Job summary
Macmillan Lung Cancer Clinical Nurse Specialist (CNS)
This is an exciting opportunity for an experienced and motivated nurse to join an established Lung Cancer CNS team to provide expert nursing and supportive care to lung cancer patients and their families throughout the lung cancer pathway from the initial referral, diagnostic investigations, treatments and into end of life care in line with the Cancer Services Peer Review requirements and NICE guidelines.
The post holder will give advice, instigate investigations and implement patient care as appropriate to manage patients presenting with symptoms suspicious of lung cancer and on a diagnostic pathway as well as supporting patients diagnosed with lung cancer and receiving care at Lewisham and Greenwich NHS Trust.
You will be a highly valued member of the wider lung cancer team and need to demonstrate excellent interpersonal and communication skills to ensure the implementation of the National Optimal Lung Cancer Pathway for faster diagnosis and to meet the targets to ensure better patient outcomes.
The post holder will be based at Lewisham hospital but required to support the CNS team at Queen Elizabeth Hospital when needed to cover annual leave/sick leave.
Main duties of the job
The post holder will be trusted to contribute and support the development and to maintain the delivery of outstanding care to Lung Cancer patients at Lewisham and Greenwich NHS Trust. You will receive monthly clinical supervision by our Macmillan clinical psychologist to support you to effectively meet the demands of the role.
To succeed in this post you will need band 6/7 experience in caring for patients diagnosed with cancer, haemato-oncology or palliative care. There is an opportunity for the successful candidate to undertake the Lung Cancer Course at Royal Marsden Hospital for further educational development. The post has been made possible as a result of a partnership between Lewisham and Greenwich NHS Trust and Macmillan Cancer Support.
Interested candidates are encouraged to contact Nayomi Wickramasinghe, Lead Nurse for Lung Cancer nwickramasinghe@nhs.net for more information and to arrange an informal visit
About us
Lewisham and Greenwich NHS Trust is a cancer unit. It has two hospital sites, Queen Elizabeth Hospital and Lewisham hospital. The post holder will be a key worker for patients diagnosed at Lewisham Hospital and will be expected to provide cross cover when needed. Required to work closely with colleagues at the cancer centre to transfer patient care to the centre where required.
The post holder will be supporting patients diagnosed with Lung Cancer. The post holder will be closely working alongside our multi-professional respiratory team providing inpatient and outpatient services, clinical and medical oncologists from Guy's and St Thomas's hospital.
We are an ambitious Lung Cancer Team that provide high quality, dedicated and compassionate care to our patients and our colleagues. We strive to respect the six values of our Trust - Respect and dignity,Commitment to quality of care, Compassion, Improving lives, Working together for patients and everyone counts.
Job description
Job responsibilities
Post Title: Lung Cancer Clinical Nurse Specialist
Division: Allied Clinical Services
Banding: 7
Responsible to: Lead Lung Cancer Nurse
Accountable to: Macmillan Lead Cancer Nurse
Hours: 22.5
Job Summary:
In line with the Trusts Annual Business Plan you will provide a high quality advanced expert nursing practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home.
The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting.
To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.
The Clinical Nurse Specialist will be an advanced and experienced practitioner within their speciality.
The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute setting, which will require assessment, planning and implementation of treatment.
To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice.
To be responsible for the nursing leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment.
Key Result Areas & Performance:
All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.
- To co-ordinate the specialty care within the Trust, including outreach clinics within the region.
- To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
- Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
- To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.
- To provide ongoing follow-up care and support (home visits / telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics)
- To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife.
- To develop interdisciplinary clinical management protocols and work within them.
- Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
- To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
- To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
- To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
- To assess, develop, implement and evaluate programmes of care within the acute and community setting
- To control patient admission via direct referral and with consultant guidance and supervision.
- Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.
- When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.
Workforce
- To line manage, a cohort of staff ensuring HR processes are followed.
- To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities.
- In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty.
- Take part in the selection, orientation and development of relevant staff and students within the service.
- Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention.
- Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs.
Financial
- Responsible for service budget.
- Take responsibility for the effective and efficient use of resources, being aware of resource requirements and limitations.
- Ensure all equipment and supplies in the clinical area are maintained to enable delivery of efficient and safe care.
- Evaluate equipment and make recommendations relevant to purchasing policies in conjunction with Procurement.
- Authorise the issue of appropriate appliances to patients within the Trust and community setting.
Partnerships
- Communications and Relationships
- Possess excellent communication skills to facilitate the collaboration between all professionals in the complete care and management of all patients within their speciality.
- Work in partnership with Ward Managers and Consultants and extended members of the multidisciplinary team, within the Trust and community in order to provide a coherent patient-centred service.
- To ensure effective communication networks are established and maintained with all disciplines, patients and relatives/carers, to include Community Health Care Teams.
- To communicate highly sensitive information, opens barriers to information. Demonstrates sensitivity, empathy and reassurance.
- To provide advice, support and education to both inpatients and outpatients who may use the service, to include the development and regular reviews of relevant written patient and carer information.
- To access effective clinical supervision to allow personal reflection on own practice and self-development both personally and professionally.
- To be an active member of the Lead Nurse Group and other relevant external specialist groups.
- Develop links within the Trust and outside agencies to organise and implement practical instruction for HCAs, Pre-Registration and Post-Registration nursing staff and Medical staff both in a theoretical and a clinical setting.
- Support and assist other specialties within the Trust with relevant clinical issues and those of service development.
- Act as a resource for specialist knowledge and skills related to care and for the development of research-based practice.
- Represent their speciality clinically, both internally within the Trust, and externally.
- Act as a representative of the Trust at local/national educational meetings
- Promote and undertake, where appropriate, nursing research and to publish the outcome in order to update own knowledge and promote excellence in clinical practice.
- Be aware of and participate as necessary in clinical research trials for patients, liaising with relevant Healthcare professionals.
- Utilise research findings, where applicable, in the delivery of specialist patient care, disseminating relevant information to colleagues.
Job description
Job responsibilities
Post Title: Lung Cancer Clinical Nurse Specialist
Division: Allied Clinical Services
Banding: 7
Responsible to: Lead Lung Cancer Nurse
Accountable to: Macmillan Lead Cancer Nurse
Hours: 22.5
Job Summary:
In line with the Trusts Annual Business Plan you will provide a high quality advanced expert nursing practice and cost-effective service to patients requiring routine and emergency care, from outpatients, pre-admission through to discharge and review at home.
The Division aims to provide an environment conducive to the on-going development of all staff and advancements in the quality of the service by ensuring provision of a high standard of training, teaching and clinical care within the acute/community setting.
To provide clinical support carrying out independently or assisting with interventional/investigational procedures in which full training has been undertaken based on clinical practice standards.
The Clinical Nurse Specialist will be an advanced and experienced practitioner within their speciality.
The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgements. Taking sole and joint responsibility for the patient and procedure during diagnostic and therapeutic interventional procedures to ensure a successful patient based outcome within the acute setting, which will require assessment, planning and implementation of treatment.
To give advice and guidance both to Consultants and other speciality professionals on interventional procedures and clinical practice.
To be responsible for the nursing leadership within the specialty and giving support and guidance within the multidisciplinary team, contributing to the high quality care given to patients, in accordance with clinical governance. The postholder will ensure delivery and expansion of an expert and advanced nurse-led service through effective interdisciplinary care, utilising clinical and managerial expertise, which will include a review of the effectiveness of treatment.
Key Result Areas & Performance:
All the following are to be carried out while working in close collaboration with members of the multi-disciplinary team led by a Consultant. To demonstrate clinical expertise within the speciality and work autonomously, managing own allocated clinics independently and seeking guidance/support when necessary.
- To co-ordinate the specialty care within the Trust, including outreach clinics within the region.
- To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings.
- Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
- To demonstrate the ability to develop new skills, to provide an expert high quality, nurse-led service.
- To provide ongoing follow-up care and support (home visits / telephone support / nurse/midwife led clinics / outpatient clinics and outreach clinics)
- To develop the service in a structured interdisciplinary way, initiating on-going change and progression in the expanding role of a Clinical Nurse Specialist/Specialist Midwife.
- To develop interdisciplinary clinical management protocols and work within them.
- Autonomously or in collaboration with the multidisciplinary team, manage the care of patients carrying out relevant interventions, within agreed clinical protocols and in line with current practice/trends.
- To offer a supportive service to patients and their carers, disseminating specialist knowledge enabling individuals to try and adapt to any changes to their body image and life experiences. Liaising with other healthcare professionals when necessary.
- To provide, promote and maintain a support and advice service to patients and their carers, to include provision of information giving from diagnosis through to all stages of the disease process, in liaison with relevant healthcare professionals.
- To maintain accurate and legible records of all clinical and legal documentation with regard to Statutory and Trust policies.
- To assess, develop, implement and evaluate programmes of care within the acute and community setting
- To control patient admission via direct referral and with consultant guidance and supervision.
- Be aware of, understand, and act upon the Divisional Business Plan, with particular reference to nursing care, in order to participate in the re-formulation of nursing aspects of the plan.
- When required, investigate the nursing aspects of incidents/complaints and initiate corrective action.
Workforce
- To line manage, a cohort of staff ensuring HR processes are followed.
- To provide advanced specialist knowledge and education, acting as a clinical resource to the Trust, CCG and Trust affiliated Universities.
- In conjunction with Ward Managers and Heads of Departments and the CCG assess learning needs and organise training and teaching programmes to fulfil the areas and individuals learning requirements within the specialty.
- Take part in the selection, orientation and development of relevant staff and students within the service.
- Promote staff confidence and competence and therefore assist job satisfaction and staff recruitment and retention.
- Identify the requirements to carry out the specialist role, implement and manage the service, developing the role in line with patient and service needs.
Financial
- Responsible for service budget.
- Take responsibility for the effective and efficient use of resources, being aware of resource requirements and limitations.
- Ensure all equipment and supplies in the clinical area are maintained to enable delivery of efficient and safe care.
- Evaluate equipment and make recommendations relevant to purchasing policies in conjunction with Procurement.
- Authorise the issue of appropriate appliances to patients within the Trust and community setting.
Partnerships
- Communications and Relationships
- Possess excellent communication skills to facilitate the collaboration between all professionals in the complete care and management of all patients within their speciality.
- Work in partnership with Ward Managers and Consultants and extended members of the multidisciplinary team, within the Trust and community in order to provide a coherent patient-centred service.
- To ensure effective communication networks are established and maintained with all disciplines, patients and relatives/carers, to include Community Health Care Teams.
- To communicate highly sensitive information, opens barriers to information. Demonstrates sensitivity, empathy and reassurance.
- To provide advice, support and education to both inpatients and outpatients who may use the service, to include the development and regular reviews of relevant written patient and carer information.
- To access effective clinical supervision to allow personal reflection on own practice and self-development both personally and professionally.
- To be an active member of the Lead Nurse Group and other relevant external specialist groups.
- Develop links within the Trust and outside agencies to organise and implement practical instruction for HCAs, Pre-Registration and Post-Registration nursing staff and Medical staff both in a theoretical and a clinical setting.
- Support and assist other specialties within the Trust with relevant clinical issues and those of service development.
- Act as a resource for specialist knowledge and skills related to care and for the development of research-based practice.
- Represent their speciality clinically, both internally within the Trust, and externally.
- Act as a representative of the Trust at local/national educational meetings
- Promote and undertake, where appropriate, nursing research and to publish the outcome in order to update own knowledge and promote excellence in clinical practice.
- Be aware of and participate as necessary in clinical research trials for patients, liaising with relevant Healthcare professionals.
- Utilise research findings, where applicable, in the delivery of specialist patient care, disseminating relevant information to colleagues.
Person Specification
Qualifications and Training
Essential
- Degree level learning
- RN / RM - Part 1
- Mentorship course (supervising and assessing)
- Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality.
- In-depth knowledge of anatomy related to speciality - cancer/chemotherapy
- Knowledge of conditions, management and treatment of cancer including surgery/chemotherapy/SACT, radiotherapy,
Desirable
- Knowledge of quality standards
- Counselling course
- Non-Medical Prescribing
- Advanced Communication Skills Training
- Level 2 Psychological assessment
- Accredited chemotherapy course
Experience
Essential
- Senior clinical experience within their speciality
- Experience in Practice Guideline Development
- Audit and Research Experience
- Evidence of clinical leadership qualities
- Ability to prioritise and organise workload
- Ability to work autonomously and as a member of a multi-professional team
- Evidence of using primary and secondary healthcare teams and resources
- Ability to clinically lead and direct staff
- Experience in patient advocacy
Desirable
- Lead an audit and/or research study
- Caseload management
- Leading a service
Knowledge
Essential
- Excellent verbal, written and interpersonal communication skills
- Counselling skills
- Computer Skills
- Ability to conduct own project successfully and follow them through
Desirable
- Change management
- Statistics and report writing
Person Specification
Qualifications and Training
Essential
- Degree level learning
- RN / RM - Part 1
- Mentorship course (supervising and assessing)
- Advanced training/skills in invasive/therapeutic/diagnostic procedures relevant to speciality.
- In-depth knowledge of anatomy related to speciality - cancer/chemotherapy
- Knowledge of conditions, management and treatment of cancer including surgery/chemotherapy/SACT, radiotherapy,
Desirable
- Knowledge of quality standards
- Counselling course
- Non-Medical Prescribing
- Advanced Communication Skills Training
- Level 2 Psychological assessment
- Accredited chemotherapy course
Experience
Essential
- Senior clinical experience within their speciality
- Experience in Practice Guideline Development
- Audit and Research Experience
- Evidence of clinical leadership qualities
- Ability to prioritise and organise workload
- Ability to work autonomously and as a member of a multi-professional team
- Evidence of using primary and secondary healthcare teams and resources
- Ability to clinically lead and direct staff
- Experience in patient advocacy
Desirable
- Lead an audit and/or research study
- Caseload management
- Leading a service
Knowledge
Essential
- Excellent verbal, written and interpersonal communication skills
- Counselling skills
- Computer Skills
- Ability to conduct own project successfully and follow them through
Desirable
- Change management
- Statistics and report writing
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).
