Cwm Taf Morgannwg University Health Board

Clinical Nurse Specialist for Acute Oncology and Lung Cancer

The closing date is 20 October 2025

Job summary

Clinical Nurse Specialist for Acute Oncology and Lung Cancer

This is a new an exciting role, working alongside both the Acute Oncology Service (AOS) and the lung cancer team. We are looking for a passionate individual, willing to develop their skills in acute oncology and lung cancer. The AOS provides urgent assessment, rapid initial management and appropriate specialist input (ensuring access to appropriate disease site specific advice) for any patient presenting acutely with problems relating to cancer or its treatment. The essence of an AOS is to accelerate, coordinate and signpost patients on to the correct assessment and treatment pathway and ensure consistent access to oncology expertise, wherever the patient presents.

The respiratory service provide care for patients with lung cancer throughout their cancer journey. Nearly half of the acute oncology patients have a lung cancer diagnosis.

The post holder will work within the multi- professional team, as directed by the relevant Clinical Nurse specialist (Band 7), delivering care to Acute oncology patients and lung Cancer patients within the Cwm Taf Morgannwg University Health Board (CTMUHB). They will work closely with acute oncology team, the lung cancer team, families and carers to provide a co-ordinated and patient centred cancer nursing service.

Main duties of the job

The aim of the service is to provide rapid identification and appropriate prompt management of patients that present with:

  • previously undiagnosed cancer.
  • complications as a direct consequence of their cancer e.g. metastatic spinal cord compression, hypercalcaemia.
  • acute complications following cancer therapy e.g. neutropenic sepsis.

The CNS will provide clinical support and expertise in acute oncology assessment in the emergency admission areas, provide early input of Specialist Oncologist assessment and clinical management advice for unscheduled oncology emergency admissions with regard to the following:

  • Complications related to chemotherapy.
  • Complications of cancer.
  • Suspected unknown primary cancer.
  • To take the lead with regard to MSCC, Neutropenic Sepsis and Cancer of Unknown Primary.

The post holder will share the responsibility for a defined caseload of Acute Oncology patients, with a focus on lung cancer and will be expected to triage the referrals on a daily basis in order to prioritise their workload. This involves independently reviewing referrals (new and existing) and assessing patients requiring acute oncology intervention, using information gathered from patient systems such as CANISC/WCP/Myrddin.

This post is fixed term/secondment for 2 years from start date, due to funding. If you are interested in applying for the secondment position, you must obtain permission from your current line manager prior to applying for this post.

About us

Cwm Taf Morgannwg (CTM) University Health Board, part of NHS Wales, serves a large population across a diverse and beautiful region, steeped in history and heritage. With nearly 13,500 staff, our health board is one of Wales's largest employers.

Together, we are Team CTM; a workforce dedicated to offering excellent patient care and support to the 450,000 people across our three regions, Bridgend, Merthyr Tydfil, and Rhondda Cynon Taf. We operate three District General hospitals, several community hospitals, primary and community care facilities.

CTM's location offers the best of South Wales, just 20 minutes from Cardiff's vibrant city life, the natural beauty of the Brecon Beacons, and the serene coastline at Ogmore. Whether you enjoy lively urban amenities, peaceful countryside, or seaside escapes, our location makes an ideal setting for both work and personal life.

Our CTM 2030 Strategy--Our Health, Our Future--focuses on uniting our region around shared health and wellbeing goals. Our values guide us daily:

o We listen, learn, and improve

o We treat everyone with respect

o We work together as one team

CTM employees enjoy benefits including; a leading pension, generous leave, flexible work, career growth, and access to ongoing learning and development.

At CTM, you'll find a welcoming, team-oriented workplace that values diversity and compassion, where you can take pride in your work and the difference it makes.

Details

Date posted

06 October 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£39,263 to £47,280 a year per annum, pro rata

Contract

Fixed term

Duration

2 years

Working pattern

Part-time

Reference number

110-NMR431-1025

Job locations

Princess of Wales Hospital

Coity Road

Bridgend

CF31 1RQ


Job description

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

Clinical Duties

Assess patients admitted as an emergency and ensure they are receiving appropriate care and investigations as per agreed pathways whilst actively integrating theory into practice.

Exercise professional autonomy and make critical judgements using knowledge and skills in order to provide the highest standards of holistic patient care.

Ensure the patient and, if appropriate their relatives, are involved with decision making and aware of proceedings.

Deliver evidence based individualised and personalised care through holistic needs assessment, planning and evaluation of care; act as an advocate for the patient.

Advise clinical teams of the appropriate investigations, diagnostic tests and imaging according to patient presentation, care pathways and clinical competence.

Respond to situations involving oncological emergencies using clinical judgement and decision making to initiate appropriate management.

Service Management

As part of the Cancer multi-disciplinary team, assist in the development of care pathways for the Acute Oncology Service.

Promote awareness across all Teams of the requirements for an Acute Oncology Service and its application, promoting and gaining support and providing expert knowledge to support its implementation and ongoing performance.

Service Improvement

To develop services in order to meet local/national objectives and standards.

To assist in continuing development and audit of the role to develop relevant changes in patient or departmental needs, ensuring a quality service is provided and maintained and implementing of service improvements from the results.

Communication

Establish and maintain effective communication with patients, family and carers to assess needs, providing relevant support, information, education, advice and counselling as required for cancer related issues.

Communicate effectively and sensitively with patients, including families/relatives/carers, who have a confirmed or suspected cancer diagnosis, often at times of distress, offering support throughout episodes of emergency admissions, including assisting through the initial cancer diagnosis and episodes of disease progression.

Demonstrate skill in conflict resolution and competent negotiation skills when dealing with difficult or challenging situations.

Provide co-ordinated specialist service through effective liaison with all members of the multi-disciplinary team within Primary, Secondary and Tertiary care settings as well as third sector organisations.

Personal and People Development and People Management

Deliver education and training to various health care professionals and students regarding Acute Oncology and Oncological Emergencies.

Welsh Skills Desirable: This post is advertised as Welsh Desirable. This doesnt mean essential; whilst the candidate doesn't need to have skills in Welsh, we'll consider it an advantage when short-listing and selecting candidates. This isnt fluency, just Speaking & Listening skills at Level 3 (equivalent to CEFR B2) or above. Level 3 means basic conversations with patients about their everyday health. For more information, see Welsh Language Guidance in the documents right at the bottom.

Job description

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

Clinical Duties

Assess patients admitted as an emergency and ensure they are receiving appropriate care and investigations as per agreed pathways whilst actively integrating theory into practice.

Exercise professional autonomy and make critical judgements using knowledge and skills in order to provide the highest standards of holistic patient care.

Ensure the patient and, if appropriate their relatives, are involved with decision making and aware of proceedings.

Deliver evidence based individualised and personalised care through holistic needs assessment, planning and evaluation of care; act as an advocate for the patient.

Advise clinical teams of the appropriate investigations, diagnostic tests and imaging according to patient presentation, care pathways and clinical competence.

Respond to situations involving oncological emergencies using clinical judgement and decision making to initiate appropriate management.

Service Management

As part of the Cancer multi-disciplinary team, assist in the development of care pathways for the Acute Oncology Service.

Promote awareness across all Teams of the requirements for an Acute Oncology Service and its application, promoting and gaining support and providing expert knowledge to support its implementation and ongoing performance.

Service Improvement

To develop services in order to meet local/national objectives and standards.

To assist in continuing development and audit of the role to develop relevant changes in patient or departmental needs, ensuring a quality service is provided and maintained and implementing of service improvements from the results.

Communication

Establish and maintain effective communication with patients, family and carers to assess needs, providing relevant support, information, education, advice and counselling as required for cancer related issues.

Communicate effectively and sensitively with patients, including families/relatives/carers, who have a confirmed or suspected cancer diagnosis, often at times of distress, offering support throughout episodes of emergency admissions, including assisting through the initial cancer diagnosis and episodes of disease progression.

Demonstrate skill in conflict resolution and competent negotiation skills when dealing with difficult or challenging situations.

Provide co-ordinated specialist service through effective liaison with all members of the multi-disciplinary team within Primary, Secondary and Tertiary care settings as well as third sector organisations.

Personal and People Development and People Management

Deliver education and training to various health care professionals and students regarding Acute Oncology and Oncological Emergencies.

Welsh Skills Desirable: This post is advertised as Welsh Desirable. This doesnt mean essential; whilst the candidate doesn't need to have skills in Welsh, we'll consider it an advantage when short-listing and selecting candidates. This isnt fluency, just Speaking & Listening skills at Level 3 (equivalent to CEFR B2) or above. Level 3 means basic conversations with patients about their everyday health. For more information, see Welsh Language Guidance in the documents right at the bottom.

Person Specification

Qualifications

Essential

  • Evidence of continued professional development
  • Sound clinical knowledge and experience of oncological emergencies

Desirable

  • First level degree in related subject or undertaking a Degree Pathway.
  • Post-basic qualification in cancer/palliative care or relevant subject
  • Advanced Communications Skills Training
  • Welsh language skills speaking/listening level 3 or above

Experience

Essential

  • Relevant post registration Experience
  • Evidence of good communications skills.

Desirable

  • Experience of Audit and Research.
  • Experience of caring for patients and families of people with a newly diagnosed malignancy

General

Essential

  • Ability to work autonomously and as part of a team
Person Specification

Qualifications

Essential

  • Evidence of continued professional development
  • Sound clinical knowledge and experience of oncological emergencies

Desirable

  • First level degree in related subject or undertaking a Degree Pathway.
  • Post-basic qualification in cancer/palliative care or relevant subject
  • Advanced Communications Skills Training
  • Welsh language skills speaking/listening level 3 or above

Experience

Essential

  • Relevant post registration Experience
  • Evidence of good communications skills.

Desirable

  • Experience of Audit and Research.
  • Experience of caring for patients and families of people with a newly diagnosed malignancy

General

Essential

  • Ability to work autonomously and as part of a team

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

Cwm Taf Morgannwg University Health Board

Address

Princess of Wales Hospital

Coity Road

Bridgend

CF31 1RQ


Employer's website

https://joinctm.wales/ (Opens in a new tab)

Employer details

Employer name

Cwm Taf Morgannwg University Health Board

Address

Princess of Wales Hospital

Coity Road

Bridgend

CF31 1RQ


Employer's website

https://joinctm.wales/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Macmillan Acute Oncology Clinical Nurse Specialist

Elaine Penaluna

Elaine.Penaluna@wales.nhs.uk

01656753632

Details

Date posted

06 October 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£39,263 to £47,280 a year per annum, pro rata

Contract

Fixed term

Duration

2 years

Working pattern

Part-time

Reference number

110-NMR431-1025

Job locations

Princess of Wales Hospital

Coity Road

Bridgend

CF31 1RQ


Supporting documents

Privacy notice

Cwm Taf Morgannwg University Health Board's privacy notice (opens in a new tab)