North Bristol NHS Trust

Liver cancer Pathway Navigator

Information:

This job is now closed

Job summary

The Hepatology team in NBT are delighted to announce this post for a band 6 Early Detection of liver cancer Pathway Navigator. It is fixed term position for 12 months with potential or extension. This role can e offered as a secondment or fixed term opportunity.

We are looking to recruit dynamic and enthusiastic full time Band 6 Early Detection of liver cancer Pathway Navigator will take responsibility for the implementation, delivery, and evaluation of a new service for cancer patients who are referred to the hepatology department at North Bristol Trust, They will be part of the wider hepatology team and will facilitate the smooth running of the patient journey by ensuring that coordinated and streamlined clinical and administrative processes revolve around the patient and their individual needs.

The candidate will be knowledgeable on Hepatology conditions appropriate to the role such as Liver Cirrhosis, liver cancer, NASH, Hepatitis.

The post holder will develop a nurse led clinic to help manage the delay in early cancer detection and will be responsible for maintenance of surveillance databases for patients on the pre cancer pathway and those requiring HCC surveillance, ensuring timeliness of investigations and monitoring of progress along the patient journey. The post holder may also be expected to complete simple diagnostic investigations such as fibroscans blood tests and ultrasound requesting.

Main duties of the job

  • Manage pathways for diagnostic investigations and appointments ensuring they are booked promptly and expedited as needed.
  • Facilitate a reduction in unnecessary or ill-timed follow-ups and contribute to the reduction of the gastro outpatient backlog through proactive management of surveillance patients.
  • Act as a single point of contact for hepatology patients and family members with regards to their treatment pathway developing specialist non-clinical knowledge to signpost patients appropriately for support outside of hospital.
  • Work collaboratively with the clinical teams to provide a seamless service which is responsive to patients, carers, and relative's needs.
  • Manage databases of our chronic liver disease patients
  • Run a supported clinic HCC Surveillance - In doing this we hope to avoid late presentations of HCC through proactive monitoring of cirrhotic liver patients, and identify HCC in a timely way that mean patients can access curable treatments
  • Alleviate pressure on Consultant and Clinical Nurse Specialist time, enabling them to focus on delivery of clinical care.

About us

NBT Cares. It's a very simple statement; one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care.

NBT Cares is also an acronym, standing for caring, ambitious, respectful and supportive - our organisational values and our NBT Cares values are underpinned by our positive behaviours framework - a framework that provides clear guidance on how colleagues can work with one another in a constructive and supportive way.

Details

Date posted

28 July 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

339-RUH3547

Job locations

Southmead Hospital

Bristol

BS10 5NB


Job description

Job responsibilities

The post holder will:

Feedback to NHS E and the SWAG cancer alliance at regular intervals through the year role.

  • Support clinical teams and help identify and implement pathway changes that will improve compliance with national waiting times standards for cancer
  • Track & chase diagnostic investigations and appointments for all patients on HCC surveillance pathway within the appropriate timeframes and regularly review and analyse waiting times across HCC screening pathways, escalating issues where necessary.
  • Be knowledgeable on Hepatology conditions appropriate to the role such as Liver Cirrhosis, liver cancer, NASH, Hepatitis and be able to appropriately signpost patients in conjunction with the specialist nurse team.
  • Provide a point of contact for patients through their surveillance
  • Be responsible for organising appointments for diagnostic tests/treatment and communicate dates to the patient, providing relevant information prior to attendance to encourage attendance - and arrange follow up appointments with the relevant specialty for an appropriate time so that the patient can receive the results of any tests. CT scans, USSC, Fibroscans, blood tests, MRI, questionnaires, endoscopy, and biopsies
  • Develop excellent working relationships with departments which deliver diagnostic services including radiology, endoscopy, and pathology to co-ordinate the patients diagnostic journey.
  • Support patients and carers to access appropriate information and support, including sign posting to a range of support services. Inform patients and carers who and how to when they feel that their condition or needs have changed, as appropriate including what to do out of hours.
  • Provide support and co-ordination for the HCC MDTs for efficiency. This includes recording of information from MDT in the clinical database and supporting recommended actions.

Job description

Job responsibilities

The post holder will:

Feedback to NHS E and the SWAG cancer alliance at regular intervals through the year role.

  • Support clinical teams and help identify and implement pathway changes that will improve compliance with national waiting times standards for cancer
  • Track & chase diagnostic investigations and appointments for all patients on HCC surveillance pathway within the appropriate timeframes and regularly review and analyse waiting times across HCC screening pathways, escalating issues where necessary.
  • Be knowledgeable on Hepatology conditions appropriate to the role such as Liver Cirrhosis, liver cancer, NASH, Hepatitis and be able to appropriately signpost patients in conjunction with the specialist nurse team.
  • Provide a point of contact for patients through their surveillance
  • Be responsible for organising appointments for diagnostic tests/treatment and communicate dates to the patient, providing relevant information prior to attendance to encourage attendance - and arrange follow up appointments with the relevant specialty for an appropriate time so that the patient can receive the results of any tests. CT scans, USSC, Fibroscans, blood tests, MRI, questionnaires, endoscopy, and biopsies
  • Develop excellent working relationships with departments which deliver diagnostic services including radiology, endoscopy, and pathology to co-ordinate the patients diagnostic journey.
  • Support patients and carers to access appropriate information and support, including sign posting to a range of support services. Inform patients and carers who and how to when they feel that their condition or needs have changed, as appropriate including what to do out of hours.
  • Provide support and co-ordination for the HCC MDTs for efficiency. This includes recording of information from MDT in the clinical database and supporting recommended actions.

Person Specification

Training

Essential

  • RGN
  • Post registration experience in care of Hepatology/cancer or relevant service
  • Evidence of relevant ongoing professional development

Desirable

  • Communication Skills training at level 3 or Masters level
  • Advanced communication skills training (desirable) or willingness to undertake
  • Registered non- medical prescriber (desirable) or willingness to undertake
  • Physical assessment and clinical reasoning skills qualification (desirable) or willingness to undertake

Expereince

Essential

  • Post registration experience with evidence of caring for hepatology patients / in cancer care with the ability to demonstrate utilisation and facilitation of evidence based practice
  • Experience of undertaking audit and the planning and implementation of research Relevant experience in facilitation and negotiation

Skills

Essential

  • The ability to provide clinical leadership and be a role model for excellence in cancer care and cancer research
  • Excellent interpersonal and communication skills in dealing with patients, relatives and colleagues
  • Expert diagnostic and assessment skills

Desirable

  • Ability to cope with emotional issues presented in the course of work and provide support for others

Leadership and Management

Essential

  • Computer literate, able to use databases and other relevant programmes
  • Ability to lead and influence change
  • Leadership skills to ensure effective, efficient and safe team-working

Desirable

  • Skills in judgement and decision making
  • Ability to evaluate services on order to improve team effectiveness and patient care
  • Ability to work effectively within a team
  • Motivational, negotiating and mediating skills
  • The ability to self motiviate and to encourage others
Person Specification

Training

Essential

  • RGN
  • Post registration experience in care of Hepatology/cancer or relevant service
  • Evidence of relevant ongoing professional development

Desirable

  • Communication Skills training at level 3 or Masters level
  • Advanced communication skills training (desirable) or willingness to undertake
  • Registered non- medical prescriber (desirable) or willingness to undertake
  • Physical assessment and clinical reasoning skills qualification (desirable) or willingness to undertake

Expereince

Essential

  • Post registration experience with evidence of caring for hepatology patients / in cancer care with the ability to demonstrate utilisation and facilitation of evidence based practice
  • Experience of undertaking audit and the planning and implementation of research Relevant experience in facilitation and negotiation

Skills

Essential

  • The ability to provide clinical leadership and be a role model for excellence in cancer care and cancer research
  • Excellent interpersonal and communication skills in dealing with patients, relatives and colleagues
  • Expert diagnostic and assessment skills

Desirable

  • Ability to cope with emotional issues presented in the course of work and provide support for others

Leadership and Management

Essential

  • Computer literate, able to use databases and other relevant programmes
  • Ability to lead and influence change
  • Leadership skills to ensure effective, efficient and safe team-working

Desirable

  • Skills in judgement and decision making
  • Ability to evaluate services on order to improve team effectiveness and patient care
  • Ability to work effectively within a team
  • Motivational, negotiating and mediating skills
  • The ability to self motiviate and to encourage others

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

North Bristol NHS Trust

Address

Southmead Hospital

Bristol

BS10 5NB


Employer's website

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

Employer details

Employer name

North Bristol NHS Trust

Address

Southmead Hospital

Bristol

BS10 5NB


Employer's website

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

Employer contact details

For questions about the job, contact:

Hepatology nurse specialist

Katharine Caddick

Katharine.Caddick@nbt.nhs.uk

01174146466

Details

Date posted

28 July 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

339-RUH3547

Job locations

Southmead Hospital

Bristol

BS10 5NB


Supporting documents

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