Job summary
A fundamental part of the ANP role will be to undertake routine advanced physical assessment of the day care SACT patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations (e.g. blood tests, radiographs), prescribing SACT and other supportive medications. The ANP will also have skills in the early detection and intervention of clinical deterioration in existing or new medical conditions. The post is intended to provide improved outcomes for patients by improving services and quality. You will be expected to exercise a high degree of personal professional autonomy and make critical judgements to satisfy the expectations and demands of the role working within the guidelines of agreed clinical protocols. It is essential that you are currently a Registered Nurse with the NMC and you will be required to have extensive post registration experience in oncology / haematology care. Advanced clinical knowledge and skills are required to work as a core team member of the team, working autonomously is essential.
The post holder will ideally have completed an MSc in advanced clinical practice however applications will be considered from suitable candidates who have commenced the level 7 pathway and be willing to continue level 7 studies towards a qualification in advance practice.
Main duties of the job
The Royal Marsden is one of Europe's largest cancer centres dedicated to research, diagnosis, treatment and education. With world-leading cancer experts, The Royal Marsden has the clinical expertise to provide every patient with CQC outstanding high standards of care. Our state-of-the-art facilities allow us to combine the world's most eminent cancer specialists with the latest technology enabling us to pioneer tomorrow's cancer treatments today, ensuring the best possible personalised treatment and care. The Royal Marsden together with the Institute of Cancer Research, are ranked in the top five cancer centres in the world for the impact of their research. The Royal Marsden operates from two centres, in Chelsea and Sutton, has a Medical Day Unit at Kingston Hospital and a diagnostic and treatment centre in Cavendish Square.
The Royal Marsden Private Care has made significant investment in developing new ways of working for senior cancer nurses as Advanced Nurse Practitioners (ANP) in Private Patient Medical Day Units (PPMDU), Outpatients and Clinical Assessment Units. There is now an opportunity for a new ANP to join the existing team rotating between the Chelsea site and Cavendish Square. With support (nursing and medical), the ANP will integrate into the existing Specialist Grade Doctor and Acute Oncology Service team working as an autonomous practitioner to carry out their extended roles.
About us
The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals - one in Chelsea, London, and one in Sutton, Surrey - as well as a Medical Daycare Unit in Kingston Hospital
At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.
At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits and learning and development opportunities. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.
2.1 The ANP will undertake routine advanced physical assessment of the day care SACT patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations (e.g. blood tests, radiographs), prescribing SACT and other supportive medications, and arranging appropriate follow up, when necessary. 2.2 Presenting and attending PPMDU Consultant rounds preparing SACT clinic and Outpatient lists in conjunction with the team. 2.3 To provide support and advice to nursing, medical and allied health professionals therapy staff in relation to the management of the SACT patient. 2.4 To provide support and advice to patients and their carers relating to their chemotherapy and any procedures. 2.5 To obtain informed consent from patients prior to starting their first chemotherapy cycle and ongoing cycles. 2.6 Using assessment skills and advanced clinical decision making to formulate a diagnosis, prompt treatment plans or referrals will be initiated to effectively manage acute and chronic cancer-related complications and/or toxicities from systemic anti-cancer treatments and/or radiotherapy. 2.7 To recognise, assess and manage oncological emergencies and the acutely unwell oncology patient according to Trust protocols, policies and guidelines, and to assist in the patients transfer if necessary. 2.8 To provide support and advice for incoming calls from the RM teams/Royal Marsden Macmillan Hotline in order to safely triage patients who are reporting side-effects/complications relating to their disease and/or treatment to the most appropriate place of care.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification.
2.1 The ANP will undertake routine advanced physical assessment of the day care SACT patients including assessing these patients prior to each treatment using thorough history taking, clinical examination, arranging relevant investigations (e.g. blood tests, radiographs), prescribing SACT and other supportive medications, and arranging appropriate follow up, when necessary. 2.2 Presenting and attending PPMDU Consultant rounds preparing SACT clinic and Outpatient lists in conjunction with the team. 2.3 To provide support and advice to nursing, medical and allied health professionals therapy staff in relation to the management of the SACT patient. 2.4 To provide support and advice to patients and their carers relating to their chemotherapy and any procedures. 2.5 To obtain informed consent from patients prior to starting their first chemotherapy cycle and ongoing cycles. 2.6 Using assessment skills and advanced clinical decision making to formulate a diagnosis, prompt treatment plans or referrals will be initiated to effectively manage acute and chronic cancer-related complications and/or toxicities from systemic anti-cancer treatments and/or radiotherapy. 2.7 To recognise, assess and manage oncological emergencies and the acutely unwell oncology patient according to Trust protocols, policies and guidelines, and to assist in the patients transfer if necessary. 2.8 To provide support and advice for incoming calls from the RM teams/Royal Marsden Macmillan Hotline in order to safely triage patients who are reporting side-effects/complications relating to their disease and/or treatment to the most appropriate place of care.
Person Specification
Education/Qualifications
Essential
- Registration (NMC)
- Diploma or Degree level study (or equivalent)
- Evidence of ongoing professional development
- Physical assessment skills module
- Qualification in oncology or Post Graduate equivalent
- SACT passport or equivalent recognised
- chemotherapy module
Desirable
- ILS/ALS
- Recognised teaching qualification
- Leadership qualification
- Experience in accreditation processes
- Qualification in non-medical prescribing
- Master's degree in Advanced Practice
Experience
Essential
- Significant post registration nursing experience in oncology or speciality to be confident and competent in using the required skills to do the job.
- Recognised Advanced Nurse Practitioner skills including advanced assessment skills, electing and recommending appropriate diagnostic and therapeutic management.
- Excellent understanding and experience in the recognition and management of oncological emergencies.
- Current experience in managing the deteriorating oncology patient, including the safe transfer of patients
- Experience in a large complex organisation and/or NHS
- Knowledge of the Acute Oncology Service and related DH guidelines.
- Good understanding of the clinical and non-clinical aspects of an International service model
- Experience of change initiatives within and operational and clinical team
- Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders
Skills Abilities/knowledge
Essential
- Evidence of effective interpersonal skills with particular ability to liaise with multidisciplinary team members
- Ability to make decisions, prioritise and work under pressure
- Knowledge and understanding of quality issues
- Evidence of understanding the national policy
- Computer Literacy (eg: Microsoft Word and Outlook)
- Able to lead Root Cause Analysis investigations to facilitate staff in identifying and embedding areas for improvement in the provision of high quality and safe care
- Able to manage multiple and complex projects including tracking of plans and actions
- Able to present confidently and persuasively to small and large groups
- Able to present complex information appropriately to the Trust's Governance Committees
- Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings.
- Excellent organisational skills
- Excellent written and verbal communication skills
- Able to work flexibly as part of a team cross all sites
- Highly proficient in the use of standard office software packages
- Ability to think innovatively in a work context
Person Specification
Education/Qualifications
Essential
- Registration (NMC)
- Diploma or Degree level study (or equivalent)
- Evidence of ongoing professional development
- Physical assessment skills module
- Qualification in oncology or Post Graduate equivalent
- SACT passport or equivalent recognised
- chemotherapy module
Desirable
- ILS/ALS
- Recognised teaching qualification
- Leadership qualification
- Experience in accreditation processes
- Qualification in non-medical prescribing
- Master's degree in Advanced Practice
Experience
Essential
- Significant post registration nursing experience in oncology or speciality to be confident and competent in using the required skills to do the job.
- Recognised Advanced Nurse Practitioner skills including advanced assessment skills, electing and recommending appropriate diagnostic and therapeutic management.
- Excellent understanding and experience in the recognition and management of oncological emergencies.
- Current experience in managing the deteriorating oncology patient, including the safe transfer of patients
- Experience in a large complex organisation and/or NHS
- Knowledge of the Acute Oncology Service and related DH guidelines.
- Good understanding of the clinical and non-clinical aspects of an International service model
- Experience of change initiatives within and operational and clinical team
- Experience of managing projects involving clinicians and track record of successful engagement with clinical leaders
Skills Abilities/knowledge
Essential
- Evidence of effective interpersonal skills with particular ability to liaise with multidisciplinary team members
- Ability to make decisions, prioritise and work under pressure
- Knowledge and understanding of quality issues
- Evidence of understanding the national policy
- Computer Literacy (eg: Microsoft Word and Outlook)
- Able to lead Root Cause Analysis investigations to facilitate staff in identifying and embedding areas for improvement in the provision of high quality and safe care
- Able to manage multiple and complex projects including tracking of plans and actions
- Able to present confidently and persuasively to small and large groups
- Able to present complex information appropriately to the Trust's Governance Committees
- Ability to lead audit activities to assess and monitor the quality of care. Implement change based on the findings.
- Excellent organisational skills
- Excellent written and verbal communication skills
- Able to work flexibly as part of a team cross all sites
- Highly proficient in the use of standard office software packages
- Ability to think innovatively in a work context
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).
