Associate Colorectal Clinical Nurse Specialist

Royal Free London NHS Foundation Trust

The closing date is 05 May 2025

Job summary

The postholder supports the Macmillan Colorectal Clinical Nurse Specialist (CNS) in providing high-quality, evidence-based care to colorectal cancer patients. Key responsibilities include:

Preparing cases for Colorectal Cancer Multi professional Team (CRC MDT) meetings and ensuring data compeletenses

Following up on post MDT actions and providing expert advice on care, including surgical options, adjuvant therapy, and living with the disease

Collaborating with other CNS teams, including Stoma care, ERAS and office staff, to address patient concerns and develop management plans.

Signposting patients to appropriate departments/agencies and undertaking Macmillan Holistic Needs Assessment (HNA) at key points

Attending surgical and oncology outpatient appointments (OPA) to support patients, and liaising with the chemotherapy unit,

Being available in the endoscopy unit to support patients, undergoing investigations

Promoting teamwork and integration within the nursing team.

Main duties of the job

To take a key role in the CRC MDT meeting, preparing the cases for presentation, ensuring the minimum data set is completed. The following up post MDT to ensure the duties required post MDT are done by the supporting SHO.

To provide expert advice and education to the multi-disciplinary team, patients and carers on all aspects of care for the individual who has CRC, including surgical options, adjuvant therapy and living with the physical impact of the disease.

Provide timely and appropriate written information for colorectal cancer patients, ensuring patients are aware of support groups and available services e.g. psychotherapy, welfare benefits and complementary therapies for cancer patients.

Meet on a weekly basis with the CNS team covering Stoma Care, ERAS and the office admin to discuss mutual patents, address any concerns and develop a management plan for patients.

Attend surgical OPA where patients are being given their diagnosis, to offer support, advice and information.Referring to the other professionals, GP's and signposting patients to other agencies as appropriate.

To support the Macmillan Colorectal CNS to provide a consistently high standard, evidence-based service to patients diagnosed with colorectal cancer. This support extends to family / carers

Assists in the co-ordination of patient treatment pathways between the various departments in both primary and secondary care to facilitate continuity of care

About us

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/

Date posted

28 April 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,939 to £50,697 a year per annum inclusive of HCAs

Contract

Permanent

Working pattern

Full-time

Reference number

391-NMUH-7155781

Job locations

The North Middlesex Hospital NHST

Sterling Way,

Edmonton

N18 1QX


Job description

Job responsibilities

1. CLINICAL RESPONSIBILITIES

1.1To take a key role in the CRC MDT meeting, preparing the cases for presentation, ensuring the minimum data set is completed. The following up post MDT to ensure the duties required post MDT are done by the supporting SHO.

1.2 To provide expert advice and education to the multi-disciplinary team, patients and carers on all aspects of care for the individual who has CRC, including surgical options, adjuvant therapy and living with the physical impact of the disease.

1.3 Provide timely and appropriate written information for colorectal cancer patients, ensuring patients are aware of support groups and available services e.g. psychotherapy, welfare benefits and complementary therapies for cancer patients.

1.4 Meet on a weekly basis with the CNS team covering Stoma Care, ERAS and the office admin to discuss mutual patents, address any concerns and develop a management plan for patients.

1.5 Attend surgical OPA where patients are being given their diagnosis, to offer support, advice and information.

1.6 Referring to the other professionals, GPs and signposting patients to other agencies as appropriate.

2. RESPONSIBILITY FOR PATIENTS

2.1 To support the Macmillan Colorectal CNS to provide a consistently high standard, evidence-based service to patients diagnosed with colorectal cancer. This support extends to family / carers.

2.2 Be available to attend endoscopy unit where patients undergoing investigations may be informed of suspected cancer, to offer information, support and contact details

2.3 To provide a telephone link for on-going support and advice offering flexibility and easy access for patients with bowel cancer

2.4 Supports people to access, identify, appraise and interpret complex technical information, to enable people to determine their own future.

2.5 To competently act as the patients advocate and assist patients in understanding their disease and treatments available to them, to support them to make informed choices about their care.

3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT

3.1 Follows an agreed care pathway, refers to other professionals and signposts to other agencies as appropriate.

3.2 Assists in the co-ordination of patient treatment pathways between the various departments in both primary and secondary care to facilitate continuity of care.

3.3 Supports and contributes to the implementation and monitoring of adherence to relevant clinical guidelines.

3.4 Supports and contributes to the development of policy and clinical guidelines

3.5 Supports the development of patient focused education, including training to self

manage ongoing consequences of treatmentT

4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES

4.1 careful use of clinical and financial resources

4.2Order stock when needed from the appropriate suppliers and manufactures in accordance wit eh ordering procedures dn order of delegation/finstructions

5. RESPONSIBILITY FOR LEADING AND MANAGING

5.1 Act as an Associate Key Worker for a clinical caseload under supervision, working to proactively manage care and provide easy access for ongoing support for patients.

Assesses peoples information needs and provides relevant information to meet those needs working in collaboration with Macmillan Health Care Support Worker, Personalised Care Manager and Macmillan Information Pod.

5.2 To be responsible in ensuring accurate and comprehensive documentation in all patients notes which include Somerset cancer database system.

5.3 Demonstrates leadership through clinical expertise, delivering high standards of person-centered care and using the underpinning philosophy of co-creating care with people affected by cancer.

5.4 Takes professional responsibility for ensuring effective communication between all service providers across the care pathway

6.6. RESPONSIBILITY FOR INFORMATION RESOURCES

6.1 Participates in SACAS colorectal meeting to ensure the voice of nursing is heard, particularly when service development is being discussed.

6.2 Encourage patients to be empowered to take responsibility for their own care, follow up and signpost to the appropriate departments/ agencies as needed.

6.3 Documentation of interactions, ether in Care Flow or Somerset, in accordance with NMC Professional Standard

6.4 Report any clinical matters/ concerns arising to the Macmillan Colorectal CNS

6.5 To be responsible in ensuring accurate and comprehensive documentation in all patients notes which include Somerset cancer database system

7. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT

7.1 Participate in developing patient focussed audit to review the service. Implements the findings into practice

7.2 Uses evidence-based approach to care.

7.3 Can challenge practice utilising an evidence-based approach to questions, and academic rigour.

7.4 Actively participates in multi-professional research as appropriate, acting as patient advocate and representing nursing views

7.5 Use research to provides clinical expertise, specialist advice and support across service boundaries. Supports the nursing contribution to service development, ensuring the pursuit of excellence in care

Job description

Job responsibilities

1. CLINICAL RESPONSIBILITIES

1.1To take a key role in the CRC MDT meeting, preparing the cases for presentation, ensuring the minimum data set is completed. The following up post MDT to ensure the duties required post MDT are done by the supporting SHO.

1.2 To provide expert advice and education to the multi-disciplinary team, patients and carers on all aspects of care for the individual who has CRC, including surgical options, adjuvant therapy and living with the physical impact of the disease.

1.3 Provide timely and appropriate written information for colorectal cancer patients, ensuring patients are aware of support groups and available services e.g. psychotherapy, welfare benefits and complementary therapies for cancer patients.

1.4 Meet on a weekly basis with the CNS team covering Stoma Care, ERAS and the office admin to discuss mutual patents, address any concerns and develop a management plan for patients.

1.5 Attend surgical OPA where patients are being given their diagnosis, to offer support, advice and information.

1.6 Referring to the other professionals, GPs and signposting patients to other agencies as appropriate.

2. RESPONSIBILITY FOR PATIENTS

2.1 To support the Macmillan Colorectal CNS to provide a consistently high standard, evidence-based service to patients diagnosed with colorectal cancer. This support extends to family / carers.

2.2 Be available to attend endoscopy unit where patients undergoing investigations may be informed of suspected cancer, to offer information, support and contact details

2.3 To provide a telephone link for on-going support and advice offering flexibility and easy access for patients with bowel cancer

2.4 Supports people to access, identify, appraise and interpret complex technical information, to enable people to determine their own future.

2.5 To competently act as the patients advocate and assist patients in understanding their disease and treatments available to them, to support them to make informed choices about their care.

3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT

3.1 Follows an agreed care pathway, refers to other professionals and signposts to other agencies as appropriate.

3.2 Assists in the co-ordination of patient treatment pathways between the various departments in both primary and secondary care to facilitate continuity of care.

3.3 Supports and contributes to the implementation and monitoring of adherence to relevant clinical guidelines.

3.4 Supports and contributes to the development of policy and clinical guidelines

3.5 Supports the development of patient focused education, including training to self

manage ongoing consequences of treatmentT

4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES

4.1 careful use of clinical and financial resources

4.2Order stock when needed from the appropriate suppliers and manufactures in accordance wit eh ordering procedures dn order of delegation/finstructions

5. RESPONSIBILITY FOR LEADING AND MANAGING

5.1 Act as an Associate Key Worker for a clinical caseload under supervision, working to proactively manage care and provide easy access for ongoing support for patients.

Assesses peoples information needs and provides relevant information to meet those needs working in collaboration with Macmillan Health Care Support Worker, Personalised Care Manager and Macmillan Information Pod.

5.2 To be responsible in ensuring accurate and comprehensive documentation in all patients notes which include Somerset cancer database system.

5.3 Demonstrates leadership through clinical expertise, delivering high standards of person-centered care and using the underpinning philosophy of co-creating care with people affected by cancer.

5.4 Takes professional responsibility for ensuring effective communication between all service providers across the care pathway

6.6. RESPONSIBILITY FOR INFORMATION RESOURCES

6.1 Participates in SACAS colorectal meeting to ensure the voice of nursing is heard, particularly when service development is being discussed.

6.2 Encourage patients to be empowered to take responsibility for their own care, follow up and signpost to the appropriate departments/ agencies as needed.

6.3 Documentation of interactions, ether in Care Flow or Somerset, in accordance with NMC Professional Standard

6.4 Report any clinical matters/ concerns arising to the Macmillan Colorectal CNS

6.5 To be responsible in ensuring accurate and comprehensive documentation in all patients notes which include Somerset cancer database system

7. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT

7.1 Participate in developing patient focussed audit to review the service. Implements the findings into practice

7.2 Uses evidence-based approach to care.

7.3 Can challenge practice utilising an evidence-based approach to questions, and academic rigour.

7.4 Actively participates in multi-professional research as appropriate, acting as patient advocate and representing nursing views

7.5 Use research to provides clinical expertise, specialist advice and support across service boundaries. Supports the nursing contribution to service development, ensuring the pursuit of excellence in care

Person Specification

Education and Qualifications

Essential

  • Registered General Nurse
  • post basic qualification in cancer or palliative care
  • working in an acute setting ie surgery/oncology

Desirable

  • Advanced communication skills
  • recognised teaching qualification
  • physical assessment training

Experience

Essential

  • Working as part a MDT
  • audit experience
  • worked of working with patients with a Colorectal cancer diagnosis

Desirable

  • leadership and management skills training

Skills adn aptitudes

Essential

  • Effective communication written and verbal
  • evident of being able to work independently

Desirable

  • evidence of managing a case load
Person Specification

Education and Qualifications

Essential

  • Registered General Nurse
  • post basic qualification in cancer or palliative care
  • working in an acute setting ie surgery/oncology

Desirable

  • Advanced communication skills
  • recognised teaching qualification
  • physical assessment training

Experience

Essential

  • Working as part a MDT
  • audit experience
  • worked of working with patients with a Colorectal cancer diagnosis

Desirable

  • leadership and management skills training

Skills adn aptitudes

Essential

  • Effective communication written and verbal
  • evident of being able to work independently

Desirable

  • evidence of managing a case load

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

Royal Free London NHS Foundation Trust

Address

The North Middlesex Hospital NHST

Sterling Way,

Edmonton

N18 1QX


Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

Employer details

Employer name

Royal Free London NHS Foundation Trust

Address

The North Middlesex Hospital NHST

Sterling Way,

Edmonton

N18 1QX


Employer's website

https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Matron oncology and palliative care

Monic Deckon

monica.deckon@nhs.net

07929382860

Date posted

28 April 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,939 to £50,697 a year per annum inclusive of HCAs

Contract

Permanent

Working pattern

Full-time

Reference number

391-NMUH-7155781

Job locations

The North Middlesex Hospital NHST

Sterling Way,

Edmonton

N18 1QX


Supporting documents

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