Job summary MACMILLAN SECONDARD BREAST CANCER CLINICAL NURSE SPECIALIST PART TIME 22.5 HRS/30 HOURS PER WEEK, WORKING 3 DAYS / 4 DAYS ALTERNATE WEEKS Band 7 An exciting opportunity has arisen for an experienced cancer nurse to work as part of a job share, leading and developing the Macmillan Secondary Breast Cancer nursing service in line with national directive The post holder will be a core member of the breast cancer multi-disciplinary team, coordinating the patients' pathway, acting as the main point of contact, providing specialist information, advice and support from the point of diagnosis of secondary disease and throughout the illness experience. The post holder will be responsible for implementing the key elements of personalised care, ensuring patients are offered a Holistic Needs Assessment/Care Planning at keys stages in the pathway in line with national directives, have access to an End of Treatment Summaries after each modality of treatment and health and wellbeing to meet their individual needs. We would welcome applications from Registered Nurses with indepth knowledge and experience of caring for patients living with secondary breast cancer, have a Master's Degree, successfully completed the fundamentals of cancer care module at post graduate level or equivalent level of education/training, advance communication skills and trained to provide Level 2 psychological support Main duties of the job Interested applicants must be able to demonstrate excellent communication, assessment, problem solving and leadership skills, evidence of working as part of a multidisciplinary team and well as an autonomous practitioner. Being able to act as an independent prescriber or willingness to undertake is a requirement of the role. In return we can offer you a stimulating work environment with a commitment to multidisciplinary working and continuing professional development. The post holder will be a core member of the Breast Cancer Multidisciplinary Team, responsible for the provision of high quality, patient centred care; ensuring patients/carers living with secondary breast cancer have access to expert information, advice and support from the point of diagnosis of secondary disease The post holder will act as the main point of contact, using advance communication skills to co-ordinate the patients' pathway from the point of referral, liaising with members of the MDT, other healthcare professionals across primary secondary care and the voluntary sector to ensure a seamless service for patients and their families. Responsible for implementing personalised care for patients living with secondary breast cancer, ensuring patients have a HNA/Care Planning at key stages in the pathway in line with national directives and have access to health and wellbeing opportunities About us Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire. Our Excellence Values CompassionAccountabilityRespectIntegrityCourage We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities. We are a Defence positive trust, supporting our reservists, veterans, spouses and partners. The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ backgrounds as these are underrepresented in our hospitals. We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.We have active Networks that promote and support colleagues from all backgrounds. This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals. Date posted 04 February 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year pro rata Contract Permanent Working pattern Job share Reference number 265-6912535 Job locations Northampton General Hospital Billing Road Northampton NN1 5BD Job description Job responsibilities To undertake a comprehensive holistic assessment of patients needs (HNA) at key stages during the illness experience from the point of referral in line with National directives To attend significant outpatient consultations, acting as the patients advocate, communicating complex information with patients and their families To review inpatients admitted with complications related to their disease/treatment, influencingmanagement options and liaising with professionals across primary and secondary care to ensure safe effective discharge from hospital To agree a plan of care in consultation with the patient/family, ensuring a written copy is available for the patient. To attend the weekly cancer multidisciplinary team meeting, contributing to the discussion, providing expert nursing opinion on the patients assessment and care and advocating for the patient and family To screen patients for psychological distress using a recognised tool To be skilled in providing Level 2 psychological support for patients and their carers, referring patient with complex needs to the Macmillan Clinical Psychologist. To routinely discuss diagnosis and prognosis with patient and their family To provide specialist support for patients and their families, ensuring their physical, psychological, social, emotional and spiritual needs are identified and met. To lead on complex communication issues and co-ordinate the patients pathway acting as the main point of contact or responsible for nominating a main point of contact for the patient depending on their individual needs. To identify and met patient/carers specialist informational needs utilising the local Macmillan Information Centre, referring patients to the dedicated Cancer You Tube Channel to support selfmanagement strategies. Supports the development of patient focussed education, including specialist information and advice to self-manage ongoing consequences of treatment. To be skilled in identifying and addressing the palliative care needs of patients and their families, referring patients with complex needs to the Specialist Palliative Care Team To be skilled in identifying AMBER patents working with the multidisciplinary team to agree ceiling ofintervention. To be skilled in identifying the patients Preferred Place of Care at the appropriate point in the illness experience, communicating very sensitive information to patients/carers ensuing they have the opportunity to discuss their choice of where they wish to die where possible. Support the generation of an End of Treatment Summary for patients following each modality of treatment, ensuring their ongoing needs are identified and addressed. To respond to EAU alerts for patients with secondary breast cancer providing specialist information and support, co-ordinating their pathway from the point of admission To lead the development of specialist Health & Wellbeing events for patients living with secondary breast cancer, ensuring they are tailored to meet their individual needs To use advance communication skills to support patients in the development of an Advance Care Plan, identifying their preferences and wishes To initiate proactive telephone support for patients in the palliative stage of their disease, identifying new or progression of symptoms providing specialist advice and support To promote a culture that supports and enables self-management strategies. Utilise patient/carer experience feedback to drive innovation and change. Promote self-management, risk stratifying patients into who can self-manage following education, those who will need guided support to self-mange and those who will require ongoing face-to-face support in order to support people to live with cancer. To adhere to the NMC Code of Professional Conduct and other national regulations To participate in the formal review process and plan future personal development and competencies to be achieved, actively engaging with the learning and development opportunities offered by Macmillan. To act as a specialist resource for healthcare professionals relating to secondary breast cancer, providing expert nursing advice and support To promote collaborative working relationships and effective communication between all members of the breast cancer multidisciplinary team and across different boundaries of care To act as a role model demonstrating high standards of holistic care, providing clinical leadership in secondary breast cancer. To support the development of the Band 6 Macmillan Secondary Breast Cancer Nurse/Support Worker, contributing to the appraisal process and objective setting To become acquainted with the local and regional pathways for patients with secondary breast cancer including knowledge of contact points for referral and advice. Ensure that people affected by cancer are aware that they are interacting with a Macmillan Professional and know the full range of resources and services available through Macmillan. To demonstrate advance practice in planning, implementing and evaluating nursing care, documenting the outcomes of consultations in the hospital notes and on the Somerset database In all aspects of work, challenge and demonstrate an ability to work across organisational and professional boundaries. To identity own personal development needs to work at specialist level and take appropriate action to ensure that these are met To maintain a personal professional profile, demonstrating clear evidence for nursing revalidation Actively engages with Macmillan Cancer Support to contribute expertise and experience and support the Macmillan priorities. Demonstrate specialist skills in conflict resolution and negotiation skills when dealing with difficult or challenging situations To ensure the Macmillan service is development in line with National directives related to cancer care. To collect activity data to demonstrate the effectiveness of the specialist nursing service. To participate in Macmillan Service reviews, completing a SWAT analysis to highlight the effectiveness/challenges of the Macmillan Secondary breast Cancer service To actively seek feedback from patients/carers to inform service developments To lead the development of policies and clinical guidelines to enhance the specialist nursing service in line with national directives To promote the Macmillan Secondary Breast Cancer specialist nursing service through conferences and written papers To influence decisions regarding service delivery through participation in local, regional and national meetings To evaluate the effectiveness of the Macmillan Secondary Breast Cancer CNS service, implementing change to enhance the patient/carer experience To identify areas of practice this may be expanded to promote optimal care and the best outcomes for patients Develop specialist nurse led clinics, undertaking a holistic review of the patients following oncology treatment to support self-management strategies and early identification of recurrence of disease. To act as an independent nurse prescriber To initiate and be actively involved in nursing research/audit To promote best practice ensuring care in evidence based To demonstrate knowledge of the clinical trials available for patients living with secondary breast Job description Job responsibilities To undertake a comprehensive holistic assessment of patients needs (HNA) at key stages during the illness experience from the point of referral in line with National directives To attend significant outpatient consultations, acting as the patients advocate, communicating complex information with patients and their families To review inpatients admitted with complications related to their disease/treatment, influencingmanagement options and liaising with professionals across primary and secondary care to ensure safe effective discharge from hospital To agree a plan of care in consultation with the patient/family, ensuring a written copy is available for the patient. To attend the weekly cancer multidisciplinary team meeting, contributing to the discussion, providing expert nursing opinion on the patients assessment and care and advocating for the patient and family To screen patients for psychological distress using a recognised tool To be skilled in providing Level 2 psychological support for patients and their carers, referring patient with complex needs to the Macmillan Clinical Psychologist. To routinely discuss diagnosis and prognosis with patient and their family To provide specialist support for patients and their families, ensuring their physical, psychological, social, emotional and spiritual needs are identified and met. To lead on complex communication issues and co-ordinate the patients pathway acting as the main point of contact or responsible for nominating a main point of contact for the patient depending on their individual needs. To identify and met patient/carers specialist informational needs utilising the local Macmillan Information Centre, referring patients to the dedicated Cancer You Tube Channel to support selfmanagement strategies. Supports the development of patient focussed education, including specialist information and advice to self-manage ongoing consequences of treatment. To be skilled in identifying and addressing the palliative care needs of patients and their families, referring patients with complex needs to the Specialist Palliative Care Team To be skilled in identifying AMBER patents working with the multidisciplinary team to agree ceiling ofintervention. To be skilled in identifying the patients Preferred Place of Care at the appropriate point in the illness experience, communicating very sensitive information to patients/carers ensuing they have the opportunity to discuss their choice of where they wish to die where possible. Support the generation of an End of Treatment Summary for patients following each modality of treatment, ensuring their ongoing needs are identified and addressed. To respond to EAU alerts for patients with secondary breast cancer providing specialist information and support, co-ordinating their pathway from the point of admission To lead the development of specialist Health & Wellbeing events for patients living with secondary breast cancer, ensuring they are tailored to meet their individual needs To use advance communication skills to support patients in the development of an Advance Care Plan, identifying their preferences and wishes To initiate proactive telephone support for patients in the palliative stage of their disease, identifying new or progression of symptoms providing specialist advice and support To promote a culture that supports and enables self-management strategies. Utilise patient/carer experience feedback to drive innovation and change. Promote self-management, risk stratifying patients into who can self-manage following education, those who will need guided support to self-mange and those who will require ongoing face-to-face support in order to support people to live with cancer. To adhere to the NMC Code of Professional Conduct and other national regulations To participate in the formal review process and plan future personal development and competencies to be achieved, actively engaging with the learning and development opportunities offered by Macmillan. To act as a specialist resource for healthcare professionals relating to secondary breast cancer, providing expert nursing advice and support To promote collaborative working relationships and effective communication between all members of the breast cancer multidisciplinary team and across different boundaries of care To act as a role model demonstrating high standards of holistic care, providing clinical leadership in secondary breast cancer. To support the development of the Band 6 Macmillan Secondary Breast Cancer Nurse/Support Worker, contributing to the appraisal process and objective setting To become acquainted with the local and regional pathways for patients with secondary breast cancer including knowledge of contact points for referral and advice. Ensure that people affected by cancer are aware that they are interacting with a Macmillan Professional and know the full range of resources and services available through Macmillan. To demonstrate advance practice in planning, implementing and evaluating nursing care, documenting the outcomes of consultations in the hospital notes and on the Somerset database In all aspects of work, challenge and demonstrate an ability to work across organisational and professional boundaries. To identity own personal development needs to work at specialist level and take appropriate action to ensure that these are met To maintain a personal professional profile, demonstrating clear evidence for nursing revalidation Actively engages with Macmillan Cancer Support to contribute expertise and experience and support the Macmillan priorities. Demonstrate specialist skills in conflict resolution and negotiation skills when dealing with difficult or challenging situations To ensure the Macmillan service is development in line with National directives related to cancer care. To collect activity data to demonstrate the effectiveness of the specialist nursing service. To participate in Macmillan Service reviews, completing a SWAT analysis to highlight the effectiveness/challenges of the Macmillan Secondary breast Cancer service To actively seek feedback from patients/carers to inform service developments To lead the development of policies and clinical guidelines to enhance the specialist nursing service in line with national directives To promote the Macmillan Secondary Breast Cancer specialist nursing service through conferences and written papers To influence decisions regarding service delivery through participation in local, regional and national meetings To evaluate the effectiveness of the Macmillan Secondary Breast Cancer CNS service, implementing change to enhance the patient/carer experience To identify areas of practice this may be expanded to promote optimal care and the best outcomes for patients Develop specialist nurse led clinics, undertaking a holistic review of the patients following oncology treatment to support self-management strategies and early identification of recurrence of disease. To act as an independent nurse prescriber To initiate and be actively involved in nursing research/audit To promote best practice ensuring care in evidence based To demonstrate knowledge of the clinical trials available for patients living with secondary breast Person Specification Education, Training, Qualification Essential RN Level 1 Relevant Master's Degree or equivalent level of education, training or experience Fundamentals of Cancer Care module post graduate level or equivalent level of education or training Training to provide Level 2 Psychological Support Advanced communication skills training or equivalent level of education or training Rosalind Franklin Leadership program or equivalent level of education or training Registered independent nurse prescriber or willingness to undertake Knowledge & Expereince Essential In-depth knowledge and experience in caring for patients living with secondary breast cancer In-depth knowledge and experience in implementing the core domains of personalised care Experience of multi-professional working Leadership & Management Knowledge of the National Frameworks related to cancer care Experience of leading research/audit Understanding of Macmillan Cancer Support and its role across the UK Desirable Previous experience of working as a Clinical Nurse Specialist Skills Essential Excellent communication skills Advanced Assessment Skills Ability to work autonomously & as part of a multidisciplinary team Effective organisation and time management skills Ability to exercise initiative & implement change Problem solving skills Effective negotiation and interpersonal skills Analytical and IT skills Ability to develop policies, protocols & guidelines Desirable Effective report writing skills Person Specification Education, Training, Qualification Essential RN Level 1 Relevant Master's Degree or equivalent level of education, training or experience Fundamentals of Cancer Care module post graduate level or equivalent level of education or training Training to provide Level 2 Psychological Support Advanced communication skills training or equivalent level of education or training Rosalind Franklin Leadership program or equivalent level of education or training Registered independent nurse prescriber or willingness to undertake Knowledge & Expereince Essential In-depth knowledge and experience in caring for patients living with secondary breast cancer In-depth knowledge and experience in implementing the core domains of personalised care Experience of multi-professional working Leadership & Management Knowledge of the National Frameworks related to cancer care Experience of leading research/audit Understanding of Macmillan Cancer Support and its role across the UK Desirable Previous experience of working as a Clinical Nurse Specialist Skills Essential Excellent communication skills Advanced Assessment Skills Ability to work autonomously & as part of a multidisciplinary team Effective organisation and time management skills Ability to exercise initiative & implement change Problem solving skills Effective negotiation and interpersonal skills Analytical and IT skills Ability to develop policies, protocols & guidelines Desirable Effective report writing skills 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 Northampton General Hospital Address Northampton General Hospital Billing Road Northampton NN1 5BD Employer's website https://www.northamptongeneral.nhs.uk/Home.aspx (Opens in a new tab)