Job summary
An exciting opportunity has arisen for an experienced and motivated Senior Clinical Nurse Specialist to establish a nurse-led clinic for patients receiving adjuvant breast cancer treatment.
The individual will work to develop and streamline patient pathways and evidence-based clinical protocols, enhancing patient education around systemic anti-cancer therapy (SACT) for patients with breast cancer, and embedding electronic patient-reported outcome measures (ePROMs) into everyday practice.
Main duties of the job
The successful candidate will
Provide expert clinical assessment, toxicity evaluation, and decision-making for patients receiving adjuvant SACT for patients with breast cancer.
Lead a nurse-led clinic offering timely review, symptom management, treatment support, and escalation where required.
Act autonomously within agreed clinical protocols, referring appropriately to oncologists or acute services.
Support safe prescribing (if an independent prescriber) or contribute to prescribing decisions within the MDT.
About us
Come and join our team in Leeds and become part of The Leeds Way sharing our vision and values.
Leeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK and based in one of the fastest growing and vibrant cities in the north.
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.
Details
Date posted
04 December 2025
Pay scheme
Agenda for change
Band
Band 7
Salary
£47,810 to £54,710 a year
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Flexible working
Reference number
C9298-ONC-0597
Job locations
St. James's University Hospital
Beckett Street
Leeds
LS9 7TF
Job description
Job responsibilities
The Senior Clinical Nurse Specialist (CNS) will establish and evaluate a nurse-led clinic for patients undergoing adjuvant breast cancer treatment. The role focuses on improving patient experience, safety, and outcomes by developing robust patient pathways, implementing evidence-based protocols, enhancing patient education for systemic anti-cancer therapy (SACT), and integrating electronic patient-reported outcome measures (ePROMs) into routine practice
The post holder will be practising as an independent specialist clinical practitioner providing patient-centred and evidence-based clinical care, within an agreed scope of competence and practice. 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.
The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway and will be expected to develop new skills to further enhance the quality of the service delivered. Where appropriate, the role will include the day to day leadership and management.
. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY
Leadership
Provide leadership to the clinical team working with Matron, develop new roles/ways of working
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.
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.
Has responsibility for the line management of the specialist nursing team including recruitment, performance management and workforce planning.
Deliver an effective quality service with budgetary constraints, monitors the delegated budget for the specialist nursing teamwork with the Matron to work towards the Nursing, Midwifery and Allied Health Professionals 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.
Ensures that workload and performance monitoring data for the team is collected, collated and utilised to ensure the effective and efficient working of the team. Reviews this information with Matron on a regular basis.
Work with the Matron in 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.
Propose, develop and implement policy, protocols and practice guidelines specific to the clinical specialty.
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.
Provides specialised advice contributing to the diagnosis and care of patients.
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 childrens into adult services between the ages 11-25 years.
Responsibility for ensuring setting, monitoring and seeking to continuously improve standards and the 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 safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.
Raise concerns with regards to risk, danger, malpractice or wrong doing 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 LTHTs 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.
Participate in 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
Participate in own and others appraisals and in the development of own personal development plan and performance review.
Provides specialist training and education at post-graduate level within the University settings as agreed with Matron.
Undertake role specific training and competencies.
Provide education and training to patients and their carers.
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.
Participate in specialist national, regional and local conferences as agreed with Matron. 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
. THE LEEDS WAY VALUES
Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All our actions and endeavours will be guided and evaluated through these values
Additionally, the following are core values which relate specifically to this post:
Commitment to delivering high quality evidence based care
Commitment to working in a multi-disciplinary team
Commitment to the specialty area, valuing the contribution of all team members, encouraging a positive and creative working environment
Commitment to own personal and professional development and to the development of others within the team.
Job description
Job responsibilities
The Senior Clinical Nurse Specialist (CNS) will establish and evaluate a nurse-led clinic for patients undergoing adjuvant breast cancer treatment. The role focuses on improving patient experience, safety, and outcomes by developing robust patient pathways, implementing evidence-based protocols, enhancing patient education for systemic anti-cancer therapy (SACT), and integrating electronic patient-reported outcome measures (ePROMs) into routine practice
The post holder will be practising as an independent specialist clinical practitioner providing patient-centred and evidence-based clinical care, within an agreed scope of competence and practice. 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.
The post holder will work in partnership with the multi-disciplinary team (MDT) to implement and improve the patient pathway and will be expected to develop new skills to further enhance the quality of the service delivered. Where appropriate, the role will include the day to day leadership and management.
. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY
Leadership
Provide leadership to the clinical team working with Matron, develop new roles/ways of working
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.
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.
Has responsibility for the line management of the specialist nursing team including recruitment, performance management and workforce planning.
Deliver an effective quality service with budgetary constraints, monitors the delegated budget for the specialist nursing teamwork with the Matron to work towards the Nursing, Midwifery and Allied Health Professionals 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.
Ensures that workload and performance monitoring data for the team is collected, collated and utilised to ensure the effective and efficient working of the team. Reviews this information with Matron on a regular basis.
Work with the Matron in 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.
Propose, develop and implement policy, protocols and practice guidelines specific to the clinical specialty.
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.
Provides specialised advice contributing to the diagnosis and care of patients.
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 childrens into adult services between the ages 11-25 years.
Responsibility for ensuring setting, monitoring and seeking to continuously improve standards and the 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 safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.
Raise concerns with regards to risk, danger, malpractice or wrong doing 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 LTHTs 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.
Participate in 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
Participate in own and others appraisals and in the development of own personal development plan and performance review.
Provides specialist training and education at post-graduate level within the University settings as agreed with Matron.
Undertake role specific training and competencies.
Provide education and training to patients and their carers.
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.
Participate in specialist national, regional and local conferences as agreed with Matron. 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
. THE LEEDS WAY VALUES
Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:
Patient-centred
Collaborative
Fair
Accountable
Empowered
All our actions and endeavours will be guided and evaluated through these values
Additionally, the following are core values which relate specifically to this post:
Commitment to delivering high quality evidence based care
Commitment to working in a multi-disciplinary team
Commitment to the specialty area, valuing the contribution of all team members, encouraging a positive and creative working environment
Commitment to own personal and professional development and to the development of others within the team.
Person Specification
Skills & Behaviours
Essential
- Plan specialist nursing provision, including education and training
- Experience of managing own case load
- Experience of project management
Desirable
- Excellent written and verbal skills.
- Ability to organise and prioritise own and others workload.
Experience
Essential
- Significant and recent relevant experience at Band 6 or equivalent within an appropriate specialty
Desirable
- Service development and/or change management
Qualifications
Essential
- Registered Nurse
- First Level Degree or equivalent demonstrable experience
- Recognised teaching/assessing qualification or equivalent demonstrable experience of teaching and assessment
- Evidence of continued professional development
- Post registration qualification in specialty or equivalent demonstrable experience
Desirable
- Master Level Degree Education or equivalent experience
- Extended/ Supplementary Prescribing
Person Specification
Skills & Behaviours
Essential
- Plan specialist nursing provision, including education and training
- Experience of managing own case load
- Experience of project management
Desirable
- Excellent written and verbal skills.
- Ability to organise and prioritise own and others workload.
Experience
Essential
- Significant and recent relevant experience at Band 6 or equivalent within an appropriate specialty
Desirable
- Service development and/or change management
Qualifications
Essential
- Registered Nurse
- First Level Degree or equivalent demonstrable experience
- Recognised teaching/assessing qualification or equivalent demonstrable experience of teaching and assessment
- Evidence of continued professional development
- Post registration qualification in specialty or equivalent demonstrable experience
Desirable
- Master Level Degree Education or equivalent experience
- Extended/ Supplementary Prescribing
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
Leeds Teaching Hospitals
Address
St. James's University Hospital
Beckett Street
Leeds
LS9 7TF
Employer's website
https://www.leedsth.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
Leeds Teaching Hospitals
Address
St. James's University Hospital
Beckett Street
Leeds
LS9 7TF
Employer's website
https://www.leedsth.nhs.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
04 December 2025
Pay scheme
Agenda for change
Band
Band 7
Salary
£47,810 to £54,710 a year
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Flexible working
Reference number
C9298-ONC-0597
Job locations
St. James's University Hospital
Beckett Street
Leeds
LS9 7TF
Supporting documents
Privacy notice
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