Job summary Were looking for an experienced Breast Clinical Nurse Specialist to join our Breast CNS team, working across Canary Wharf and Old Broad Street one stop breast service, new cancer diagnosis. The Breast Clinical Nurse Specialist will work with the Breast surgeons, Oncologists and forms part of the wider Breast CNS team. Main duties of the job As a Breast Clinical Nurse Specialist, well look to you to provide a high-quality cancer nursing service to patients throughout their diagnosis and treatment. Youll be an advocate for the patient, providing specialist nursing advice and emotional support, while also educating them on treatment pathway, ensuring they have everything they need to make informed decisions about their care. Day-to-day, this will involve working closely with patients and their families, but also Physicians and the wider MDT team to ensure a superb patient experience and continuity of care. About us At HCA UK we care about what you care about. We care that you want to deliver the very best care. We care that you want a career you can be proud of. We care that you want working conditions that support your health and wellbeing. Let us care for you and your career, the same way you do for others. Date posted 13 January 2025 Pay scheme Other Salary £49,181 to £55,000 a year Contract Permanent Working pattern Full-time Reference number E0115-25-0006 Job locations H C A Healthcare 40 Bank Street London E14 5NR The Out-patient & Diagnostic Centre St. Thomas Street London SE1 9BS Job description Job responsibilities Clinical Nurse Specialist The Clinical Nurse Specialist is responsible for supporting patients throughout their illness, from pre-diagnosis onwards, so that the patient is well supported throughout. This is often referred to as a key worker. They care for patients throughout their diagnosis and treatment. They take a key role in supporting the patients during their treatment and are an important member of the multidisciplinary team (MDT). The Clinical Nurse Specialist is a critical and consistent contact point for patients who often will need to interact with different parts of the hospital in order to receive optimal treatment. Clinical Nurse Specialist will: Build trust with the physicians and patients through multidisciplinary care coordination. Assist in educating patients about their disease so they can make informed decisions about their care. Provide emotional support to the patient, family and caregivers. Signpost patients to support networks, internally and externally. Advocate for the patient in development of the treatment plan. Manage a caseload within their own scope of practice, with support from the wider clinical team. PRINCIPAL DUTIES Categorise the job into the 5 8 major areas of responsibility. Divide these into steps explaining the main activities. Please include responsibilities for staff management, training, managing resources/budgets and any responsibilities for inputting to or developing policy. Clinical Be a key worker throughout the patient pathway, regardless of facility and when the patient is transferred between facilities for different treatments. Manage a clinical caseload, working to coordinate care and provide easy access for ongoing support for patients. Work within a clear care pathway, refer to other professionals and signpost to other agencies as appropriate. Assess the patients holistic needs regularly throughout their treatment pathway ensuring that any needs are supported through appropriate signposting Promote self-management, risk stratifying patients into who can self-manage following education, those who will need guided support to self-manage and those who will require ongoing, face to face support, in order to support people to live with and beyond the illness and its treatment. Assess the patients information needs and make sure they are aware of the full range of resources and services available within and beyond HCA, including recognised charities. Support the patient, their next of kin and family/carers delivering excellent evidence based individualised and personalised care. Enable patients to understand complex medical information to help them make informed decisions regarding their care and treatment. Demonstrate safe clinical judgement in evaluating, interpreting and documenting the outcomes of nursing and other interventions including the evidence underpinning clinical practice. Order and analyse routine investigations relevant to clinical specialty, with appropriate training. Respect patient dignity and privacy at all times, in line with the NMC code of conduct and the HCA privacy and dignity policy. Facilitate and organise a patient support group. Leadership and Management. Continuously evaluates nursing practice and makes changes where appropriate to drive service improvement. Contribute to the management and promotion of services, leading to the delivery of high quality, cost effective care Take responsibility for implementing and monitoring specific delegated improvement projects. Participate in clinical audit within the department and changing practice where appropriate. Support in the development of patient focused education, including training to self-manage ongoing consequences of treatment Promote patient and public experience feedback through local initiatives to drive innovation and change. Responsible for effective communication between all service providers across the care pathway. A role model with advanced communication skills and expertise. Skilled in conflict resolution and negotiation when dealing with difficult or challenging situations Work across professional boundaries using creative reasoning and problem solving Provide clinical leadership to others Actively participate in multi-professional meetings, acting as patient advocate and representing nursing and AHP views Provide specialist education and training to other professionals involved in patient care. Collates and records quantitative and qualitative data to provide evidence of productivity, outcomes and quality, through audit and research. Support the development of the service annual report. Engage with Lead nurses to contribute expertise and experience to supports service priorities. Promote the service and clinical excellence by contributing to publishing and presenting innovations, audit and research locally, regionally and nationally. Demonstrate continuous evaluation of nursing practice and make changes where appropriate Responsible for escalating concerns in treatment or care through the appropriate channels Lead on clinical incident investigations relevant to clinical area, and share learning. Care Documentation. You are required to adhere to the NMC code of Conduct (2015) and all records must be clear and accurate and relevant to your practice. All documentation must be written in a timely manner. D Infection Prevention and Control The following duties are written in accordance with NHS Infection prevention and control education framework (2023). All Staff should ensure that: good IPC practice is appropriately embedded into their work. their actions minimise risks to health and safety and contribute to positive and safe practice. All Staff providing care to patients and/or who work in the patient environment should be competent to: assess risks related to IPC in the workplace and take appropriate actions. provide safe and effective care to patients as appropriate to the scope of their role. provide optimal IPC practice as an integral part of their day-to-day working. All CNSs must ensure that: actions are taken to prevent, and control infection and that these are appropriate, safe and are recorded and monitored. in accordance with the expectations of their clinical specialty. appropriate action is taken following a serious health and social care associated infection incident (staff and patients), and that any learning is implemented and disseminated. effective and appropriate reporting mechanisms and audit procedures are responsibly implemented. Mandatory / Reporting. Be vigilant about patient confidentiality; ensuring that exchange of information takes place safely in accordance with Information Governance and Caldicott principles. Adhere to HCA policies, guidelines and procedures and report to the appropriate superior if objectives cannot be met or a problem occurs, the resolution of which is outside the scope of his/her authority. Work at all times within the Nursing and Midwifery Council Code of Professional Conduct and Scope of Professional Practice and relevant HCA Policy and Guidelines. IV. BUSINESS SCOPE Use this section to give an indication of the affect the role has on the business. This may be that it has budget authority or manage a key function. Does the role have a strategic input to the business? Develop trust with the physicians and patients through multidisciplinary care coordination Assist in educating patients about their disease so they can make informed decisions about their care Provide emotional support to the patient, family and caregivers Improve access and utilization of HCA and any partnered resources Advocate for the patients voice in development of the treatment plan V. AUTONOMY/FREEDOM TO ACT Use this section to give an indication of the extent to which the jobholder is required to be accountable for their own actions and those of others, to use own initiative and act independently; and discretion given to the jobholder to take action? All staff are required to act in such a way that safeguards and promotes the health and well-being of adults and children and protect them from harm. To fulfil their responsibility to safeguard patients and their families, all staff must: Attend safeguarding training Carry out their responsibilities in a way that minimises any risk of harm. Promote the welfare of children, young people and vulnerable adults. Identify and respond to any indication of abuse and neglect. Contribute to multi-agency safeguarding arrangements. All staff are: Accountable for their own actions. Responsible for their life-long learning and personal development through clinical supervision, formal education and appraisal. Patient Consultants Allied Health professionals Support Services Governance To support, diagnose and treat. To liaise in respect of patients and their care. To liaise with AHPs regarding patients support. To ensure a smooth patient experience To meet HCA and mandatory/statutory requirements Outside Social Services Other Health Care providers To meet statutory requirements To liaise in respect of patients and their care Job description Job responsibilities Clinical Nurse Specialist The Clinical Nurse Specialist is responsible for supporting patients throughout their illness, from pre-diagnosis onwards, so that the patient is well supported throughout. This is often referred to as a key worker. They care for patients throughout their diagnosis and treatment. They take a key role in supporting the patients during their treatment and are an important member of the multidisciplinary team (MDT). The Clinical Nurse Specialist is a critical and consistent contact point for patients who often will need to interact with different parts of the hospital in order to receive optimal treatment. Clinical Nurse Specialist will: Build trust with the physicians and patients through multidisciplinary care coordination. Assist in educating patients about their disease so they can make informed decisions about their care. Provide emotional support to the patient, family and caregivers. Signpost patients to support networks, internally and externally. Advocate for the patient in development of the treatment plan. Manage a caseload within their own scope of practice, with support from the wider clinical team. PRINCIPAL DUTIES Categorise the job into the 5 8 major areas of responsibility. Divide these into steps explaining the main activities. Please include responsibilities for staff management, training, managing resources/budgets and any responsibilities for inputting to or developing policy. Clinical Be a key worker throughout the patient pathway, regardless of facility and when the patient is transferred between facilities for different treatments. Manage a clinical caseload, working to coordinate care and provide easy access for ongoing support for patients. Work within a clear care pathway, refer to other professionals and signpost to other agencies as appropriate. Assess the patients holistic needs regularly throughout their treatment pathway ensuring that any needs are supported through appropriate signposting Promote self-management, risk stratifying patients into who can self-manage following education, those who will need guided support to self-manage and those who will require ongoing, face to face support, in order to support people to live with and beyond the illness and its treatment. Assess the patients information needs and make sure they are aware of the full range of resources and services available within and beyond HCA, including recognised charities. Support the patient, their next of kin and family/carers delivering excellent evidence based individualised and personalised care. Enable patients to understand complex medical information to help them make informed decisions regarding their care and treatment. Demonstrate safe clinical judgement in evaluating, interpreting and documenting the outcomes of nursing and other interventions including the evidence underpinning clinical practice. Order and analyse routine investigations relevant to clinical specialty, with appropriate training. Respect patient dignity and privacy at all times, in line with the NMC code of conduct and the HCA privacy and dignity policy. Facilitate and organise a patient support group. Leadership and Management. Continuously evaluates nursing practice and makes changes where appropriate to drive service improvement. Contribute to the management and promotion of services, leading to the delivery of high quality, cost effective care Take responsibility for implementing and monitoring specific delegated improvement projects. Participate in clinical audit within the department and changing practice where appropriate. Support in the development of patient focused education, including training to self-manage ongoing consequences of treatment Promote patient and public experience feedback through local initiatives to drive innovation and change. Responsible for effective communication between all service providers across the care pathway. A role model with advanced communication skills and expertise. Skilled in conflict resolution and negotiation when dealing with difficult or challenging situations Work across professional boundaries using creative reasoning and problem solving Provide clinical leadership to others Actively participate in multi-professional meetings, acting as patient advocate and representing nursing and AHP views Provide specialist education and training to other professionals involved in patient care. Collates and records quantitative and qualitative data to provide evidence of productivity, outcomes and quality, through audit and research. Support the development of the service annual report. Engage with Lead nurses to contribute expertise and experience to supports service priorities. Promote the service and clinical excellence by contributing to publishing and presenting innovations, audit and research locally, regionally and nationally. Demonstrate continuous evaluation of nursing practice and make changes where appropriate Responsible for escalating concerns in treatment or care through the appropriate channels Lead on clinical incident investigations relevant to clinical area, and share learning. Care Documentation. You are required to adhere to the NMC code of Conduct (2015) and all records must be clear and accurate and relevant to your practice. All documentation must be written in a timely manner. D Infection Prevention and Control The following duties are written in accordance with NHS Infection prevention and control education framework (2023). All Staff should ensure that: good IPC practice is appropriately embedded into their work. their actions minimise risks to health and safety and contribute to positive and safe practice. All Staff providing care to patients and/or who work in the patient environment should be competent to: assess risks related to IPC in the workplace and take appropriate actions. provide safe and effective care to patients as appropriate to the scope of their role. provide optimal IPC practice as an integral part of their day-to-day working. All CNSs must ensure that: actions are taken to prevent, and control infection and that these are appropriate, safe and are recorded and monitored. in accordance with the expectations of their clinical specialty. appropriate action is taken following a serious health and social care associated infection incident (staff and patients), and that any learning is implemented and disseminated. effective and appropriate reporting mechanisms and audit procedures are responsibly implemented. Mandatory / Reporting. Be vigilant about patient confidentiality; ensuring that exchange of information takes place safely in accordance with Information Governance and Caldicott principles. Adhere to HCA policies, guidelines and procedures and report to the appropriate superior if objectives cannot be met or a problem occurs, the resolution of which is outside the scope of his/her authority. Work at all times within the Nursing and Midwifery Council Code of Professional Conduct and Scope of Professional Practice and relevant HCA Policy and Guidelines. IV. BUSINESS SCOPE Use this section to give an indication of the affect the role has on the business. This may be that it has budget authority or manage a key function. Does the role have a strategic input to the business? Develop trust with the physicians and patients through multidisciplinary care coordination Assist in educating patients about their disease so they can make informed decisions about their care Provide emotional support to the patient, family and caregivers Improve access and utilization of HCA and any partnered resources Advocate for the patients voice in development of the treatment plan V. AUTONOMY/FREEDOM TO ACT Use this section to give an indication of the extent to which the jobholder is required to be accountable for their own actions and those of others, to use own initiative and act independently; and discretion given to the jobholder to take action? All staff are required to act in such a way that safeguards and promotes the health and well-being of adults and children and protect them from harm. To fulfil their responsibility to safeguard patients and their families, all staff must: Attend safeguarding training Carry out their responsibilities in a way that minimises any risk of harm. Promote the welfare of children, young people and vulnerable adults. Identify and respond to any indication of abuse and neglect. Contribute to multi-agency safeguarding arrangements. All staff are: Accountable for their own actions. Responsible for their life-long learning and personal development through clinical supervision, formal education and appraisal. Patient Consultants Allied Health professionals Support Services Governance To support, diagnose and treat. To liaise in respect of patients and their care. To liaise with AHPs regarding patients support. To ensure a smooth patient experience To meet HCA and mandatory/statutory requirements Outside Social Services Other Health Care providers To meet statutory requirements To liaise in respect of patients and their care Person Specification Qualifications Essential Registered General Nurse with valid NMC registration Significant post-registration clinical experience Considerable post registration experience in an acute hospital setting within Breast Cancer Care Masters degree (or working towards) in relevant field/or equivalent/higher post graduate qualification Person Specification Qualifications Essential Registered General Nurse with valid NMC registration Significant post-registration clinical experience Considerable post registration experience in an acute hospital setting within Breast Cancer Care Masters degree (or working towards) in relevant field/or equivalent/higher post graduate qualification 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 HCA Healthcare UK Address H C A Healthcare 40 Bank Street London E14 5NR Employer's website https://www.hcahealthcare.co.uk/ (Opens in a new tab)