Job summary The Royal Marsden has made significant investment in developing new ways of working for senior cancer nurses as Advanced Nurse Practitioners (ANP) in Medical Day Units (MDU), Outpatients and Clinical Assessment Units. The Royal Marsden delivers services across several sites, including its main centers in Chelsea and Sutton, a Medical Day Unit located at Kingston Hospital, and a dedicated private diagnostics and treatment facility at Cavendish Square. The ANP position will form part of the established team at the Sutton site. With support from both nursing and medical mentors, the ANP will be gradually incorporated into existing clinics, working as an autonomous practitioner to undertake an extended scope of practice. Main duties of the job Clinical leadership to the nursing teams, maintaining credibility through practice and provide a high quality and safe patient service, which exceeds patient expectations. Routine management of patients with gastrointestinal (GI) cancers. Using advanced clinical decision making and assessment skills, prompt treatment plans or referrals will be initiated to effectively manage acute and chronic cancer-related complications and/or toxicities from systemic anti-cancer treatments (SACT), supportive therapies and/or radiotherapy. Support the MDU with queries and assess and appropriately manage unwell and deteriorating patients to stabilise and transfer patients appropriately. Telephone triage of patients reporting side-effects / complications. Booking of routine and emergency investigations. About us The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital. At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do. At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements. Date posted 11 April 2025 Pay scheme Agenda for change Band Band 8a Salary £59,490 to £66,239 a year Per Annum Contract Permanent Working pattern Full-time Reference number 282-C383 Job locations Royal Marsden Hospital Sutton Sutton SM2 5PT Job description Job responsibilities For further information on this role, please see the attached detailed Job Description and Person Specification: The ANP will undertake routine advanced physical assessment of GI patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations (e.g., blood tests, imaging), prescribing SACT and other supportive medications, and arranging appropriate follow up when necessary. The ANP will manage patients living with and beyond their cancer. Working with the GI CNS team and the Lead GI Nurse to provide support and advice to nursing, medical and allied health professionals. To provide support and advice to patients and their carers relating to their disease, their cancer treatments chemotherapy, and any procedures. To obtain informed consent from patients prior to starting their first anticancer systemic treatment and ongoing cycles of SACT. Job description Job responsibilities For further information on this role, please see the attached detailed Job Description and Person Specification: The ANP will undertake routine advanced physical assessment of GI patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations (e.g., blood tests, imaging), prescribing SACT and other supportive medications, and arranging appropriate follow up when necessary. The ANP will manage patients living with and beyond their cancer. Working with the GI CNS team and the Lead GI Nurse to provide support and advice to nursing, medical and allied health professionals. To provide support and advice to patients and their carers relating to their disease, their cancer treatments chemotherapy, and any procedures. To obtain informed consent from patients prior to starting their first anticancer systemic treatment and ongoing cycles of SACT. Person Specification Education/Qualifications Essential Registration (NMC) Diploma or Degree level study (or equivalent) Evidence of ongoing professional development Physical assessment skills module Qualification in oncology or Post Graduate equivalent SACT passport or equivalent recognised chemotherapy module ILS Qualification in non-medical prescribing Master's degree in Advanced Practice or equivalent experience, or on pathway Desirable ALS Recognised teaching qualification Leadership qualification Experience in accreditation processes Experience Essential Significant post registration nursing experience in oncology or specialty to be confident and competent in using the required skills to do the job. Recognised Advanced Nurse Practitioner skills including advanced assessment skills, selecting, and recommending appropriate diagnostic and therapeutic management. Excellent understanding and experience in the recognition and management of ongoing oncological conditions. Current experience in managing the deteriorating oncology patient, including the safe transfer of patients Experience in a large complex organisation and/or NHS Knowledge of Oncology Services and related DH guidelines. Experience of change initiatives within and operational and clinical team Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders Skills Abilities/knowledge Essential Evidence of effective interpersonal skills with ability to liaise with multidisciplinary team members Ability to make decisions, prioritise and work under pressure. Knowledge and understanding of quality issues Evidence of understanding the national policy Computer Literacy (eg: Microsoft Word and Outlook) Able to lead Root Cause Analysis investigations to facilitate staff in identifying and embedding areas for improvement in the provision of high quality and safe care Able to manage multiple and complex projects including tracking of plans and actions Able to present confidently and persuasively to small and large groups Able to present complex information appropriately to the Trust's Governance Committees Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings. Excellent organisational skills Excellent written and verbal communication skills Able to work flexibly as part of a team Highly proficient in the use of standard office software packages Ability to think innovatively in a work context Person Specification Education/Qualifications Essential Registration (NMC) Diploma or Degree level study (or equivalent) Evidence of ongoing professional development Physical assessment skills module Qualification in oncology or Post Graduate equivalent SACT passport or equivalent recognised chemotherapy module ILS Qualification in non-medical prescribing Master's degree in Advanced Practice or equivalent experience, or on pathway Desirable ALS Recognised teaching qualification Leadership qualification Experience in accreditation processes Experience Essential Significant post registration nursing experience in oncology or specialty to be confident and competent in using the required skills to do the job. Recognised Advanced Nurse Practitioner skills including advanced assessment skills, selecting, and recommending appropriate diagnostic and therapeutic management. Excellent understanding and experience in the recognition and management of ongoing oncological conditions. Current experience in managing the deteriorating oncology patient, including the safe transfer of patients Experience in a large complex organisation and/or NHS Knowledge of Oncology Services and related DH guidelines. Experience of change initiatives within and operational and clinical team Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders Skills Abilities/knowledge Essential Evidence of effective interpersonal skills with ability to liaise with multidisciplinary team members Ability to make decisions, prioritise and work under pressure. Knowledge and understanding of quality issues Evidence of understanding the national policy Computer Literacy (eg: Microsoft Word and Outlook) Able to lead Root Cause Analysis investigations to facilitate staff in identifying and embedding areas for improvement in the provision of high quality and safe care Able to manage multiple and complex projects including tracking of plans and actions Able to present confidently and persuasively to small and large groups Able to present complex information appropriately to the Trust's Governance Committees Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings. Excellent organisational skills Excellent written and verbal communication skills Able to work flexibly as part of a team Highly proficient in the use of standard office software packages Ability to think innovatively in a work context 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 NHS Careers website (opens in a new window). Additional information 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 NHS Careers website (opens in a new window). Employer details Employer name The Royal Marsden NHS Foundation Trust Address Royal Marsden Hospital Sutton Sutton SM2 5PT Employer's website https://www.royalmarsden.nhs.uk/working-royal-marsden (Opens in a new tab)