Job summary The objective of this role is to improve the health and wellbeing of patients within our network through improved screening, holistic assessment identifying and implementing a proactive approach to the management of cancer conditions and those in remission from Cancer. This will entail a mixture of clinics, home visits, research, project management and development as directed. The post holder will work collaboratively with the general practice, other stakeholders and the wider Primary Care Network team as well as at Place level to meet the needs of patients, support the delivery of PCN objectives, act as a role model to junior staff and demonstrate a caring and compassionate attitude. The post holder is expected to make clinical and professional autonomous decisions on a daily basis. Provide clinical and professional advice to the multidisciplinary team. Analysis and assessment of patient condition to establish the continuing care plan. Working within their scope of practice and professional boundaries, the post holder will provide high quality care to the presenting patient including: Consultation and history taking, physical assessment and examination, recording and interpretation of observations/investigations, recognising red flags and need for escalation of care, propose treatment plans and reduce admissions to hospital. They will also demonstrate safe and competent clinical decision-making according to policies, procedures, local and national guidelines. They will communicate effectively and work collaboratively with the general practice, wider PCN team and other health and social care providers. They will act professionally, according to the requirements of their regulatory body, adhere to confidentiality, and record appropriate, accurate and contemporaneous notes. Take a lead on the development of this role focussing on improving cancer screening uptake, improved experiences for patients on a cancer pathway, support patients through treatment processes and ensure advanced care planning, MCCR, RESPECT forms and PPC are implemented in an appropriate time frame. Work with member practices to understand their population needs and develop good working relationships to support patients, to reduce crisis situations, improve screening uptake and support patients to remain in their preferred place of care. Ultimately improving Cancer care across our PCN practice population. Detailed responsibilities Clinical Identify and coordinate the implementation and evaluation of treatment/interventions and care for patients with complex needs. Assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly. Liaise with wider MDT and support the management of both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols, and within scope of practice. Work with patients to support compliance with and adherence to prescribed treatments. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support the completion of Advanced care planning where appropriate including My care choice register, RESPECT forms and PPC documentation. Support practices with cancer patients that may rapidly decline and facilitate the right services to meet the patients needs. Work with other MDT to provide a holistic approach to the management of individuals needs for example referral to social prescribers or occupational therapists. Ensure accurate and legible notes of all consultations and treatments are recorded promptly in the patients notes on SystmOne/EMIS. To maintain infection control standards in varied and challenging environments in line with the organisations infection control policy and procedural guidance. To ensure the safety of patients, relatives, and colleagues and to report all incidents and near misses in line with the risk management policy. To remain up to date with all mandatory training. To maintain up-to-date knowledge of safeguarding adult and children guidance to ensure that those at risks of abuse/suffering abuse are identified and the necessary process to protect them is followed. To meet responsibilities as an employee as set out in the organisations corporate and clinical policies. Leadership Take responsibility for own continuing professional developmental learning, participate in self-evaluation and refection. Lead in the development of this role, focussing on the needs of the practice population. Working with other stakeholders to educate our population re cancer screening programmes and improving uptake of these. Develop the robust cancer care reviews within the practices ensuring the same quality is being delivered across our population. Including development of resource pack for all to refer to. Leading on Patient education events for health promotion. Be a role model for PCN and practice staff, promoting effective cancer care and supporting new ways of working. Take a lead on Cancer care in the wider development of the PCN and local and National agenda. Research Assist in clinical audit processes, supporting demonstration and analysis of Cancer care outcomes. Engage and evaluate peer, patient, and service evaluations. Use research and evidence-based practice to share ideas for improvements and efficiencies. Educational Act as a role model to peers and positively represent your profession, organisation, and NHS. Operate as an effective member of the PCN team. Support and educate patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care. Take responsibility for maintaining a record of own continuing professional development. Identify and communicate learning, training, and development needs. To recognise and understand the roles and responsibilities of individuals working in the wider PCN. Communication Liaise and interact with multi-professional teams across organisational boundaries, including primary care, social services and secondary care providers according to patient needs and appropriate care pathways. Maintain communication with all healthcare professionals and outside agencies to ensure seamless, patient-centre service provision. Ensure effective communication so that the patient receives the appropriate level of care and wherever possible to avoid unnecessary hospital admission. Communicate effectively with other team members. Communicate effectively with patients and carers, recognising their needs for alternative methods of communication. Positively communicate advice and guidance about health promotion and lifestyle change. Delicately and empathetically discuss sensitive topics. Health, safety and security Adopt a risk-assessment approach to all activities. Report perceived risks to the appropriate, responsible person. Adhere to the lone-worker policy. Ensure patient records are recorded and stored safely according to policy. Ensure that patient identifiable information, laptops, and smartcards are transported in line with the information governance policy. Quality Alert the Clinical Lead/other team members to issues of quality and risk in the care of patients. Ensure own actions are high quality and consistent with clinical governance. Practice in accordance with agreed standards of care. Enable patients to access appropriate professionals in the team. Ensure stock items under your control are replenished or reported, as appropriate. Be aware of practice-specific policies and procedures. Demonstrate effective time and work-load management. Equality and diversity Act in ways that recognises and respects patients choices and wishes. Respect the privacy, dignity, needs and beliefs of patients and carers. Understand basic legal and communication issues regarding abuse, violence, vulnerable adults, substance abuse and addictive behaviours. Information processes Record daily activities and information undertaken in an accurate and timely fashion using IT, as appropriate. Maintain accurate and contemporaneous electronic patient records on SystmOne/EMIS. Maintain the confidentiality of sensitive information relating to patients, relatives, staff and the practice. Maintain accurate and contemporaneous electronic patient records on SystmOne/EMIS. Omit patient-identifiable information, as appropriate when sharing data. This JD is not intended to be an exhaustive list of activities but rather an outline of the main areas of responsibility. The role is likely to evolve to meet the changing needs of the service.