Bedfordshire Hospitals NHS Foundation Trust
Prospective and proactive management of the inter-trust cancer pathway, monitoring, reporting and tracking cancer patients, ensuring that the patient's journey is processed in a timely and efficient manner, in line with the SSG agreed pathway and with the Cancer Waiting Times Targets.
Resolving delays in the pathway at the earliest opportunity and where this is not possible escalating issues in accordance with Trust and network procedures.
Main duties of the job
1. To navigate patients through their care pathway, from point of referral to treatment, in accordance with the pathway steps and timescales agreed by the SSG. Using hospital IT systems of reporting including PAS, endoscopy reporting systems, radiology reporting systems and histology.
2. To proactively pre-book appointments in accordance with the SSG agreed pathway ensuring that wherever possible patients reach each step in accordance with SSG agreed pathway timescales.
3. To escalate diagnostic appointments for target patients, (if booked outside the appropriate timescale).
4. To proactively identify and resolve delays at all stages in the patient pathway. Where this is not possible, to follow the escalation procedure and network policy for inter-trust transfers, highlighting any relevant issues to line Management.
5. To ensure that patients who require transfer to a tertiary centre are transferred in accordance with the network and SSG agreed timescales, using the appropriate SMDT referral proforma. Making sure that the SMDT referral proforma is complete and sent to the centre within 24 hours of the clinical decision to refer the patient and that all the clinical information as specified by the SSG is transferred within agreed timescales.
6. To highlight any bottlenecks within the process, communicating regularly with line management, and where possible suggesting and implementing solutions.
7. To liaise with other Trusts both within the Network and outside, in order to achieve continuous monitoring of the patients pathway.
8. To identify and advise clinical teams on when waiting times adjustments can be made to the patient journey, ensuring these are accurately documented.
9. To ensure that the room is booked and prepared prior to the S/LMDT, schedule future dates for S/LMDT meetings and ensure a suitable venue is booked on an annual basis.
10. To assist in the preparation of patients lists for S/LMDT, collating information provided by Lead Clinicians, nurse specialists and medical secretaries. To ensure that all members are advised of meetings and any change of date, venue, etc.
11. To oversee that all clinical information is available including patients notes, images and results, in order to support and ensure a smooth running S/LMDT and to facilitate timely clinical decision making.
12. To attend allocated S/LMDT meetings, keeping comprehensive records of attendance and outcomes. To provide reports as requested, including Peer Review. To maintain up-to-date membership lists.
13. To manage systems to inform GPS of patient diagnosis and treatment decision taken at S/LMDT.
14. To ensure that any investigations, treatments and any other actions from the S/LMDT are booked in a timely manner, avoiding any delay in the process.
15. To ensure that the compulsory cancer data sets are completed.
16. To liaise with the relevant clinical teams to ensure quality of data collected.
17. To attend the S/LMDT(s) and complete appropriate data collection at the meeting and after, in particular ensuring accurate recording of clinical decisions.
18. To request patients notes to gain further accurate information when completing outcomes.
19. To maintain the national Audit datasets for the S/LMDT.
20. To respond to new reporting requirements as required.
21. To collect additional cancer dataset items as and when they become either mandatory or required by Cancer Service Manager, lead Clinicians and Trust Management.
22. Analyse patient journeys for all patients who breach the 62 or 31 day cancer targets, including patients treated at another Trust, reporting findings to the cancer manager and S/LMDT lead clinicians.
23. As an ongoing process consider opportunities for improvements in the co-ordination of the pathway and in the efficient transfer of patients and information between Trusts.
24. To support the Cancer Services Peer Review, Cancer Service Improvement Partnership and other quality improvement processes within Cancer Services.
25. To provide cover for absent colleagues to ensure a smooth running service.
26. To undertake related training as required.
27. To develop a good working knowledge of anatomy, terminology, treatment types, medical coding and pathology relating to cancer. (To attend relevant courses as required).
28. To assist in Cancer Services related projects within the Trust and to raise awareness of the Cancer waiting Times targets.
29. To undertake additional information requests and associated duties as and when required.
Person Specification
Qualifications
* Good standard of general education.
* General administration.
* GCSE Math & English (or equivalent).
* IT skills equivalent to RSA2, NVQ2 or relevant experience of Microsoft Word Packages.
Experience
* Minimum 3 years NHS experience, or NVQ 3 plus experience.
* Ability to prioritise own workload.
* Good time management.
* Experience of data collection and analysis.
* Good computer skills including use of all Microsoft Office Packages.
* Minute/note taking.
* Knowledge of other computer software packages.
Knowledge
* Excellent communication skills (written and oral).
* Able to work on own initiative.
* Ability to work effectively under pressure and meet tight deadlines.
* Strong organisational skills.
* Analytical skills.
* Working knowledge of Databases.
* Knowledge of service improvement.
* Evidence of good attendance and timekeeping.
* Knowledge of patient administration system (PAS).
* Knowledge of clinical terminology.
* Knowledge of Health Service Circular (HSC) on Cancer performance targets.
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.
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