The Acute Oncology (AOS) and Cancer of Unknown Primary (CUP) Clinical Nurse Specialist (CNS) at the Royal Free London will work collaboratively with other members of the team to deliver a comprehensive acute oncology service.
The successful candidate will provide specialist nursing advice and support for patients with an actual diagnosis of cancer or when cancer is initially suspected, from their period of investigation, diagnosis, treatment and possible transition into palliative care. They will assess oncology patients both in the emergency department and in our acute oncology assessment unit.
The post will incorporate the Clinical Nurse Specialist (CNS) role dimensions of expert clinical practice, education, leadership, management and research. The post holder will be required to work with clinical, operational, information and administrative staff across all levels of seniority within the acute Trust. The postholder will be based at Barnet Hospital but is expected to cross cover at the Royal Free Hospital when required.
We will consider appointing a SACT trained nurse into this post at band 6 and provide training and development
Main duties of the job
1. Support team working and collaboration within the Acute Oncology team and the wider team across the Royal Free and Barnet hospital.
2. Liaise with all key members of the multidisciplinary team to advise and support colleagues in the delivery of specialised patient care within the remit of Acute Oncology.
3. Work autonomously to deliver specialist clinical care appropriate to the needs of the patient group and based on principles that are research based and which enhance the quality of patient care.
4. Review and assess patients daily who are attending ED and those who are admitted to inpatient wards.
5. Support ED to ensure that patients with suspected neutropenia have antibiotics within the door to needle time and audit this on a regular basis.
6. Contribute to the facilitation of the planning, delivery, and evaluation of care pathways for a designated group of patients.
7. Contribute to training and education within specialist area to multidisciplinary groups.
8. Act as the key worker for the suspected CUP patients and coordinate their investigations and information needs to ensure a smooth pathway, remaining as their CNS throughout the disease trajectory.
9. Respond to National Cancer patient survey and adapt the service accordingly to ensure that CUP patients feel supported.
10. Lead and facilitate audit in line with national Acute Oncology requirements.
11. Ensure the quality of the Acute Oncology service, CUP service and MSCC service through the application of audit and research evidence-based practice.
About us
Equality and Diversity
The Trust values equality and diversity in employment and in the services we provide. It is committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that the job related needs of all staff working in the Trust are recognised. The Trust aims to ensure that all job applicants, employees or clients are treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be on the basis of the individual's ability to meet the requirements for the job.
Job responsibilities
The Clinical Nurse Specialist will be required to:
1. Support the Macmillan Lead Acute Oncology Nurse to deliver and evaluate the service delivery model.
2. Provide Acute Oncology CNS support to Multidisciplinary teams across the Royal Free and Barnet hospitals.
3. Deliver an Acute Oncology service across both Royal Free and the Barnet hospital sites when required.
4. Support the development of an acute Oncology assessment service at the Royal Free site.
5. Work within sphere of confidence, and seek support and education to extend the band 7 CNS role with additional skills in Advanced Clinical Assessment.
6. Carry the acute Oncology emergency phone, answer and triage patient calls and advise accordingly, communicating with the patients oncology team when required.
7. Ensure that patients that have called the Oncology Helpline out of hours are called back and followed up accordingly.
8. Monitor the quality of telephone triage and provide education and training.
9. Act as a visible role model and specialist practitioner.
10. Support patients in the CUP oncology clinic, and work alongside the lead CUP Oncology consultant and the medical oncology team.
11. Ensure that Confirmed CUP patients have a holistic needs assessment.
12. Develop and provide CUP patient nurse led support clinics to ensure proactive support.
13. Act as the Malignant spinal cord compression coordinator and support teams to ensure that patients with suspected MSCC and confirmed MSCC are cared for as per National NICE guidance and in line with the local operational policy.
14. Promote an innovative and progressive attitude to the continual improvement of patient care through reviewing the evidence base and embedding this in practice through engagement in research activities.
Person Specification
Education and professional qualifications
* Recognised teaching or mentorship qualification.
* Post registration qualification relevant to specialty.
* Advanced communication skills.
* Substantial post-registration experience in area of specialty.
* Previous experience of research and audit.
* Undertaken nurse led clinics.
* Evidence of teaching junior members of staff.
* Proven evidence of improving the patient experience.
* Experience of line management of staff.
* Expert specialist skills for the post.
* Knowledge of current advances and pathways of care relevant to specialty.
* Masters degree or working towards.
* Advanced assessment skills or willingness to undertake.
* Independent nurse prescribing course or willingness to undertake.
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.
£51,883 to £58,544 a year per annum pro rata inclusive of HCAS.
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