Job overview
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
1. Clinical leadership to the nursing teams, maintaining credibility through practice and provide a high quality and safe patient service, which exceeds patient expectations.
2. Routine management of patients with gastrointestinal (GI) cancers.
3. 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.
4. Support the MDU with queries and assess and appropriately manage unwell and deteriorating patients to stabilise and transfer patients appropriately.
5. Booking of routine and emergency investigations.
Detailed job description and main responsibilities
6. 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.
7. The ANP will manage patients living with and beyond their cancer.
8. Working with the GI CNS team and the Lead GI Nurse to provide support and advice to nursing, medical and allied health professionals.
9. To provide support and advice to patients and their carers relating to their disease, their cancer treatments chemotherapy, and any procedures.
10. To obtain informed consent from patients prior to starting their first anticancer systemic treatment and ongoing cycles of SACT.
Person specification
Education/Qualifications
Essential criteria
11. Registration (NMC)
12. Diploma or Degree level study (or equivalent)
13. Evidence of ongoing professional development
14. Physical assessment skills module
15. Qualification in oncology or Post Graduate equivalent
16. SACT passport or equivalent recognised chemotherapy module
17. ILS
18. Qualification in non-medical prescribing
19. Master’s degree in Advanced Practice or equivalent experience, or on pathway
Desirable criteria
20. ALS
21. Recognised teaching qualification
22. Leadership qualification
23. Experience in accreditation processes
Experience
Essential criteria
24. Significant post registration nursing experience in oncology or specialty to be confident and competent in using the required skills to do the job.
25. Recognised Advanced Nurse Practitioner skills including advanced assessment skills, selecting, and recommending appropriate diagnostic and therapeutic management.
26. Excellent understanding and experience in the recognition and management of ongoing oncological conditions.
27. Current experience in managing the deteriorating oncology patient, including the safe transfer of patients
28. Experience in a large complex organisation and/or NHS
29. Knowledge of Oncology Services and related DH guidelines.
30. Experience of change initiatives within and operational and clinical team
31. Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders
Skills Abilities/knowledge
Essential criteria
32. Evidence of effective interpersonal skills with ability to liaise with multidisciplinary team members
33. Ability to make decisions, prioritise and work under pressure.
34. Knowledge and understanding of quality issues
35. Evidence of understanding the national policy
36. Computer Literacy (eg: Microsoft Word and Outlook)
37. 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
38. Able to manage multiple and complex projects including tracking of plans and actions
39. Able to present confidently and persuasively to small and large groups
40. Able to present complex information appropriately to the Trust’s Governance Committees
41. Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings.
42. Excellent organisational skills
43. Excellent written and verbal communication skills
44. Able to work flexibly as part of a team
45. Highly proficient in the use of standard office software packages
46. Ability to think innovatively in a work context
The Royal Marsden values diversity and is committed to the recruitment and retention of underrepresented minority groups. We particularly welcome applications from Black, Asian and minority ethnic candidates, LGBTQ+ candidates and candidates with disabilities.
As a Disability Confident Employer, we are working to create a workplace that enables all staff to reach their full potential. We are committed to this because we know that greater diversity and inclusion will lead to an even greater positive impact for the people we serve.
Due to the high volumes of applications we receive, we reserve the right to close any adverts before the published closing date once we have received a sufficient number of applications. We advise you to submit your application as early as possible to prevent disappointment.
Flu Vaccination – What We Expect of our Staff
At The Royal Marsden we have an immune compromised patient population who we must protect as much as we can against the flu virus. Each year, seasonal flu affects thousands of people in the UK. Occurring mainly in winter, it is an infectious respiratory disease capable of producing symptoms ranging from those similar to a common cold, through to very severe or even fatal disease.
The wellbeing of our staff and patients is of the upmost importance to us, and it is the expectation of The Royal Marsden that all patient-facing staff have an annual flu vaccination, provided free of charge by the Trust.
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.