
4. Self motivated and team player.
5. Commitment to personal development.
Disclosure and Barring Service Check
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
Employer details
Employer name
Milton Keynes University Hospital NHS Foundation Trust
Address
Urology (Dept)
Milton Keynes
MK6 5LD
Employer's website
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