Job summary
An exciting opportunity has arisen for an Advanced Nurse Practitioner (ANP) in Acute Oncology Service (AOS) and Systemic Anti-Cancer Treatment (SACT) to join our team. With support from experienced nursing and medical mentors, the postholder will become part of the established ANP/Specialist Doctor team in the Private Patient MDU across Chelsea and Cavendish Square, working autonomously in an extended clinical role.
This dynamic role involves advanced physical assessments of patients receiving SACT in day care, as well as those presenting acutely with oncological complications such as neutropenic sepsis, metastatic spinal cord compression, and disease-related emergencies. The ANP will undertake pre-treatment reviews, history-taking, clinical examinations, arrange and interpret investigations (e.g. bloods, imaging), and prescribe SACT and supportive treatments.
Within the AOS remit, the ANP will play a pivotal role in the early recognition and management of acute deterioration, providing timely interventions to avoid unplanned hospital admissions and support safe discharge planning. The role is central to improving patient outcomes through rapid assessment and enhanced continuity of care.
You'll be expected to work with a high level of autonomy and clinical decision-making within agreed protocols.
Main duties of the job
The Royal Marsden operates across two main centres--Chelsea and Sutton--with a Medical Day Unit at Kingston Hospital and a Private Diagnostics and Treatment Facility at Cavendish Square. This post covers the Acute Oncology Service (AOS) at the Chelsea site and Systemic Anti-Cancer Treatment (SACT) services at Cavendish Square.
Supported by experienced nursing and medical mentors, the ANP will join the established ANP/Specialist Doctor team in the Private Patient Medical Day Units (PPMDU), working autonomously across both sites in an extended clinical role.
Key responsibilities include providing visible clinical leadership to nursing teams, ensuring high standards of care through expert practice. The ANP will assess patients receiving SACT and supportive therapies, using advanced clinical decision-making to guide treatment planning. They will also identify, assess, and manage patients with complications or toxicities related to SACT or radiotherapy.
The role includes recognising and responding to unwell or deteriorating patients, delivering prompt interventions, and coordinating safe transfers. The postholder will also lead the delivery of a responsive and high-quality Acute Oncology Service in line with national AOS measures, ensuring timely management of oncological emergencies such as neutropenic sepsis, MSCC, and malignant effusions.
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, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. 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:
- The ANP will order investigations (e.g. X Rays, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RM Chelsea).
- Take responsibility for organising, undertaking and interpreting investigations, as appropriate, to ensure patients are fit as possible for treatment where necessary discussing with the Consultant.
- To liaise with Day Care Sister/ Charge Nurse, administrative staff and other members of the MDT to optimise the smooth transition for the patient throughout their treatment pathway.
- Review and prescribe medication in a timely manner ensuring it is within own level of knowledgeand competence and within the scope of the Trusts Policy for Non-Medical Prescribing qualification.
- Following protocol, ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff.
- To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice.
Job description
Job responsibilities
For further information on this role, please see the attached detailed Job Description and Person Specification:
- The ANP will order investigations (e.g. X Rays, blood tests) and interpret results and escalate concerns and abnormalities as appropriate to the Consultant or Outreach teams (if in RM Chelsea).
- Take responsibility for organising, undertaking and interpreting investigations, as appropriate, to ensure patients are fit as possible for treatment where necessary discussing with the Consultant.
- To liaise with Day Care Sister/ Charge Nurse, administrative staff and other members of the MDT to optimise the smooth transition for the patient throughout their treatment pathway.
- Review and prescribe medication in a timely manner ensuring it is within own level of knowledgeand competence and within the scope of the Trusts Policy for Non-Medical Prescribing qualification.
- Following protocol, ensure through good practice that customer care initiatives are improved and sustained. Act as a resource for expert advice to patients, relatives/carers and staff.
- To lead the provision of care in accordance with the Trust Policies reflecting current trends and developments in practice.
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
- 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
- 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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
