Chelsea and Westminster Hospital NHS Foundation Trust

Colorectal Cancer Clinical Nurse Specialist

The closing date is 23 February 2026

Job summary

We are delighted to be able to provide an opportunity to an ambitious and motivated colorectal clinical nurse specialist to focus on patients whom have been diagnosed with colorectal cancer.

The successful applicant will be the key professional supporting a caseload of patients and their families throughout their colorectal cancer journey and specifically at diagnosis, surgery and subsequent treatments. The CNS will often be the first professional to inform the patient of the cancer diagnosis so excellent knowledge of the disease, colorectal pathway and advanced communication skills are essential.

The role also demands excellent leadership, clinical, communication and interpersonal skills. You will be required to collaborate closely with all members of the multidisciplinary team both in and outside the Trust.

You will manage your own nurse led clinics and provide a high standard of care to all patients who attend your practice.

You will be joining a highly collaborative and well established colorectal nursing team and a proactive, solution orientated approach is essential.

Main duties of the job

Work cross site to support patients who have been diagnosed with colorectal cancer or are suspected to have colorectal cancer.

Requesting appropriate investigations in line with current guidelines

Develop the service to become more streamlined and efficient in a modern NHS

Collaborate with management, finance and IT to ensure clinics are set up efficiently and appropriately to align with other services

Formulate written information to provide to the patient groups

Refer patients to onward services when appropriate providing comprehensive information to other health professionals

Refer patients with confirmed Lynch syndrome to the genetics service out of the Trust

Prepare clinical information for MDT and work with MDT coordinator to ensure relevant patients are discussed

Attend weekly colorectal MDT meeting presenting patients when required and regularly contributing to the discussion

Record clinic activity so it is possible to look at trends in annual activity on current data

Utilising advanced communication skills to manage episodes of care in a timely and reassuring manner

About us

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children's services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven't heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation. Some roles may require weekend shifts at multiple sites.

Details

Date posted

11 February 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum plus HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

289-PC-153

Job locations

West Middlesex Hospital

Twickenham Road

Isleworth

TW7 6AF


Job description

Job responsibilities

Key working relationships

Colorectal MDT

Colorectal consultants

Consultant oncologist

Specialist Palliative care Team

Lead Nurse for Cancer

Cancer Manager

Cancer CNS team across both sites

RM Partners

MDT coordinators

Genetics service Central Middlesex Hospital

Physiotherapy department

Roles and responsibilities Clinical Knowledge and practice/Leadership

Conduct a nurse led clinic including the development of written protocols based on national standards, arranging investigations, reviewing results, diagnosing and referring back to a medical team as appropriate.

Demonstrate specialist skills and knowledge through expert evidence based nursing practice

Maintain a high level profile in the clinical area, acting as a role model for other health care professionals

Develop written protocols and operational policy to support the autonomous practice of a specialist nurse conducting nurse led clinics.

Develop a deep understanding and broad knowledge of colorectal cancer and apply to patient assessment

Participate in advanced communication skills while listening and talking to patients and their significant relationships.

Utilise other members of the MDT when appropriate to facilitate comprehensive holistic assessment and care to patients

To provide professional clinical leadership and expertise to other nursing staff.

Conduct periodic audits for reporting as required nationally and within the Trust

Education/Leadership

Promote patient/carer independence through the provision of relevant teaching and support.

Participate in and organise study days/education programmes.

Develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.

Proactively involve patients and public to comment on the service and influence relevant changes

Ensure the provision of appropriate written information is available to patients and staff.

Participate in the Trusts ongoing educational programmes.

Liaise with other charities, organisations and agencies dedicated to colorectal cancer, LARS and Lynch syndrome.

Promote bowel cancer awareness by participating in campaigns

Research/Audit/ Quality

Utilise up-to-date research findings in the delivery of patient care and to disseminate this knowledge to all members of the multidisciplinary team.

Participate as appropriate in relevant research studies and audit findings and disseminate these findings to clinical practice as appropriate in order to develop best practice.

Identify opportunities for nursing research within own specialist area and carry out nursing research appropriate to the speciality.

Regularly audit service including eliciting the views of patients, carers and professionals ensuring patient feedback is incorporated into developments in the service.

Attend relevant departmental and Directorate and network meetings relating to clinical governance and to contribute to the clinical governance agenda.

Management

Liaise with other members of the team to ensure that there is an efficient use of resources, human, financial and time.

Ensure that there is a safe and acceptable environment for clients/patient.

Act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills.

Personal development

Demonstrates continuous evaluation and reflection of own practice and make changes where appropriate.

Participate in the already established reflective practice meeting with the colorectal nursing team

Takes personal responsibility for life-long learning and personal development through clinical supervision, appraisal and appropriate professional and Trust standards / frameworks for skills and behaviours.

Be accountable for own training and development needs, including compliance with Trust mandatory and statutory training requirements.

Actively engage and identify opportunities for own learning and development, including accredited training as appropriate.

Ensure compliance with best practice and NICE guidance in relation to patient pathways, and supports junior colleagues in achieving compliance.

Promote patient participation in decision making and enable their informed choice of appointments in line with trust booking policy.

Undertake other duties as appropriate to the grade at the request of the line manager and/ or Trust that may be required from time to time.

Participate in annual review of the role and JD, and modify as required to meet the evolving nature of the post.

Collaboration/ Consultancy

Work in a collaborative manner with all members of the multidisciplinary team and other health care professionals recognising the unique contribution of other disciplines and appropriately referring.

Recognise own limitations and seek advice and support on referrals.

Act as a resource within the Trust and to participate in Trust-wide professional groups as appropriate.

Represent the Trust locally and nationally, participating in and speaking at conferences.

Act as a resource to primary care teams, attending meetings organised by the PCT as appropriate.

Provide specialist advice and support related to the purchasing and commissioning of resources/services.

Act in an advisory/ collaborative role with senior management in issues relating to the specialty

Act as a specialist resource for the management of patients.

Person specification

Job title

Colorectal Cancer Clinical Nurse Specialist

Band

7

Division

Planned Care

Evidence for suitability in the role will be measured via a mixture of application form, testing and interview.

E = essentialD = desirable

Trust values

Puttingpatients first

E

Responsive to patients and staff

E

Open and honest

E

Unfailingly kind

E

Determined to develop

E

Education and qualifications

Registered Nurse Qualification

E

Degree Level education

E

Post registration education in relevant specialty

E

Teaching Qualification

E

Working towards a masters

D

Experience

Experience of working with patients with colorectal cancer

E

Experience of working with other multidisciplinary members

E

Autonomous working

D

Delivering educational seminars to other staff

D

Experience of working with electronic patient records

E

Skills and knowledge

Demonstrate initiative

E

Systematic working and documentation

E

Excellent communication skills

E

IT literate

E

Ability to plan and prioritise own workload

E

Demonstrates understanding of cancer waiting targets

E

Collaborates well in a multidisciplinary team

E

Demonstrates knowledge of colorectal cancer surgery

E

Personal qualities

Flexible and adaptable in approach when required

E

Works well under pressure and in stressful situations

E

Approachable

E

Motivated and enthusiastic

E

Excellent communication skills

E

Teamplayer

E

Job description

Job responsibilities

Key working relationships

Colorectal MDT

Colorectal consultants

Consultant oncologist

Specialist Palliative care Team

Lead Nurse for Cancer

Cancer Manager

Cancer CNS team across both sites

RM Partners

MDT coordinators

Genetics service Central Middlesex Hospital

Physiotherapy department

Roles and responsibilities Clinical Knowledge and practice/Leadership

Conduct a nurse led clinic including the development of written protocols based on national standards, arranging investigations, reviewing results, diagnosing and referring back to a medical team as appropriate.

Demonstrate specialist skills and knowledge through expert evidence based nursing practice

Maintain a high level profile in the clinical area, acting as a role model for other health care professionals

Develop written protocols and operational policy to support the autonomous practice of a specialist nurse conducting nurse led clinics.

Develop a deep understanding and broad knowledge of colorectal cancer and apply to patient assessment

Participate in advanced communication skills while listening and talking to patients and their significant relationships.

Utilise other members of the MDT when appropriate to facilitate comprehensive holistic assessment and care to patients

To provide professional clinical leadership and expertise to other nursing staff.

Conduct periodic audits for reporting as required nationally and within the Trust

Education/Leadership

Promote patient/carer independence through the provision of relevant teaching and support.

Participate in and organise study days/education programmes.

Develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.

Proactively involve patients and public to comment on the service and influence relevant changes

Ensure the provision of appropriate written information is available to patients and staff.

Participate in the Trusts ongoing educational programmes.

Liaise with other charities, organisations and agencies dedicated to colorectal cancer, LARS and Lynch syndrome.

Promote bowel cancer awareness by participating in campaigns

Research/Audit/ Quality

Utilise up-to-date research findings in the delivery of patient care and to disseminate this knowledge to all members of the multidisciplinary team.

Participate as appropriate in relevant research studies and audit findings and disseminate these findings to clinical practice as appropriate in order to develop best practice.

Identify opportunities for nursing research within own specialist area and carry out nursing research appropriate to the speciality.

Regularly audit service including eliciting the views of patients, carers and professionals ensuring patient feedback is incorporated into developments in the service.

Attend relevant departmental and Directorate and network meetings relating to clinical governance and to contribute to the clinical governance agenda.

Management

Liaise with other members of the team to ensure that there is an efficient use of resources, human, financial and time.

Ensure that there is a safe and acceptable environment for clients/patient.

Act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills.

Personal development

Demonstrates continuous evaluation and reflection of own practice and make changes where appropriate.

Participate in the already established reflective practice meeting with the colorectal nursing team

Takes personal responsibility for life-long learning and personal development through clinical supervision, appraisal and appropriate professional and Trust standards / frameworks for skills and behaviours.

Be accountable for own training and development needs, including compliance with Trust mandatory and statutory training requirements.

Actively engage and identify opportunities for own learning and development, including accredited training as appropriate.

Ensure compliance with best practice and NICE guidance in relation to patient pathways, and supports junior colleagues in achieving compliance.

Promote patient participation in decision making and enable their informed choice of appointments in line with trust booking policy.

Undertake other duties as appropriate to the grade at the request of the line manager and/ or Trust that may be required from time to time.

Participate in annual review of the role and JD, and modify as required to meet the evolving nature of the post.

Collaboration/ Consultancy

Work in a collaborative manner with all members of the multidisciplinary team and other health care professionals recognising the unique contribution of other disciplines and appropriately referring.

Recognise own limitations and seek advice and support on referrals.

Act as a resource within the Trust and to participate in Trust-wide professional groups as appropriate.

Represent the Trust locally and nationally, participating in and speaking at conferences.

Act as a resource to primary care teams, attending meetings organised by the PCT as appropriate.

Provide specialist advice and support related to the purchasing and commissioning of resources/services.

Act in an advisory/ collaborative role with senior management in issues relating to the specialty

Act as a specialist resource for the management of patients.

Person specification

Job title

Colorectal Cancer Clinical Nurse Specialist

Band

7

Division

Planned Care

Evidence for suitability in the role will be measured via a mixture of application form, testing and interview.

E = essentialD = desirable

Trust values

Puttingpatients first

E

Responsive to patients and staff

E

Open and honest

E

Unfailingly kind

E

Determined to develop

E

Education and qualifications

Registered Nurse Qualification

E

Degree Level education

E

Post registration education in relevant specialty

E

Teaching Qualification

E

Working towards a masters

D

Experience

Experience of working with patients with colorectal cancer

E

Experience of working with other multidisciplinary members

E

Autonomous working

D

Delivering educational seminars to other staff

D

Experience of working with electronic patient records

E

Skills and knowledge

Demonstrate initiative

E

Systematic working and documentation

E

Excellent communication skills

E

IT literate

E

Ability to plan and prioritise own workload

E

Demonstrates understanding of cancer waiting targets

E

Collaborates well in a multidisciplinary team

E

Demonstrates knowledge of colorectal cancer surgery

E

Personal qualities

Flexible and adaptable in approach when required

E

Works well under pressure and in stressful situations

E

Approachable

E

Motivated and enthusiastic

E

Excellent communication skills

E

Teamplayer

E

Person Specification

Education/Qualifications

Essential

  • Registered Nurse Qualification
  • Degree level Qualification
  • Course relevant to colorectal cancer

Desirable

  • Masters level
Person Specification

Education/Qualifications

Essential

  • Registered Nurse Qualification
  • Degree level Qualification
  • Course relevant to colorectal cancer

Desirable

  • Masters level

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

West Middlesex Hospital

Twickenham Road

Isleworth

TW7 6AF


Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

West Middlesex Hospital

Twickenham Road

Isleworth

TW7 6AF


Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Lead Colorectal Cancer Clinical Nurse Specialist

Martina Cusack

Martina.cusack@nhs.net

02083215343

Details

Date posted

11 February 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,810 to £54,710 a year per annum plus HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

289-PC-153

Job locations

West Middlesex Hospital

Twickenham Road

Isleworth

TW7 6AF


Supporting documents

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