Job summary
This post is a full-time equivalent position within the Neuroendocrine Tumour Unit. The NET unit at the Royal Free is a large ENETS Centre of Excellence. We are looking for an enthusiastic team player to join our busy team. An interest in advanced nursing practice is welcomed and an enthusiasm for Neuroendocrine Tumours is essential.
As the largest NET centre in the UK, we are a vibrant unit. The Net nursing team are a vital part of this multidisciplinary team and play a key roll in the care of patients living with Neuroendocrine neoplasms. This interesting specialty gives opportunities for development and we support professional development.
The Cancer CNS is a key worker role. The CNS addresses patients' health concerns and works to promote their health and wellbeing. Using their skills and expertise in cancer care, the CNS provides physical and emotional support to their patients, coordinates their care services, and informs and advises them on clinical and practical issues associated with their illness. This leads to a more positive outcome for patients.
The post will incorporate the Clinical Nurse Specialist (CNS) role dimensions of expert clinical practice, education, leadership, management and research.
Main duties of the job
The Cancer Clinical Nurse Specialist will be required:
o To assist in the provision of professional and clinical leadership and expertise in the care of the patient with cancer, acting as a resource to provide information and support to patients, carers and staff.o To liaise effectively with all members of the multidisciplinary team to achieve a seamless specialist service.o To ensure that every patient has a plan of care and liaise with other teams to ensure that this is not compromisedo To lead and contribute to the creation of patient informationo To provide formal and informal training and education within specialist areao To lead and contribute to the development of clinical guidelines and policies both internally and externally.o To attend the Cancer CNS Community of Practiceo Support health and wellbeing events and initiatives to support patients to live with their diseaseo To act as a core member of the multidisciplinary meetings, contributing to discussion and acting as a patient advocate
About us
This is an exciting time to be working at the Royal Free London NHS Foundation one of the biggest NHS Trusts in the UK, delivering care to more than 1.6 million people a year through our three main hospitals: Barnet, Chase Farm and Royal Free.
We are looking for an enthusiastic clinical nurse specialist to join our dynamic Neuroendocrine Cancer Specialist Nursing Team. The position is a band 7, full time, permanent post.
The neuroendocrine tumour unit at the Royal Free Hospital has an international reputation for the management of neuroendocrine tumour patients. In 2010 it was the first UK centre to be awarded European Centre of Excellence. It currently receives 30-35 new referrals per month (360 - 420 per year) and has an active patient cohort of over 2000 patients. We receive referrals from across the UK as well as from abroad, and we are the designated centre for NETs within the North London Cancer Alliance. The unit is at the forefront of research and clinical care for patients with Neuroendocrine Tumours. The multiple NET diagnoses provide opportunity for development and ensure a varied, interesting career opportunity.
Job description
Job responsibilities
1. CLINICAL RESPONSIBILITIES 1 Maintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.
- Provide a high quality specialist service for the patient with cancer, from diagnosis through all stages of the disease and actively provide optimum liaison and continuity of care, ensuring the patient is placed at the centre of care delivery.
- 3 Puts quality at the heart of practice by delivering evidence based individualised and personalised care through holistic needs assessment, care planning and evaluation of care and all care intervention.
- 4 To discuss all treatment options for the given cancer with knowledge and expertise to enable patients to make an informed choice.
- 5 Provide information and psychological support, respecting the diverse cultural backgrounds of patients.
- 6 Identify vulnerable groups and ensure patients are supported at home by appropriate services
- 7 Initiate and maintain nurse-led and telephone clinics where appropriate.
- 8 Write new and update existing patient information in line with the Trust patient information policy.
- 9 Attend ward rounds with the oncology team and work closely with the Acute Oncology Service to provide support and advice to patients during any admission.
- 10 Provide professional, clinical and managerial leadership to nursing and associated staff, and ensure the provision of a high quality, responsive nursing service.
- 11 Collaborate on all aspects of quality management related to the nursing and clinical area.
- 12 Assist in the evaluation of the service and patient care, and monitor patient experience.
- 13 Lead the implementation of improvements in nursing practices within own areas of responsibility in line with local and national agenda and patient feedback.
- 14 Have a thorough understanding of safeguarding procedures and knowledgeable with respect to safeguarding triggers and risks.
- 15 To be professionally and legally responsible and accountable for all aspects of own clinical and professional activities.
- 16 To recognise the limits of own clinical knowledge and skills and to seek medical support whenever needed to provide safe, effective and timely patient care.
- 17 Contribute to the investigation of complaints and untoward incidents and ensure recommendations and related education/training programmes/action plans are implemented.
- 18 To promote new and innovative forms of nursing practice, supported by relevant education and training plans, to deliver care that enhances access to the department and specialist services.
- 19 Maintain awareness of relevant research, evaluations and audit, and act on this information in collaboration with colleagues to continually develop the service and direct and support junior staff.
- 20 Contribute to the creation and design, with other multi-professional team members, care pathways for referral of the particular groups of patients with the aim of disseminating good practice and improving outcomes throughout the trust.
- 21 Act in accordance with the Nursing and Midwifery Council (NMC) Code of Professional Conduct and Scope for Expanded Practices for Nurses, Midwives and Health Visitors.
2. RESPONSIBILITY FOR PATIENTS
- 1 Act as a keyworker for a clinical caseload, working to coordinate care and provide easy access for ongoing support to patients.
- 2 Provide professional and clinical leadership, providing a highly visible and authoritative presence ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas.
- 3 To identify outcome measures which illustrate the quality of the service with a particular emphasis on establishing ways to show patient related outcome measures.
- 4 Recognises and champions innovations in nursing practice ensuring they are supported, evaluated and contribute to develop an evidence base to meet the needs of the patients, families, relatives and staff.
- 5 Communicates highly complex and sensitive information to patients, carers and other staff.
- 6 Able to diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed interpersonal and negotiation skills.
- 7 Work with the departmental key stakeholders to rationalise, develop and implement nursing documentation ensuring that practice is standardised and monitored department wide.
- 8 Contributes to the trusts nursing and professional agenda and promotes the trust as an international centre of excellence and national leader in the speciality.
3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT
- Develop innovative models of care and effective patient pathways that ensure patients receive the best possible service.
- Engage patients and carers wherever possible when developing the service to ensure that there needs and opinions are taken into account and acted upon where appropriate.
- Liaise with other members of the multi-disciplinary team to ensure seamless patient care through the development of protocols and care pathways.
- Contribute to protocols, documentation systems, standards, policies and clinical guidelines for others to use in practice.
- To work with the wider MDT to ensure that service and National targets are met.
- In conjunction with the senior management team participate in business planning cycle, identifying areas of service development, focusing in particular on those related to nursing / education / training / research activities.
- Contribute to organisational development projects to transform clinical services to meet the needs of world class nursing for the future.
4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- Provide support to the team acting as an expert resource, demonstrating tenacity, drive, professional integrity, balance and perspective.
- Make effective use of resources available to support and enhance patient care.
5. RESPONSIBILITY FOR LEADING AND MANAGING
- Provide professional, clinical and managerial leadership to nursing and associated staff, and ensure the provision of a high quality, responsive nursing service.
- To be fully aware of the targets set out in the NHS plan and Trust and Directorate objectives and in conjunction with the multi professional team use the available resources to meet these targets.
- Contribute to the workforce and financial planning for nursing and support services within own areas of responsibility and where appropriate, work collaboratively across the trust to support these initiatives.
- Engage in the implementation of improvements in nursing practices within own areas of responsibility in line with local and national agenda and patient feedback.
- To have a thorough understanding of safeguarding procedures and knowledgeable with respect to safeguarding triggers and risks.
- To ensure the delivery and compliance of mandatory training requirements for specialist nursing team when appropriate.
6. RESPONSIBILITY FOR INFORMATION RESOURCES
- Contributes to the development of appropriate outcomes and service impact measures to evaluate patient response and service development needs.
- Ensures all information is stored in accordance with the Data Protection Act and Caldecott guidance.
- Identify educational and training requirements on information resources for all relevant staff.
- Process information electronically and manually.
- Ensure information is communicated through the appropriate trust channels as required.
- Oversees high standards of record keeping within areas of responsibility.
7. RESPONSIBILITY FOR RESEARCH, EDUCATION AND DEVELOPMENT
- Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education and attendance at relevant courses of study.
- To undertake relevant research including the measurement and evaluation of the service by the process of audit and patient satisfaction.
- To develop specific audits which support service improvement, or assess the benefits and outcomes following service improvements.
- Provide formal and informal teaching to nurses and AHPs as required.
- Initiate and contribute to the development of resource and teaching packs for use by patients and/ or staff in the clinical and educational settings
KEY PERFORMANCE INDICATORS
Requirement
Desired outcome
Attendance at the agreed level 2 Psychological Support Training Programme
Attendance at the level 2 programme
All patients with a diagnosis of cancer should be offered a Holistic needs Assessment & care plan at key points within their pathway of care
% increase in the number of Holistic Needs Assessments completed quarter on quarter
CNSs should be present at the time of diagnosis
% increase in CNS present at time of diagnosis
Improvement in the CNS indicators as per the National Cancer Patient Experience Survey
% improvement in the indicators set out
Job description
Job responsibilities
1. CLINICAL RESPONSIBILITIES 1 Maintain a professional behaviour at all times and promote a positive image of Royal Free London NHS Foundation Trust at all times, in line with World Class Care values.
- Provide a high quality specialist service for the patient with cancer, from diagnosis through all stages of the disease and actively provide optimum liaison and continuity of care, ensuring the patient is placed at the centre of care delivery.
- 3 Puts quality at the heart of practice by delivering evidence based individualised and personalised care through holistic needs assessment, care planning and evaluation of care and all care intervention.
- 4 To discuss all treatment options for the given cancer with knowledge and expertise to enable patients to make an informed choice.
- 5 Provide information and psychological support, respecting the diverse cultural backgrounds of patients.
- 6 Identify vulnerable groups and ensure patients are supported at home by appropriate services
- 7 Initiate and maintain nurse-led and telephone clinics where appropriate.
- 8 Write new and update existing patient information in line with the Trust patient information policy.
- 9 Attend ward rounds with the oncology team and work closely with the Acute Oncology Service to provide support and advice to patients during any admission.
- 10 Provide professional, clinical and managerial leadership to nursing and associated staff, and ensure the provision of a high quality, responsive nursing service.
- 11 Collaborate on all aspects of quality management related to the nursing and clinical area.
- 12 Assist in the evaluation of the service and patient care, and monitor patient experience.
- 13 Lead the implementation of improvements in nursing practices within own areas of responsibility in line with local and national agenda and patient feedback.
- 14 Have a thorough understanding of safeguarding procedures and knowledgeable with respect to safeguarding triggers and risks.
- 15 To be professionally and legally responsible and accountable for all aspects of own clinical and professional activities.
- 16 To recognise the limits of own clinical knowledge and skills and to seek medical support whenever needed to provide safe, effective and timely patient care.
- 17 Contribute to the investigation of complaints and untoward incidents and ensure recommendations and related education/training programmes/action plans are implemented.
- 18 To promote new and innovative forms of nursing practice, supported by relevant education and training plans, to deliver care that enhances access to the department and specialist services.
- 19 Maintain awareness of relevant research, evaluations and audit, and act on this information in collaboration with colleagues to continually develop the service and direct and support junior staff.
- 20 Contribute to the creation and design, with other multi-professional team members, care pathways for referral of the particular groups of patients with the aim of disseminating good practice and improving outcomes throughout the trust.
- 21 Act in accordance with the Nursing and Midwifery Council (NMC) Code of Professional Conduct and Scope for Expanded Practices for Nurses, Midwives and Health Visitors.
2. RESPONSIBILITY FOR PATIENTS
- 1 Act as a keyworker for a clinical caseload, working to coordinate care and provide easy access for ongoing support to patients.
- 2 Provide professional and clinical leadership, providing a highly visible and authoritative presence ensuring the delivery of excellence in core, specialist and advanced nursing practice, audit, research, and service and practice development agendas.
- 3 To identify outcome measures which illustrate the quality of the service with a particular emphasis on establishing ways to show patient related outcome measures.
- 4 Recognises and champions innovations in nursing practice ensuring they are supported, evaluated and contribute to develop an evidence base to meet the needs of the patients, families, relatives and staff.
- 5 Communicates highly complex and sensitive information to patients, carers and other staff.
- 6 Able to diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed interpersonal and negotiation skills.
- 7 Work with the departmental key stakeholders to rationalise, develop and implement nursing documentation ensuring that practice is standardised and monitored department wide.
- 8 Contributes to the trusts nursing and professional agenda and promotes the trust as an international centre of excellence and national leader in the speciality.
3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT
- Develop innovative models of care and effective patient pathways that ensure patients receive the best possible service.
- Engage patients and carers wherever possible when developing the service to ensure that there needs and opinions are taken into account and acted upon where appropriate.
- Liaise with other members of the multi-disciplinary team to ensure seamless patient care through the development of protocols and care pathways.
- Contribute to protocols, documentation systems, standards, policies and clinical guidelines for others to use in practice.
- To work with the wider MDT to ensure that service and National targets are met.
- In conjunction with the senior management team participate in business planning cycle, identifying areas of service development, focusing in particular on those related to nursing / education / training / research activities.
- Contribute to organisational development projects to transform clinical services to meet the needs of world class nursing for the future.
4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- Provide support to the team acting as an expert resource, demonstrating tenacity, drive, professional integrity, balance and perspective.
- Make effective use of resources available to support and enhance patient care.
5. RESPONSIBILITY FOR LEADING AND MANAGING
- Provide professional, clinical and managerial leadership to nursing and associated staff, and ensure the provision of a high quality, responsive nursing service.
- To be fully aware of the targets set out in the NHS plan and Trust and Directorate objectives and in conjunction with the multi professional team use the available resources to meet these targets.
- Contribute to the workforce and financial planning for nursing and support services within own areas of responsibility and where appropriate, work collaboratively across the trust to support these initiatives.
- Engage in the implementation of improvements in nursing practices within own areas of responsibility in line with local and national agenda and patient feedback.
- To have a thorough understanding of safeguarding procedures and knowledgeable with respect to safeguarding triggers and risks.
- To ensure the delivery and compliance of mandatory training requirements for specialist nursing team when appropriate.
6. RESPONSIBILITY FOR INFORMATION RESOURCES
- Contributes to the development of appropriate outcomes and service impact measures to evaluate patient response and service development needs.
- Ensures all information is stored in accordance with the Data Protection Act and Caldecott guidance.
- Identify educational and training requirements on information resources for all relevant staff.
- Process information electronically and manually.
- Ensure information is communicated through the appropriate trust channels as required.
- Oversees high standards of record keeping within areas of responsibility.
7. RESPONSIBILITY FOR RESEARCH, EDUCATION AND DEVELOPMENT
- Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through self-education and attendance at relevant courses of study.
- To undertake relevant research including the measurement and evaluation of the service by the process of audit and patient satisfaction.
- To develop specific audits which support service improvement, or assess the benefits and outcomes following service improvements.
- Provide formal and informal teaching to nurses and AHPs as required.
- Initiate and contribute to the development of resource and teaching packs for use by patients and/ or staff in the clinical and educational settings
KEY PERFORMANCE INDICATORS
Requirement
Desired outcome
Attendance at the agreed level 2 Psychological Support Training Programme
Attendance at the level 2 programme
All patients with a diagnosis of cancer should be offered a Holistic needs Assessment & care plan at key points within their pathway of care
% increase in the number of Holistic Needs Assessments completed quarter on quarter
CNSs should be present at the time of diagnosis
% increase in CNS present at time of diagnosis
Improvement in the CNS indicators as per the National Cancer Patient Experience Survey
% improvement in the indicators set out
Person Specification
Royal Free World Class Values
Essential
- Demonstrate ability to meet Trust Values
Education
Essential
- Registered Nurse
- Undergraduate degree
- Recognised teaching or mentorship qualification
- Post registration qualification relevant to specialty
Desirable
- Masters degree or working towards
- Advanced assessment skills
- Independent nurse prescribing course or willingness to undertake
Experience
Essential
- Substantial post-registration experience in area of speciality
- Previous experience of research and audit
- Evidence of teaching junior members of staff
- Proven evidence of improving the patient experience
- Previous experience of working with Neuroendocrine Tumour patients
Desirable
- Undertaken nurse led clinics
- Current experience of line management of staff
Skills and Aptitudes
Essential
- Expert specialist skills for the post
- Knowledge of current advances and pathways of care relevant to specialty
- Excellent communication skills and ability to negotiate and influence
- Skilled in use of computer/keyboard
- Ability to problem-solve, prioritise and to work to deadlines
- Ability to motivate staff and improve individuals and team performance
- Ability to develop collaborative working relationships with multi professional teams
- Demonstrates evidence of knowledge and ability to undertake change management
- Able to manage stressful situations and challenge decisions to ensure that patient needs are met
- Able to lead, manage and motivate others in complex problem solving and assessment skills
Personal Qualities
Essential
- Be a positive role model with the ability to demonstrate credible and professional approach
- Evidence of proven, on-going professional development
- Ability to work under pressure
- Ability to work as a team and form professional relationships with colleagues
- Diplomatic and calm
- To be flexible and approachable
Person Specification
Royal Free World Class Values
Essential
- Demonstrate ability to meet Trust Values
Education
Essential
- Registered Nurse
- Undergraduate degree
- Recognised teaching or mentorship qualification
- Post registration qualification relevant to specialty
Desirable
- Masters degree or working towards
- Advanced assessment skills
- Independent nurse prescribing course or willingness to undertake
Experience
Essential
- Substantial post-registration experience in area of speciality
- Previous experience of research and audit
- Evidence of teaching junior members of staff
- Proven evidence of improving the patient experience
- Previous experience of working with Neuroendocrine Tumour patients
Desirable
- Undertaken nurse led clinics
- Current experience of line management of staff
Skills and Aptitudes
Essential
- Expert specialist skills for the post
- Knowledge of current advances and pathways of care relevant to specialty
- Excellent communication skills and ability to negotiate and influence
- Skilled in use of computer/keyboard
- Ability to problem-solve, prioritise and to work to deadlines
- Ability to motivate staff and improve individuals and team performance
- Ability to develop collaborative working relationships with multi professional teams
- Demonstrates evidence of knowledge and ability to undertake change management
- Able to manage stressful situations and challenge decisions to ensure that patient needs are met
- Able to lead, manage and motivate others in complex problem solving and assessment skills
Personal Qualities
Essential
- Be a positive role model with the ability to demonstrate credible and professional approach
- Evidence of proven, on-going professional development
- Ability to work under pressure
- Ability to work as a team and form professional relationships with colleagues
- Diplomatic and calm
- To be flexible and approachable
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).
