Job summary An exciting opportunity has arisen for a Rapid Access Colorectal Nurse Practitioner. This is a new role utilising established speciality knowledge to guide patients safely through the pathway. There is a potential for this to be a training post starting at band 7 and developing within the role to band 8A The post holders will work Trust-wide, ULHT. Caseload management of all patients awaiting results on the Lower GI colorectal Rapid Access Colorectal Cancer (RACC) Pathway. They will review all referrals, investigations and results to formulate an ongoing plan which will include the advanced decision making surrounding discharge back to referrer, step down to 18 week pathway, refer on to additional services trust wide and request additional tests required to complete the investigations for a timely diagnosis. Main duties of the job Independently assess, diagnose, plan, implement and evaluate treatments and interventions for all patients presenting with a suspected lower GI cancer on the RACC pathway Undertake physical examination as indicated by the patient's condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required. Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision. Request investigations such as blood, urine and other laboratory tests, ultrasound scans, radiological investigations such as computed tomography (CT) scans, MRI & CTC in accordance with IR(ME)R regulations and as local policy allows. About us Pilgrim Hospital is situated beautiful countryside and serves the communities in the South Lincolnshire area. It provides all major specialties and a 24-hour major accident and emergency service. Grantham and District Hospital serves the communities of Grantham and the local area. It provides ambulatory paediatric and accident and emergency services. Lincoln Hospital is a thriving university city and with the opening of the medical school, it provides all major specialties and a 24-hour major accident and emergency service United Lincolnshire Hospitals NHS Trust has been granted teaching hospital status, after demonstrating evidence to significant teaching commitment. From now on it will be known as United Lincolnshire Teaching Hospitals NHS Trust. Lincolnshire Community Health Services NHS Trust (LCHS) and United Lincolnshire Hospitals NHS Trust (ULHT) have come together in a Group arrangement, with the goal of improving the care provided to patients across the county. This will not constitute a formal merger of the two organisations, but will bring the Trusts together under a single Board and Executive Leadership Team, with the goal of improving the care that is provided to patients both in the community and in hospitals across Lincolnshire. Both Trusts will retain their separate statutory names and legal obligations. The Group will be known as Lincolnshire Community and Hospitals NHS Group (LCHG). Date posted 03 January 2025 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year Per annum, pro rata Contract Permanent Working pattern Full-time, Part-time Reference number 357-LN-1754-24 Job locations Trustwide Lincoln County Hospital Lincoln LN2 5QY Job description Job responsibilities Independently assess, diagnose, plan, implement and evaluate treatments and interventions for all patients presenting with a suspected lower GI cancer on the RACC pathway Undertake physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required. Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision. Request investigations such as blood, urine and other laboratory tests, ultrasound scans, radiological investigations such as computed tomography (CT) scans, MRI & CTC in accordance with IR(ME)R regulations and as local policy allows. Job description Job responsibilities Independently assess, diagnose, plan, implement and evaluate treatments and interventions for all patients presenting with a suspected lower GI cancer on the RACC pathway Undertake physical examination as indicated by the patients condition; autonomously analysing complex clinical signs and investigation results to consider differential diagnoses and diagnose conditions, initiating treatment as required. Perform clinical procedures appropriate to the history and physical examination of the patient, including further invasive testing and treatments requiring highly developed skills and precision. Request investigations such as blood, urine and other laboratory tests, ultrasound scans, radiological investigations such as computed tomography (CT) scans, MRI & CTC in accordance with IR(ME)R regulations and as local policy allows. Person Specification Qualifications Essential Current Professional registration within colorectal speciality Post registration qualification or training relevant to speciality MSc qualification or relevant areas of study Registered Independent Non-Medical Prescriber Evidence of teaching, supervision & assessment skills Physical assessment and History qualification (Degree Level or masters level) Non-medical prescribing Qualification Desirable Mentor/assessor qualification Experience Essential Substantial post registration relevant experience within Colorectal Nursing Substantial experience of managing patients on the RACC lower GI pathway Desirable Management, supervisor and leadership experience. Completed portfolio of supervised practice in General Surgery/Colorectal Care/Stoma Care Knowledge, Skills and Aptitudes Essential Awareness and Knowledge of the dignity in care agenda. Ability to evidence/demonstrate key values and behaviours in line with the Trust framework Specific Requirements Essential Demonstrate flexibility in working patterns and practices Ability to support, colleagues, patients and relatives in sometimes distressing circumstances Ability to respond to, prioritize and analyze complex health conditions and ensure effective interventions are actioned in a timely manner. Deal effectively with clinical issues within defined procedures and guidelines Able to work with undifferentiated and undiagnosed healthcare problems. Participation in research or audit projects Active involvement in departmental operational development Person Specification Qualifications Essential Current Professional registration within colorectal speciality Post registration qualification or training relevant to speciality MSc qualification or relevant areas of study Registered Independent Non-Medical Prescriber Evidence of teaching, supervision & assessment skills Physical assessment and History qualification (Degree Level or masters level) Non-medical prescribing Qualification Desirable Mentor/assessor qualification Experience Essential Substantial post registration relevant experience within Colorectal Nursing Substantial experience of managing patients on the RACC lower GI pathway Desirable Management, supervisor and leadership experience. Completed portfolio of supervised practice in General Surgery/Colorectal Care/Stoma Care Knowledge, Skills and Aptitudes Essential Awareness and Knowledge of the dignity in care agenda. Ability to evidence/demonstrate key values and behaviours in line with the Trust framework Specific Requirements Essential Demonstrate flexibility in working patterns and practices Ability to support, colleagues, patients and relatives in sometimes distressing circumstances Ability to respond to, prioritize and analyze complex health conditions and ensure effective interventions are actioned in a timely manner. Deal effectively with clinical issues within defined procedures and guidelines Able to work with undifferentiated and undiagnosed healthcare problems. Participation in research or audit projects Active involvement in departmental operational 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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 United Lincolnshire Hospitals NHS Trust Address Trustwide Lincoln County Hospital Lincoln LN2 5QY Employer's website https://www.ulh.nhs.uk/ (Opens in a new tab)