Job summary
This is an exciting opportunity to join our established Soft tissue sarcoma service at NBT as a Macmillan funded professional. This is a band 6 Clinical Nurse Specialist development role, progression to band 7 is dependent upon achievement of clinical and professional competencies. Depending on experience a band 7 may be considered at appointment.
The post holder will be an important member of the Sarcoma CNS team and Sarcoma MDT, and will collaborate with local and regional healthcare providers to provide highly developed specialist nursing advice and support to patients (in-patient and out-patient) and their carers/families throughout their sarcoma pathway.
The role will improve quality of care and patient experience by ensuring patient centred, personalised care is delivered across all health and care settings.
The Sarcoma CNS will utilise skills of leadership, advanced clinical expertise, specialist education and management to ensure a seamless service for patients, carers and staff. They will provide highly complex advice, support and information from referral, through investigation, diagnosis, treatment and follow up.
They will work closely with the MDT in hospital and the community to ensure a coordinated quality service and will be actively involved in education, audit and research.
Central to the CNS role is advocating for patients throughout their sarcoma pathway.
Main duties of the job
- To plan, develop, improve and promote the Bristol sarcoma service, enabling delivery of individualised, evidence based, high quality, cost effective, personalised care across the region to obtain the best possible clinical outcomes and patient experience.
- Transcribe radiology requests on ICE following successful completion of the IR(M)E training course
- To be a patients advocate
- To expertly deliver highly complex and sensitive information to patients and relatives
- To provide specialist support and advice in clinical areas, wards and outpatients.
- Triaging of new suspected sarcoma referrals to the sarcoma service
- Follow up of Sarcoma patients to assess for signs of recurrent and metastatic disease.
- Provide clinical leadership and act as a "key worker" for everyone living with sarcoma in their caseload.
- To develop a scope of practice that includes clinical triage, clinical assessment, and reasoning to enable nurse led autonomous practice.
- Key member of the sarcoma MDT, ensuring patients wishes are respected.
- Supporting patients at consultant led clinic with specialist information, emotional and psychological support and intervention.
- Provide an information resource, education and practical support for patients, their families and health professionals.
- Work in collaboration with other clinical, community and primary care teams to improve sarcoma services, awareness, patient access, patient experience and and outcomes for people with Sarcoma.
About us
- Due to the frequently distressing needs of cancer patients and their families this role requires significant psychological and emotional investment and mental effort
- The ability and effort to build therapeutic patient relationships in challenging circumstances Concentrating on highly emotive patient assessments and complex drug conversions
- Managing fluctuating patient caseload with unpredictable levels of patient referral and requests for specialist advice
- Maintaining collaborative working with diverse groups
- Managing a deteriorating patient condition that may demand frequent re-assessment/review
- Maintaining patient confidentiality in ward/outpatient environment when breaking bad news
- Providing support for team members facing challenging patient care issues
- Complying with Trust manual handling policies and procedures
- Repositioning patients and equipment as necessary in order to ensure that appropriate assessment can take place and patient comfort is assured
- Dealing with frequent interruptions throughout the day from radio-pager, telephone, patients, relatives and other health care professionals
- Working in a shared office resulting in distractions as a result of frequent conversation and telephone interruptions
- Daily use of computer system
- Potential for standing for significant periods of time in clinic settings
- Potential exposure to blood and bodily fluids
- On rare occasions dealing with vulnerable and potentially violent or aggressive patients/carers
Job description
Job responsibilities
General Duties
- To plan, develop, improve and promote the service ensuring the delivery of high quality, cost effective care.
- To assess, develop and implement specialist nursing care programmes that deliver evidence based individualised and personalised care through personalised care and support planning.
- To act as an autonomous practitioner, independently planning, implementing and evaluating programmes of care achieved through systematic assessment, clinical examination skills and independent onwards referral and discharge to primary care team.
- To ensure that all patients and families are aware of all treatment options, including clinical trials
- To transcribe radiology requests on ICE following successful completion of the IR(M)E training course
- To work as patient advocate, to help negotiate the patient journey and ensure optimum care is provided to each patient
- To expertly deliver highly complex sensitive condition related information to patients and relatives
- To provide specialist support and advice in clinical areas, wards and outpatients, to optimise quality improvement opportunities
- To analyse and respond to challenging and complex clinical situations utilising highly developed specialist knowledge and analytical and judgemental skills to assess a range of options to formulate solutions and recommendations
- Triaging of new suspected sarcoma referrals to the sarcoma service
- Follow up confirmed Sarcoma cancer patients to assess for signs of recurrent and metastatic disease.
- Instruct patients in self-examination for Sarcoma recurrence.
- Provide specialist assessment, planning and delivery of care for Sarcoma patients across the region to obtain the best possible outcomes and patient experience.
- Provide clinical leadership and act as a key worker for everyone living with sarcoma in their caseload and ensure that each persona receives a high standard of care.
- Provide a nurse led autonomous service where clinically appropriate, developing a scope of practice that includes clinical triage, clinical assessment, and reasoning to enable nurse led autonomous practice.
- Key member of the sarcoma multi-disciplinary team advocating for patients, ensuring that the MDT is responsive to patients needs and preferences and communicating with the patient.
- Improve access to cancer prehab and rehab by risk stratification and timely referral to AHP prehab services.
- Supporting patients at consultant led clinic with specialist information, emotional and psychological support and intervention.
- Facilitate a smooth transition of care between referring teams, other providers and primary care leading to a more joined up approach to the patient experience through partnership working between services.
- Provide an information resource, education and practical support for patients, their families and health professionals.
- Influence through leadership the development of knowledge, ideas and work practices throughout the region.
- Work in collaboration with other clinical teams and with community and primary services across the cancer pathway to improve services and patient access, in order to improve the experience and outcomes for people with cancer.
- Share knowledge and expertise with the MDT, primary, tertiary and community services to improve other health and social care professionals understanding of sarcoma and the needs of people with sarcoma.
Education & Research
- To collate and record quantitative and qualitative data that provides evidence of productivity, outcomes and quality, through audit and research
- To regularly lead on and participate in clinical audit and research
- To lead on and participate in the planning and delivery of formal and informal specialist education programmes for patients, carers and all staff
- To lead on and participate in education forums locally and nationally.
- To ensure that professional knowledge and practice is regularly updated
- To take personal responsibility for life-long learning and personal development
Management and Leadership
- To lead on policy and service development within a multidisciplinary team context
- To lead on the development and implementation of protocols for specialist area of work and for the wider healthcare community served by North Bristol Trust
- To be responsible for the gathering, analysis and evaluation of patient and other feedback to inform ongoing improvement in the patient experience in specialist area
- To plan the provision of day-to-day organisational tasks for self and others
- To manage a highly complex caseload based on flexible principles, priorities and the care needs of patients.
- To lead on responding to complaints and queries, and have a working awareness of the North Bristol NHS Trusts complaints procedure
- To maintain accurate and concise records that produce statistical data for the purpose of evaluation and development of the service
- To keep accurate and up to date patient records
- To act as a change agent, using skills that will motivate and reassure staff through negotiation and training, to facilitate the change process
Job description
Job responsibilities
General Duties
- To plan, develop, improve and promote the service ensuring the delivery of high quality, cost effective care.
- To assess, develop and implement specialist nursing care programmes that deliver evidence based individualised and personalised care through personalised care and support planning.
- To act as an autonomous practitioner, independently planning, implementing and evaluating programmes of care achieved through systematic assessment, clinical examination skills and independent onwards referral and discharge to primary care team.
- To ensure that all patients and families are aware of all treatment options, including clinical trials
- To transcribe radiology requests on ICE following successful completion of the IR(M)E training course
- To work as patient advocate, to help negotiate the patient journey and ensure optimum care is provided to each patient
- To expertly deliver highly complex sensitive condition related information to patients and relatives
- To provide specialist support and advice in clinical areas, wards and outpatients, to optimise quality improvement opportunities
- To analyse and respond to challenging and complex clinical situations utilising highly developed specialist knowledge and analytical and judgemental skills to assess a range of options to formulate solutions and recommendations
- Triaging of new suspected sarcoma referrals to the sarcoma service
- Follow up confirmed Sarcoma cancer patients to assess for signs of recurrent and metastatic disease.
- Instruct patients in self-examination for Sarcoma recurrence.
- Provide specialist assessment, planning and delivery of care for Sarcoma patients across the region to obtain the best possible outcomes and patient experience.
- Provide clinical leadership and act as a key worker for everyone living with sarcoma in their caseload and ensure that each persona receives a high standard of care.
- Provide a nurse led autonomous service where clinically appropriate, developing a scope of practice that includes clinical triage, clinical assessment, and reasoning to enable nurse led autonomous practice.
- Key member of the sarcoma multi-disciplinary team advocating for patients, ensuring that the MDT is responsive to patients needs and preferences and communicating with the patient.
- Improve access to cancer prehab and rehab by risk stratification and timely referral to AHP prehab services.
- Supporting patients at consultant led clinic with specialist information, emotional and psychological support and intervention.
- Facilitate a smooth transition of care between referring teams, other providers and primary care leading to a more joined up approach to the patient experience through partnership working between services.
- Provide an information resource, education and practical support for patients, their families and health professionals.
- Influence through leadership the development of knowledge, ideas and work practices throughout the region.
- Work in collaboration with other clinical teams and with community and primary services across the cancer pathway to improve services and patient access, in order to improve the experience and outcomes for people with cancer.
- Share knowledge and expertise with the MDT, primary, tertiary and community services to improve other health and social care professionals understanding of sarcoma and the needs of people with sarcoma.
Education & Research
- To collate and record quantitative and qualitative data that provides evidence of productivity, outcomes and quality, through audit and research
- To regularly lead on and participate in clinical audit and research
- To lead on and participate in the planning and delivery of formal and informal specialist education programmes for patients, carers and all staff
- To lead on and participate in education forums locally and nationally.
- To ensure that professional knowledge and practice is regularly updated
- To take personal responsibility for life-long learning and personal development
Management and Leadership
- To lead on policy and service development within a multidisciplinary team context
- To lead on the development and implementation of protocols for specialist area of work and for the wider healthcare community served by North Bristol Trust
- To be responsible for the gathering, analysis and evaluation of patient and other feedback to inform ongoing improvement in the patient experience in specialist area
- To plan the provision of day-to-day organisational tasks for self and others
- To manage a highly complex caseload based on flexible principles, priorities and the care needs of patients.
- To lead on responding to complaints and queries, and have a working awareness of the North Bristol NHS Trusts complaints procedure
- To maintain accurate and concise records that produce statistical data for the purpose of evaluation and development of the service
- To keep accurate and up to date patient records
- To act as a change agent, using skills that will motivate and reassure staff through negotiation and training, to facilitate the change process
Person Specification
Qualifications
Essential
- Registered Nurse
- Degree level qualification
- Evidence of Masters study
- Evidence of ongoing professional development
Desirable
- Specialist cancer training
- Advanced Communication Skills
Work Experience
Essential
- Significant post registration experience in caring for patients with cancer
- Experience of leading and undertaking audit and/ or research projects
- Leadership experience
- Experience of problem solving and delivering a patient centred service
Desirable
- Evidence of recent teaching experience
- Experience of leading and involvement in change and development within a multidisciplinary team context
knowledge
Essential
- Specialist knowledge of the care of patients with cancer
- Up-to-date understanding of national sarcoma service guidance
- Knowledge of national and local developments in relation to faster diagnosis and personalised care and support
Desirable
- Specialist knowledge of cancer related treatments
Skills
Essential
- Excellent interpersonal and communication skills
- Excellent skills for assessing specialist, acute and other patient conditions and deciding on the appropriate course of action
- Skills in judgement and decision making
- Ability to work effectively within a team and independently
- Excellent organisational skills
- Computer literate, able to use databases and other relevant programmes
Desirable
- Proven presentation and teaching skills
Personal Qualities
Essential
- To be a role model for excellence in cancer care
- Self motiviated and ability to work without direct supervision
- Ability to maintain relationships with colleagues within the Trust and other organisations
- Ability to cope with highly complex emotional issues presented in the course of work, and to support others
- Demonstrates ability to prioritise and plan individual workload
Person Specification
Qualifications
Essential
- Registered Nurse
- Degree level qualification
- Evidence of Masters study
- Evidence of ongoing professional development
Desirable
- Specialist cancer training
- Advanced Communication Skills
Work Experience
Essential
- Significant post registration experience in caring for patients with cancer
- Experience of leading and undertaking audit and/ or research projects
- Leadership experience
- Experience of problem solving and delivering a patient centred service
Desirable
- Evidence of recent teaching experience
- Experience of leading and involvement in change and development within a multidisciplinary team context
knowledge
Essential
- Specialist knowledge of the care of patients with cancer
- Up-to-date understanding of national sarcoma service guidance
- Knowledge of national and local developments in relation to faster diagnosis and personalised care and support
Desirable
- Specialist knowledge of cancer related treatments
Skills
Essential
- Excellent interpersonal and communication skills
- Excellent skills for assessing specialist, acute and other patient conditions and deciding on the appropriate course of action
- Skills in judgement and decision making
- Ability to work effectively within a team and independently
- Excellent organisational skills
- Computer literate, able to use databases and other relevant programmes
Desirable
- Proven presentation and teaching skills
Personal Qualities
Essential
- To be a role model for excellence in cancer care
- Self motiviated and ability to work without direct supervision
- Ability to maintain relationships with colleagues within the Trust and other organisations
- Ability to cope with highly complex emotional issues presented in the course of work, and to support others
- Demonstrates ability to prioritise and plan individual workload
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.
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.
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).
