Leeds Teaching Hospitals

Nurse Specialist (XR06)

The closing date is 22 October 2025

Job summary

We are looking for a skilled and experienced nurse to join our clinical nurse (CNS) team caring for adult patients with a who have been referred to LTHT to receive Car-T therapy.

As part of this team, you would play a significant role in the patients care pathway, supporting patients through their treatment journey and wherever possible responding to patient holistic needs, this will include providing support for patients and families who are making decisions from diagnosis and throughout the cancer pathway. We provide clinical support for this highly specialised, unique treatment and play a key role in the coordination of complex patient care. It is crucial for the safe delivery of treatment and complication management both directly and via a programme of CPD and competency assessment for clinical staff. The service supports on-boarding of new products, maintenance of cellular therapies, accreditations and compliance with key regulatory requirements. CAR-T therapy is a cancer treatment using the immune system to kill cancer cells, with potential to cure some forms of bone marrow cancers when other treatments have failed. It works by collecting T cells from a patients blood, genetically modifying them in a lab, reprogramming them into cancer targeting cells and reinfusing them.

Expected Shortlisting Date

23/10/2025

Planned Interview Date

30/10/2025

Main duties of the job

Summary of roles associated with this post:

- Administration of CAR-T therapy

- Coordination of specialist bloods

- Coordination of patient pathway from referral to discharge

- Daily ward round for inpatients and support for unwell patients

- Clinics twice a week for follow up / new patients

- Supporting patients and relatives in clinic and through the pathway

- Provide clinical and psycho-social support

- Referrals to other health professionals

Attending weekly MDTs and team meetings

- Rolling programme of training and education of the ward staff and Haematology CNS teams

- Planning admissions and booking chemotherapy appointments

- Meetings with drug company and NHS BT to confirm patient collections and delivery of cells

- Assist / lead on Audits with Pharmaceutical companies

About us

Leeds Teaching Hospitals provides patients with access to some of the very best care in the country across a wide range of services. We are committed to providing the people of Leeds with accessible high-quality healthcare including emergency, surgical and medical care.

Clinical haematology is based in the Bexley Wing at St James University Hospital, Leeds. The Car-t Transplant team is a highly specialised team who work hard to achieve the Leeds Way values: Patient-centred, Fair, Collaborative, Accountable and Empowered.

The successful candidate will be supported throughout their induction period, and ongoing with development of their skills and knowledge.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Date posted

03 October 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£38,682 to £46,580 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

C9298-ONC-0561

Job locations

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Job description

Job responsibilities

JOB PURPOSE/SUMMARY

The Jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care.

The jobholder will provide specialist nursing care, treatment and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will ensure cost effective use of resources.

The job holder will support the development of interdisciplinary and whole service working. As a role model they will promote the sharing of good practice and delivery of high quality, effective and efficient care. The job holder will provide training and education to staff groups, patients, and families/carers.

4. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

Leadership

Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care.

Support staff to provide efficient, effective, safe, and quality care to patients as an expert practitioner.

Deliver a positive patient experience.

Support in the delivery of an effective, evidence based, safe, quality service within budgetary envelope.

Provide support to the clinical teams to develop new ways of working.

Provide effective leadership in the development of staff at all levels.

Responsible for the day-to-day supervision of junior clinical staff and students within the specialist team.

Motivate staff in the delivery of quality patient care.

Contribute to the recruitment and selection process.

Contribute to Nursing and Midwifery objectives and service improvement.

Supervise clinical delivery of care competencies.

Anticipate problems and take preventative or mitigating actions or have contingency plans available.

Investigate and respond to accidents, complaints, untoward incidents, and other significant events.

Maintains record of workload and performance monitoring information and reviews this on a regular basis with team manager.

Under the direction of the Team Manager participates in or lead the development of specific elements of nursing practice, reflecting the CSU, and Nursing, Midwifery and Allied Health Professionals business plans.

Engage users and carers views on service delivery and development.

Contribute to and implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate.

Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately.

Clinical

Provide high quality care as an expert practitioner and act as a role model and resource for advice, support, and guidance.

Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people; including support for transition, as they move from children into adult services between the ages 11-25 years.

Participates in the setting, monitoring and improvement of standards and quality of patient care.

Undertake clinical procedures where dexterity and accuracy are required.

Assess, plan, implement and evaluate care and treatments using specialist clinical knowledge and clinical skills.

Make clinical assessments and treatment decisions within clearly defined policies and protocols.

Organises own clinical workload.

Undertake duties on wards or departments as and when required by service demands or patient need.

Supervise clinical staff to promote the delivery of excellent clinical standards.

Receives supervision of clinical care and outcomes from nurse specialist team leader.

Act in accordance with the relevant professional code i.e., NMC,

Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration.

Ensure and promote the maintenance of a safe, clean, and secure working environment.

Act in such a way that always safeguards the health and wellbeing of children and vulnerable adults. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.

Raise concerns with regards to risk, danger, malpractice, or wrongdoing by following the LTHT Whistleblowing policy and supporting processes.

Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised.

Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients.

Communication

Maintains accurate clinical and other records using the LTHT documentation. Support patients and their families, communicating sensitive condition related information, ensuring they receive required information to enable them to participate in their care delivery.

Deliver complex information to patients and staff.

Liaise with external health providers and other agencies (as appropriate) to ensure seamless provision of care delivery.

Quality Improvement & Research

Improve the quality and safety of our services by being proactive in promoting and supporting the Leeds Improvement Method.

Contribute to quality improvement programmes as required.

Keep up to date with and communicate service developments, advances and research.

Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan.

Actively promote patient involvement and feedback within service improvements to promote a positive patient experience Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area.

Undertake audit programmes specific to client group, treatments, and developments.

Help to set, monitor, and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance.

Participate in clinical trials as appropriate.

Work closely with Research and Innovation to promote research, disseminate outcomes and findings to support evidence-based practice.

Education and Training

Provide training and education of learners and other junior staff

Participate in own and others appraisals and in the development of own personal development plan and performance review.

Undertake role specific training and competencies.

Provide education and training to patients and their careers.

Keep up to date with developments, advances within the specialty.

Collaborate with other members of the team in clinical areas and departments to ensure that the provision of education and training is clear and robust.

Mentorship and supervision of junior staff.

Support staff to deliver evidence-based practice and research activities to further enhance patient care.

Undertake mandatory and priority training within the required time scales.

This does not provide an exhaustive list of roles and responsibilities, and these may be subject to change with professional and service developments.