Job summary
Colorectal Cancer STT CNS, Band 7
Chelsea & Westminster NHS Foundation Trust invites applications for an exciting role in our Cancer CNS team for a Colorectal/GI Nurse Specialist based at our Chelsea site.
We are looking for an experienced Nurse who is committed to delivering excellent patient care and who takes pride in what they do and will work within the cancer nursing team to improve and enhance the colorectal cancer patient journey. As an experienced nurse you will work alongside nursing and medical colleagues in surgery and oncology to facilitate the best experience and care for individuals with suspect and confirmed diagnosis' of colorectal cancer.
A background in colorectal nursing/ Cancer / Oncology would be advantageous to the applicant. Excellent communication skills are essential, an ability to prioritise workload, whilst working as part of a team is also essential.
The post holder is expected to develop this role in accordance with the framework for Nurses in Specialist Practice as identified by Hamric, Spross & Hanson and the Trust's Competency Framework for Specialist and Advanced Practice Roles.
The requirements of this post will have more focus on the diagnostic part of the cancer pathway. The nursing workload will be share across the CNS team.
Main duties of the job
The Clinical Nurse Specialist (CNS) functions within a field of practice that focuses on the needs of the patient and encompasses interaction with others in delivering nursing, health and social care.
The CNS promotes excellence in nursing practice through the integration of expert clinical practice, education, consultancy, acting as a resource and commitment to nursing research. The post holder will work closely with the Urology CNS team across the patient pathway.
The post holder will contribute to the on-going role in the development of the service for patients with suspected or confirmed colorectal cancers. This will include developing protocols; setting up; and running a nurse led clinics (face to face/Virtual/telephone) for assessment and follow up care. The post holder will be the key professional involved in leading the triage assessment service which includes vetting referrals, telephone assessments and requesting appropriate investigations on this assessment.
The post holder will also participate in the education of all disciplines of staff working with this patient group and act as an expert resource to other professionals involved in the care of these patients. They will work to ensure that cancer specific guidelines are adhered to and Department of Health standards are maintained.
About us
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals,Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.Both hospitals provide full clinical services, including full maternity, emergency and children's,in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe,effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminsterand are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job description
Job responsibilities
Expert Clinical Practice/Leadership
- To provide expert nursing advice to patients with suspected colorectal GI malignancies over the phone or face to face where necessary.
- To demonstrate specialist skills and knowledge through expert nursing practice.
- To liaise with all relevant members of the multidisciplinary team in the care and support of individual patients including GPs.
- To maintain a high profile in the clinical area, acting as a role model for other health care professionals.
- To facilitate individualised patient care based upon the principles of evidence based practice.
- To act as a liaison nurse between investigations until patient is diagnosed with cancer or referred back to GP.
- To hold a nurse led clinic, including the development of written protocols based on national standards, triaging or following up suspected colorectal cancer patients, arranging investigations, reviewing results, diagnosing and referring back to a medical team as appropriate.
- To refer patients diagnosed with colorectal cancer for on-going support.
- To work in close collaboration with all members of the MDT.
- To provide professional clinical leadership and expertise to other nursing staff.
- To work as part of the Colorectal Cancer Clinical Nurse specialist wider team, rotating responsibilities to ensure cover of the entire patient pathway including post diagnostic care and support.
Education/Leadership
- To promote patient/carer independence through the provision of relevant teaching and support.
- To participate in and organise study days/education programmes.
- To develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.
- To embed patient and public involvement within the sphere of practice, seeking and acting on patient feedback of the triage assessment service.
- To ensure the provision of appropriate written information is available to patients and staff.
- To participate in the Trusts on-going educational programmes.
- To liaise with other organisations, charities and agencies dedicated to colorectal cancer.
Research/Audit/Quality
- To utilise up-to-date research findings in the delivery of patient care and to disseminate this knowledge to all members of the multidisciplinary team.
- To 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.
- To identify opportunities for nursing research within own specialist area and carry out nursing research appropriate to the speciality.
- To regularly audit service including eliciting the views of patients, carers and professionals ensuring patient feedback is incorporated into developments in the service.
- To attend relevant departmental and Directorate and network meetings relating to clinical governance and to contribute to the clinical governance agenda.
Management
- To liaise with other members of the team to ensure that there is an efficient use of resources (human, financial and time).
- To ensure that there is a safe and acceptable environment for clients/patient.
- To act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skill
Personal Development
1. Demonstrate continuous evaluation and reflection of own practice and make changes where appropriate
- Take personal responsibility for life-long learning and personal development through clinical supervision, appraisals 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.
- Ensure compliance with best practice and NICE guidance in relation to patient pathways and support 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.
- Take personal responsibility for life-long learning and personal development through clinical supervision, appraisals 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.
- Ensure compliance with best practice and NICE guidance in relation to patient pathways and support 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 reviews of the role and JD and modify as required to meet the evolving nature of the post.
Collaboration/Consultancy
- To work in a collaborative manner with all members of the multidisciplinary team recognising the unique contribution of other disciplines and appropriately referring.
- To recognise own limitations and seek advice and support on referrals.
- To act as a resource within the Trust and to participate in Trust-wide professional groups as appropriate.
- To represent the Trust locally and nationally, participating in and speaking at conferences.
- To work in a collaborative manner with local primary care teams.
- To act as a resource to primary care teams, attending meetings organised by the PCT as appropriate.
- To provide specialist advice and support related to the purchasing and commissioning of resources/services.
- To act in an advisory / collaborative role with senior management in issues relation to the specialty.
- To act as a specialist resource for the management of patients.
PLEASE SEE JOB DESCRIPTION FOR FULL DUTIES OF THE POST
Job description
Job responsibilities
Expert Clinical Practice/Leadership
- To provide expert nursing advice to patients with suspected colorectal GI malignancies over the phone or face to face where necessary.
- To demonstrate specialist skills and knowledge through expert nursing practice.
- To liaise with all relevant members of the multidisciplinary team in the care and support of individual patients including GPs.
- To maintain a high profile in the clinical area, acting as a role model for other health care professionals.
- To facilitate individualised patient care based upon the principles of evidence based practice.
- To act as a liaison nurse between investigations until patient is diagnosed with cancer or referred back to GP.
- To hold a nurse led clinic, including the development of written protocols based on national standards, triaging or following up suspected colorectal cancer patients, arranging investigations, reviewing results, diagnosing and referring back to a medical team as appropriate.
- To refer patients diagnosed with colorectal cancer for on-going support.
- To work in close collaboration with all members of the MDT.
- To provide professional clinical leadership and expertise to other nursing staff.
- To work as part of the Colorectal Cancer Clinical Nurse specialist wider team, rotating responsibilities to ensure cover of the entire patient pathway including post diagnostic care and support.
Education/Leadership
- To promote patient/carer independence through the provision of relevant teaching and support.
- To participate in and organise study days/education programmes.
- To develop resource and teaching packs for use by patients and/or staff in the clinical and educational setting.
- To embed patient and public involvement within the sphere of practice, seeking and acting on patient feedback of the triage assessment service.
- To ensure the provision of appropriate written information is available to patients and staff.
- To participate in the Trusts on-going educational programmes.
- To liaise with other organisations, charities and agencies dedicated to colorectal cancer.
Research/Audit/Quality
- To utilise up-to-date research findings in the delivery of patient care and to disseminate this knowledge to all members of the multidisciplinary team.
- To 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.
- To identify opportunities for nursing research within own specialist area and carry out nursing research appropriate to the speciality.
- To regularly audit service including eliciting the views of patients, carers and professionals ensuring patient feedback is incorporated into developments in the service.
- To attend relevant departmental and Directorate and network meetings relating to clinical governance and to contribute to the clinical governance agenda.
Management
- To liaise with other members of the team to ensure that there is an efficient use of resources (human, financial and time).
- To ensure that there is a safe and acceptable environment for clients/patient.
- To act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skill
Personal Development
1. Demonstrate continuous evaluation and reflection of own practice and make changes where appropriate
- Take personal responsibility for life-long learning and personal development through clinical supervision, appraisals 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.
- Ensure compliance with best practice and NICE guidance in relation to patient pathways and support 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.
- Take personal responsibility for life-long learning and personal development through clinical supervision, appraisals 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.
- Ensure compliance with best practice and NICE guidance in relation to patient pathways and support 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 reviews of the role and JD and modify as required to meet the evolving nature of the post.
Collaboration/Consultancy
- To work in a collaborative manner with all members of the multidisciplinary team recognising the unique contribution of other disciplines and appropriately referring.
- To recognise own limitations and seek advice and support on referrals.
- To act as a resource within the Trust and to participate in Trust-wide professional groups as appropriate.
- To represent the Trust locally and nationally, participating in and speaking at conferences.
- To work in a collaborative manner with local primary care teams.
- To act as a resource to primary care teams, attending meetings organised by the PCT as appropriate.
- To provide specialist advice and support related to the purchasing and commissioning of resources/services.
- To act in an advisory / collaborative role with senior management in issues relation to the specialty.
- To act as a specialist resource for the management of patients.
PLEASE SEE JOB DESCRIPTION FOR FULL DUTIES OF THE POST
Person Specification
Education and Qualification
Essential
- Registered Nurse
- Degree level education
- Post registration education in relevant speciality.
Desirable
- Masters degree
- Advanced assessment skills
- Advanced communication skills course or equivalent
Experience
Essential
- Experience of working with patients with GI cancers
- Multidisciplinary Team working.
- Autonomous working and experience in developing working relationships and networks.
- oExperience of working with electronic patient records and other IT systems.
- oAudit
Desirable
- Experience of colorectal/gastric surgery.
- Work at band 7 level or equivalent
- Experience of running Nurse led clinics
- Endoscopy experience
- Experience of working with the personalised care program (recovery package)
Skills and Knowledge
Essential
- oAbility to demonstrate initiative.
- oExcellent communication skills.
- oIT literate
- oAbility to plan and prioritise own and others workload.
- oAn understanding of NHS, Cancer Strategy and Trust performance targets
- oEvidence of ability to work collaboratively in a multi-disciplinary team.
Desirable
- Knowledge/Experience of clinical supervision
- Knowledge of change management theory.
- Research/audit skills.
Person Specification
Education and Qualification
Essential
- Registered Nurse
- Degree level education
- Post registration education in relevant speciality.
Desirable
- Masters degree
- Advanced assessment skills
- Advanced communication skills course or equivalent
Experience
Essential
- Experience of working with patients with GI cancers
- Multidisciplinary Team working.
- Autonomous working and experience in developing working relationships and networks.
- oExperience of working with electronic patient records and other IT systems.
- oAudit
Desirable
- Experience of colorectal/gastric surgery.
- Work at band 7 level or equivalent
- Experience of running Nurse led clinics
- Endoscopy experience
- Experience of working with the personalised care program (recovery package)
Skills and Knowledge
Essential
- oAbility to demonstrate initiative.
- oExcellent communication skills.
- oIT literate
- oAbility to plan and prioritise own and others workload.
- oAn understanding of NHS, Cancer Strategy and Trust performance targets
- oEvidence of ability to work collaboratively in a multi-disciplinary team.
Desirable
- Knowledge/Experience of clinical supervision
- Knowledge of change management theory.
- Research/audit 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.
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).