Job Summary The Breast Care Nurse role is pivotal to providing high-quality clinical expertise, emotional and compassionate support, education, person-centred care to service users participating in breast screening who have been recalled for further assessment, diagnostic investigations and results, whilst adhering to the Nursing and Midwifery Councils Code of Conduct. This role is directly responsible for supporting service users who have received a breast cancer result, providing counselling, undertaking pre- surgery assessment, and efficiently transferring their care and all relevant information to Health Board colleagues. In the absence of the Senior Breast Care Nurse the post holder will be responsible for providing operational leadership and service planning. Our organisational values of Working Together, with Trust and Respect, to Make a Difference, underpinned by our Being Our Best Framework set out how we are expected to undertake our roles. The Being Our Best colleague group which applies to this role is Colleague. Clinical Following a period of induction and supervision, the Breast Care Nurse will work as an autonomous practitioner assessing potentially highly complex service users, planning, implementing and reviewing care within the screening assessment environment. Possess advanced communication skills, verbal and written, with an ability to build rapport with service users and accompanying family/relatives/carers who have been recalled for an additional screening assessment and results. This will include providing sensitive/ highly sensitive information on the outcome of assessment and diagnostic procedures. Demonstrate the highest level of interpersonal skills required when working in an emotional or difficult environment. Deliver sensitive or contentious information to service users with clarity and empathy. Use a problem-solving approach to address barriers such as distress, cultural differences, sensory and cognitive impairment, ensuring compassion and equity. Receive and process complex clinical information in an unpredictable environment, adapting to changing circumstances. Provide emotional support to service users throughout their screening journey, providing clear, comprehensive information about their care options to facilitate informed decision-making and advocating on their behalf. Effectively manage an individual caseload in line with agreed protocols, ensuring personalised, person-centred care throughout the assessment and result process. Assess service users physical, social, and psychological needs to determine appropriate referrals to relevant agencies, ensuring timely and suitable follow-up. Utilises both professional and community resources to ensure referrals to local or national agencies are appropriate and effective. Perform clinical duties, including assisting with clinical examinations, ultrasound, biopsy procedures and supporting service users during diagnostic investigations. Work collaboratively as part of a multidisciplinary team, will be required to act as a mentor to pre and post registration learners and new starters. Assist medical colleagues in delivering face to face cancer and benign results. Take appropriate action in emergency situations, using sound clinical judgement based on evidence and best practice to assess, plan, and evaluate the care of service users. Exercise professional judgment and autonomy within the scope of practice, escalating complex issues or concerns to senior staff while maintaining responsibility for day-to-day clinical decision-making. Deliver high-quality nursing care in accordance with established policies, procedures, and professional guidelines, ensuring compliance with the Nurse and Midwifery Councils Code of Conduct. Maintain accurate and contemporaneous service user records and documentation in line with Public Health Wales policies and professional standards. This role is directly responsible for ensuring the timely collection of nursing data to inform the annual breast care nursing report and to demonstrate compliance with established breast care nursing standards. Contribute to the implementation and monitoring of quality standards, clinical governance, audits: clinical and assurance (i.e. Infection, Prevention and Control, decontamination and medicines management) research and service improvements within Breast Test Wales. Adhere to infection, prevention and control and decontamination protocols and maintain a safe and clean clinical environment. Comply with health and safety policies, safeguarding responsibilities, and equality and diversity standards. Responsible for promptly escalating, reporting and on occasions supporting investigations of incidents, concerns, and complaints, including those related to general care and safeguarding, ensuring that all issues are addressed in line with organisational procedures to protect service users and colleague welfare. Respect and safeguard confidentiality and sensitive information. Duty of Quality Ensure that all aspects of care and treatment provided are of the highest possible quality, in alignment with the organisational commitment to continuously improving health outcomes and patient experiences. Contribute to service improvement initiatives by monitoring outcomes, identifying areas for development, and implementing changes as needed. Duty of Candour Uphold the principles of openness and transparency by ensuring that individuals affected by care are informed when something goes wrong, provided with a clear explanation, and supported appropriately. This includes contributing to a culture of learning and improvement to prevent similar occurrences in the future. Non-Clinical Oversee and support the clinic nurses with the management of clinic supplies, medicines management and equipment, ensuring availability and readiness for use. Management, Leadership and/or Training As required act as a deputy for the Senior Breast Care Nurse at local, divisional, directorate and trust meetings and provide operational leadership for the breast screening nurse team, ensuring service delivery and high standards of care are maintained for service users. Support the Senior Breast Care Nurse by ensuring a member of the nurse team is available to chaperone medical colleagues during intimate clinical examinations and result clinics. Following additional training and successful completion of competencies, the Breast Care Nurse will provide benign results to service users in face-to-face settings and by telephone result clinics. Breast Care Nurse will support service users in face to face and telephone clinics by providing benign results. Comply with mandatory and statutory training requirements. Responsible for their ongoing continuous personal development through active participation in the My Contribution reviews, attending and championing clinical supervision sessions ,reflecting on areas of growth relevant to their role and needs of the service. Responsible for maintaining their professional registration in line with the revalidation requirements of the Nursing and Midwifery Council. Maintain clinical competence through identifying areas of the role that require development to ensure that specialist knowledge, underpinned by theory and experience, is utilised for the delivery of evidence-based care and advanced practice in breast screening. Acknowledge own limitations and professional development requirements ensuring that needs and issues are communicated to senior colleagues. This job description outlines the key duties and responsibilities of the role but is not exhaustive; the postholder may be required to undertake additional tasks and responsibilities commensurate with the role and banding.