Job summary
An exciting opportunity has arisen for an Advanced Nurse Practitioner (ANP) to join our Acute Oncology Service (AOS) and Systemic Anti-Cancer Treatment (SACT) team. With support from experienced nursing and medical mentors, the postholder will work autonomously across the Private Patients Medical Day Unit at Cavendish Square and the AOS team at Chelsea.
This dynamic role includes advanced assessments of patients receiving SACT and those acutely unwell with oncological complications. The ANP will perform pre-treatment reviews, take histories, perform examinations, request and interpret investigations (e.g. bloods, imaging), and prescribe SACT and supportive care.
Within AOS, the ANP plays a key role in early recognition and management of acute deterioration, delivering timely interventions to prevent unplanned admissions and support safe discharge. The role enhances patient outcomes through rapid assessment and continuity of care.
Main duties of the job
The Royal Marsden operates across two main centres--Chelsea and Sutton--as well as a Private Diagnostics and Treatment Centre at Cavendish Square. This post offers a unique opportunity to work across both the Private Patients Medical Day Unit and the Acute Oncology Service (AOS), delivering expert care within two highly specialised environments.
The role is well-supported by an established team of ANPs and Specialist Doctors, fostering strong collaborative practice within a multidisciplinary setting. The successful candidate will contribute to service development, patient flow, and pathway optimisation across both sites, ensuring patients receive timely, safe, and effective care.
As part of this role, the ANP will be involved in complex decision-making, early escalation of complications, and coordination of care for patients undergoing cancer treatment. The post also provides opportunities to contribute to audit, teaching, and quality improvement initiatives aligned with national frameworks such as ACCEND and AOS measures. This is a progressive and influential role for an experienced or aspiring ANP looking to shape advanced practice in oncology and acute care.
Please note: This post is offered in line with NHS Agenda for Change terms and conditions, including access to the NHS Pension Scheme and a comprehensive range of staff benefits.
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:
The ANP will order investigations (e.g. X Rays, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RMH Chelsea).
Take responsibility for organising, undertaking and interpreting investigations, as appropriate, to ensure patients are fit as possible for treatment where necessary discussing with the Consultant.
Provide visible clinical leadership and expert evidence-based care through advanced assessment, diagnosis, and management of acutely unwell oncology patients; admit or discharge as appropriate in AOS, and request, interpret, and act upon diagnostic investigations in line with agreed protocols.
Review and prescribe medication in a timely manner ensuring it is within own level of knowledge and competence and within the scope of the Trusts Policy for Non-Medical Prescribing qualification.
Following protocol, ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff.
To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice.
Applications are also welcome from individuals who do not yet meet all the essential criteria. In line with the ACCEND framework, such applicants may be considered for a Band 7 trainee role, with a structured development plan and supervision to support progression to a full Advanced Practice position. If they remain with the organisation and are subsequently offered a permanent post, continued development and progression to Band 8a will be supported.
We welcome and encourage informal visits or conversations about this opportunity. Please contact the Lead Nurse, Salma Roy, to arrange a suitable time.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification:
The ANP will order investigations (e.g. X Rays, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RMH Chelsea).
Take responsibility for organising, undertaking and interpreting investigations, as appropriate, to ensure patients are fit as possible for treatment where necessary discussing with the Consultant.
Provide visible clinical leadership and expert evidence-based care through advanced assessment, diagnosis, and management of acutely unwell oncology patients; admit or discharge as appropriate in AOS, and request, interpret, and act upon diagnostic investigations in line with agreed protocols.
Review and prescribe medication in a timely manner ensuring it is within own level of knowledge and competence and within the scope of the Trusts Policy for Non-Medical Prescribing qualification.
Following protocol, ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff.
To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice.
Applications are also welcome from individuals who do not yet meet all the essential criteria. In line with the ACCEND framework, such applicants may be considered for a Band 7 trainee role, with a structured development plan and supervision to support progression to a full Advanced Practice position. If they remain with the organisation and are subsequently offered a permanent post, continued development and progression to Band 8a will be supported.
We welcome and encourage informal visits or conversations about this opportunity. Please contact the Lead Nurse, Salma Roy, to arrange a suitable time.
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 oncology or Post Graduate equivalent
- SACT passport or equivalent recognised chemotherapy module
Desirable
- ILS/ALS
- Recognised teaching qualification
- Leadership qualification
- Experience in accreditation processes
- Qualification in non-medical prescribing
- Master's degree in Advanced Practice
Experience
Essential
- Significant post registration nursing experience in oncology or speciality to be confident and competent in using the required skills to do the job.
- Recognised Advanced Nurse Practitioner skills including advanced assessment skills, electing and recommending appropriate diagnostic and therapeutic management.
- Excellent understanding and experience in the recognition and management of oncological emergencies.
- Current experience in managing the deteriorating oncology patient, including the safe transfer of patients
- Experience in a large complex organisation and/or NHS
- Knowledge of the Acute Oncology Service and related DH guidelines.
- Good understanding of the clinical and non-clinical aspects of an International service model
- 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 particular 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 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 manage multiple and complex projects including tracking of plans and actions
- 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 cross all sites
- 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 oncology or Post Graduate equivalent
- SACT passport or equivalent recognised chemotherapy module
Desirable
- ILS/ALS
- Recognised teaching qualification
- Leadership qualification
- Experience in accreditation processes
- Qualification in non-medical prescribing
- Master's degree in Advanced Practice
Experience
Essential
- Significant post registration nursing experience in oncology or speciality to be confident and competent in using the required skills to do the job.
- Recognised Advanced Nurse Practitioner skills including advanced assessment skills, electing and recommending appropriate diagnostic and therapeutic management.
- Excellent understanding and experience in the recognition and management of oncological emergencies.
- Current experience in managing the deteriorating oncology patient, including the safe transfer of patients
- Experience in a large complex organisation and/or NHS
- Knowledge of the Acute Oncology Service and related DH guidelines.
- Good understanding of the clinical and non-clinical aspects of an International service model
- 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 particular 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 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 manage multiple and complex projects including tracking of plans and actions
- 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 cross all sites
- 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.
