Job summary
An opportunity has arisen to join our GI Late Effects team as a lead Clinical Nurse Specialist. This team is led by a consultant gastroenterologist alongside clinical fellows, a nurse consultant and specialist dieticians to support patients with complex GI symptoms related to their cancer treatment.
The role would involve assessing patients in the outpatient clinic setting (both NHS and private), arranging relevant investigations and reviewing results and treatment plans accordingly. You will also work alongside the colorectal CNS to triage and assess patients referred to the colorectal service with suspected cancer symptoms and arrange investigations and ongoing management accordingly. You will also act as the patients key contact in the late effects service and maintain the vision of the Royal Marsden.
Main duties of the job
- Clinical leadership to the nursing teams, maintaining credibility through practice and provide a high quality and safe patient service, which exceeds patient expectations.
- Routine management of patients with long term effects of their cancer treatment
- 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.
- Support the colorectal CNS with triaging "two week wait" patients and running the telephone triage clinics.
- Telephone triage of patients reporting side-effects / complications.
- Booking of routine and emergency investigations.
About us
The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital.
At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.
At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification:
- Uses best evidence, advanced specialist skills, knowledge, and expertise to provide expert clinical care.
- To integrate into the existing clinical structure and to support other professionals to manage the care of patients by collaborating with other principal team members.
- Carry out clinical procedures, e.g., cannulation, blood sampling and other procedures relevant to specialty.
- The CNS will order investigations (e.g., imaging, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams.
- Take responsibility for organising, undertaking, and interpreting investigations as appropriate to ensure patients are fit as possible for treatment where necessary discussing with the medical team
- To liaise with administrative staff, and other members of the MDT to optimise the smooth transition for the patient throughout their treatment pathway.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification:
- Uses best evidence, advanced specialist skills, knowledge, and expertise to provide expert clinical care.
- To integrate into the existing clinical structure and to support other professionals to manage the care of patients by collaborating with other principal team members.
- Carry out clinical procedures, e.g., cannulation, blood sampling and other procedures relevant to specialty.
- The CNS will order investigations (e.g., imaging, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams.
- Take responsibility for organising, undertaking, and interpreting investigations as appropriate to ensure patients are fit as possible for treatment where necessary discussing with the medical team
- To liaise with administrative staff, and other members of the MDT to optimise the smooth transition for the patient throughout their treatment pathway.
Person Specification
Education/Qualifications
Essential
- Registration (NMC)
- Diploma or Degree level study (or equivalent)
- Evidence of ongoing professional development
- Physical assessment skills module
- Qualification in gastroenterology or Post Graduate equivalent
- ILS
- Qualification in non-medical prescribing
- Master's degree in Advanced Practice or equivalent experience, or on pathway
Desirable
- Qualification in oncology specialty
- ALS
- Recognised teaching qualification
- Leadership qualification
- Experience in accreditation processes
Experience
Essential
- Significant post registration nursing experience in oncology and / or gastroenterology to be confident and competent in using the required skills to do the job.
- Recognised Advanced Nurse Practitioner skills including advanced assessment skills, selecting, and recommending appropriate diagnostic and therapeutic management.
- Excellent understanding and experience in the recognition and management of ongoing oncological conditions.
- Experience in a large complex organisation and/or NHS
- Knowledge of Oncology Services and related DH guidelines.
- Experience of change initiatives within and operational and clinical team
- Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders
Skills Abilities/knowledge
Essential
- Evidence of effective interpersonal skills with ability to liaise with multidisciplinary team members
- Ability to make decisions, prioritise and work under pressure
- Knowledge and understanding of quality issues
- Evidence of understanding the national policy
- Computer Literacy (eg: Microsoft Word and Outlook)
- Able to manage multiple and complex projects including tracking of plans and actions
- 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
- Able to present confidently and persuasively to small and large groups
- Able to present complex information appropriately to the Trust's Governance Committees
- Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings.
- Excellent organisational skills
- Excellent written and verbal communication skills
- Able to work flexibly as part of a team
- Highly proficient in the use of standard office software packages
- Ability to think innovatively in a work context
Person Specification
Education/Qualifications
Essential
- Registration (NMC)
- Diploma or Degree level study (or equivalent)
- Evidence of ongoing professional development
- Physical assessment skills module
- Qualification in gastroenterology or Post Graduate equivalent
- ILS
- Qualification in non-medical prescribing
- Master's degree in Advanced Practice or equivalent experience, or on pathway
Desirable
- Qualification in oncology specialty
- ALS
- Recognised teaching qualification
- Leadership qualification
- Experience in accreditation processes
Experience
Essential
- Significant post registration nursing experience in oncology and / or gastroenterology to be confident and competent in using the required skills to do the job.
- Recognised Advanced Nurse Practitioner skills including advanced assessment skills, selecting, and recommending appropriate diagnostic and therapeutic management.
- Excellent understanding and experience in the recognition and management of ongoing oncological conditions.
- Experience in a large complex organisation and/or NHS
- Knowledge of Oncology Services and related DH guidelines.
- Experience of change initiatives within and operational and clinical team
- Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders
Skills Abilities/knowledge
Essential
- Evidence of effective interpersonal skills with ability to liaise with multidisciplinary team members
- Ability to make decisions, prioritise and work under pressure
- Knowledge and understanding of quality issues
- Evidence of understanding the national policy
- Computer Literacy (eg: Microsoft Word and Outlook)
- Able to manage multiple and complex projects including tracking of plans and actions
- 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
- Able to present confidently and persuasively to small and large groups
- Able to present complex information appropriately to the Trust's Governance Committees
- Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings.
- Excellent organisational skills
- Excellent written and verbal communication skills
- Able to work flexibly as part of a team
- Highly proficient in the use of standard office software packages
- Ability to think innovatively in a work context
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
